The Answer: No

Chiropractors are portal of entry providers, which means that anyone can come to a chiropractor without a referral from a Medical Doctor (MD). Chiropractors are trained to record medical history, perform a physical exam, and provide patients with a diagnosis. Chiropractors are also educated to recognize when special testing or a referral to a specialist is needed. Additionally, they are able to order diagnostic imaging such as MRI, X-ray, or diagnostic ultrasound if it is warranted. By coming to a chiropractor first, you can get both the diagnosis and treatment.

However, there are some insurance companies that require pre-authorization by a medical doctor before they will accept claims from a chiropractor. This depends on the specific coverage plan or the state in which the treatment is provided. Luckily, these plans are relatively uncommon. If you have questions regarding your coverage, please contact your insurance representative or call TROSS for clarification.

Below we have a graphic suggesting why you should try conservative health care before directly going to surgery. Many people are surprised to learn chiropractors treat more than just the spine, we have provided a list of reasons that people come to see us.

Chiropractor stats.jpg

Common Conditions Treated By Chiropractors

  • Knee Pain
  • Neck Pain
  • Running & Sports Injuries
  • Headaches & Migraines
  • Shoulder Pain
  • Low Back Pain
  • Plantar Fasciitis
  • Disc Herniations
  • Sciatica
  • Jaw Pain/TMJ Dysfunction
  • Numbness & Tingling
  • Pregnancy Related Pain
  • Golfer/Tennis Elbow
  • Carpal Tunnel Syndrome
  • And many more conditions


At TROSS Spine & Sports Performance we strive to be your Primary Musculoskeletal Provider. We want to help you cut down on the run around and get you the care you deserve. If we feel we are not the right place for you, we will not drag you along. Part of our goal is to get you to the right place for the most appropriate treatment. TROSS proudly serves the Cottleville, St Peters, St Charles, O’Fallon, and St Louis communities.