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Expert Chiropractic Care in Bismarck, ND
At Pathways Chiropractic, we prioritize individualized care for every patient who walks through our doors. Our approach combines chiropractic adjustments with complementary therapies like dry needling, acupuncture, and soft tissue techniques to address diverse health needs. With expertise in treating patients from infancy to advanced age, we emphasize non-invasive, drug-free solutions for pain management and overall wellness.

Our clinic specializes in sports injury recovery, pregnancy-related care, and pediatric chiropractic services, supported by advanced diagnostic tools and personalized treatment plans. We maintain transparent communication with patients, offering educational resources to empower informed healthcare decisions while fostering long-term wellness through spinal health optimization.
Services
Chiropractic Adjustments Acupuncture Dry Needling Pediatric Care Kinesiology Taping Cupping Therapy Pregnancy Chiropractic Soft Tissue Techniques Nutritional Counseling Rehabilitation Exercises
Highlights and features
  • We offer personalized treatment plans combining chiropractic adjustments with complementary therapies.
  • Our doctors have advanced training in sports injury recovery and pediatric chiropractic care.
  • We serve patients from infancy through senior years with age-appropriate treatment approaches.
  • We utilize advanced diagnostic tools including digital X-ray technology for precise assessments.
  • Our clinic provides comprehensive wellness education to support long-term health improvements.
Services
Chiropractic Adjustments
Our chiropractic adjustments restore proper joint movement and nervous system function through manual spinal manipulation. This treatment improves mobility, reduces pain, and enhances overall health by addressing misalignments causing nerve interference. Patients receive personalized adjustment plans tailored to their specific conditions and wellness goals.
Acupuncture
Acupuncture treatments use fine needles at specific points to stimulate energy flow and promote natural healing. This evidence-based therapy addresses chronic pain, stress, and various health conditions by improving circulation and balancing bodily systems. Our certified practitioners integrate acupuncture with chiropractic care for comprehensive wellness solutions.
Dry Needling
Dry needling targets muscle knots and tension points to relieve chronic pain and improve mobility. This technique releases tight muscle bands causing discomfort through precise needle insertion. Patients experience reduced inflammation and restored muscle function when combined with chiropractic adjustments and rehabilitation exercises.
Pediatric Chiropractic
Specialized pediatric chiropractic care addresses developmental needs from infancy through adolescence. Gentle adjustments correct postural issues, support nervous system development, and address birth-related stresses. Our approach ensures safe, age-appropriate treatment for common childhood conditions and activity-related musculoskeletal concerns.
Kinesiology Taping
Kinesiology taping applications provide muscle support and pain relief through elastic therapeutic tape. This technique reduces inflammation, improves joint stability, and enhances recovery from sports injuries. We use Rocktape brand products to optimize athletic performance and support soft tissue healing during rehabilitation.
People
Dr. Beth Holwegner
Chiropractor
A Bismarck native with 16+ years of chiropractic experience, Dr. Beth specializes in family wellness and sports injury prevention. She graduated from Northwestern Health Sciences University in 2006 and focuses on non-surgical pain management solutions.
Dr. Ryan Koch
Chiropractor
Dr. Ryan, a Bismarck native with dual chiropractic and acupuncture certifications, graduated from Northwestern College of Chiropractic in 2008. He specializes in corrective spinal care and holistic health optimization through integrated treatment approaches.
Questions
What chiropractic techniques do you use?
We combine spinal adjustments with soft tissue therapies, dry needling, and rehabilitation exercises tailored to each patient's needs.
Do you treat children and pregnant women?
Yes, we provide age-appropriate care for children and specialized prenatal adjustments using pregnancy-specific treatment tables.
What insurance plans do you accept?
We work with all insurance plans offering chiropractic benefits and can verify your specific coverage during appointment scheduling.
Are payment plans available?
Yes, we offer flexible payment options including same-day service discounts and customized payment plans for uninsured patients.
What should new patients bring to their first visit?
New patients should complete online forms beforehand and bring insurance information, government ID, and any relevant medical records.
Do you offer acupuncture services?
Yes, Dr. Ryan Koch provides acupuncture treatments as a licensed board-certified practitioner specializing in holistic pain management.