Spine & Orthopedic Solutions
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Spine & Orthopedic Solutions
Physical Therapy is an essential health service. In this time of crisis we not only help people with their physical therapy needs, but also reduce the need to see a physician or emergency room. Equipment and furniture are being cleaned immediately after each use with medical grade disinfectant. We believe in and deliver an evidence-based and patient-centered approach to physical therapy through a comprehensive evaluation and treatment.

Our mission is to work with patients to provide the best possible outcomes. Dr. Zelch's extensive diplomate training in Mechanical Diagnosis and Therapy (MDT) enables Spine and Orthopedic Solutions to be one of 33 certified clinics in the USA and the only certified MDT clinic in Loudoun County!
Services
The McKenzie Method of MDT is a reliable assessment process intended for all musculoskeletal problems, including pain in the back, neck, and extremities (i.e., shoulder, knee, ankle etc.), as well as issues associated with sciatica, sacroiliac joint pain, arthritis, degenerative disc disease, muscle spasms and intermittent numbness in hands or feet.
At Spine and Orthopedic Solutions your physical therapist will evaluate, diagnose and help you manage your orthopedic or sport injuries. We have successfully managed thousands of acute and chronic injuries. We have helped people avoid surgery and rehabilitate post-surgery.

Conditions we regularly see include rotator cuff tears/repairs, ACL tear/repair, tennis elbow, hip pain, low back pain, neck pain, tendonitis, tendinosis, bursitis, plantar fasciitis, and balance issues.To ensure a safe return to your activity or sport, we will consider regional interdependence.
Pre-Operative Conditioning is a short-term physical therapy program designed to help your body become as strong as possible prior to surgery. Research studies have shown that patients participating in supervised pre-operative conditioning programs recover faster and experience fewer complications after surgery.
Following a surgery on an individual's hip, knee, shoulder, wrist, hand, neck, foot, ankle, or spine, physical therapy can help attain the optimal outcome. Your Spine and Orthopedic Solutions physical therapist will conduct a thorough evaluation and establish a plan of care to help reduce pain, restore range of motion, improve strength, and ultimately return the person to daily activities or sport.
We realize that one of the most important factors in choosing a physical therapy clinic is insurance coverage. At Spine and Orthopedic Solutions, we accept most major insurances. If you do not see your insurance provider below or have a question regarding your coverage, please contact us at 703-777-5746.
Reviews (10)
Stella Chen
Stella Chen
Sep 22, 2021
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It was a pleasure to be a patient of Dr.Tim.
Where I got professional, direct, and effective care. Especially during the Covid-19 pandemic ,they did extra cleaning and protection, which made me feel very safe and assured. I had a great experience and would recommend Spine and Orthopedic Solutions.
Amir Karbassi
Amir Karbassi
Aug 28, 2021
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Walked into Spine and Orthopedic solutions with a herniated C7. I had experienced 6 months of numbness and weakness in my right arm and noticeable loss of muscle mass. I had gotten 2 separate opinions from 2 neurosurgeons. Both surgeons told me that surgery was likely needed but I should go to physical therapy as the first course of action. I did my research and picked Dr Zelch from Spine and Orthopedic solutions. I am so grateful to say that today I am 90% better and with the progress made, surgery is off the table. Highly recommend. I was skeptical at first thinking physical therapy would just
Arthur Goldfedder
Arthur Goldfedder
Jul 03, 2021
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This was an example to me of how a PT program should be conducted,
From the beginning to the end of my treatment, Dr.Ashley Canfield concentrated on allieviating my pains.
I now am able to stand up straight and a great deal of my pain has diminished. I have also have a lot more mobility and my self esteem has increased.
Thank you Dr.Canfield.
Naima B.
Naima B.
Jul 03, 2021
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I have scoliosis that required surgery many years ago with the insertion of a Harrington rod. Last year for the first time, I began to experience immense pain that affected my activities of daily living, sleep and life in general. I didn’t think I would ever be able to walk without pain again. Tim was amazing to work with, he helped me tremendously to reduce my back pain, increase my mobility and he provided me with life long advice and tools that I can use for pain prevention and management. It was always a pleasure to go to this office, the front staff always met me with a smile and Tim was
Joyce Zier
Joyce Zier
Jun 02, 2021
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The Spine and Orthopedic Solutions group in Sterling VA. is top notch. The administration is responsive, and the therapists are extremely knowledgeable.
Mary Scarborough
Mary Scarborough
Apr 26, 2021
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If you are having to do spine or Ortho PT -THIS IS THE PLACE TO BE !! Ashley was amazing and kind and encouraging during all 6 months of my PT!! From Aaron at the front desk to even other patients the atmosphere was up-beat!! I can’t brag enough on their positive personalities to how thorough their efforts to stay up on current COVID-19 regulations. I’ll send my friends to this group always!! Thanks for getting me back up and running again!! MJS
Tamara Fye
Tamara Fye
Feb 01, 2021
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Dr. Ashley Canfield positively changed my life. I had been suffering for many, many years with low back discomfort and lower leg "tingling." Dr. Canfield diagnosed me quickly, provided the exact intervention I needed, and designed a very effective treatment plan. Her knowledge and intervention has been life changing. Thank you so much Dr. Canfield !!!!
Melek A.
Melek A.
Aug 11, 2020
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This PT facility is the best I have ever been to and I am forever greatful for finding this gem. The facility is extremely clean, organized and the staff is always pleasant and makes you feel welcome. The hours are flexible and I never had an issue booking an appointment. Tim really focused on my specific Post operative needs and gave me a specific regimen that worked for me. He really focused on getting me better the most effective way possible and is very knowledgeable.
Redonda Jones
Redonda Jones
Sep 23, 2019
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I was referred to Tim by my doctor. He is an excellent physical therapist and I’m delighted with my progress. He is very knowledgeable (with education and certifications only a few others possess) and even solved a secondary issue. His facility is clean and inviting and he accepts my insurance. Plus, his hours are flexible enough for my work schedule. I can’t be more pleased and highly recommend him!
Mark Miller
Mark Miller
Jul 26, 2019
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Tim knows his stuff. He does a great job understanding what you need and crafting a plan to help you achieve your goals. He’s also clever enough to be able to converse about a variety of subjects. That may not seem useful but because his practice is one on one for the whole hour, you gotta be able to talk about stuff. 🙂 The setting is nice and conducive to getting the most out of your time. I unqualifiedly recommend Tim for you physical therapy needs.