About Us

Advanced ChiroCare in Council Bluffs, IA

Located in Council Bluffs, IA, Advanced ChiroCare offers a wide range of chiropractic services, including:

Chiropractic Family Practice Posture Improvement Digital X-Ray Sports Injuries Sports Physicals Back Pain Disc Problems Pinched Nerves Headaches Neck Pain Auto Accidents Whiplash Workers Comp Spinal Traction Whole Body Vibration Training/Therapy Nutrition Massage

At Advanced ChiroCare, we believe in making your health care needs a pleasurable experience. Your confidence in us as a health care provider is the best compliment we can receive. We will do our best to assist you in every way and pledge to you the best care we can deliver. In return, we ask for your full cooperation. The following will help you understand what to expect as a patient in our office:

  • You will receive an examination and a thorough history will be requested of you. From this, Dr. Kjeldgaard will be better able to determine if you are a chiropractic case.
  • If you are accepted as a patient, Dr. Kjeldgaard may order x-rays of your condition. Those x-rays may be ordered in part or whole depending on Dr. Kjeldgaard’s recommendations. X-rays are a very important part of your evaluation and assist Dr. Kjeldgaard in “knowing” rather than “guessing” your condition.
  • It is likely you will not be adjusted until Dr. Kjeldgaard understands your condition fully and is sure he may be able to help you. From time to time, additional examinations and tests may be needed to assist in proper analysis of your condition. If you are in extreme pain, Dr. Kjeldgaard will assist you in its relief until your findings have been completed.
  • You will receive a complete report of findings as it pertains to your examination and x-rays. From this Dr. Kjeldgaard will recommend a schedule of care that best suits your condition. Dr. Kjeldgaard offers two types of care to his patients, patch care and corrective care. These will be explained to you in detail so you may choose which is best for you at this time.
  • You will be asked to attend a spinal care class that will educate you on how your health status relates to chiropractic. It is important that you do not miss this appointment so that you receive the most from your care.

Please let us know if there is anything we can do to make your visits more pleasurable and we thank you for choosing our clinic for your health.

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About the Doctor

Dr. Dan Kjeldgaard

I grew up in this area and many of my patients are also friends and neighbors. I think it’s important to give back to the community that’s given so much to me and my family.

Dr. Dan C. Kjeldgaard was born and raised in Council Bluffs, IA with two brothers and a sister. Raised in an athletic family, Dan seemed to excel in wrestling along with his older brother Doug and his younger brother David. He was a High School Academic All American at Lewis Central High School and graduated in 1992. He was also an All American in Greco roman and Freestyle wrestling while in high school, despite serious back pain episodes.

Dan continued to wrestle in college at the University of Northern Iowa, while studying Biology and Chemistry to prepare for Veterinary School. A four year varsity member, and a three year NCAA Division I National Tournament Qualifier, Dan had success despite the worsening back problems.

One particular bad episode of back pain left Dan so disabled that he could not even walk without assistance. He decided to try chiropractic care for the first time since nothing else seemed to work. Within two weeks he was back on the mat and had one of the best tournaments of his college career.

The amazing results Dan experienced with chiropractic prompted him to research the profession and its science and procedures. After visiting local chiropractors around the college and doing some research, Dan made the decision to enter chiropractic school instead of veterinary school, and to help others like him live a better quality of life.

Throughout chiropractic school, despite weekly adjustments, Dan would still have debilitating episodes of low back pain every 6-8 months. Then in his last year of school he heard about a new technically advanced, highly researched, structural rehabilitation technique called Chiropractic Biophysics, or CBP. Dan began attending weekend seminars to learn the technique while still attending normal class all week. He also began applying the CBP procedures to himself and for the first time in ten years the back problems went away!

Dr. Dan C. Kjeldgaard Graduated from Cleveland Chiropractic College in 2001 and moved back to his hometown of Council Bluffs, IA. Dr. Dan opened up Advanced Chiropractic in August of 2002 and is happy to be able to serve the community in which he was raised.

After 72 hours of training, and a written and practical exam, Dr. Dan was accepted as a Distinguished Fellow of Chiropractic Biophysics in 2002. This certification makes Dr. Dan the only Certified CBP Chiropractor in southwest Iowa. In fact, there are only three in Iowa and three in Nebraska.

Dr. Dan continues to attend seminars and takes pride in keeping up on the latest advances in chiropractic and health care.


About the Staff

Amanda, Office Manager

Amanda has been working for Advanced ChiroCare for 10 years and is in charge of all administrative, insurance, and scheduling duties.


Additional Resources – Articles and Research

Clearly 80% of people some time in their life will experience acute and severe lower back pain that causes them to miss work or playtime and robs them of the one thing you cannot have more of, time. At this very moment thousands of people are in bed with back pain. This condition alone costs you the taxpayer, millions of dollars per year in lost work, compensation, and medical bills.

Here are the facts about the chiropractic option for dealing with this most debilitating problem:

The Manga Report

The Manga Report, commissioned by the Ministry of Health in Ontario and carried out by leading independent health economists at the University of Ottawa, led by Pran Manga, Ph.D., reviewed all of the international evidence on the management of low back pain. It concluded:

  • There would be highly significant cost savings if more management of low-back pain was transferred from physicians to chiropractors;
  • There should be a “shift in policy to encourage and prefer chiropractic services for most patients with low-back pain,” and chiropractic should be “fully insured (and) fully integrated” into the Ontario health care system.
  • “The overwhelming body of evidence” shows that chiropractic management of low-back pain is more cost effective than medical management, and that “many medical therapies are of questionable validity or are clearly inadequate…”Chiropractic manipulation is safer than medical management of low-back pain.”
  • “Chiropractic management is greatly superior to medical management in terms of scientific validity, safety, cost effectiveness and patient satisfaction.”

The literature suggests that chiropractic management of low back pain is more effective, more cost-effective, and safer than medical management. Furthermore, there is greater patient satisfaction with chiropractic care than with medical management of low back pain.

Pran Manga, Ph.D.
Douglas E. Angus, M.A.
William R. Swan, B. Comm.

The literature suggests that chiropractic manipulation is safer than medical management of low back pain, perhaps contrary to popular impressions. There are no clinical or case-control studies that demonstrate or even imply that chiropractic spinal manipulation is unsafe in the treatment of low back pain.

Pran Manga, Ph.D.
Douglas E. Angus, M.A.
William R. Swan, B. Comm.

The Rand Study

The goal of this study was to provide a comprehensive set of indications for performing spinal manipulation for persons with low back pain. The project conducted by the RAND Corporation, a nonprofit private corporation in Santa Monica, California which conducts research and development for the US Government and the private sector, commands international respect.
The project was directed by two medical doctors, Robert Brook, MD, and Paul Shekelle, MD, and involved two expert panels of clinicians and researchers to assess the clinical consensus on the appropriateness of spinal manipulation for more than 1600 patients with back pain conditions.

The results of the study were:

  • Acute and sub-acute mechanical back pain patients given spinal manipulation achieve better early results than patients given common medical treatments (bedrest, medication, traction, corsets).
  • 50% of the patients treated by manipulation were free of pain after one week, compared to 27% treated with bedrest.
  • Manipulation proved better for pain relief than the use of physiotherapy and analgesics.
  • Pain was relieved by manipulation in a shorter time (3.5 treatments) than by exercise (5.8 treatments).
  • Patients with pain of 2 to 3 weeks duration achieved a 50% reduction in pain more rapidly with manipulation than with mobilization.
  • Patients treated by manipulation improved significantly faster than those treated with medicine.
  • Manipulation provides earlier relief than other treatments or no treatment.

British Medical Research Council Study

The British Medical Research Council conducted a 10 year, multi-center trial comparing chiropractic and hospital outpatient management of 741 patients with acute and chronic mechanical low back pain. Results of the study were reported in the June 2, 1990, issue of The British Medical Journal, and concluded the following:

  • Chiropractic treatment was significantly more effective, particularly for patients with chronic and severe pain.
  • Results were long-term–“the benefit of chiropractic treatment became more evident throughout the follow-up period of two years.
  • The superior results for chiropractic patients were not result of trial errors or placebo.
  • “The potential economic, resource, and policy implications of our results are extensive. Consideration should be given to providing chiropractic within the National Health Service, either in hospitals, or by purchasing chiropractic treatment from existing clinics.”
  • An economic analysis, which appears conservative and uses patient numbers reported in 1979, shows savings in excess of 10 million pounds per annum in Britain by having hospital outpatients with back pain treated by chiropractors.
  • The study provides very considerable support of the New Zealand Commission’s findings.

State of California Industrial Back Injury Study

In 1972 Richard Wolf, MD, questioned 1000 patients about work time loss and residual pain, and 629 patients responded, of which half were medically treated and the other half were treated by chiropractic.

Average Days Lost 60 Days Lost No Time Lost
Under Chiropractic Care 15.6 6.7% 47.9%
Under Medical Care 32.0 13.2% 21.0%

Conclusion of study:

Patient time loss was cut in half under chiropractic care compared to medical care in all three categories. Chiropractic effectiveness is two to one better over medical care in these types of ailments.

Nevada Workers’ Compensation Study

  • For the three year period ending in 1990, the average medical cost per patient ($2142) was 260% higher than the average chiropractic case ($892).
  • Injured workers are often able to continue working while receiving chiropractic treatments. This may not be the case with standard medical treatment protocol of bed rest and medication.
  • Chiropractic eliminated the concern of unnecessary surgery, inappropriate hospitalization, improper use of medication and the high frequency of narcotic analgesics.

Although study after study provides evidence that chiropractic is safe, effective and also affordable, many people are still unaware of the chiropractic approach to this serious problem. In my office, we start with a complete medical history, simply a series of questions about you and your body designed to uncover any “hidden” problems that may be connected to your main complaint. Next, a very thorough postural examination is performed to accurately analyze your overall body alignment. This is followed by standard tests to see how your spine moves, and what effect different movements have on both your spine and your pain level. Next your reflexes, your muscle strength and your ability to feel various types of touch are often performed. Your blood pressure, pulse, height and weight are also recorded.

The next step is a very precise structural x-ray examination to see the position of your spinal bones and to rule out any other possible diseases that may be affecting your spine. Commonly, we see the structural abnormalities that result in abnormal spinal weight bearing that in turn produces spinal degeneration or arthritis.

Once all of the data about you and your problem is collected I analyze the x-rays and examination findings, correlate this with the history you provided and come up with a recommended treatment program. We (you and I), as a team, decide what the best approach for you to achieve the results you desire. I find that patients also need to fully understand this new science. Part of my duty as a doctor is therefore to teach you about your body. As soon as possible I have you (and your spouse, if applicable significant other or other family member) attend our Spinal Care Class. I find patients save time, money and respond much quicker when they understand how their body works and what is expected of them.

The treatment is the delivery of gentle precise forces to the abnormally positioned spinal bones to correct their position. Often, ice packs are used to help the body control swelling and/or inflammation. I also use various specific exercises designed to retrain your spinal muscles to a more normal function. Quite regularly, daily activities are contributing to both the abnormal position and an abnormal pattern in the body. Examples are sleeping, sitting, driving, and even exercising.

The response to treatment in my office is overwhelmingly positive. I have helped many people eliminate the pain and lack of function present in their bodies. All of this achieved naturally, without drugs or surgery, allowing your body’s own natural healing ability to flourish. Scientific Chiropractic care is the best choice for you and your body.

Structural Rehabilitation of the Spine and Posture: Rationale for Treatment beyond the Resolution of Symptoms
Stephan J. Troyanovich, D.C.,1 Deed E. Harrison, D.C.2 and Donald D. Harrison, D.C.3

Abstract

Objective: To provide a rationale for active chiropractic rehabilitative treatment that extends beyond the single goal of resolution of symptomatic complaints.
Data Collection: A manual search of available reference texts and a search of MEDLINE were collected with an emphasis on tissue healing sequelae and the role of mechanical loading on this process.

Results

The reviewed material indicates that all tissue growth and repair is influenced by mechanical loading and body posture and is positively affected by body postures that normalize/minimize adverse mechanical stresses and strains. Altered alignment of the human frame may lead to poor healing of the body tissues and eventual pathological architectural changes may occur in muscle, ligament, bone and central nervous system.

Minimization of altered postural/structural loading of the human frame may take longer than resolution, or maximal reduction, of offensive symptoms.

By itself, a patient’s perception of pain is not a valid indicator of health.

Conclusions

Because mechanical loading of the neuromusculoskeletal tissues plays a vital role in influencing proper growth and repair, chiropractic rehabilitative care should focus on the normalization/minimization of aberrant stresses and strains acting on spinal tissues.

Manipulation alone cannot restore body postures or improve an altered sagittal spinal curve.

Therefore, postural chiropractic adjustments, active exercises and stretches, resting spinal blocking procedures, extension traction and ergonomic education are deemed necessary for maximal spinal rehabilitation.

Chiropractic studies that demonstrate structural improvements are sorely lacking and needed. The use of passive treatment modalities as the sole means of chiropractic intervention for the management of patients suffering with neuromusculoskeletal dysfunction no longer has a place in modern chiropractic practice after the acute phase of healing has passed.

(J Manipulative Physiol Ther 1998; 21:37Ñ50). Key Indexing Terms: Chiropractic; Clinical Protocol; Guidelines; Rehabilitation; Utilization; Posture; Spine Ê Ê

Posture and normal physiology and function are interrelated. Abnormal posture is evident in patients with chronic pain-related conditions including backache, headache, and stress-related illnesses.

AJPM 1994;4:36-39

In this article from the January 1994 issue of the American Journal of Pain Management, the authors state that the significant influence of posture on health is not addressed by most physicians. I would add, that unfortunately, postural correction is not part of mainstream chiropractic practice as yet either. However, as the authors go on to state, “posture affects and moderates every physiologic function from breathing to hormonal production. Spinal pain, headache, mood, blood pressure, pulse and lung capacity are among the functions most easily influenced by posture.”

Obviously, the proper assessment, analysis, and if possible correction of abnormal posture is an extremely important component of modern health care.

Posture and normal physiology and function are interrelated. Abnormal posture is evident in patients with chronic pain-related conditions including backache, headache, and stress-related illnesses.

AJPM 1994;4:36-39

In this article from the January 1994 issue of the American Journal of Pain Management, the authors state that the significant influence of posture on health is not addressed by most physicians. I would add, that unfortunately, postural correction is not part of mainstream chiropractic practice as yet either. However, as the authors go on to state, “posture affects and moderates every physiologic function from breathing to hormonal production. Spinal pain, headache, mood, blood pressure, pulse and lung capacity are among the functions most easily influenced by posture.”

Obviously, the proper assessment, analysis, and if possible correction of abnormal posture is an extremely important component of modern health care.

Thank you for choosing Advanced ChiroCare . To learn more about our patient services or to make an appointment, contact us today.