New Patient Information
What to bring
Your first visit, step by step
Your first visit includes four things: a consultation, where Dr. Hoehle listens to what is going on and what you want back; an exam; any necessary X-rays, taken on site; and treatment. He explains what he found and what he recommends before care begins. Plan for 45 to 60 minutes; follow-up visits are shorter.
Insurance and payment
How follow-up care is planned
Frequently asked questions
A chiropractor finds the misalignments in the spine (places where a joint is not moving or positioned normally) and adjusts them to restore normal motion and take pressure off the nerves. At this office that work is guided by an exam and X-rays, so Dr. Hoehle knows exactly where to adjust and why, and it extends to the extremities, not just the spine
Decompression applies a gentle, calibrated pull that decompresses the disc and takes pressure off the nerves, which may help protect the disc and nerves from long-term damage and degeneration. One honest limit worth knowing: it does not regrow or permanently rehydrate a disc; it reduces the pressure so the area has a better chance to calm down and heal. More on the decompression page.
Gas exchange inside the joint capsule as the joint moves, not bones cracking. As a joint is adjusted, gases dissolved in the joint fluid shift, and that shift makes the pop. It sounds dramatic; it is not. And if you would rather skip the sound entirely, gentler options exist (see the next question but one).
Dr. Hoehle uses on-site X-rays with new patients because, in his experience, they are the best tool for seeing exactly where to adjust and how much degeneration has occurred, which lets him treat as safely and effectively as possible. X-rays also make progress measurable: follow-up films after your course of care document the structural change.
Yes. Care at this office is corrective, which means the goal is a change that lasts, and that requires your participation. Dr. Hoehle teaches home exercises, traction, stretches, and postural retraining so the changes made in the office hold up in your daily life.
Yes. After the recommended course of treatment, Dr. Hoehle takes follow-up X-rays to document the structural change. It is one thing to feel better; it is another to see the correction on film, and this practice does both.
Yes, every week. He practices what he recommends: regular adjustments, the same home exercises and postural work he teaches patients, and the same maintenance mindset. It is easier to trust care from a doctor who uses it on himself.
No. It feels like a gentle pull. The exact amount of pull is designed for each patient individually, so it is calibrated to stay comfortable rather than set to a one-size-fits-all level. If a setting ever feels like too much, say so and it will be adjusted.
Yes. For patients who do not like the pop, Dr. Hoehle uses drop-table adjusting and instrument adjusting, which accomplish the adjustment without the sound. Nervousness about the pop is one of the most common reasons people avoid neck care; it does not have to stop you here.
Yes. After your exam and X-rays, Dr. Hoehle works out the best recommendations for your specific case. There is no standard package and no promised visit count, because every spine and every patient is different, and your plan adjusts as your progress is tracked.
Yes, on almost every patient. Shoulders, elbows, wrists, hips, knees, and ankles can develop the same motion and alignment problems the spine does, and addressing them is a normal part of care here, not an add-on.
Two things: correct the problem so it does not keep coming back, and get you back to all of your activities of daily living. Feeling better matters, but the aim of this practice is a correction you can maintain, documented on follow-up X-rays and supported by the home care you learn along the way.
Schedule your first visit
- Clinically reviewed by Michael Hoehle, DC
- Published 06/15/2022
- Last Reviewed 08/13/2026