Terrible. No x-rays, minimal exam, and bare bones. I opted not to have my back moved after the dr seemed to know little as to why I had it. I went to another chiropractor who did a thorough exam and x-rays. Turned out I had a large aneurysm in my stomach aorta. He sent me to a cardiologist who surgically corrected it and my low back pain was gone. My cardiologist said that had I been adjusted, it could have caused problems. My new chiropractor agrees. Shame on the joint chain. Further research shows its the same guy who owns massage envy. THEY WILL KILL SOMEONE ONE DAY.