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IT’S TIME TO BRIDGE THE GAP

Feeling stuck in the health cycle and still not getting answers? You’re not alone.

So many active adults are frustrated, exhausted, or living in pain because they’ve been handed cookie-cutter solutions that don’t match real life. Whether you’re postpartum, post-injury, or just tired of starting over, we’re here to walk with you, not just treat you.

Resilience Chiropractic & Rehab fills that void by offering a trusted provider who understands the whole picture.

UNRAVELING

HEALTH OVERLOAD

MOBILITY

ASSESSMENT

STRENGTH TRAINING

FUNCTIONAL TRAINING

DRY NEEDLING

ACUPUNCTURE

ADJUSTMENTS

SCRAPING

CUPPING

PAIN-RELIEF

RECOVERY

ACTIVATION

PERSONALIZED

MOBILITY ASSESSMENT STRENGTH TRAINING FUNCTIONAL TRAINING DRY NEEDLING ACUPUNCTURE ADJUSTMENTS SCRAPING CUPPING PAIN-RELIEF RECOVERY ACTIVATION PERSONALIZED

NEXT LEVEL HEALTHCARE THAT BLENDS

PRECISION CARE WITH A HUMAN TOUCH

WHY SIOUX FALLS ACTIVE ADULTS CHOOSE RESILIENCE:

BECAUSE THEY’RE TIRED OF PIECING THEIR CARE TOGETHER.

At Resilience Chiropractic & Rehab, the chaos of pain, rehab, and training is simplified into one clear, personalized system. Active adults choose Resilience because they want to move better, train smarter, and finally feel like their body is working for them — not against them.

No quick fixes.

No generic programs.

Just real care, built for real life — by someone who gets the full picture.

RESILIENCE SOLUTION

Virtual and in-person programs that bridge the gap from pain and overload to lasting strength and confidence. My signature system blends elite chiropractic care, targeted rehab, and strength/endurance training into one clear, progressive plan — so you’re not bouncing between providers or piecing together advice on your own. Each phase is customized to your goals, from resetting movement patterns to building power and coordination, with biweekly check-ins to keep you on track.

HYBRID REHAB & FITNESS SYSTEMS

WHERE SIOUX FALLS GOES TO BRIDGE THE GAP BETWEEN PAIN AND PERFORMANCE

Dr. Payton Birkel - Chiropractor - A woman wearing glasses, a watch, and a blue sports shirt holding a skeletal model of a foot, pointing at it while standing in front of a colorful abstract art piece.

MEET DR. PAYTON BIRKEL

Sioux Falls’ hybrid chiropractor and fitness coach, Dr. Payton Birkel, is redefining what recovery and resilience look like.

After years of watching active adults bounce between providers — with short-term fixes and zero lasting strategy — Dr. Payton built a system that bridges the gap between rehab and real-world strength. Her unique background blends hands-on chiropractic expertise with advanced training in movement science and strength coaching. That means every session digs deeper — identifying not just where you hurt, but why your body keeps getting stuck.

What makes her approach different? One-on-one, high-touch care. No assistants. No generic protocols. Just focused, movement-smart support designed to get you back to the life you love — stronger than before. This isn’t just about pain relief. It’s about rebuilding confidence, clarity, and long-term performance that fits your life.

Don’t settle for the surface-level stuff. Discover the Resilience Difference and what your body’s actually capable of.

CLIENT WINS

FROM BURNED OUT TO BUILT BACK STRONGER

  • Steven T.

    “Dr Payton is amazing! She met me where I'm at in my health journey and my needs and goals. I didn't feel like just a number. She genuinely cares about people, and has a whole life aspect approach to her care and treatment. She has a broad skill set to help people whatever their needs and goals could be. She's super patient and kind and always takes the time to listen to my questions and concerns. She not only wants to help address any issues, but also she wants to educate her clients on the "why" to help them on their health journey. My specific needs and goals relate to running, and it was enlightening for her to explain certain issues and biomechanics to me that I hadn't thought would affect each other. My specific weaknesses relate to hip and ankle mobility and even with my couple visits to her, I've already seen improvement in my understanding and mobility control from what she's shown me. She is a super encouraging and positive person and has a huge heart for people. I'm glad for spending time with her and I'm sure you will too.”

  • Rachel Blong, CrossFit Athlete

    “Dr. Birkel is one of the most caring and compassionate doctors you’ll ever encounter. She will go above and beyond to get to the root of the issue. She has a vast background in evidence based chiropractic practices to help her patients get better in the long term. Dr. Payton is one of a kind and is making strides to make the profession better and a key piece in the chiropractic community.”

  • Ali Marshall, CrossFit Athlete

    “Dr. Payton possesses a rare blend of expertise, empathy, and dedication to patient care. She takes the time to perform a comprehensive exam to determine the root cause of symptoms, all while explaining each step of the process along the way. Dr. Payton's dedication to ongoing learning reflects her unwavering commitment to elevating her clinical proficiency, ensuring top-notch care for her patients. Using that clinical expertise, her own experiences with rehabbing injuries, and the patient’s personal goals, she will not only create a treatment plan that will alleviate pain, but will also provide you with tools for long-term wellness and optimized performance. Dr. Payton’s holistic approach to treatment including adjustments, acupuncture, dry-needling, therapeutic exercises, and lifestyle recommendations set her apart from the rest!”

  • Jared Bugaj, Competitive Runner

    “I had been dealing with chronic foot pain for over 4 months when I sought treatment. (Payton/Dr. Birkel) provided excellent care and gave me simple exercises and strategies for me to rehab my foot at home. Her treatment allowed me to manage my foot pain, while allowing me to train for my first marathon. I recommend (Payton/Dr. Birkel) as a specialist for running-related injuries because she is a runner herself and understands the demands of hard training.”

  • Ashton B.

    “Dr Payton has taken the time to understand my situation and thoughtfully put into place a protocol of care that I believe has made a world of difference, not only in my acute needs but overall wellness journey!”

  • Kait W.

    “Dr. Payton has taken the time to understand my situation and thoughtfully put into place a protocol of care that I believe has made a world of difference, not only in my acute needs but overall wellness journey!”

  • If you’ve ever felt stuck between rehab and the gym, or like your treatment plan doesn’t match your lifestyle, you’re not alone. At Resilience, I bridge the gap between hands-on chiropractic care, real-world movement, and custom fitness programming. It’s not just treatment. It’s a system.

    Ready for something different? Let’s talk.

  • It depends on your goals — but most patients notice a difference in their movement and mindset within the first few sessions. I focus on sustainable progress, not just quick fixes. Because real healing deserves real momentum.

  • Yes! Whether you're a CrossFitter, runner, lifter, or just trying to move better on the weekends, I’ve got you covered. I take your training seriously — and help you get back to it faster and smarter. No more sitting out.

  • I work with everything from chronic low back pain and headaches to knee, shoulder, and pelvic dysfunction. But beyond the pain, I look at how your whole system is moving — and why it’s getting stuck. Get to the root, not just the symptom.

  • No — and that’s intentional. I run a low-volume, high-touch practice where your time isn’t rushed, and your care is never dictated by insurance codes. You get transparency, direct access, and real results.

    Call me to learn how it works.

  • Your first visit is a deep dive. I cover movement screening, functional strength testing, and real conversation about what’s been holding you back. It’s personal, professional, and completely centered on YOU.

    Start strong from day one.

  • I’m not just handing you a sheet of exercises. My hybrid model blends hands-on treatment with custom programming and high-performance support — built by someone who gets both clinical care and real-world fitness.

    Rehab meets strength. All in one place.

  • The goal is always return-to-play — safely and confidently. I work together to identify milestones, and you’ll leave every session knowing what to do (and not do) that week.

    Let’s get you back out there.

  • Both! Some patients come in for a reset; others want a fully guided care plan. I’ll recommend the best fit based on your goals and budget — no pressure, no upsell.

    Options, not obligations.

  • Scheduling your free discovery visit is easy. Simply click the “Book Your Initial Visit” button on my website, call us directly at (605) 496-9656, or fill out my contact form. During this 30-minute consultation, you’ll meet Dr. Payton, discuss your specific pain or performance concerns, and learn if my unique approach is right for you.

FREQUENTLY ASKED QUESTIONS