Integrix Phase 2 · In-clinic chiropractic rehab
Rehabilitation by Design: Chiropractic Rehab in Moorhead, MN
22 6th St N, Moorhead, MN 56560 · Inside Downtown Health & Wellness · Serving Fargo-Moorhead · Mon–Fri 9–5, Wed 9–6
Written and reviewed by Dr. Paul M. Bekkum, DC, CCEP · Last reviewed: November 11, 2026
Key facts
- What: Rehabilitation by Design is the second phase of Resilient Health by Design. It is in-clinic chiropractic rehab.
- Who provides it: Dr. Paul M. Bekkum, DC, CCEP, Certified Chiropractic Extremity Practitioner, 34 years in practice (since 1992).
- Where: Integrix Health, 22 6th St N, Moorhead, MN 56560, inside Downtown Health & Wellness.
- How it's measured: a 3D movement scan scored out of 100, repeated as you progress.
- Three stages: mobility, stability, then strength and return to activity. Each stage is passed by a rescan, not a calendar.
- Done when: your movement scores and function are where they should be, and your whole-body symptom score has come down too.
Why does back pain keep coming back?
Pain-free isn't the same as recovered. After an injury, your brain changes how it controls your muscles, and that change often stays after the pain leaves. That's a big reason back pain comes back. Chiropractic rehab retrains it.
Who is Rehabilitation by Design for?
It's for you if:
- You're finishing Relief by Design
- Your back "goes out" a few times a year
- You're an athlete or active person returning to your sport after an injury
- Shoulder, hip, knee or ankle problems keep coming back
- You stopped care when the pain stopped, and you're back where you began
It's not the right fit if:
- You're in a lot of pain right now. Start with Relief by Design.
- You're coming back from surgery or want an alternative to physical therapy. See physical rehabilitation in Moorhead.
- Your main problem is fatigue, gut or hormone symptoms. See Vitality by Design.
How does Rehabilitation by Design work?
- Book a Free Discovery Session, or move straight on from Relief by Design.
- 3D movement scan. Squats, single-leg balance, turns and reaches, scored out of 100 (Kinetisense 3D movement assessment).
- Foot scan if needed to see whether your feet add load to the chain.
- Stage 1, Mobility: adjustments, soft tissue work and short home drills to get stuck joints moving.
- Stage 2, Stability: retrain your deep stabilizing muscles and balance.
- Stage 3, Strength and return to activity: training that looks like your real life or sport.
- Rescan before each new stage. You move on when your numbers say you're ready.
What happens in each stage of chiropractic rehab?
Stage 1 — Mobility
When your hips, ankles or mid-back get stiff, your low back or neck moves more than it should. We use chiropractic adjustments, soft tissue work and short daily drills to get those joints moving again.
Stage 2 — Stability
Motion you can't control is a new way to get hurt. This stage retrains the timing of your deep stabilizing muscles and your balance, so your joints are protected before you move.
Stage 3 — Strength and return to activity
Now we load your body for real life: lifting at work, chasing kids, a hockey stride or a golf swing.
Why does CCEP extremity care matter in rehab?
A Certified Chiropractic Extremity Practitioner (CCEP) is a chiropractor with added training in adjusting the joints of the arms and legs. Dr. Bekkum adjusts the shoulders, elbows, wrists, hips, knees, ankles and feet. That matters in rehab, because the joint that hurts is often making up for another one that stopped doing its job.
Do your feet affect back and knee pain?
Every step sends force up through your ankle, knee, hip and back. If your arch drops and your foot rolls in, the strain often shows up higher. If your scans show your feet add load, Dr. Bekkum may prescribe Footmaxx custom orthotics in Moorhead, made from a computerized scan of your feet. Orthotics work best as one part of a plan.
How does functional medicine support your rehab?
Rehabilitation by Design is chiropractic-led. Functional medicine supports it:
- Inflammation, blood sugar and poor sleep can slow tissue repair.
- Food that feeds recovery: whole foods, enough protein and fewer refined carbs.
- Your whole-body symptom score (MSQ) stays on the scoreboard. A body that moves well but is exhausted or inflamed heals more slowly.
These checks are part of your in-clinic plan, not a separate program. Learn more about functional medicine in Fargo-Moorhead.
What comes after rehab?
- Moving well and feeling good: maintenance care at the Moorhead clinic.
- Moving well but still tired, foggy or sleeping badly: Vitality by Design.
- Feeling great: ask about Longevity by Design.
Who provides and bills your in-clinic care?
- Who and where. Rehabilitation by Design is in-person chiropractic care by Dr. Paul M. Bekkum, DC, CCEP, at Downtown Health & Wellness, 22 6th St N, Moorhead, MN 56560, under his Minnesota chiropractic license.
- Insurance. Downtown Health & Wellness bills your insurance for covered services, such as your exam, adjustments and rehab. You pay any copay, deductible or coinsurance your plan requires. Coverage depends on your plan. Call 701-347-1968 and we'll help you check.
- Services that may not be covered. Some services may not be covered by your plan. We tell you in writing and get your OK before providing them.
- Medicare. Medicare covers only part of chiropractic care. We explain what is and isn't covered before your visit.
- Separate programs. Integrix Health's virtual programs (Vitality by Design and Longevity by Design) are separate, self-pay and not billed to insurance. Dr. Bekkum owns Integrix Health. If we suggest one of its programs, you're free to get similar services elsewhere.
- Results vary, and no outcome is guaranteed. In an emergency, call 911.
Does Rehabilitation by Design have support levels?
No. Rehabilitation by Design is one in-clinic chiropractic rehab plan, paced by your rescans. The four support levels apply only to Vitality by Design and Longevity by Design.
Resilient Health by Design
How do the four Integrix programs compare?
| Relief by Design | Rehabilitation by Design | Vitality by Design | Longevity by Design | |
|---|---|---|---|---|
| Phase | 1 | 2 | 3 | 4 |
| Mainly | Chiropractic care (some functional medicine) | Chiropractic rehab (some functional medicine) | Functional medicine (some chiropractic) | Functional medicine (some chiropractic) |
| Goal | Calm pain | Fix what set the pain off, so it stays gone | Get energy, sleep and digestion back | Measure and slow biological aging |
| Best for | Back pain, neck pain, neck-related headaches, joint pain | Recurring pain, sports injuries, post-Relief | Symptom score 30–99 | Symptom score under 30, Vitality graduates |
| Where | In clinic, Moorhead, MN | In clinic, Moorhead, MN | By video | By video |
| Length | Until your scores say you're ready | Three stages, each passed by a rescan | 90 days (Intensive: 26 weeks) | One year |
| Measured by | Pain score, function questionnaire | 3D movement scan (scored out of 100) | Monthly symptom score, labs | TruAge + TruHealth at day 0, month 6, month 12 |
| Support levels | None: one in-clinic plan | None: one in-clinic plan | Vitality by Design – On Your Own · Vitality by Design – With Check-ins · Vitality by Design – Guided · Vitality by Design – Concierge | Longevity by Design – On Your Own · Longevity by Design – With Check-ins · Longevity by Design – Guided · Longevity by Design – Concierge |
| Payment | Covered services billed to insurance by Downtown Health & Wellness | Covered services billed to insurance by Downtown Health & Wellness | Self-pay (Integrix Health) | Self-pay (Integrix Health) |
| Page | Relief by Design: chiropractic pain relief | Rehabilitation by Design: chiropractic rehab | Vitality by Design: 90-day functional medicine | Longevity by Design: one-year longevity program |
Common questions
Frequently asked questions about Rehabilitation by Design
What is Rehabilitation by Design?
Rehabilitation by Design is chiropractic rehab at Integrix Health in Moorhead, MN. It follows Relief by Design and uses 3D movement scans, adjustments and a three-stage exercise plan so pain stays gone.
My pain is gone. Why keep going?
Pain leaving does not mean your body has recovered. Changes in muscle control after an injury often stay, which is a big reason pain comes back. Chiropractic rehab works on those changes.
What is the 3D movement scan?
A camera-based scan of your posture, range of motion and balance, scored out of 100. Nothing touches you, and we repeat it to track your progress.
Is chiropractic rehab the same as physical therapy?
Both help you move better. Our rehab adds chiropractic care for the spine and extremity joints, 3D movement scoring and a look at whole-body health.
Do you work with sports injuries?
Yes. Stage 3 is built around your sport or activity, and as a Certified Chiropractic Extremity Practitioner, Dr. Bekkum treats the shoulders, hips, knees, ankles and feet, not just the spine.
Will I need custom orthotics?
Only if your foot scan and movement scan show your feet are adding strain to your knees, hips or back.
How does functional medicine fit with my rehab?
It plays a supporting role. Chiropractic care and exercise do the main work. We also watch inflammation, sleep, food and your whole-body symptom score, because they affect how well you heal.
What if I still feel tired after rehab?
That is common and is not a structural problem. If your whole-body symptom score is still high, the next step is Vitality by Design, our 90-day functional medicine program.
Your doctor
About Dr. Paul M. Bekkum, DC, CCEP
Dr. Paul M. Bekkum is a Doctor of Chiropractic (DC) and Certified Chiropractic Extremity Practitioner (CCEP) with 34 years in practice (since 1992). He earned his Doctor of Chiropractic degree from Northwestern College of Chiropractic (now Northwestern Health Sciences University) in 1992. He founded Integrix Health, a chiropractic and functional medicine clinic at 22 6th St N, Moorhead, MN 56560, inside Downtown Health & Wellness, serving Fargo-Moorhead. He is licensed in Minnesota and North Dakota. Read more about Dr. Bekkum →
Integrix Health · 22 6th St N, Moorhead, MN 56560 (inside Downtown Health & Wellness) · 701-347-1968 · Mon–Fri 9–5, Wed 9–6
Tired of the same pain coming back?
Book a Free Discovery Session or call 701-347-1968. Integrix Health, 22 6th St N, Moorhead, MN 56560, inside Downtown Health & Wellness. Mon–Fri 9–5, Wed 9–6.