Conditions We Treat

Back Pain Chiropractor in St. Louis, MO

Real Relief for the Back Pain That's Running Your Day

Back pain has a way of touching everything — how you sleep, how you work, whether you can pick up your kid or make it through a shift on your feet. At Gateway Chiropractic in St. Louis, MO, we don't hand you a hot pack and send you on your way. As a back pain chiropractor in St. Louis, MO, we dig into why your back hurts and build a plan to fix the cause, not just quiet the symptom. And we'll give you a straight answer about what we can — and can't — help with.

Dr. Joe Sas performing hands-on muscle work on a patient's back at Gateway Chiropractic in St. Louis, MO

Where Back Pain Really Comes From

Most back pain isn't random. Restricted joints, old injuries, weak or overworked muscles, disc issues, and years of poor posture all pile up until your back finally says "enough." Because the source varies so much from person to person, guessing is a waste of your time and money.

That's why we start with a real evaluation, including Motion Study X-Rays when appropriate — a series of images taken in different positions to show how your spine holds up under movement and where it's losing motion. We don't guess; we test.

If your pain travels down a leg, that's often a different story — see our sciatica care page.

We don't guess, we test

A positional X-ray study plus a hands-on exam tells us what's actually moving and what isn't — before anyone recommends a treatment plan.

How We Treat It

Your plan is built around your body and your goals. Depending on what we find, care may include:

Many patients start feeling a difference within a few visits — and just as importantly, they understand what's happening and what to do about it.

Care That Respects Your Time

We've stripped out the red tape: self-check-in, auto-checkout, a live text line straight to the front desk, autopay, and pre-scheduling. You show up, we get to work, you get back to your life.

Transparent pricing, no surprise billing.

Frequently Asked Questions

What causes lower back pain?

Common culprits include muscle strain, restricted spinal joints, disc issues, poor posture, and old injuries. Because the cause varies, we evaluate your spine directly rather than assuming.

Can a chiropractor help with chronic back pain?

Yes. Chiropractic care may reduce pain, restore mobility, and address underlying mechanical stress. For chronic soft-tissue pain, we often add Radial Shockwave Therapy to support healing.

How soon will I feel relief?

It varies with the cause and how long you've had it, but many patients notice improvement within a few visits. We'll give you an honest timeline after your first exam.

Will I need X-rays?

Not always. If a Motion Study X-Ray series would help clarify what's happening, we'll explain why before recommending it.
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