
Post Doctorate DACRB Specialist
Only provider in Loudoun County with multiple post doctorate board certifications.
Insurance Accepted
Aetna Cigna BCBS UHC
Same Day Appointments
New Patients Welcome.
Sterling, VA
Serving all of Loudoun County
Post Doctorate Diplomate in Advanced Rehabilitation DACRB
Considered a Back Pain and Spine Specialist Among regular Chiropractors
Post-Doctorate Diplomate in Advanced Rehabilitation
The only provider in Sterling & Loudoun County with this credential.
DACRB: Advanced Rehabilitation
DACBN: Clinical Nutrition
CFMP: Functional Medicine

Why Choose NOVA Chiropractic for Back Pain in Sterling?
Not all chiropractors offer the same level of expertise. Dr. John Ratcliffe, DC, DACRB, DACBN, CFMP, is one of the most credentialed chiropractic providers in Loudoun County — and in all of Northern Virginia. After practicing for over a decade, Dr. Ratcliffe completed a rigorous post-doctoral program and earned his Diplomate from the American Board of Chiropractic Rehabilitation Specialists (DACRB) — a credential no other chiropractor in the Sterling area holds.
This means your back pain is not evaluated at a general level. It is assessed and treated with the depth and precision of a rehabilitation specialist, using a comprehensive understanding of the spine, nervous system, muscles, and biomechanics working together.
Dr. Ratcliffe has also attended advanced conferences at Harvard Medical School and holds additional diplomates in Clinical Nutrition (DACBN) and Certified Functional Medicine Practice (CFMP) — meaning your back pain treatment can also account for underlying inflammation, nutritional factors, and whole-body contributors that other providers miss.

What Causes your Back Pain?
Back pain is one of the most common conditions in the United States, affecting over 80% of adults at some point in their lives. In Northern Virginia, where long commutes, hours of desk work, and an active lifestyle create a unique combination of physical demands, back pain is especially prevalent. Common causes we treat include:
Lumbar Disc Problems
Herniated, bulging, or degenerated discs in the lower back compress nearby nerves and cause pain that ranges from a dull ache to sharp, shooting sensations radiating into the legs.
Spinal Misalignment
When the vertebrae shift out of proper position due to injury, repetitive stress, or poor posture, they create abnormal pressure on surrounding nerves and tissues.
Muscle Imbalance & Strain
Weak core muscles, tight hip flexors, and imbalanced movement patterns — very common in Dulles Corridor desk workers — force the lower back to overwork and strain.
Sacroiliac Joint Dysfunction
The SI joint connects your spine to your pelvis and is a frequently overlooked source of lower back and hip pain. Dr. Ratcliffe's advanced rehab training makes him especially skilled at treating this.
Sciatica
When the sciatic nerve is compressed — often by a herniated disc — it causes radiating pain, numbness, or tingling from the lower back through the buttock and down the leg.
Postural Stress from Desk Work
If you spend 6+ hours a day sitting — in an office in Sterling, Herndon, Ashburn, or working remotely in Loudoun County — your lumbar spine is under constant compressive stress.
How We Treat Back Pain at NOVA Chiropractic
Your treatment plan at NOVA Chiropractic is never generic. Every patient receives a thorough consultation, history review, and physical examination before any treatment begins. Dr. Ratcliffe reviews all relevant imaging, including X-rays and MRIs, and builds a plan specifically around your diagnosis, your lifestyle, and your goals.
1. Chiropractic spinal adjustment
Precise, controlled correction of spinal misalignments to restore proper movement and relieve nerve pressure. Dr. Ratcliffe uses multiple adjustment techniques tailored to your body and condition.
A gentle, non-surgical traction-based treatment that reduces disc pressure and creates the ideal environment for herniated or bulging discs to heal naturally. One of the most effective non-surgical options for disc-related back pain.
3. Rehabilitation & corrective exercise
As a DACRB-certified specialist, Dr. Ratcliffe designs targeted exercise programs that rebuild core stability, correct muscle imbalances, and restore proper movement mechanics — addressing the root cause, not just the symptom.
4. Dry Needling
For patients with chronic muscle tension and trigger points in the lower back, dry needling provides rapid, effective relief by releasing the neuromuscular dysfunction at the source.
5. Functional Medicine
For patients with chronic or recurring back pain, Dr. Ratcliffe can assess systemic factors — including inflammation, nutritional deficiencies, and gut health — that may be perpetuating your pain despite structural treatment.

Frequently Asked Questions - Back Pain Treatment in Sterling, VA
Q: How many visits will I need for back pain?
A: Every patient is different. Acute back pain often responds in 6 to 12 visits. Chronic or disc-related conditions typically require a longer corrective plan. Dr. Ratcliffe will give you a clear, honest treatment recommendation after your initial evaluation.
Q: Is chiropractic care safe for back pain?
A: Yes. Chiropractic care is one of the safest forms of treatment for musculoskeletal back pain. Dr. Ratcliffe tailors every technique to the individual patient, including modified approaches for patients with osteoporosis or prior surgeries.
Q: Can chiropractic care actually fix back pain?
A: Yes, in the majority of cases, chiropractic care and rehabilitation are highly effective for back pain — often more effective than long-term medication or surgery for non-emergency conditions. The American College of Physicians recommends non-pharmacological treatments including spinal manipulation as a first-line option for low back pain.
Q: What if I've already had back surgery?
A: We work with post-surgical patients regularly. Dr. Ratcliffe will review your surgical history and imaging before recommending any treatment. Many post-surgical patients benefit significantly from rehabilitation and soft tissue work.
Q: Do I need a referral to see a chiropractor in Virginia?
A: No. Virginia does not require a referral to see a chiropractor. You can call and schedule directly.
Q: What insurance do you accept for back pain treatment?
A: We accept Aetna, Cigna, Blue Cross Blue Shield, UnitedHealthcare, Anthem BCBS, Federal BCBS, CareFirst BCBS, and United Medical Resources (UMR). Call us at (703) 444-4446 to verify your specific benefits before your first visit.
We Accept Your Insurance - Back Pain Treatment
All major insurance plans accepted for chiropractic care and rehabilitation in Sterling, VA. Call us to verify your specific benefits — our team will walk you through your coverage before your first visit so there are no surprises.
Participating Provider for Aenta, Blue Cross Blue Shield, Cigna, Anthem, United Healthcare, UMR, CareFirst, and Federal Blue Cross








Serving Back Pain Patients Across Loudoun County & Northern Virginia
We treat patients of all ages and activity levels from across the Northern Virginia region. Our back pain patients include:
Office and remote workers dealing with chronic lower back stiffness from prolonged sitting in Sterling, Herndon, Ashburn, and Reston
Commuters on Route 7 and the Dulles Corridor who spend hours in the car each day
Athletes and active individuals recovering from sports-related back injuries in Loudoun County
Patients who have been in auto accidents on Route 28, Route 7, or the Dulles Toll Road
Seniors managing degenerative disc disease or spinal stenosis throughout Northern Virginia
Parents in Aldie, Leesburg, South Riding, Broadlands, and Lansdowne whose backs need relief
What To Expect During Treatment
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Non-surgical and drug-free
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Gentle and comfortable treatment
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Targets the root cause of disc-related pain
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Improves mobility and flexibility
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Supports long-term spinal health
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Little to no downtime
Benefits of Spinal Decompression Therapy
1. Comprehensive Evaluation
We start with a full consultation and exam to determine if spinal decompression is right for you.
2. Personalized Care Plan
Your treatment plan is tailored to your condition, symptoms, and goals.
3. Comfortable Sessions
You’ll lie fully clothed on a specialized decompression table while gentle traction is applied. Most patients describe the experience as relaxing.
4. Ongoing Progress Checks
We monitor your improvement and adjust care as needed to ensure the best results.
Who Is A Good Candidate?
You may be a great candidate for spinal decompression if you:
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Want to avoid surgery
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Have disc-related back or neck pain
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Haven’t found relief with traditional treatments
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Are looking for a natural, conservative approach
Certain conditions may require alternative care. We’ll determine eligibility during your consultation.

Why Choose Our Office?
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Experienced chiropractic and rehab team
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Advanced decompression technology
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One-on-one, patient-focused care
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Integrated approach including chiropractic and rehabilitation when needed
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Trusted by patients in our community
Our goal isn’t just pain relief—it’s helping you get back to living your life.



