“Dr. Carbone explained the options and the risks before he did anything. I never felt rushed.”
Chiropractic in Des Moines
Chiropractic care for Des Moines households
Dr. Nolan Carbone examines how you move, explains what he finds and what your options are, and treats only if you agree.
6 Days
Open each week

- Spinal adjustment
- Soft tissue work
- Movement exercises
- Posture advice
- Sports recovery
- Written fee estimate
- Early and Saturday visits
- A plan you agree to
About us
A practice built on the exam and the explanation
Spur Wellness was started by Dr. Nolan Carbone, a chiropractor licensed in Iowa, for households who want to know what is being done and why.
Every visit begins with a conversation and an exam. Treatment follows only after you have heard the options, the risks and the cost. Dr. Carbone works with one front-desk coordinator, so you see the same two faces each time.
One doctor, one plan
Dr. Carbone sets your plan after the exam and walks you through it.
Questions welcome
Risks, cost and options are part of every visit.
Your choice at every step
You can say no to any part of care, or stop, at any time.

Your visits
How a course of care goes
01Assessment
A history and an exam of how you move. Imaging only when the doctor decides it is medically necessary.
02Your plan
After the exam you hear what was found and the options. How many visits depends on the exam and your goals.
03Your care
Manual care, soft tissue work and exercises for home, chosen with you.
04Check-ins
We review how you are doing, change the plan with you, or refer you on when another provider is the better step.
Services
Hands-on care, and exercises to go with it
Each service is chosen with you after the exam. The doctor explains the risks of any treatment before it starts.

Sports recovery
Adjustments and sport-specific exercises, with a plan for returning to activity.
Learn more
60 min
First visit7 a.m.
Weekday openingsWritten
Fee estimate in advance1-on-1
Every visit
How we work
What you can expect from us
Movement first
Care starts with how you move and what you want to do again.
Steady check-ins
We review how you are doing and change your plan with you.
Plain explanations
We say what we found, the options, the risks and the cost before treatment.
Flexible scheduling
Early morning, evening and Saturday appointments.
A small team
One doctor and one front-desk coordinator, so you know who you are seeing.
Your choice
You can say no to any part of care, or stop, at any time.

In patients’ words
- Stanley H.
“The front desk told me what a visit would cost before I came in, and the bill matched.”
Elsa B.“The early appointments fit around my work, and I was shown exercises to do at home.”
Claudia M.“He asked what I wanted to get back to doing and built the plan around that.”
Lawrence J.“It is a small office. I see the same people each time, and they remember my questions.”
Marlon C.
Sample reviews.
“The first visit was mostly talking and an exam. Nothing started until I said yes, and I was told I could stop at any time.”
Sample reviews.
Request a visit time
Tell us how and when to reach you. The front desk will call to find a time.
- Monday – FridayToday
- 7 a.m. – 7 p.m.
- SaturdayToday
- 8 a.m. – 1 p.m.




