Our Staff

Hello! I’m Brittney Pfiffner, born and raised in Sioux City, Iowa. I graduated from the University of Iowa with a degree in Human Physiology. After college, while exploring career options, I started nannying for Dr. Kleene. A few months later, she asked me to fill in for her office manager while they were on vacation – and that temporary role turned into an eight-year journey as the Director of Business Operations at Back in Line. 😊

My husband and I met during college, married in 2018, and are now proud parents of three amazing kids: Abel (5), Hudson (3), and Olive (1). Becoming a mom deepened my commitment to learning how to support our bodies in functioning well so that we can truly live well. I’ve seen firsthand how conventional medicine can sometimes fall short for families, often feeling like a quick fix instead of true healing. Thanks to wonderful providers who’ve helped my family address health challenges, I became inspired to make a difference for others, too. This led me to become a Certified Functional Nutrition Counselor, where I help people uncover the root causes of their symptoms – from gut issues to fatigue, thyroid health, food intolerances, autoimmune conditions, and more.

When I’m not at the office, you’ll probably find me spending time outdoors with my kids, enjoying date nights with my husband, reading, or squeezing in family garage workouts!

I’m so grateful to work with an incredible team at Back in Line, a true “one-stop shop” for health and wellness. Collaborating with like-minded professionals who genuinely prioritize each patient’s well-being is a joy and a privilege.

I’ve been working in the health and wellness industry since 2008. I’ve worn a variety of hats from life/health coaching in La Jolla, CA where I worked with woman from all over the world. When I moved back to Cedar Rapids I ran the Nutri-Sport Marion location and opened the SW Cedar Rapids location as well. From there I went into the career of clinical health coaching for corporate companies.

I absolutely love working with people that want to elevate themselves and feel better and willing to apply the changes necessary for that to happen. New results require new changes and that’s where I love to help people grow. Now being blessed with an opportunity of integrated health coaching where we can really see thorough labs, talk about the foundation of your health so we can work closer to solving instead of managing really motivates me.

I was born and raised in Sioux City, Iowa, attended the University of Iowa, and later graduated from Palmer College of Chiropractic in Davenport, Iowa. I married my high school sweetheart in 2007 and moved to Hiawatha/Cedar Rapids in 2009. I have two wonderful children—a daughter, Porter (2012), and a son Cooper (2015).

I enjoy vacations, especially to warm places with mountain views, or remote cabins with fireplaces and snowfalls, biking, books, and planning adventures with the kids.

The Back In Line Family Chiropractic & Wellness home and family is a huge part of my life. I love who I work with and I love the work family we have created. The heart and soul of our office is to offer the best services to the patient and meet their individual needs. The doctors I work with have made a strong commitment to their specialties and areas of focus.

We have many patients with many different conditions, it makes sense to have a one-stop shop. I love the focus on the patient and the patients’ needs—a truly patient-centered focus. We feel very deeply that when we focus on highly specific techniques and training, the patient gets better, faster. The front desk team understands that making every aspect of patient care easy and enjoyable is a crucial part of a healthcare office. Health insurance can be complex, and in the world of high deductibles or no coverage, honoring your healthcare dollars is a crucial part of the patient experience. I value the relationship we have with each other, and our patients.

At the beginning of 2022 I elected to stop working under the constraints of third party insurance companies and work directly for my patients. In other terms, I am an out-of-network provider, meaning I don’t have to play by the rules insurance companies deem necessary to treat and meet “medical necessity” in caring for patients. Don’t get me wrong, I work alongside three other providers that remain in-network for many companies, however, much of my training doesn’t fit within the traditional standard-of-care. I get to think and work outside of the box. I get to practice a truly progressive approach to healthcare in foundational lab testing, functional lab assessments, and treat patients that the traditional model of care happens to miss, or to help patients find out why they are having issues with fertility, hormone dysregulation, subclinical hypo-thyroid, GI disturbances, and more. I can still treat patients that have all types of insurance, however, patients who elect to see me can get reimbursed by their out-of-network benefits (if they have them, or elect to use their FSA or HSA, or pay cash or check for care. I no longer work for insurance companies but work for the patients first.

My primary areas of focus are headaches, acupuncture, and functional medicine.

My favorite patient types are:

-Functional Medicine and Wellness-based patients

• Patients seeking an in-depth understanding of their current health status, and aim to work towards health optimization

• Patients seeking complimentary care to their cancer treatments with HBOT

-Newbies to Chiropractic—those who are not sure where to start or what they need

-Maintenance & Wellness Care Headaches and Chronic Migraine patients

Hello! I’m Dr. Missy and I was born and raised in the small town of Manchester, Iowa. I graduated from West Delaware High School and I later attended Wartburg College—graduating with my bachelor’s degree in Biology. In 2018 I earned my Doctorate of Chiropractic degree from Palmer College,“The Fountainhead” of chiropractic in Davenport, Iowa. Hiawatha is a big step up from a small town, but I am so excited to be part of the Back In Line team and help serve the corridor area!

Outside of the office, I enjoy all things outdoors! In the warmer months I like to spend my time kayaking, fishing, hunting, playing volleyball, golfing, hiking, riding my road bike, and taking my dog Chief on adventures. Most of the winter months you can find me either ice fishing or on my snowmobile riding throughout Iowa, Wisconsin, and the Upper Peninsula of Michigan. There is nothing quite like that fresh powder! I’m usually down to clown if it involves being active or “The Great Outdoors”. Don’t let me fool you, I am not always go-go-go! I do have to remind myself to take a step back to honor the down time to rest, reset, and recharge. We also have to remember to enjoy the little things in life. So, here is your gentle reminder :)

I’ve had some pretty awesome experiences during my time as a chiropractor. I’ve treated and adjusted the USA Track and Field athletes at Drake Stadium, the runners competing in Bix 7, and the Hero Hustle Triathlon athletes. I was also the trainer for the WDHS volleyball team for their 2019 season as they made it all the way to state. Know of any cool events? Let’s chat!

I believe my active lifestyle has contributed to my philosophy that there is so much more to chiropractic beyond the “adjustment.” I feel sports rehab and soft tissue/muscle therapies play a crucial role in healing, recovery, and prevention. I’ve loved expanding my knowledge and skills beyond the chiropractic adjustment through events and additional education and training. It has allowed me to add tools to my “toolbox” which helps me treat patients within the office. I focus on quality chiropractic care through full spinal adjustments and provide patients of all ages with a holistic approach to healthcare with wellness, exercise, and nutritional needs. I incorporate Palmer Package adjustments, myofascial release, extremity treatments, floss banding, kinesiology taping, cupping, trigger point dry needling, instrument assisted soft tissue mobilization and acupuncture into my treatments. I value providing patients with the most up-to-date and effective research and care. My passion is helping others achieve optimal health and wellness. Your body has an incredible potential to heal itself. The most amazing part is what I get to witness every day!

I value being active within the community and giving back where and when I can. In the past, I have been a member of many organizations including the Iowa Chiropractic Society, the International Chiropractors Association, the International Chiropractic Pediatric Association, and was even a BirthFit Professional. All of these organizations have exposed me to different avenues within the chiropractic profession. I’ve gotten to meet many people along the way, some of whom I get to call lifelong friends and colleagues. These connections are why I value relationships with others so deeply. I love connecting with people and getting to know what makes them who they are. As human beings we are physically and mentally wired for human connection. Knowing your time with me in the office is genuine, sincere, and supported is of utmost importance.

Being part of Back In Line Family Chiropractic & Wellness, was a no-brainer. There is something exciting and comforting being around like-minded people. Without hesitation, “these are my peeps.” I thoroughly enjoy going to work each day knowing that I am walking into a welcoming, caring, healing, and fun environment. I respect and appreciate that everyone is allowed to be their authentic self. Each of the docs bring something different to the table. Collectively, we are a cohesive unit, well-equipped and adaptive to our patient’s needs. This is why we hold ourselves to a higher standard and value what we do for our patients and community. At Back in Line Family Chiropractic & Wellness, we strive to be the best at what we do! Our front desk staff are also top notch. They value the care you receive and the relationships they create with you just as much as we do! They are always going above and beyond to make sure your time with us is valued. Our team is passionate about what we do and we love “Making Healthy Contagious.” Thanks for trusting us with your health!

I was raised in Cedar Rapids, Iowa and graduated from the University of Northern Iowa with a major in biomedical sciences and a minor in chemistry. Following undergrad I moved to the St. Louis area to attend Logan College of Chiropractic where I was able to pursue advanced studies in sports and injury rehabilitation and graduated with a masters in sports science & rehabilitation as well as a doctorate of chiropractic. I have one fur-baby. She’s a Lab/American Bulldog (Bullador) mix named Xena that has become our unofficial office mascot!

Staying active, healthy, and fit is an important part of my daily routine as I try to emulate the behaviors I like to see in my patients that may have pain or injuries holding them back. Practice what you preach. Out of the office you can usually find me golfing, working out, playing volleyball, tennis, biking, rock-climbing, enjoying local live music, or pretty much anything else active—wanna do stuff? Let’s do it. I try and retreat out of town to our family cabin (it’s a trailer, a really sweet trailer) at Prairie Du Chien on the Mississippi—where we can be found fishing, boating, or playing endless rounds of cards (euchre, 500, cribbage, the list goes on).

After graduation I practiced in the St. Louis metro area at Performance Health Care and worked with a ton of area baseball/softball players, as well as athletes from the University of Missouri, Missouri Baptist University, Fontbonne University and Jefferson College. I also completed a clinical internship through the St. Louis Veterans Affairs Hospital working in an interdisciplinary team of primary care providers (MD’s, RN’s, PT’s, psychologists) to better serve our country’s veterans.

After St. Louis, I spent a year in Fargo, ND teaching for the North Dakota State College of Science. I moved back to Cedar Rapids in 2011, but continue to teach at NDSCS, as well as Hawkeye Community College, Iowa Central Community College, and Marshalltown Community College.

I have certifications in almost more things than I can count/recall. I typically focus my post-grad education on sports injuries and soft tissue injury treatment and management; Active Release Techniques (A.R.T.) and Trigger Point Dry Needling have been great for me both personally and professionally in getting through injuries quickly and getting athletes back on the field. I also spend a solid amount of time focusing on rehab—principles of movement—how to get areas of the body moving better, to reduce stress on overused/injured areas.

For years through high-school, college, and even through and after chiropractic school I’ve struggled with low back pain, which has eventually progressed to full blown sciatica down my right leg as I’ve gotten older. Due to my own struggles with this condition, and the so-so results I was getting with traditional treatment models, I spent time focusing on low back/disc injury rehab & management and it has made a world of difference in my own life and how I’m able to better serve patients in getting them out of pain, often when all other “traditional” methods have failed them.

I tend to treat most patients and injuries like “athletes,” because, to be honest, most of us are “athletes” whether we are weekend warriors that like to (run, bike, swim, lift, play pickleball, chase after your kids in soccer, etc) or elite level athletes playing professional or collegiate sports, or competing nationally in triathlons and competitive sports. Life doesn’t care if you consider yourself an athlete. We all need basic athletic movements to age successfully (you squat/lunge/deadlift every time you sit down and stand up, pick up your golf ball/kids, or do household chores). The fundamentals of rehab for injuries applies universally. We can manipulate the tissues to reduce pain, but we have to impose a specific demand on injured tissues to allow them to adapt, heal and remodel stronger to prevent future injuries. To get better, faster, most patients need to think, “What am I doing wrong to cause the injury,” and “What should I do right/better to help it heal faster or prevent it from coming back.” By focusing on moving better and moving often, we can get you back on the field faster and lessen the likelihood of reinjury. Knowledge is power and teaching people how to keep themselves healthy will reduce the number of times we need to see them at Back In Line. That is our ultimate goal.

Hi! My name is Jill and I am excited to introduce myself under the Back in Line Chiropractic and Wellness family. I am a Physician Assistant, practicing since 2010. I grew up in central Illinois, close to the University of Illinois. I have been a Hawkeye fan my whole life so you can imagine how it was growing up thirty minutes from the Illini campus! I was fortunate enough to live out one of my dreams and attend the University of Iowa for undergrad where I graduated with a BA in Health and Sports studies. I had considered PT, athletic training, medical school and the like but found my calling after shadowing a Physician Assistant in college. I attended Southern Illinois University in Carbondale and graduated with a Masters of Science in Physician Assistant Studies(MSPA) in 2010!

After graduation, I practiced mainly Emergency Medicine in the St. Louis area and my husband and I moved to Cedar Rapids in 2014. My parents are both from this area so the move back to Cedar Rapids was rather nostalgic for me as I grew up traveling back and forth to Cedar Rapids to visit my grandparents. My Iowa roots run deep and it is good to be back! My husband and I started our family in 2015 and we have three awesome kids. You can find our family enjoying our time together, going on outdoor adventures, cheering on the Hawkeyes and enjoying our trips to just name a few things. My personal interests include all things sports, outdoors, reading and a recent new interest in gardening and flowers!

Upon moving back to Iowa, I worked at Virginia Gay Hospital doing both emergency and hospital medicine. I worked there until 2020 when I made the switch to St. Luke’s Hospital. This was closer to my home and allowed for a more flexible schedule for my family that was growing busier by the day!

Enter Dr. CJ! As time inevitably marched on, I felt the need to dive deeper into my health. I had always followed the rules of conventional medicine and it has served me well, but knew there had to be more under the surface that could be looked at for my future health and the health of my family. I had heard about Functional Medicine from a PA friend of mine and the rest is history! I was fascinated by what Functional Medicine, and later Integrative Medicine, had to offer and how it can truly optimize one’s health. I had expressed my interest to Dr. CJ when I had met her as a patient and we have become fast friends. Since this time, I have been living, breathing and eating Integrative Medicine.

I have finished my cardiovascular Integrative Medicine course by A4M(one of the leading Functional Medicine training programs) and continue to expand my knowledge in other areas of Integrative Medicine. Throughout my course as a PA, I have seen the sickest of patients and patients, who in their mind, have done everything right, but still have very unfortunate medical situations happen to them. I feel Integrative Medicine is a potential way to uncover and find these problems early. Did you know that close to 70% of people who have an acute myocardial infarction(aka…heart attack) have “normal” cholesterol by conventional standards! 70%! This blew my mind. My goal is to meet with people earlier in their health journey, diving deeper into their health profile, especially their cardiovascular health, detecting signs of subclinical heart disease, atherosclerosis, hypertension and more! By catching these things earlier, this will set them up for a future full of health and wellbeing!

My hope is to combine Eastern and Western medicine. To start practicing more preventative medicine, not “reactionary” medicine. To find and reverse disease states earlier. I want to work with patients and discuss where they want to go in regards to changing the course of their health. I hope to use the information I have learned, proven by science, in my years as a PA and the new information I will continue to learn to provide personalized, cutting edge medicine to help prevent disease in the future! I can’t wait to meet you and get this journey started together!