World-Class Solutions, Wherever You Are.
Expert clinical care and performance coaching delivered at our St. Louis Institute or virtually to clients worldwide.
Solutions
Whether you are training in our facility or consulting from halfway across the globe, doing what matters remains the same. Our clinical and performance solutions are fully adaptable to a virtual format, bringing our proprietary assessments and expert team directly to your screen.
For those seeking pain resolution, we provide individualized chiropractic care, physical therapy, and visiting consultations through a solutions-based approach designed to restore movement, reduce pain, and support long-term performance.
Ready to perform at your best? Whether you’re recovering from injury or focused on prevention, our performance-based approach is built on decades of experience with elite athletes—from World Series and Stanley Cup champions to Navy SEAL teams and PGA Players of the Year.
For anyone striving to become their own GOAT (greatest of all time), we apply those same proven principles, thoughtfully customized for each individual, at every age and ability.
Visiting Consults
For complex cases requiring hands-on manual therapy, fly in for a 3-day intensive, then continue your care virtually from home.
🟢 In-Person | 🔵 Virtual / Global
Prehab/Rehab
Guided recovery plans managed remotely or on-site by a team of certified athletic trainers, physical therapist and chiropractors.
🟢 In-Person | 🔵 Virtual / Global
Chiropractic
Manual therapies and accupuncture performed by licensed chiropractic physicians.
🟢 In-Person Only
Nutrition & Lifestyle
Nutrition analysis and guidance based on scientific principles and simplicity.
🟢 In-Person | 🔵 Virtual / Global
Knowledge
Knowledge and learning to achive your goals based on level you’re on.
🟢 In-Person | 🔵 Virtual / Global
Training
Elite training programs tailored to your physiology and based on your assessments
🟢 In-Person | 🔵 Virtual / Global
How The CIHP Process Works
At At CIHP, our goal is simple:
Get you to the right care, in the right way, with the least disruption to your life.
We do that by combining early clinical clarity, focused in-person care when needed, and structured virtual follow-up.
Step 1:
Clinical Direction Call
Your first step is a 15-minute Clinical Direction Call with Dr. Clayton Skaggs, CIHP’s primary clinician and CEO or Dr. James George his clinical partner for over 20 years.
This call is designed to:
– Understand your situation quickly
– Determine whether CIHP is the right fit
– Recommend the most effective path forward
Before scheduling, you’ll complete a short intake so the call is focused and efficient.
Step 2:
Clear Pathway Recommendation
After your call, our team will follow up with a clear recommendation. Based on your goals, history, and location, this may include:
– Virtual care only
– A Visiting Consult at CIHP
– Local in-person care
– Or guidance toward another appropriate solution
You’ll receive a concise summary and next steps.
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Step 3:
Visiting Consult
For many complex or performance-focused cases, we recommend an intensive in-person visit at CIHP.
Most patients choose a 3-day Visiting Consult, designed to deliver maximum value in minimal time.
During your visit you can expect:
– Comprehensive assessment
– Movement and postural analysis
– Targeted treatment and skill development
– A plan that carries forward after you leave
 Everything is structured so you don’t need frequent trips.
Step 2:
Ongoing Virtual Follow-Up
After your visit, care continues remotely. Most patients transition into:
– Two virtual sessions per month
– With a CIHP practitioner
These sessions focus on:
– Progression of your program
– Problem-solving and refinement
– Building independence and resilience
Dr. Skaggs and Dr. George remain involved at the clinical oversight level, stepping in when needed.
McGill Master Clinicians
Unmatched Expertise in the Science of Pain and Performance
Becoming a McGill Master Clinician is a distinction achieved by only a handful of experts worldwide. It represents mastery in uncovering the true sources of pain and designing precise, effective plans for recovery and performance.
Our founder, Dr. Clayton Skaggs, spent over 20 years collaborating with Professor Stuart McGill to refine this approach. Today, Dr. Skaggs and Dr. George are two of only 18 McGill Master Clinicians in the world bringing world-class insight and proven results to every patient we serve. Dr. William Bunge further strengthens this expertise as a McGill Method Certified Practitioner, which is a distinction held by only a small number of practitioners nationwide.Â
Visiting Consultations
We serve clients from all over the United States and the world for unresolved back and other chronic pain problems. Individuals visit for 1 to 30 days or more to work one-on-one with Dr. Skaggs and our expert team of practitioners. We also provide virtual consultations for those unable to travel.
The visiting consultation program is when patients come to CIHP for their assessments for an average of 2-3 days. The typical follow up is virtual/FaceTime through the Restore program.
Your Path To Healing And Recovery
As a Visiting Consultation client at CIHP, you’ll gain clarity, confidence, and a plan built just for you. You will:
- Understand why you re in pain and how to move beyond it
- Know what not to do to support your recovery
- Learn how to rebuild strength and move pain-free
- See clear steps and milestones toward your goals
- Receive ongoing follow-up to track your progress and results