I wish I could give you a simple answer here, but the truth is—it varies! Our amazing patients come to our office with a variety of health concerns, and a whole spectrum of financial options. For example, some people are self-pay, others have insurance, some people want to use and HSA or a flex savings plan, another option is care credit, whew, that is a lot of options! So here is what I can tell you, we want to get this right for you. Our office will be able to give you some idea of what your first visit will cost after talking with you on the phone. Once you are here, you can bring any of those financial options to our attention, and then when you receive your report and care recommendations, we will include a written estimate of your expected costs based upon all the information that is specific to your unique situation. Once you have all the details we can provide, you can decide to either accept your care plan and begin treatment, or, you can decline care—that is all up to you. We are here to support you, and help you, but only you can determine and decide what is the right fit for your life.
Traditionally, the first visit and second visit to our office take more time. Imagine you wanted to build a new house, it would super important for you to meet with the architect and discuss your plans for you new home, and they would want to gather information about your expectations, later the architect would return and present a plan to you on how to build your house. Well, similarly, your health is important, and on your first visit to our office we want to take the time to lay the foundation for what your body will need to reach your health goals. Once we have established the unique needs of your situation and created a plan for how to get there, the action steps take much less time. So, the first visit to our office usually takes about an hour, and the second visit usually takes about 40 minutes. Follow-up treatments can take 5-15 minutes depending upon your unique situation.
Our office is located near the Hwy 70 and Hwy 63 interchange in Columbia Missouri. Landmarks near our office include: We are just east of Keene Street. We are east of Moser’s Grocery Store, we are just up the street from Big Mommas, we are across the highway from Hooters, and we are inside the Woodridge Center. Our physical address is 3700 I-70 Dr SE; Suite 110 Columbia Mo 65201. You are most welcome to call our office if you need additional help finding us, they will be happy to talk you through the necessary details to get you to our office.
Our hours of operation are:
Monday 7:30am – 5:30pm lunch 1:30pm – 3:30pm
Tuesday: 7:30am – 5:30pm lunch 1:30pm – 3:30pm
Wednesday 7:30am – 5:30pm lunch 1:30pm – 3:30pm
Thursday 7:30am – 5:30pm lunch 1:30pm – 3:30pm
Friday 7:30am – 5:30pm lunch 1:30pm – 3:30pm
We accept and bill for all insurance companies (except Medicaid), and we are in network with most of the major companies in our area. You can rest comfortably knowing that our highly trained team will research all the details of your expected financial contributions before you begin treatment in our office. Be sure to bring any information regarding insurance to your first visit, this would include: your insurance card, your identification, the date of birth of the primary card holder for the insurance policy, any care credit, or HSA or flex spending details if you want to utilize those options. Then, on your second visit to our office we will be able to present these details to you in a written financial estimation.
Again, I wish this was a simple answer, but alas, we are all unique! The depth of examination and analysis the doctor applies is unique to you and your circumstances and is decided based upon your condition as well as years of clinical expertise shared by our doctors. I can at least provide you a range, the cost could be $25 to $155. If you would like more details about what your specific visit cost could be, please call and talk with our staff, or ask us for more details once you get here.
The care recommendations our dedicated doctors prescribe for your benefit will depend on many things: the condition and health of your body, the degree of impairment in your every day life, your goals for increased vitality or wellness in your life. So while I cannot give you a number here, you can relax knowing that our doctors will recommend a personalized plan based upon your needs and the best of what science tells us will improve your life. A great analogy to keep in mind has to do with exercise—it would be impossible to grow visibly bigger muscles with one trip to the gym. The human body requires time and repetition to change. So, with regard to chiropractic, there are certainly offices that choose to provide treatment without doing any type of examination or explanation of your health condition, we do not. To us—this is a lot like getting a day pass to the gym—sure you can get a good workout, and it would be ‘good’ for your health, but it would be impossible to change your lifetime of health with that one day at the gym. At our office, we want more for you, we want to make a significant impact on your life and vitality. To be successful with that, we analyze your condition and make a detailed plan for your wellness. So the amount of treatment you will need will be impossible to predict here, but I can confidently say that I believe it will take more than a “day pass” to change your health!
Yes, we sure do! It is so easy for our patients to choose payment options, if you want to use your insurance just bring your card, we will handle the rest. I would like to remark that insurance rates, copays, and coinsurance amounts are always provided by your insurance company. The only people with access to your literal insurance policy are you, and your insurance company. So the world of insurance is very complicated, we all know that, but we decided to put every effort into making your experience in our office enjoyable, that means we do the leg work. Our office will call your insurance company, research your benefits, coordinate, and financially plan your estimated cost of care. In our opinion it is important to help you with the billing, so that you have the opportunity to concentrate on what is important, your health!
I love this question!! We adjust/treat our patients how they want to receive treatment. What do I mean? I mean that this is your care plan, your body—if you want a particular type of care, and it is safe for you to receive, we will change the treatment to accommodate. Do you love to feel the ‘pop’ when your spine is treated? We can offer that. Does the idea of something ‘popping’ make your skin crawl instead? Either way, we have you covered! There are a variety of treatment styles and options available, and we are here for you. We are your team members and leaders to a better state of health. Your health journey is about what you want to accomplish, please feel comfortable communicating with us on how you would like that journey to proceed.
YES!! Our team is wonderful with babies and children. We have a special video you can watch in the office shows the little ones receiving treatment. The children love to receive the extremely gentle care we provide. I know, some people are picturing something extreme regarding chiropractic care and children, let me encourage you to take a deep breath and relax knowing that we are highly trained professionals that adore children, and their wellbeing and safety is always at the forefront of our minds. You can visit our Chiropractic for Kids page to see many of the reasons families bring their children to the chiropractor. It is a fantastic safe, and natural way to improve their health.
Oh yes!! Mommas-to-be, we are your go-to place for improving your experience as a pregnant mom. We see mommas throughout their entire pregnancy, and can change our treatment styles to accommodate for a growing baby. Outcomes relating chiropractic care and pregnancy are SO exciting: shorter labor times (5.5 to 11 HOURS shorter!) AND healthier moms and babies at delivery, learn more here.
Science tells us your body functions better with a healthier nervous system, and that is a core concept related to chiropractic care, a healthier functioning nervous system. So, while it would be necessary for us to meet you and learn about your body before answering this question with anything more specific, I can confidently say it is worth exploring! We want you to function your best, and we keep that goal close to heart in all of our recommendations.
In our bodies we have what are called synovial joints. These are joint spaces that are surrounded with a fluid capsule. As far as science can determine, the infamous -pop- is some nitrogen gas leaving the joint space. [picture a bubble being blown from the foaming dishwater] The pop itself is not the treatment, it does occur often in specific treatment styles, but the therapy/improvement of your condition can occur with or without popping at the joint space.
Most of the time people find the treatment to be relaxing and even enjoyable as they regain the health in their spine and nervous system. There are occasions when people experience a brief discomfort during the treatment, this is more common in individuals who are already in extreme pain. Our doctors are very sensitive to these situations and are ready to coach those individuals through the process to get the most benefit from care with the least amount of discomfort. In our office, the treatment experience should be tailored to your needs, if you want a gentler form of treatment, just let us know. Do you prefer a firmer style of treatment? Just let us know.
As a general rule, no, you will not need to remove any clothing. If during your first visit to our office the doctor determines that you will need an x-ray, you will need to remove any metal/plastic you are wearing. We have patient gowns, t-shirts, and shorts that people can wear to replace any clothing times they need to remove. I will mention that there are times that babies need to be undressed down to their diapers, this is typically very brief and part of the evaluation relating to developmental changes, and of course we will get them back to their onesies as quickly as possible.
The need for an x-ray is determined by your examination as well as the doctors’ clinical expertise. The information on an x-ray includes but is not limited to: alignment of your spine, the health of the joint spaces in your spine, the space available for your nerves in your spine, premature aging processes, and more. Our office takes and extra measure of safety regarding x-rays by taking individual segments of your spine rather than your whole back all at once. By taking smaller pictures of your spine (picture an 8X10” photograph versus a 4X6” photograph) we can get beautiful digital images with less exposure to your body. X-ray results are shared at your follow-up visit which ensures there is plenty of time for questions and answers regarding your condition.
Aside from being our absolute passion, chiropractic care is a safe and natural way to approach your overall wellbeing, and your specific health conditions. Studies show when people choose chiropractic as their first attempt for improving their health condition that they experience great health savings. “Chiropractic care” summarizes the experience of having a chiropractor examine your spine and correct any subluxations (areas of your back that are experiencing problems) with an adjustment (the treatment the doctor utilizes to correct nervous system interference or -problems in your back-). The profession is well over 100 years old now and has been inspiring better health for millions of people.
Absolutely! Our team of amazing doctors will be able to coordinate and accommodate care with respect to your unique circumstances. We have gentle techniques that are safe for people that have undergone previous surgeries, as well as those who are working through health concerns such as cancer. We have treated many patients who are working through these conditions, you are always welcome to call and ask additional questions about how we are able to improve your life during these times.
“Everyone is so welcoming! I have never had a friendlier chiropractor staff! They were so sweet to my daughter while I was getting treated, too! The whole staff goes above and beyond, and I can’t say enough good things. I was early and even had one of the other doctors personally introduce themselves to me.”
“Tiger Family Chiropractic is amazing! They always know me and my family and take great care of us! Can’t tell you how much they have improved my life.”
“I always feel very welcomed and I love to chat with the staff. Dr. James never makes me feel like a number, and he is always careful to answer my questions. Love you guys!”
Always a great experience from the front deck team to the Dr.
“I have to admit I was skeptical to try a different, though gentler type of chiropractic care. But from the start I knew that it was going to work well!! Dr. Amanda treats the WHOLE person. Her classes, explanations, exercises and suggestions are all encompassing.”
Very nice Docs and Staff! They got me in quick, explained things perfectly and took their time with me while doing so. Definitely recommend!
When considering the effectiveness and cost together, chiropractic physician care for low back and neck pain is highly cost-effective, [and] represents a good value in comparison to medical physician care.
“Tiger Chiropractic is a great place get and stay well! Dr. Amanda and her whole crew do a great job addressing my needs and maintaining my health in a welcoming, friendly, and efficient way. I whole-heartedly endorse Tiger Family Chiropractic.”
“When I arrived at Tiger Chiropractic after a neck injury over a year ago, I knew I was in a special place. I had never sought chiropractic care before and was somewhat skeptical. The positive energy, knowledge, and truly compassionate staff has kept me coming back. I’m walking taller and pain free as a result. I recommend them highly!”
This place is awesome! I wish that I planned to live in Columbia forever, because I’d never stop visiting Tiger Family Chiropractic. Each member of their staff genuinely cares. They’re lenient and flexible, honest and transparent, everything you could ask for.
I never leave reviews but this place deserves one! I had my first appointment and have never felt so cared for. It was the first time I felt like doctors were actually listening to me. 10/10!
I love this place!! Dr. Amanda is an amazing chiropractor and human being! She has helped me many times over that last 10 years. Her awesome staff is also welcoming and professional! You will be happy you tried Tiger Family Chiropractic and know they care about you personally!! Top notch!!
Very happy with my experience here. Efficient, friendly, and competent.
“Everyone was incredibly friendly and very informative! I’m going to have a great spine for a long, long time!”
I had my first meeting today with Dr. James. All of the staff are super friendly. Can’t wait to get started, so I can start feeling better.
“My chronic back pain is a thing of the past. My overall health has improved. This is the place for the best care possible.”
“I have been a patient of Dr. Amanda for just over a month and along with my posture training exercises I have felt much more energized! I got used to getting frequent headaches, but now they’re very minimal. Great office and even better staff!”
“A quick and simple check-in, complimentary massage table, tailored adjustment, and some herbal tea for the road. It’s a relaxing experience. I play rugby and Dr. James used to as well. He knows what to look for and offers insight towards what I’m looking to accomplish with my body.”
“Dr. Amanda is always so nice and helpful. She really cares about my health and wants to keep me happy and healthy. The entire Tiger Family Chiropractic team is always friendly and greets us with a warm smile. They really take an interest and care about me as an individual.”
“After living the last eight years of pain and suffering every day and the doctors telling me that there was nothing they could do and that I was going to live with it. I want to take the time to thank the staff of Tiger Chiropractic. Today, I am over 80% pain free and walking tall, and still going. Many-Many Thanks!”
“All the staff (including the doctors) make the chiropractic experience a most enjoyable one. Feeling the best at age 65 that I’ve felt in YEARS!”
“Tiger Family Chiropractic is aptly named—Amanda, Jon, and Lucinda treat you as part of their family. A place that you may walk in to hurting, uncomfortable, and stressed and walk out feeling better, less pain, less stress, calmer, and always with water!”
“Dr. Amanda is so kind, compassionate, professional, skillful, and knowledgeable. She never fails to give a marvelous adjustment and to send us on our way feeling 100% better. We recommend her to everyone we meet.”
As I get older but think I'm still 30 lol Dr Amanda keeps me limber and able, !! Very grateful to have her as my back care specialist the staff is caring and very helpful.
“Everyone in the office welcomes me with open arms and it feels like a family, which is something I find to be amazing with facilities like this. The employees here care about their patient’s wellbeing and really want to take care of us. I definitely recommend this facility to anyone and everyone I know with chiropractic needs!”
Very professional
“Dr. Amanda is awesome! She helped me and my husband get back on track and then again after our accident. She offers early mornings which sometimes works best for us. We have used her for 3+ years now and will continue to come see her for our chiropractic needs.”
“Amanda’s treatments got me out of the walker and cane. I’m feeling great with follow-up maintenance adjustments. It feels great to FEEL GREAT with TIGER CHIROPRACTIC.”
“This is my first adjustment and I feel AMAZING! Wonderful experience from beginning to end. Definitely recommending my friends and family.”
“Dr. Amanda Signaigo is just amazing. I came to her with severe back pain. I was unable to stand up straight, could not sleep on my side at night, the only position I could sleep in was on my back. Now, after a few weeks of treatment, I can stand up straight and go back to sleeping normally. No more back pain! It is wonderful!”
“I would recommend Tiger Chiropractic to my favorite person; in fact, I did! My daughter has just begun as a patient at my urging. Dr. Amanda fixed a chronic foot problem I had that prevented me from running. I am so eager to see how she helps my daughter!”
“Love Dr. James! I had a severe kink for 22 years and he fixed it. No one else could.”
Literally changed my quality of life.
Best in town!
“It blesses me to come to Tiger Family Chiropractic—the way the business has grown and the great energy that is here. And Dr. A has my back! It’s the way to go—it’s healthy! I am healthy with regular chiropractic care.”
“I had pain and discomfort in my lower back and sore shoulders. The stiff shoulder muscles were giving me regular headaches and pain down my arms. Dr. Amanda worked her magic and after a few weeks of adjustments, all pain and discomfort were gone. My grip strength was restored. I am glad that I discovered Tiger Chiropractic and the wonderful people there.”
“Everyone was super friendly. I feel like Dr. Amanda listened to my concerns and did not dismiss how I was feeling. I will recommend family and friends to TFC.”
“I had multiple doctors tell me that the complications I have from scoliosis—migraines, chest pain, and severe neck pain were just something I would have to live with. After a month of treatment at Tiger Family Chiropractic, my symptoms and headaches were gone.”
“I have regained ½ inch of height that was lost over the last 30 years. Grateful for the chiropractic care. Thank you very much.”
“After 15 years of back pain I was at my wits end. A coworker pointed me in the direction of Tiger Family Chiropractic and Dr. Amanda. I was immediately impressed. I no look forward to my visits and feel so much better! THANK YOU.”
“This clinic is one of the best I have ever experienced. Professionalism and an upbeat attitude is what you will find at every step. Dr. James discovered a fractured vertebra that I have had for over 20 years. I have had many X-rays taken in the past, but the fracture wasn’t detected until I went to this clinic.”
Dr. James Zielinski is literally the best chiropractor in the state of Missouri. He knows his stuff and won’t let you leave until problems fixed. Funniest Doc too. 👊🏼
“Dr. Amanda and staff are like family. Everyone is so friendly, they truly care about the patient's well being and Dr. Amanda’s knowledge of the human body and how to fix it is so thorough. I’m so happy I found Tiger Family.”
“The class was a great preview and I learned a lot. So thankful for the information and chiropractors!!”
I’ve been going to Tiger Family Chiropractic for over 10 years. Dr. Amanda is amazing and so is the staff! Love them all! They are so kind, funny and they truly care about your health.
“I have had an amazing experience here. They helped relieve my neck pain when all other Dr’s did was give me muscle relaxers. The atmosphere and staff are very friendly and welcoming would recommend to anyone!”
“Awesome interaction every single time. Fast and efficient and friendly faces.”
