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The waiting room at Bandera Chiropractic, with the front desk, a Texas star and the US military service seals on the wall

Chiropractic Care • Dry Needling • Perinatal Care

Chiropractic Services in Bandera, TX

At Bandera Chiropractic, we believe every patient deserves personalized care based on a thorough examination, not a one-size-fits-all approach. We offer a variety of evidence-informed chiropractic services and therapeutic modalities designed to reduce pain, restore function, and help you get back to doing the things you enjoy.

An adjusting room at Bandera Chiropractic, with a navy adjusting table, a spine model, framed certificates on the wall and a door marked for X-ray

A Personalized Care Plan Built Around You

Whether you are recovering from an injury, managing ongoing discomfort, seeking care during pregnancy, or working to improve your movement and function, your care plan will be tailored to your individual needs and goals. Depending on your examination findings, Dr. John Van Dam, D.C. may recommend chiropractic adjustments, dry needling, spinal decompression, laser therapy, or a combination of services. He will take the time to explain each recommendation and answer your questions so you can make informed decisions about your care.

Conditions We Help Manage

Back Pain

Back pain is one of the most common reasons people seek chiropractic care. Whether your discomfort began after lifting something heavy, a sports injury, repetitive work, or developed gradually over time, back pain can significantly affect your quality of life.

At Bandera Chiropractic, we evaluate the underlying cause of your symptoms and develop a personalized care plan designed to reduce pain, improve mobility, and help you get back to doing what you enjoy.

Acute & Chronic Musculoskeletal Pain

Whether your pain is new or something you've been living with for months or years, musculoskeletal conditions can affect your muscles, joints, ligaments, tendons, and spine. These conditions often cause pain, stiffness, limited mobility, and difficulty performing everyday activities.

At Bandera Chiropractic, we offer a comprehensive approach to treating musculoskeletal pain. Following a thorough examination, your personalized care plan may include chiropractic adjustments, soft tissue therapy, rehabilitative exercises, or dry needling when clinically appropriate. Dry needling can be an effective option for treating muscle pain, trigger points, and movement restrictions as part of an individualized care plan designed to reduce pain, restore function, and help you get back to doing what you love.

Arthritis

Arthritis is a common condition that causes joint pain, stiffness, and reduced mobility. While arthritis cannot be reversed, many people can improve their comfort and function through conservative treatment, regular movement, and healthy lifestyle habits.

Our goal is to help reduce pain, improve joint mobility, and keep you active. When appropriate, we work alongside your primary care provider or specialist to help you manage your symptoms safely.

Pinched Nerve

A pinched or irritated nerve can cause pain, numbness, tingling, or weakness that may travel into the arms or legs. These symptoms may result from inflammation, muscle tension, disc problems, or other conditions affecting the spine.

Our examination is designed to determine the likely source of your symptoms so we can develop an appropriate personalized care plan or recommend additional imaging or referral if necessary.

Neck Pain

Neck pain can develop from poor posture, repetitive activities, injuries, arthritis, or everyday stress. Symptoms may include stiffness, muscle tightness, headaches, or pain that radiates into the shoulders or arms.

We focus on identifying the underlying cause of your neck pain and providing a personalized care plan to improve mobility, decrease discomfort, and restore normal function.

Knee Pain

Knee pain can make walking, climbing stairs, exercising, and everyday activities difficult. It may result from arthritis, overuse, sports injuries, muscle imbalance, or changes in the way your body moves.

Our approach focuses on improving joint mobility, reducing pain, and addressing contributing factors that may be placing excess stress on the knee.

Shoulder Pain

Shoulder pain can limit your ability to reach overhead, lift objects, or even sleep comfortably. Common causes include muscle strains, rotator cuff injuries, repetitive use, joint dysfunction, and arthritis.

After a thorough evaluation, we develop a personalized care plan aimed at improving mobility, reducing pain, and helping you return to normal daily activities.

Headaches & Migraines

Many headaches originate from tension, muscle tightness, or dysfunction involving the neck and upper back. While not every headache has a musculoskeletal cause, these conditions can often contribute to recurring symptoms.

Our examination helps determine whether your headaches may be related to the musculoskeletal system and whether conservative chiropractic care may be appropriate. If your symptoms suggest another medical condition, we will recommend the appropriate referral.

Sports Injuries

Whether you're a student athlete, weekend warrior, rancher, or simply enjoy staying active, injuries can interrupt the activities you love. Sprains, strains, overuse injuries, and joint pain are common among active individuals.

Our goal is to help reduce pain, restore mobility, improve performance, and safely return you to your sport or activity while addressing factors that may contribute to future injuries.

Car Accident Injury

Even low-speed motor vehicle collisions can place significant stress on the muscles, ligaments, joints, and spine. Symptoms such as neck pain, back pain, headaches, stiffness, or other musculoskeletal complaints may not appear immediately after an accident.

At Bandera Chiropractic, we provide thorough evaluations and individualized care for patients recovering from motor vehicle accidents. Our focus is on helping you heal, reduce pain, restore function, and carefully document your clinical findings and progress as part of your medical care. If your injuries require additional testing or specialty care, we will coordinate the appropriate referrals.

Sciatica

Sciatica describes pain that travels from the lower back into the buttock and down one or both legs. Symptoms may include aching, burning, numbness, tingling, or sharp, shooting pain.

Because sciatica can have several different causes, we perform a thorough examination to identify the underlying source of your symptoms and develop a personalized care plan based on your condition.

Degenerative Disc Disease

As we age, the discs between the bones of the spine naturally lose some of their water content and flexibility. While these changes are common, they do not always cause pain. When they do, they may contribute to stiffness, reduced mobility, or chronic neck and back pain.

Our goal is to improve spinal function, reduce discomfort, and keep you moving through individualized, conservative chiropractic care.

Three framed certificates on the wall at Bandera Chiropractic: the ICPA Certificate of Proficiency in the Webster Technique awarded to John K. VanDam, DC, and Dry Needling Institute certifications in Dry Needling Parts 1 and 2 from the American Academy of Manipulative Therapy

Certified in Dry Needling and the Webster Technique

Dry Needling

Dr. John Van Dam, D.C. has completed 54 hours of education and certification in dry needling through the American Academy of Manipulative Therapy (AAMT). He has met all training and educational requirements set forth by the Texas Board of Chiropractic Examiners to provide safe and effective dry needling for our patients.

The Webster Technique

Dr. John Van Dam, D.C. is Webster Certified through the International Chiropractic Pediatric Association (ICPA). The Webster Technique is a specialized chiropractic analysis and adjustment that focuses on improving pelvic balance and reducing tension within the surrounding muscles and ligaments during pregnancy.

Our Services

Chiropractic & Perinatal Care

Chiropractic Care

Chiropractic care focuses on restoring proper movement to the joints of the spine and extremities to help improve mobility, reduce pain, and support overall function. Depending on your individual needs, treatment may include traditional manual adjustments or low-force instrument-assisted adjustments, including the ArthroStim®, to provide a comfortable and personalized approach to care.

When joints are not moving as they should, they can contribute to pain, stiffness, muscle tension, and decreased function. Following a thorough examination, we develop a personalized care plan using the techniques most appropriate for your condition and comfort level.

Many patients experience relief after treatment, while others benefit from ongoing care to help maintain mobility, improve function, and reduce future flare-ups.

Chiropractic & Perinatal Care

Perinatal Chiropractic Care

Pregnancy brings many physical changes that can place added stress on the spine, pelvis, joints, and surrounding muscles. As your body adapts to support your growing baby, it is common to experience back pain, hip pain, pelvic discomfort, sciatica, and changes in posture.

Our goal is to improve comfort, support healthy movement throughout pregnancy, and provide safe, gentle chiropractic care tailored to the unique needs of expecting mothers.

Dr. John Van Dam, D.C. is Webster Certified through the International Chiropractic Pediatric Association (ICPA). The Webster Technique is a specialized chiropractic analysis and adjustment that focuses on improving pelvic balance and reducing tension within the surrounding muscles and ligaments during pregnancy.

Evaluation & Diagnostics

Comprehensive Exams

Every patient begins with a thorough examination to help identify the source of their symptoms and determine the most appropriate course of care. Your examination may include a detailed health history, orthopedic testing, neurological evaluation, and range of motion assessment.

Our goal is to identify the source of your symptoms, provide an accurate diagnosis, and develop a personalized care plan tailored to your individual needs.

Evaluation & Diagnostics

Digital X-Rays

Digital X-rays are recommended only when deemed clinically necessary by the doctor following your history and examination. When appropriate, imaging helps evaluate the bony structures of the spine for fractures, structural abnormalities, degenerative changes, or other underlying conditions that may influence your diagnosis or treatment recommendations. Imaging may also be indicated following trauma or when certain clinical findings warrant additional evaluation.

Our goal is to use imaging judiciously to help provide safe, informed, and individualized care while avoiding unnecessary radiation exposure.

Evaluation & Diagnostics

School & Sports Physicals

We provide Texas school and sports physical examinations to help ensure students are healthy and ready to participate safely in school athletics and activities. Physicals include a review of medical history, vital signs, vision screening, and a comprehensive physical examination in accordance with Texas requirements.

Our goal is to help identify potential health concerns while ensuring students are ready for a successful season.

Therapeutic Modalities

Dry Needling

Dry needling involves the use of sterile, single-use filiform needles to target painful trigger points and chronic tension within the muscles. This specialized technique is designed to help release tight tissues, promote circulation, and restore healthy muscle function and movement. Depending on your needs, dry needling can be utilized as a primary treatment or integrated with chiropractic care to help you reach your goals.

Many patients find relief as muscle tension is reduced and mobility improves following treatment. By supporting muscle performance and decreasing recurring discomfort, this therapy can help you return to the activities you enjoy while providing lasting benefits for your overall function.

Dr. John Van Dam, D.C. has completed 54 hours of education and certification in dry needling through the American Academy of Manipulative Therapy (AAMT). He has met all training and educational requirements set forth by the Texas Board of Chiropractic Examiners to provide safe and effective dry needling for our patients.

Therapeutic Modalities

Interferential Electrical Stimulation

Interferential Electrical Stimulation (IFC) uses gentle electrical currents to help reduce pain, decrease muscle spasms, and improve circulation. This comfortable treatment is commonly used alongside chiropractic care for both acute injuries and chronic pain.

Electrical stimulation may help improve comfort, reduce inflammation, and support your body's natural healing process.

Therapeutic Modalities

Therapeutic Ultrasound

Therapeutic ultrasound uses high-frequency sound waves to deliver gentle heat deep into muscles, tendons, and other soft tissues. This treatment is commonly used to reduce pain, improve circulation, and promote tissue healing.

Ultrasound therapy may help decrease stiffness, improve flexibility, and support recovery from muscle strains, tendon injuries, and other soft tissue conditions.

Therapeutic Modalities

Class IV Laser Therapy

Class IV Laser Therapy uses specific wavelengths of light to stimulate cellular healing, reduce inflammation, and improve function. This non-invasive treatment may help accelerate tissue repair while reducing pain and swelling.

Laser therapy is commonly used for acute injuries, chronic pain, arthritis, tendon injuries, and other musculoskeletal conditions to promote healing and improve function.

Therapeutic Modalities

Spinal Decompression Therapy

Spinal Decompression Therapy is a non-surgical treatment designed to gently stretch the spine in a controlled manner. By reducing pressure on spinal discs and nerves, decompression may help relieve pain while encouraging the movement of nutrients and fluids within the spinal discs.

This therapy may be appropriate for certain patients experiencing disc injuries, sciatica, spinal stenosis, or chronic neck and back pain following a comprehensive examination.

Therapeutic Modalities

Radial Pulse Wave Therapy

Radial Pulse Wave Therapy uses acoustic pressure waves to stimulate circulation and the body's natural healing response within injured muscles, tendons, and connective tissues. It is commonly used for chronic tendon injuries, plantar fasciitis, shoulder pain, tennis elbow, and other persistent musculoskeletal conditions.

This therapy may help reduce pain, improve mobility, and promote long-term tissue healing.

Wellness

Standard Process® Nutritional Supplements

Bandera Chiropractic offers professional-grade Standard Process® nutritional supplements to support overall health and wellness. Supplement recommendations may be made when clinically appropriate or upon patient request to help complement your individualized care plan.

We keep many commonly used Standard Process® products in stock for your convenience and can special order additional products when needed. Patients also have the option to order eligible Standard Process® supplements through Patient Direct, allowing products to be shipped directly to their home.

What May Be Included in Your Care Plan

Adjusting Techniques Tailored to You

Depending on your individual needs and preferences, care may include traditional manual adjustments or low-force, instrument-assisted techniques, including the ArthroStim®. The approach used will be based on your examination findings, comfort, and treatment goals.

Services That Complement Your Care

Your personalized care plan may include chiropractic adjustments, dry needling, spinal decompression, laser therapy, or other supportive services when appropriate. Recommendations are based on your health history, examination findings, individual needs, and goals.

Imaging When Clinically Appropriate

Digital X-rays are recommended only when clinically indicated following a review of your health history and examination findings. Imaging may be used to evaluate underlying concerns and help determine the safest and most appropriate course of care while avoiding unnecessary radiation exposure.

5.0 on Google • 41 Reviews

What Patients Say

“They are so sweet and nice. They help you figure out whats going on and get you back to being better”
Cassie Jenkins • Google review
“Dr. John is going to be your first stop for any type of care. He will take you step by step to best address your needs and therapy's. One of the hill country's premiere chiropractors.”
Cody Wisecarver • Google review
“My first visit with Dr John was great! My back has never felt better!! He was attentive to my history and concerns. He’s a great addition to our small community.”
Scarlett Lieck • Google review

Questions About Our Services

Do you offer dry needling in Bandera, TX?
Yes. Dry needling involves the use of sterile, single-use filiform needles to target painful trigger points and chronic tension within the muscles. This specialized technique is designed to help release tight tissues, promote circulation, and restore healthy muscle function and movement. Depending on your needs, dry needling can be utilized as a primary treatment or integrated with chiropractic care to help you reach your goals.
What training does Dr. Van Dam, D.C. have in dry needling?
Dr. John Van Dam, D.C. has completed 54 hours of education and certification in dry needling through the American Academy of Manipulative Therapy (AAMT). He has met all training and educational requirements set forth by the Texas Board of Chiropractic Examiners to provide safe and effective dry needling for our patients. More about Dr. Van Dam, D.C.’s training and background.
Can dry needling be combined with chiropractic care?
Depending on your needs, dry needling can be utilized as a primary treatment or integrated with chiropractic care to help you reach your goals. Following a thorough examination, we develop a personalized care plan using the techniques most appropriate for your condition and comfort level.
What is an ArthroStim® adjustment?
The ArthroStim® is one of the low-force, instrument-assisted adjusting options used here. Depending on your individual needs, treatment may include traditional manual adjustments or low-force instrument-assisted adjustments, including the ArthroStim®, to provide a comfortable and personalized approach to care.
What is spinal decompression therapy, and who is it for?
Spinal Decompression Therapy is a non-surgical treatment designed to gently stretch the spine in a controlled manner. This therapy may be appropriate for certain patients experiencing disc injuries, sciatica, spinal stenosis, or chronic neck and back pain following a comprehensive examination.
Do you sell supplements, and can I order them at home?
We keep many commonly used Standard Process® products in stock for your convenience and can special order additional products when needed. Patients also have the option to order eligible Standard Process® supplements through Patient Direct, allowing products to be shipped directly to their home.
What is Class IV laser therapy used for?
Class IV Laser Therapy uses specific wavelengths of light to stimulate cellular healing, reduce inflammation, and improve function. This non-invasive treatment may help accelerate tissue repair while reducing pain and swelling. Laser therapy is commonly used for acute injuries, chronic pain, arthritis, tendon injuries, and other musculoskeletal conditions to promote healing and improve function.
What is interferential electrical stimulation?
Interferential Electrical Stimulation (IFC) uses gentle electrical currents to help reduce pain, decrease muscle spasms, and improve circulation. This comfortable treatment is commonly used alongside chiropractic care for both acute injuries and chronic pain. Electrical stimulation may help improve comfort, reduce inflammation, and support your body's natural healing process.
What is therapeutic ultrasound?
Therapeutic ultrasound uses high-frequency sound waves to deliver gentle heat deep into muscles, tendons, and other soft tissues. This treatment is commonly used to reduce pain, improve circulation, and promote tissue healing. Ultrasound therapy may help decrease stiffness, improve flexibility, and support recovery from muscle strains, tendon injuries, and other soft tissue conditions.
What is radial pulse wave therapy?
Radial Pulse Wave Therapy uses acoustic pressure waves to stimulate circulation and the body's natural healing response within injured muscles, tendons, and connective tissues. It is commonly used for chronic tendon injuries, plantar fasciitis, shoulder pain, tennis elbow, and other persistent musculoskeletal conditions. This therapy may help reduce pain, improve mobility, and promote long-term tissue healing.
What happens at a comprehensive exam?
If you have not been in before, the new patient forms and what to expect are worth a look first. Every patient begins with a thorough examination to help identify the source of their symptoms and determine the most appropriate course of care. Your examination may include a detailed health history, orthopedic testing, neurological evaluation, and range of motion assessment. Our goal is to identify the source of your symptoms, provide an accurate diagnosis, and develop a personalized care plan tailored to your individual needs.
The front window at Bandera Chiropractic, lettered Chiropractor, Dr. John Van Dam, D.C., 796-7200, walk-ins welcomed, new patients by appointment only

Make an Appointment

To help us provide timely, attentive care, we recommend scheduling your visit in advance. Please call our office at (830) 796-7200 to make an appointment.