Dr. Nikki Graue has cared for Sioux Falls families for over two decades. Whether you are dealing with back pain, a sports injury, chronic headaches, or just looking to stay aligned — we have a plan built around you, not a package.
New Horizon Chiropractic · Sioux Falls, SD
Dr. Nikki Graue has run New Horizon Chiropractic for over two decades with a straightforward goal: give every patient real attention, honest answers, and care that actually works. You always see the same doctor — no rotating staff, no handoffs, no surprises.
Owner · treating chiropractor
Dr. Graue has been caring for Sioux Falls families for over 23 years. Over two decades she has built a practice where patients return not because they have to, but because they feel better when they do.
"I had chronic lower back pain for three years. Dr. Graue figured out what was going on in one visit. Six weeks later I was back to hiking."
Honest assessment. Conservative care first. No high-pressure plans, no bundles you did not ask for. We work to get you better, then get you out the door.
Most people who walk through our door are not chiropractic regulars. They are office workers whose back gave out, weekend warriors who overdid it, parents who carried one too many groceries, and folks still sore from a fender-bender on 41st Street.
From sit-all-day stiffness to acute disc flare-ups. Most patients feel a meaningful change inside two to four visits.
Forward-head posture, screen hours, or a bad night's sleep. Often paired with shoulder tension and headaches.
Cervicogenic headaches respond well to upper-cervical work and soft-tissue release at the base of the skull.
Radiating leg pain, numbness, or tingling. We often pair adjustments with spinal decompression for disc-related cases.
Runners, powerlifters, hockey players, weekend cyclists. Sports injuries respond well to chiropractic and acupuncture together.
Whiplash, soft-tissue injury, and delayed post-accident pain. We document carefully and communicate with your adjuster.
Gentle, age-appropriate adjustments for growing bodies — from colic in infants to sports stress in teens.
Many patients come with no acute complaint — they come to stay aligned, move well, and get ahead of the problems that come with a long South Dakota winter.
Every patient gets a real exam and a plan matched to their situation. The services below are the tools Dr. Graue draws from — not a menu of upsells.
Precise, hands-on spinal and extremity adjustments to restore motion, reduce nerve irritation, and get you back to feeling normal. Technique is matched to the patient and the problem.
Traditional needle acupuncture targeting pain, inflammation, and nervous-system regulation. An effective complement to chiropractic care for many chronic and acute conditions.
Motorized, computer-controlled traction that gently takes pressure off compressed discs in the neck and lower back — often the right choice when pain travels into an arm or leg.
Negative-pressure cups applied to the back, shoulders, and neck to increase circulation, release fascial restriction, and speed soft-tissue recovery.
Acoustic waves delivered to stubborn chronic pain sites — heel pain, shoulder tendinopathy, tennis elbow. Stimulates the body's own repair signals.
Therapeutic massage targeting muscle tension, trigger points, and soft-tissue restrictions — often paired with chiropractic care for faster, longer-lasting results.
EMS for muscle spasm and pain relief; therapeutic ultrasound to accelerate healing in tendons and ligaments. Painless and often combined with other modalities.
No mystery. No "let's see how it goes." Here is exactly what happens, in order, on the day you walk in.
Fill out the new-patient packet ahead of time or in our waiting room. Bring your insurance card and a photo ID.
Dr. Graue sits down with you. We listen first — what hurts, when, how long, what you have tried, and what you need to get back to.
Orthopedic, neurologic, and range-of-motion testing. If X-rays are needed we take them on-site; if not, we will tell you so and explain why.
You leave with a clear plan and an answer to "how long until I feel better?" No fourteen-page packets, no high-pressure sales.
Most new patients receive their first adjustment the same visit. If today is not the right day, we will tell you exactly why.
We verify your benefits before your first appointment so the front-desk conversation is short and there are no surprises on visit two.
We keep our fees transparent and fair. No pre-paid bundles or required care packages. If a service is not going to help you, we will not bill you for it.
CareCredit is accepted for larger treatment plans. Internal payment arrangements are available for established patients who need them — just ask.
We verify your specific benefits before your first appointment — call us at (605) 371-8646.
Two decades of Sioux Falls families. Quotes below are paraphrased from public patient reviews.
I had chronic lower back pain for three years and had almost given up. Dr. Graue spent the time to actually figure out what was going on. Six weeks later I was back to hiking.
I was skeptical about acupuncture but Dr. Graue explained everything clearly and it made a real difference for my migraines. I have not had a bad episode in months.
Was rear-ended on the interstate and called New Horizon the next morning. They saw me same-day, handled the insurance paperwork, and had me back to normal in six weeks.
I have been bringing my kids here since they were toddlers. Dr. Graue is gentle, patient, and actually listens. The whole family comes here now.
If the question on your mind is not here, just call us — we would rather answer it now than have you guess.
Most new patients notice a meaningful change inside two to four visits. Chronic, long-standing issues take longer — Dr. Graue will give you an honest read after your first exam, not a generic plan.
Acupuncture uses thin needles to stimulate specific points that reduce pain and inflammation. It is entirely optional — Dr. Graue will recommend it only if it fits your case, and only if you are open to it.
Yes — when done by a trained chiropractor. Pediatric adjustments are remarkably gentle, often just fingertip pressure. Dr. Graue treats children and infants regularly at New Horizon.
It depends on what is wrong and how long it has been there. We do not sell prepaid packages. After your exam we recommend a plan with a clear end-point, and we revisit it together as you progress.
No. Chiropractors are primary-contact providers in South Dakota. You can call us directly — no referral required.
We accept most major plans including BCBS, Aetna, Cigna, United Healthcare, Medicare, and auto / personal-injury policies. Bring your card and we will verify your benefits before you ever swipe.
Most patients describe the audible sound — if there is one — as more surprising than painful. Every movement is explained before it happens, and technique is always adapted to your comfort level.
Tell us a few details and we will call you back the same business day to confirm a time. If today is urgent, please pick up the phone instead.
Call us(605) 371-8646It usually does not. The sooner you come in, the gentler and quicker your path back to feeling well.