Spinal manipulation in Washington, DC.

Skilled joint work for a neck or a back that has stopped moving, paired with the strength work that makes the change hold this time.

Necks that lock up Backs that won’t straighten Schedule My Appointment

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30-minute Discovery Session. Trupti calls you back herself.

What It Is

Restoring the movement is easy. Keeping it is the job.

Spinal manipulation is a precise, skilled movement applied to one segment of your spine that has stopped gliding the way it should. Done well, range comes back fast, and you usually feel it before you sit up off the table.

It is not the treatment, though. It is a window. The reason that segment locked up is normally somewhere else: a hip that will not rotate, a mid-back that will not extend, a deep stabilizer that quietly stopped switching on. So we open the range, then load it, so your body has a reason to keep it. Trupti is certified in Maitland Australian manual therapy, Mulligan Movement with Mobilization, and the McKenzie Method, and the technique is chosen from your exam findings, not from habit. You are one-on-one with a licensed physical therapist, every visit, so the person who examined you is the person treating you.

A lot of people land here after care that felt good and did not last. Nigel C. is one: “I was having serious and long-term lower back issues and had bounced between some good and bad physios. I’d also tried chiro, but with little lasting effect.” Elaine N. had years of back pain and months of therapy elsewhere: “I learned much more about my back, the source of my pain, and the path to recovery after the discovery session than I did after months of sessions at another place!”

A treatment room at the clinic, with corner windows looking out over downtown Washington, DC Only when your exam calls for it

What It Helps

Where a locked segment is the whole story.

You’ve had the relief that lasts until Thursday, and you went back, because going back is what a sensible person does when something works a little. The goal here is not your next appointment. It’s not needing one.

What A Session Looks Like

Three steps, one visit.

1

We find the segment that isn’t moving.

2

One precise, skilled movement to free it.

3

Strength work, so the range stays yours.

Why It Works

Four reasons it works better inside a plan.

Range back inside a single visit.

Chosen from your exam, not by routine.

Paired with strength, so it holds.

One therapist, hands on, every visit.

Questions, Answered

Spinal manipulation, no mystery.

It is skilled, and it is screened first. Nothing gets moved until you have had an orthopedic and neurological exam, because manipulation suits some presentations and is wrong for others, and knowing which is yours is the actual skill. If your exam says no, we say no and treat it another way. Nothing happens without being explained first, and nothing continues once you say stop.

The hands-on moment can look similar. What differs is everything around it. Here the manipulation is one item inside a plan that opens with a cause-first evaluation and continues with the mobility and strength work that keeps the segment moving on its own. Many of our patients arrive after other care that helped for a few days at a time, and what they say changed is having something to do between visits and an endpoint to aim at.

You get an estimate at the end of your evaluation, and it is a plan with an endpoint, not a standing appointment. Four phases, Pain, Prime, Perform, Prevent, with a reassessment at each one so you can see the range you are keeping between visits instead of losing it. Plenty of our reviews open with the same regret, waiting longer than they should have. Your first step is a 30-minute Discovery Session, and no referral is needed to start.

Book Your Visit

Ready when you are.

Request a time and Trupti calls you back herself. Not a front desk. Not ‘someone will reach out.’ The therapist who would actually treat you, on the phone, before you commit to anything.

  • Hours Monday–Friday: 8 AM–6 PM · Saturday & Sunday: Closed
  • (202) 670-8874 Rather just talk it through? The 15-minute phone consult is free.
  • 30-minute Discovery Session first, before you commit to anything

4.9 · 86 Google reviews

Trupti calls you back herself

Step 1 of 5

So we know who to look for when you walk in.

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Care this good, this close.

Manual Medicine Spine & Sports Physical Therapy