Dr. Kyler Case

The Standard is a private executive health system for high-performing men. We help driven professionals build lean, strong, capable bodies that reflect their level of success—without sacrificing their business or wasting time. Designed for founders, executives, and business owners, The Standard brings structure to the one area most high performers struggle to execute consistently: their health. Through a proprietary framework—the Executive Health Operating System - we integrate fat-loss, strength, mobility, recovery, and lifestyle strategy into a clear, repeatable system built for performance, energy, and longevity. No guesswork. No wasted effort. Just execution. This is The Standard.

The Arena is a performance-driven training club in Des Moines built for individuals who want to train with purpose. We specialize in hybrid training - combining strength, endurance, and functional performance to help our members look, feel, and perform at a higher level. Our programming is built around HYROX-style training, while developing the strength, engine, and durability required for long-term performance. • HYROX-inspired training & competition prep • Strength + conditioning for high performers • Structured programming with clear progression • Small group coaching and accountability This is not random group fitness. This is training for people who expect more from themselves.

Chiropractic clinic bridging the gap between rehabilitation and performance through evidence-based, patient-centered, collaborative care. We seek to provide care that is meaningful, educational, and valuable. At our clinic in Urbandale, IA, patients will be involved in a shared decision-making process; meaning that we will work together to provide treatment that meets patient values and aligns with patient goals. We enjoy working alongside other medical professionals to provide quality collaborative care that is in the best interest of the patient. We deeply value patient education and exercise to provide the appropriate tools and resources necessary for self-management.

Students are selected from a highly competitive pool of applicants, which is comprised of prospective interns from various chiropractic school campuses. Upon selection, students complete several training modules in preparation for an eight-month clinical clerkship in the pain management clinic within VACIHCS. Provide patient care in an outpatient setting to patients with acute and chronic musculoskeletal conditions, including performing daily patient chart reviews, obtaining detailed health histories and performing comprehensive physical examinations, determining pain generators based on correlation of history and physical examination findings, determining the most appropriate set of differential diagnoses, developing specialized treatment programs, and educating patients about disease management, spine pain and a variety of non-pharmacological treatment options Co-manage and collaborate patient care with medical doctors, nurse practitioners, physical therapists, pharmacists, and mental health professionals to assist with pain management and improved quality of life for our nation’s veterans Conduct detailed chart review on patients of the highest level of complexity and present cases to interdisciplinary pain team comprised of PM&R physician, mental health provider, physical therapist, pain pharmacist and nursing staff on a weekly basis Attend continuing medical education lectures including pain board, tumor board, and discussion of management of complex cases on a routine basis Participate in interprofessional rotations and observations in primary care, pain clinic, interventional radiology, EMG, pain psychology, acupuncture, inpatient & outpatient physical therapy, occupational therapy, spinal cord injury clinic, TBI evaluation, dermatology, emergency department, MRI and MSK radiology, cardiology, domiciliary: inpatient substance abuse, inpatient acute care, inpatient long-term stay, dietetics, PACT pharmacy, mental health pharmacy, pain pharmacy