Schedule Your First Appointment
Getting started is super simple.
New Patients should call us directly at 703-333-2848. Our friendly staff will answer any of your questions and help you schedule your first appointment.
"The BEST in NOVA"
Doctor Josh Alvarado is one of the best practitioners I’ve ever encountered. He’s been helping me with my back and neck pain, and different sports related injuries for the last 4 years, using different treatments like dry needles, cupping, massage therapy and more.
He’s a true expert! The best in NOVA 🙌
- David M.
Verified 5-Star Google Review

New Patients FAQs
Do you accept my insurance?
Yes. Most insurance plans are accepted at our office. We also accept auto accident, worker’s compensation, and personal injury cases. Because every plan is different, the easiest way to understand your coverage is to call our office. Our team will verify your benefits, explain what is covered, and help you understand any out of pocket costs before your first visit.
We work with many major insurance providers, including:
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UnitedHealthcare
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Optum
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FEP Blue Cross Blue Shield
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Blue Cross Blue Shield
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Aetna
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GEHA
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UMR
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UMR UHHS
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Anthem
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CareFirst
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Medicare
If you are unsure about your benefits, we are happy to check them for you.
What conditions do you treat?
We help patients with a wide variety of musculoskeletal issues. This includes back pain, neck pain, headaches, migraines, sciatica, shoulder pain, hip pain, knee pain, muscle tightness, nerve related pain, sports injuries, and posture related discomfort from computer or desk work. If your pain affects how you move, there is a strong chance we can help.
What services do you provide?
We offer chiropractic adjustments, acupuncture, dry needling, cupping, soft tissue therapy, and movement based rehabilitation. Dr. Josh creates personalized treatment plans so each patient gets exactly what they need to feel better and move better.
How do I know if Spinal Health Group is the right fit for me?
If you want a chiropractor who listens, explains things clearly, and avoids unnecessary long term plans, you will feel right at home. Most patients who choose our clinic want practical, honest, and effective care. People visit us from Springfield, Burke, Alexandria, Annandale, Fairfax Station, Lorton, and throughout the NOVA area.
What should I expect on my first visit?
Your first visit includes a conversation about your symptoms, daily habits, and goals. Dr. Josh will complete a movement based examination to understand what is causing your discomfort. He will explain his findings in simple terms and begin your first treatment when appropriate. You will never feel rushed or pressured.
Will I be adjusted on the first visit?
In most cases, yes. As long as your examination shows that it is safe and appropriate, you will receive your first treatment during your initial appointment. Treatment may include chiropractic adjustments, soft tissue work, dry needling, or a combination of these services.
Do I need X rays before starting care?
Not usually. Most patients do not need X rays to begin care. Imaging is only recommended when your history or examination indicates that it is necessary for your safety or your diagnosis.
How long is the first appointment?
Your first visit typically takes thirty to forty five minutes. This gives us enough time for a conversation, a thorough examination, and your initial treatment. Follow up appointments are usually shorter.
How soon will I feel better?
Most people notice improvement within the first few visits. Your timeline depends on how long the issue has been affecting you, your activity level, and the type of condition you have. Our goal is always to help you feel better as quickly and safely as possible.
Do you treat athletes and active people?
Yes. Many of our patients are runners, lifters, high school athletes, and weekend warriors. We help active individuals recover from injuries, improve mobility, reduce pain, and return to the activities they enjoy.
Can I come in if I have never seen a chiropractor before?
Absolutely. Many new patients are seeing a chiropractor for the first time. Dr. Josh explains everything clearly, uses gentle and effective techniques, and makes sure you feel comfortable and confident during each part of your visit.
Do patients visit from outside Springfield?
Yes. We regularly see patients from Burke, Annandale, Alexandria, Fairfax Station, Lorton, and many other communities in Northern Virginia. Our office is easy to reach, and many people travel because they want straightforward and effective care.
What should I wear to my appointment?
Wear comfortable clothing that allows you to move easily. Athletic wear works best, but anything that is not restrictive is perfectly fine. You do not need to change unless you prefer to.
How do I schedule my first visit?
New patients should call us directly at 703-333-2848. Our front desk will answer your questions and help you schedule a convenient appointment time.

Your First Visit at Spinal Health Group
At Spinal Health Group, we want your first visits to be comfortable, welcoming, and focused entirely on you. We know some people worry that seeing a chiropractor means being rushed through with a quick, one-size-fits-all adjustment. That’s not how we do things here.
Your health goals are unique, and your care should be too. During your first visit, Dr. Josh will take the time to sit down with you, listen to your concerns, and learn about your health history. A thorough consultation and examination help us understand what’s really happening so we can create a personalized plan built around one goal, getting you moving again and helping you stay active.
From the very beginning, our focus is on helping you move with less pain, more freedom, and greater confidence. Whether it’s returning to your favorite sport, keeping up with your kids, or simply enjoying everyday activities without discomfort, we want you to feel at home, cared for, and excited about what your body is capable of again.

"Highly recommend!"
Highly recommend! Doc Josh helped with me so much.
Bad back issues (discs thinning, bone spurs, hernia) and he worked with me in pin pointing issues and finding the best and quickest solutions. If it took time then it took time but he didn't waste it.
Very knowledgeable and very considerate. Come here with your issues
- Jonathan H.
Verified 5-Star Google Review













