Chiropractic Services at Our Clinic

At the Koff Chiropractic Clinic in Manassas, we take great pride in providing the finest chiropractic care to our patients. Below is a sampling of the different chiropractic services we offer in our Manassas office.

Active Release Technique

Active Release Technique, referred to as ART, is a state of the art, multi-faceted, systematic approach to soft tissue injuries and is the premier technique for sports-related injuries and over-use injuries. ART integrates specific patient movement and directive tension to rehabilitate overused muscles and tissues. It is very effective in the treatment of acute or chronic injuries. Active Release Technique can be paramount to patient recovery and is renowned amongst musculoskeletal providers worldwide.

Electro-Muscle Stimulation

Electro-Muscle Stimulation is a special form of electrical current that is administered at the site of soft tissue injury, especially muscles, for the blocking of pain.

Many painful symptoms can be relieved with the application of Electro-Muscle Stimulation.

Patient Benefits

  • Reduces pain sensation
  • Helps decrease swelling
  • Promotes general muscle tone
  • Speeds the healing process


Ultrasound is a therapeutic treatment using high-frequency sound waves administered in the region of soft tissue injuries.

Ultrasound can often help shoulders, elbows, and sports-related injuries.

Patient Benefits

  • Highly effective in treating calcium deposition
  • Stimulates healing without irritation
  • Speeds metabolism and improves blood flow
  • Reduces nerve root irritation
  • Enhances the body’s own natural healing ability

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Acupressure Therapy

Acupressure is similar to Acupuncture, however there are no needles or piercing of the skin. It utilizes an electrical stimulus, which contacts different acupressure meridian lines and points. The object is to reduce pain.

It is an important adjunct to the spinal adjustment in reducing pain and allowing for better adaptation to the therapy.

Patient Benefits

  • Relieves tension, stress, aches and pains
  • Reduces pain and swelling
  • Increases blood supply
  • Works extremely well with nerve related conditions

Hydromassage Therapy

Hydromassage combines the use of floatation, thermo therapy, and whirlpool type massage without getting wet. The applications and benefits of this type of therapy cover a wide range of conditions.

The use of Chiropractic adjustment in conjunction with therapeutic hydromassage offers a very effective and efficient combination to retrain the body and rid it of acute and chronic pain.

Patient Benefits

  • Increases blood supply to soft tissue, muscle and joints
  • Reduction of pain, inflammation and edema
  • Muscle relaxation
  • Helps decrease spasticity, tenderness and spasms
  • Promotes more rapid healing of soft tissue injuries

Low Level Laser Therapy

Low level laser is an effective, penetrating monochromatic and polarized light that has been proven to be effective for cellular regeneration. Low level laser penetrates deeply due to a coherent light force which consists of photons all traveling in the same direction and at the same wavelength to restore abnormal cellular function. The laser stimulates ATP production, increases collagen synthesis, stimulation of DNA formation, increases neurotransmitters (serotonin), increases tissue regeneration to accelerate muscle, nerve, cartilage, bone and scar healing. Over 1,500 published studies have confirmed the efficacy of low-level laser therapy.

Patient Benefits

  • Reduces pain and inflammation
  • Accelerated healing process
  • Strengthens damaged tissue

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Trigger Point Therapy

Using the hands, the skin is gently pressed, to locate underlying tight bands or nodules of muscle fibers. Then using the hand, fingers, elbow or small hand instrument, the muscle is compressed with sustained pressure to relax it.

Trigger Point Therapy reduces spasms and relaxes muscles.

Patient Benefits

  • Reduces chronic muscle spasms
  • Avoids scar tissue formation
  • Improves muscle tone
  • Promotes better circulation
  • Increases range of motion

Surface EMG

Surface EMG (Electromyography) is a device for measuring extremely small amounts of electricity generated by muscles below the surface of the skin.

Abnormal muscle activity may show where treatment is needed.

Patient Benefits

  • Safe and non-intrusive procedure
  • Shows location of muscle spasm
  • Visual display is easy to understand
  • Documents severity of condition
  • Records effectiveness of treatment

Massage Therapy

Massage can relieve tension in your muscles and help your body to release natural painkillers and promote your bodies own natural healing ability. Deep tissue massage is used to focus on a specific problem, such as: Chronic Pain, Limited mobility, Recovery from injuries, Repetitive strain injury, Postural problems, Osteoarthritis pain, Fibromyalgia and Muscle tension or spasm.

Patient Benefits

  • Boost the immune system
  • Significantly lower blood pressure
  • Sooth chronic joint and muscle pain
  • Battle fatigue and ease stress

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Reiki is a light touch healing treatment, there is no pressure on the body making it ideal for treating all ages and conditions. Reiki is a Japanese name consisting of two words Rei meaning universal and Ki meaning life energy. The practice of Reiki helps restore and balance life energy in our bodies to support health and healing.

Patient Benefits

  • Reduction of Stress
  • Relieving Pain
  • Harmonize body, mind, spirit

Exercise Therapy

Exercise Therapy is a set of repetitive stretching or strengthening maneuvers designed to develop weakened or injured muscle groups that support the spine. Specific exercises help rehabilitate and stabilize the spine.

Walking provides an excellent foundation for specific strengthening exercises.

Patient Benefits

  • Increases range of motion
  • Retrains damaged muscles
  • Strengthens spinal structure
  • Speeds rehabilitation
  • Helps adjustments hold

Cryotherapy (ICE)

Cryotherapy is a term that describes the application of ice, cold towels, ice massage and compresses to reduce the temperature of tissues directly on or below the surface of the skin.

Consult your doctor before the self-administration of any therapy.

Patient Benefits

  • Helps reduce swelling and inflammation
  • Numbs affected area to reduce pain
  • Reduces muscle spasms
  • Inexpensive and can be self-applied

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Superficial Heat

Superficial Heat consists of hot packs, warm moist towels, heating pads, water bottles and infrared lamps, these can be used to help raise the temperature of soft tissues directly below the surface of the skin.

Consult your doctor before the self-administration of any therapy.

Patient Benefits

  • Helps increase circulation
  • Relaxes muscle tension
  • Reduces joint stiffness
  • Prepare tissues for rehabilitation
  • Widely available and inexpensive

Gua Sha

Gua Sha is an ancient East Asian technique used primarily for muscle relaxation, to break up adhesions in muscle tissue and to promote proper blood flow. Gua Sha facilitates various blunt-edge tools that are used to stroke the treated area. The technique is quite comfortable and provides much relief to patients with muscular aches and pains. Notable, profound relief can be found from using Gua Sha after sport-related muscular distress, (i.e. muscular sprains/strains by marathon runners, swimmers, bikers and triathletes, amongst many others).

Myofascial Release

Myofascial Release is a soft tissue technique in which a force is applied to a musculoskeletal structure to release or stretch the underlying fascia and to mobilize any adhesions. Fascia is a thin layer of connective tissue that covers and supports a muscle. Myofascial Release aims to release skeletal muscle tissue shortness and tightness with a safe, low load stretch on the underlying structures to release fascial tightness and myofascial pain.

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Cervical traction is a technique to provide pain relief and improved motion in the neck. Traction gently distracts the neck and opens the space between the cervical vertebrae, which alleviates the pressure on the affected discs and nerve roots or irritated spinal joints. Between the bones of your spine are intervertebral discs which act as shock absorbers. When a disc injury occurs, a disc can bulge and put pressure on a nerve within the spine. Cervical traction is extremely effective at taking the pressure off this injury and assists in having the disc retract and heal properly. As well, cervical traction is very beneficial for patients with arthritis and degenerative disc disease, as it assists in promoting mobility and hydrating the discs.

Flexion Distraction

Flexion Distraction are chiropractic services that use a therapeutic manipulation and mobilization techniques that provide traction to the lumbar spine. This is an advanced, traction based therapy commonly used to treat disc injuries and arthritic conditions. Flexion Distraction uses a specialized table that gentle cycles in a process of distraction to stretches the spine and also flexion of the spine to widen the space of the spinal canal, reduce the pressure on spinal nerves, discs and the spinal cord, and to promote and restore proper spinal mobility. The gentle pumping rhythm of distraction and flexion causes a vacuum effect on the spinal discs, causing injured discs to become hydrated and resorb back to proper position to promote healing. This is a leading form of non-surgical management for disc injuries.

Infrared Light Therapy

Infrared light therapy consists of exposure to different wavelengths of polychromatic, polarized light. After the light photons are applied to the tissue, then the mitochondria of the cells absorb the light and synthesize ATP (adenosine troposphere) to increase DNA and protein synthesis within the cell. The therapeutic benefits of infrared light therapy are: increases circulation, increases the activity of the lymphatic system, increases collagen production to repair damaged tissue. By initiating the healing process, infrared light therapy helps the body overcome pain, inflammation and injury for faster repair of damaged tissue.

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Kinesio Taping

Kinesio Tape is an advanced taping technology which supports overused muscles, tendons, ligaments and fascia in an active and dynamic way allowing for motion. The tape actually increases and enhances muscle activity and improves function and performance. The dynamic method of taping allows for prevention of further injury and protects the tissue for healing, while allowing for muscle activity. The kinesio tape is made of a cotton-type of fabric with an acrylic adhesive base that is activated by friction post-application. Kinesio tape can potentially be worn for several days, due to the unique fabric that allows the tissue below to breathe. It provides mechanical support of the structure while also promoting optimal athletic performance. Dr. Tara Koff is proficient in various taping procedures to support injured muscles and joints. Kinesio taping is one of many taping procedures and chiropractic services that Dr. Koff employs.