Every patient is different. That's why Dr. James Keen develops personalized treatment recommendations based on your condition, health goals, and progress. Whether you're recovering from an injury, managing chronic pain, or focused on staying healthy, we'll guide you through the care plan that's right for you.

Wether you're recovering from a recent injury or managing ongoing pain, Active Treatment is designed to relieve discomfort, restore mobility, and help you return to the activities you enjoy.
You may benefit from Active Treatment if you're experiencing:
Every patient is different. Your treatment frequency and care plan will be customized based on your specific condition and progress.
Depending on your needs, your care may include:
During the Active Treatment phase, many patients are seen 1–2 times per week, depending on their condition. As your symptoms improve and your body heals, Dr. Keen will gradually reduce the frequency of your visits and guide you toward the next phase of care.
Our goal is not just to relieve your pain—but to help you recover, regain function, and return to the activities you enjoy.
Early treatment can help prevent pain from becoming a long-term problem and support a faster recovery.

Once your pain has improved, Maintenance Care helps preserve your progress, reduce recurring discomfort, and keep you moving with confidence.
Maintenance Care may be right for you if you:
Your visits may include:
As your body continues to heal, Dr. Keen may recommend new exercises or lifestyle strategies to help you maintain long-term results.
Most patients in the Maintenance Care phase visit weekly to monthly, depending on their condition, lifestyle, and personal health goals.
Dr. Keen will work with you to develop a schedule that supports your continued progress while fitting your individual needs.
Regular maintenance visits help reduce recurring pain, improve mobility, and keep you feeling your best every day.

Wellness Care focuses on maintaining your spinal health, improving mobility, and supporting an active, healthy lifestyle—so you can continue feeling your best.
Wellness Care is ideal for individuals who:
Your wellness visits may include:
Every wellness plan is personalized to help you maintain your health and prevent future problems.
Most Wellness Care patients visit once a month to once every three months, depending on their lifestyle, activity level, and health goals.
Dr. Keen will work with you to create a schedule that supports your long-term health while fitting your individual needs.
Wellness Care helps you stay active, maintain your health, and enjoy the activities you love for years to come.