Dr. Ashley and son smiling in kitchen after chiropractic adjustment in Sioux Falls

The Chiropractor Moms Trust
and Kids Actually Love!

Because motherhood was never meant to be done alone—and you shouldn’t have to figure it all out without support.

Prenatal • Postpartum • Pediatric • Family Chiropractic Care in Sioux Falls, SD

Book an Appointment

Chiropractor adjusting children at pediatric visit at Dr. Ashley Family Chiropractic

Gentle, personalized care for moms, babies, kids, and families—backed by advanced training, real-life experience, and a whole lot of heart.

Welcome to a different kind of chiropractic office—where moms feel seen, babies are supported, and families thrive.

At Dr. Ashley Family Chiropractic, we specialize in prenatal, postpartum, and pediatric care that’s rooted in real connection, clinical excellence, and a deep understanding of what families actually need.

This is a space where you’re more than just a name on a schedule. You’re a mom navigating big transitions, a parent wanting answers, or a family looking for natural, effective ways to feel better and live healthier. And we’re here to walk with you—every step of the way.

Dr. Ashley helping pregnant mom with back pan and sciatica at Dr. Ashley Family Chiropractic

Hey, Mama!

You Weren’t Meant to Do This Alone.

You want to feel confident in your body during pregnancy. You want your baby to sleep better, cry less, and grow strong. You want to heal in postpartum—not just “get through it.” That’s exactly why we’re here.

With almost two decades of experience, Dr. Ashley Pfaff is the most trusted prenatal and pediatric chiropractor in South Dakota. She’s helped thousands of women and children feel their best through every season of motherhood—and would be honored to support you, too.

Whether you're:

Line drawing of a pregnant woman with long hair, holding her belly. Prenatal chiropractic care in Sioux Falls.

Line drawing of a couple, with one person pregnant, embracing each other. Prenatal chiropractic care in Sioux Falls.

Line drawing of a woman holding a baby. Lip and tongue tie chiropractic care in Sioux Falls.

Line drawing of a woman holding a small child in her arms, with the woman's long hair falling over her shoulder. Pediatric chiropractic care in Sioux Falls.

Struggling with back pain, pelvic pressure, or sciatica during your pregnancy

Trying to conceive and want to prep your body for pregnancy

Navigating breastfeeding challenges or colic with your newborn

Curious if chiropractic can help your toddler sleep better or get sick less

We’ve got you. Because you deserve a team that listens, celebrates you, and knows how to help your whole family feel their best—with personalized care that meets you right where you are.

Learn more about our services

Meet Your Doc

the heart + hands behind the care moms trust most

Dr. Ashley

Doctor. Mom. Wife. Encourager. IVF warrior. Tiny-spine specialist. Your go-to for all things pregnancy + postpartum.

Dr. Ashley brings over 16 years of clinical experience and a deep passion for empowering women through every phase of motherhood—from preconception to postpartum and beyond. Her own journey to becoming a mom shaped everything about how she practices today: with empathy, intention, and a fierce commitment to helping other mamas feel strong, capable, and supported. She's also deeply experienced in working with babies—supporting everything from latch and digestion to sleep, tension, and development in those earliest, most important months.

Advanced Certified in Prenatal & Pediatric Chiropractic Care

Webster Certified | Spinning Babies Aware Practitioner | Gentle, Personalized Adjustments | Manual + Activator Options

Get to know Dr. Ashley

Chiropractor adjusting newborn to help with breastfeeding in Sioux Falls

Care That’s Built for Real Families

and Rooted in What Moms Actually Need

We’re not a stuffy doctor’s office. We’re a supportive space where moms can exhale, babies can stretch and squirm, and toddlers are greeted with open arms (and plenty of snacks). Chiropractic care here is gentle, specific, and personalized to meet your family’s unique needs— whether that means easing pregnancy-related pain, helping a breech baby find a better position by optimizing pelvic space, supporting a fussy baby, or releasing the stress your body’s been carrying since pregnancy.

We love helping with:

Line drawing of a woman holding a small child, with a baby bottle in the child's hand. Infant chiropractic care in Sioux Falls.

Outline drawing of a woman holding a young child in her arms. Pediatric chiropractic care in Sioux Falls.

Line drawing of a woman holding a baby. Breastfeeding support through chiropractic care in Sioux Falls.

Line drawing of a pregnant woman with long hair, standing with her hand on her hip. Prenatal chiropractic care in Sioux Falls.

Line drawing of a woman holding a baby close to her chest. Breastfeeding support with chiropractic care in Sioux Falls.

Colic, reflux, constipation, and frequent ear infections

Breastfeeding struggles, latch issues, and oral tension

Developmental milestones, motor delays, and sensory support

Sleep challenges in babies and toddlers

Pregnancy-related back pain, sciatica, and pelvic tension

Postpartum healing, nervous system regulation, and “just not feeling like yourself”

Learn more about our services

Kind Words

from Patients

Jenna O.

“Dr. Ashley has been absolutely amazing with my daughter. On our first appointment, she sat down with us and listened to us and gave us exact steps to follow in the next upcoming weeks. With regular adjustments and following her expert advice, my daughter was able to get out of bedtime pull ups and we haven’t had any bedtime accidents in weeks! We are so happy we found Dr. Ashley! She is amazing!”
Liz R.

“Dr. Ashley is AMAZING! I have went to Dr. Ashley for both of my pregnancies. During my first trimester I always have had terrible fatigue and pain throughout my back and shoulders. She has helped me to feel better and get back to feeling like my normal self without pain! I highly recommend Dr. Ashley!”
Mariah H.

“I came to Dr. Ashley a couple weeks postpartum, barely able to walk, and in a great deal of pain. I had fallen down the stairs a few days before giving birth, and my back, hips, and soft tissue were way out. Thanks to her care, I was able to make a full recovery within a few weeks. Dr. Ashley was very kind and attentive and her office is very family friendly. Her receptionist even helped keep an eye on my littles while I was being adjusted, which for a busy mama is invaluable!”
Casey L.

“We went to see Dr Ashely when were at our wits end with my then 7 month old. He suffered from torticollis and acid reflux. We attempted meds and they made his reflux worse! So our main goal was to help him being so miserable all the time! After a few visits with Ashley we could start coming in once a month, then it was once every 2 months! In our time spent seeing Dr. Ashley she was always very kind, gentle and caring towards our baby and us! We can’t thank Dr. Ashley enough for helping our little man be his happy go lucky self!!!”
Kaelynn M.

“I have some health issues with inflammation and was recommended to Dr. Ashley by my physical therapist. She does a lot of baby/pregnancy chiropractic but she’s amazing with everyone else as well. If you have questions she breaks it all down and makes sure you understand. Definitely has helped my pain a lot!”
Alyssa D.

“I highly recommend Dr. Ashley. Our 2 month old baby suffered from reflux, a stiff neck, and plagiocephaly. She was so fussy and it was looking like we were going to have to do helmet therapy in the future. We saw major improvement in our little one just after a week of treatments with Dr. Ashley. We now have a super happy 4.5 month old that hardly fusses, no longer has reflux, and who's head shape significantly improved and helmet therapy is off the table.”
Courtney D.

“Absolutely LOVE Dr. Ashley!! I found her when I was pregnant with our 4th baby. She is thorough and does a great job, I always feel so welcome walking into her office by her and her staff. Not to mention the therapy bed is amazing!! A great way to relax before the adjustment!!”
Donni V.

“We reached out to Dr. Ashley Family Chiropractic as we were getting our butts KICKED by a 4-month sleep regression. He quickly began sleeping 10 hours at night again. Breastfeeding suddenly got easier. And Carson was back to himself!”
Margus B.

“We love Dr. Ashley! We take our daughter to see Dr. Ashley for adjustments a few times a year. She's so good with her. My daughter will ask me, ‘When do I go back to see Dr. Ashley?’”
Lucy H.

“I was so happy to find Dr. Ashley when I moved to the area before my first baby was born. She worked on both me while I was pregnant and my son as a newborn.”
Amanda G.

“We love Dr. Ashley! I have been coming to her for pregnancy adjustments and for adjustments for my toddler for some time now. She’s the best!”
Sondrae S.

“Ashley is very good at listening and remember what and where your pain is. I have been twice so far and feel ten times better than I did before I went in. I would recommend Pfaff Chiropractic to anyone!”
Kelley J.

“My youngest baby and I became patients of Dr Ashley earlier this year and it has been the BEST experience! Not only is her care incredible, but the conversations around tips/tricks, the hospitality of everyone and the overall expertise and experience is 10/10! I wish I would have found her care earlier!”
Hanna C.

“Dr. Ashley is amazing!! I wouldn’t take my daughter to anyone else. She is so thoughtful and spends time with each patient understanding any concerns/needs. I wish I would have known about her when I was pregnant, but will definitely use her for anyone in the family going forward.”
MacCall H.

“My newborn has been having a hard time since birth and so we decided to give Dr Ashley a try to see if it would help and it does! My little one sleeps better and seems comfortable. I also brought my daughter in because she fell off a swing and hurt her back. She asks to come all the time because ‘her back feels better!’ I decided to get adjusted as well being postpartum and after my first appointment I could tell a noticeable difference in my week and mood. Dr Ashley is so nice and very informative.”
Sam S.

Ashley and her team are so welcoming, educational, and caring! I’ve been terrified to go to a chiropractor for as long as I could remember - I was scared if I tried it, they would crack my neck wrong or something along those lines. And that was not the case!! I was about 30 weeks pregnant and I was referred to Dr. Ashley by my midwife because I was having hip/pelvic pain. They welcomed me in and educated me so I was no longer scared. Even after going the first time, I felt AMAZING.
Makenna D.

“Dr Ashley is by far the best chiropractor myself and my two year old have been to! From overall body wellness chats to chiro specific needs we are always taken care of. Dr Ashley helps me feel confident and equipped as a mother every time I leave her office. Can’t forget the incredible staff who care for and play with my little guy when it’s my time for chiro care, overall so happy with our experience with Dr Ashley and recommend her to everyone we know!”
Melinda M.

“My son has been seeing Dr. Ashley since he was just a few weeks old, he will be 2 here soon. I was referred to her by a friend and she is AMAZING. So kind, helpful and goes above and beyond at every single visit. I would HIGHLY recommend her to anyone looking. She has the cutest area for kids too.”
Jena B.

“I’ve been going to Dr. Ashley almost my entire pregnancy and have loved my experience with her! Always insightful, listens to concerns, little to no wait time, and a very welcoming environment. Would recommend her to anyone!”
Katelyn V.

“I have been going to Dr. Ashley for over 3 years now and she has been amazing every visit! She helped me through pregnancy, postpartum care, and has been seeing my son since he was born. She's always gentle, patient, kind, and willing to listen and provide her knowledge! I appreciate all of her help!”
Kristina E.

“I love how compassionate Dr Ashley is with her clients. She also has a super friendly front desk staff. The adjustments have helped me and my infant tremendously. My pregnancy has been moving so smoothly since I've started to see her! Highly recommend for yourself, pregnant or not, and for your children.”
Matthew M.

“Dr. Ashley and her team do an amazing job. We have had our entire family see Dr. Ashley since birth. Her practices for children are exceptional. The time and investment does not equal the mental and physical health benefits of seeing Dr. Ashley! I would highly recommend her for Chiropractic care.”
Sam J.

“Dr Ashley has seen all three of my kiddos since their births and I have seen her during my pregnancies. We have been going to her for six years. She is extremely kind and personable and my kids adore her! Dr Ashley is very knowledgeable and skilled at what she does! I highly recommend her!”
Shelbi R.

“Dr. Ashely has been a saving grace for me and my daughter Audrey. We started seeing her after moving into town when my baby was 4 months old. Dr.Ashely is not only an amazing chiropractor, but she also helps new moms and babies in more ways than your normal chiropractor would. I highly recommend going to her!”
Mary B.

“Dr. Ashley has made us feel so welcome at her practice! She is very knowledgeable with the development of children and has a clean and child friendly space. My son has shown such progress since starting to visit her. Would recommend Dr. Ashley to anyone seeking chiropractic care for their children!”

Pregnant mom on bed after chiropractic visit for turning breech baby

Blog

How Chiropractic Can Help Turn a Breech Baby (Without Forcing Anything!)

Postpartum Recovery 101: Why You Still Need Chiropractic After Birth

Tummy Time Troubles? Here’s What Could Really Be Going On

Mom and toddler sitting on chair at Dr. Ashley Family Chiropractic

Busy Moms, We Got You

We know your days are full and your to-do list never ends. That’s why we’ve made getting care easy, efficient, and actually enjoyable. Whether you're coming solo, wearing a baby, or juggling the whole crew—we’ve created a space that works for real families.

Expect a supportive, judgment-free zone, flexible scheduling, and a care team that truly gets it—plus toys, snacks, and a space where your little ones can just be themselves.

Whether you're navigating pregnancy, chasing toddlers, or just trying to stay grounded—we’re here to help make life feel a little easier.

Learn more about our services

Your Next Step Toward Feeling Better Starts Here

You were never meant to figure this all out alone—and the good news? You don’t have to.

At Dr. Ashley Family Chiropractic, we’re here to help you feel more aligned, more energized, and more like yourself again. From preconception through postpartum, newborn days to school-age milestones—we’re your go-to for expert chiropractic care that’s rooted in connection and backed by experience.