Frequently Asked Questions (FAQ)

Welcome to our Frequently Asked Questions (FAQ) page.  If you do not find your answer here, please use our Contact page on the menu, or just click HERE


At Koff Chiropractic Clinic, we have treated day-old newborns to some very special patients who have reached over 100 years old! In our forty years of practice, as chiropractors in Manassas, we have treated: Olympic hopefuls, to professional athletes, to professional musicians, dancers, singers, and performers, as well as amateur athletes in all kinds of sports and varying ages.

We treat a variety of back problems such as: disc bulges or herniation,sacroiliac dysfunction, muscle strains and many other conditions. Very often, we, as chiropractors, treat neck pain, headaches or whiplash from car accidents. Sports-related injuries are quite common, with so many children and adults being active in running, marathons, swimming, tennis, soccer, cheerleading, or club sports.

Another sector, we see often includes work-related injuries which can include: poor lifting techniques, lifting objects that are too large or too heavy, poor posture when working, falls on the job, accidents at the workplace, etc. In normal everyday life, almost anything can trigger an issue; such as: tripping on a step, sneezing, shoveling snow, or simply, sleeping wrong, and even stress events can cause a misalignment and pain.

At Koff Chiropractic, we specialize in: automobile accidents, work-related injuries and sports injuries. Additionally, we treat: back pain, knee pain, shoulder pain, leg and arm pain, hip pain, arthritis, carpal tunnel, disc herniation, lumbar spinal stenosis, muscle cramps, osteoarthritis, plantar fasciitis, osteoporosis, sacroiliac joint dysfunction, scoliosis, soft tissue injuries, TMJ, vertigo, whiplash, poor posture, chronic pain, joint health, asthma, pinched nerves, and many, many more.


Any chiropractor has attended four years under-graduate with an emphasis in science and pre-med. Chiropractic post-graduate studies are a four-year program including approximately 4200 hours in classroom, lab and clinic. Today, there are approximately 95,000 Chiropractors and 10,000 students enrolled in Chiropractic colleges. Doctors of Chiropractic are licensed in all 50 states and abroad as well.

Dr. Louis I. Koff attended Rutgers University and graduated with honors, with a BA in History. At Palmer College of Chiropractic, he graduated Class Salutatorian, or number 2, in his class. He received many scholarships and other prestigious awards. Dr. Louis Koff was asked to become part of the faculty at Palmer College of Chiropractic in Iowa, upon graduation, but declined.

Dr. Tara Koff attended Columbia University and the University of North Carolina at Chapel Hill. She graduated with highest honors with a BS degree in Psychology and Pre-med. In college, she tutored calculus. She, then, attended Palmer College of Chiropractic and graduated Magna Cum Laude. She, too, received numerous awards, especially in Diagnosis and Clinic for her excellence, upon graduation.


With over 40 years in practice, Dr. Louis Koff has a reputation and expertise unparalleled. He has seen it all and treated it all! Dr. Louis Koff knows many of your families; if you grew up here in Manassas, our home, you probably know of him. Dr. Louis Koff has been very active in the area; for years, he has been doing scoliosis screening for school age children in their schools as a public service; advising sports teams on injury prevention; and, many local businesses with on-site back clinics.

Dr. Louis Koff was chosen as one of the “10 Best Chiropractors for 2016” by the American Institute of Chiropractic. Dr. Tara Koff, who joined the practice in 2004, his daughter, excels at the newest technologies, and is a brilliant doctor who compliments her father, Dr. Louis Koff, superbly. Dr. Tara Koff, has created an amazing reputation and following with her ART training and technique. She has been the most sought after ART provider to many celebrities, sports figures, and professional performers travelling into the Northern Virginia and Washington, DC area. Dr. Tara Koff was, also, selected as be a member of ART elite provider network, a preeminent grouping of highly qualified and skilled ART providers to work at the corporate level as well as with local businesses keeping working at their optimal health so they work at their best. Both doctors love their jobs and patients! Together, they are an unbeatable team as the best chiropractors in Manassas. They give each patient their very best because each patient deserves the best care possible and optimal health. That is their goal for you!


Yes, chiropractic is a natural healing art that is drug-free. It is a safe, gentle, non-invasive treatment. We specialize in neuro-musculoskeletal disorders. Chiropractic relieves pain!


An adjustment is a hands-on manipulative procedure dealing with the spine and/or extremities. The purpose of the spinal adjustment is to correct alignment, reduce any spinal fixations (areas that don’t move normally), and to allow nerves, muscles, and/or tendons to heal. To perform an adjustment, the chiropractor uses his hands, touching, pressing, and pushing on the spine. It is completely safe! Sometimes, not always, you may hear a “pop” which is a harmless gaseous release from the joint during the procedure.


Yes, we do! We treat and adjust them regularly. We, at Koff Chiropractic, in Manassas, have adjusted newborns through adolescence. Chiropractic is safe, gentle and maintains optimal health. It’s important for children, as they are growing, to be seen by a Chiropractor. Girls, specifically, should be seen prior to puberty, to check for scoliosis as it mainly affects young, developing girls. Dr. Louis Koff performed scoliosis checks for children (fifth grade) in Prince William County elementary schools for many years as a service to his community.


Yes, most health insurance plans, including major medical, worker’s compensation, Medicare, Blue Cross/Blue Shield, civilian and federal employees, Aetna, Cigna, and many others cover chiropractic care. Most do not require referrals, but a select few do. So either check with your insurance carrier, prior to your appointment, or when you call our office, we can determine coverage and your referral requirements, if any, for you.



On the first visit, the patient fills out in-take forms (you may download them prior to your visit via our web-site) that will enable us, to gather information about you, the patient, and you particular injury or problem. The next step is a chiropractic exam with an emphasis on neurology and orthopedic components. At that point, a decision is made whether to X-ray or not; frequently, we do not X-ray. The findings are then discussed with you, our patient, and treatment is begun.


The spinal adjustment is the core of our treatment. Dr. Tara Koff is trained in the premier soft tissue technique called “ART” or Active Release Technique, which is utilized commonly in the Olympics and by the professional level athlete. This is a state-of- the-art technique! Dr. Tara Koff has had amazing results on her patients with ART! Dr. Tara Koff is trained and proficient in all of the 5 ART protocols or areas of specialty within the body. At Koff Chiropractic in Manassas, we also, use: diversified technique, activator, Gua Sha, Nimmo, SOT and others, each, depending on you and your case. When necessary we make use of: ultrasound, therapies, electrical stimulation therapy, laser therapy, heat and ice, traction, and others. Our goal is to make you healthy and to “Say Goodbye to Pain.” We want you at your best! Furthermore, at Koff Chiropractic, if we don’t think we can help you, we tell you, and/or refer you to someone who can. You and your health are our priority!