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Your Trusted Chiropractic Care Partner in Rockville, MD
Center For Low Back Pain has been dedicated to transforming patient outcomes through integrative chiropractic care since its founding. Combining chiropractic medicine with physical therapy rehabilitation, the practice prioritizes non-invasive, drug-free solutions for pain management and functional improvement. With over 35 years of clinical experience, Dr. David B. Fishkin has developed specialized techniques like the Fishkin Dry Needling Method, emphasizing mechanical efficacy over pharmaceutical interventions. The practice advocates for evidence-based approaches, having contributed to expanding dry needling's scope of practice in Maryland. Services include spinal decompression, hyperbaric therapy, and custom orthotics, serving patients seeking alternatives to surgery and medication.

The team maintains affiliations with healthcare providers across disciplines, training professionals in dry needling applications. Patient education remains central to care, with detailed consultations explaining treatment rationales and expected outcomes. The practice's philosophy focuses on addressing root causes rather than temporary symptom relief, supported by diagnostic imaging and laboratory testing when necessary. Community engagement includes training military healthcare personnel and integrating dry needling into academic curricula. Continuous professional development ensures adherence to evolving standards in musculoskeletal care.
Services
Dry Needling Therapy Spinal Decompression Hyperbaric Therapy Custom Orthotics Muscle Therapy Therapeutic Ultrasound Non-Narcotic Management
Highlights and features
  • 35+ years developing evidence-based dry needling techniques
  • Pioneered non-narcotic pain management protocols
  • Trained military healthcare providers and academic faculty
  • Integrates diagnostic imaging with manual therapies
  • Advocates for expanded chiropractic scope of practice
What people say
Lasting pain relief Personalized treatment Expert knowledge Effective alternatives Professional staff
Services
Dry Needling Therapy
This specialized treatment uses fine needles to target muscular trigger points without injectables. Our evidence-based approach developed over 25 years improves pain relief by focusing on mechanical needle action. Patients experience reduced muscle tension and accelerated healing through this technique validated by clinical research.
Spinal Decompression
Non-surgical traction system alleviates pressure on spinal discs and nerves. Customized protocols address herniated discs, sciatica, and degenerative conditions. Combined with manual adjustments, this therapy promotes natural healing while avoiding medication dependency. Treatment plans adapt to individual biomechanics for optimal outcomes.
Hyperbaric Therapy
Medical-grade chamber delivers concentrated oxygen to enhance tissue repair. Specifically indicated for concussion recovery, sports injuries, and post-trauma healing. This non-invasive modality accelerates cellular regeneration while complementing other physical therapies. Sessions follow strict safety protocols for consistent results.
Custom Orthotics
Precision-crafted shoe inserts correct biomechanical imbalances affecting posture and gait. Digital scanning ensures accurate fit while material selection matches activity levels. These orthotics alleviate foot pain, improve spinal alignment, and enhance overall musculoskeletal function through personalized support.
Non-Narcotic Management
Comprehensive approach combines physical therapies with lifestyle modifications to address chronic pain. Techniques include spinal manipulation, therapeutic exercise, and nutritional counseling. This protocol reduces medication reliance while targeting underlying causes of discomfort through integrated treatment strategies.
People
David B. Fishkin
Founder & Lead Chiropractor
Doctor of Chiropractic with 35+ years experience, MPH in Public Health, developer of Fishkin Dry Needling Technique, trained military personnel and academic faculty, advocate for expanded chiropractic scope of practice.
Questions
What conditions do you treat?
We specialize in back pain, neck pain, headaches, sports injuries, and work-related musculoskeletal conditions using integrated chiropractic approaches.
Do you accept insurance?
We provide documentation for out-of-network insurance reimbursement but do not directly bill insurance carriers for treatment services.
Is dry needling safe?
Yes, performed by trained professionals using sterile needles with strict adherence to infection control protocols for patient safety.
How many sessions will I need?
Treatment plans vary by condition complexity, typically requiring 6-12 sessions combined with home exercise programs for lasting results.
What makes your approach unique?
Our evidence-based integration of dry needling, spinal decompression, and hyperbaric therapy with traditional chiropractic care delivers comprehensive pain management solutions.
Do you offer ergonomic consultations?
Yes, we provide workplace ergonomic assessments and recommendations to prevent work-related musculoskeletal injuries.
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