Non-Surgical Back Pain Treatment
Dr. Josh Bross has been treating back pain since 2007 and opened Elite Integrated Health (previously Elite Chiropractic & Sport) in 2010. Since then, he has become a leader in Columbia, MD and surrounding counties for his non-surgical pain treatments using a variety of manual treatment methods.
His focus, and the focus of all Elite Integrated Health staff, is to treat the patient as a whole. Between our doctors, chiropractors, physical therapists, registered nurses, and even administrative staff, your care is coordinated and focused on your goals for overall better outcomes. We talk to one another, discuss our findings, and create one synchronized treatment plan designed for you.
If back pain is keeping you up at night, limiting your athletic performance, interfering with work, or just becoming a painful frustration you have to deal with every day, call Elite Integrated Health. We treat injuries, health conditions, aging-related pain, and more.
Chronic pain
Limited mobility
Sports performance
Car accident injuries
The Elite Difference
Treating Back Pain with a Collaborative Approach
When you are suffering from back pain, you want a long-term solution that treats the underlying cause. You’ve dealt with sleepless nights, insomnia, pain medication, limited mobility, and more. Now, it’s time for answers, and you trust your doctors to deliver a comprehensive treatment plan focused on your lifestyle and your goals.
At Elite Integrated Health, we provide coordinated care under one practice. Our approach combines multiple experiences, backgrounds, expertise, and treatment options for one cohesive plan. Instead of visiting with a PT, chiropractor, doctor, and nurse to get a different opinion from each professional, we work together and collaborate in person to share ideas and create one unified treatment plan.
When doctors work together for patient care, patients see better outcomes with longer-lasting results. You don’t need to coordinate, visit different offices, or worry about conflicting advice. We stay on the same page to continue to adjust your treatment plan for optimal results.
One Team. One Plan. One Goal.
Long-lasting back pain relief.
Non-Surgical Back Pain Treatment Options
Our doctors and registered nurses are trained in a variety of manual treatment options designed to treat back pain for long-lasting relief. We discuss our treatment plan after your physical evaluation and history to find the best approach for your body and your lifestyle. We may explore a variety of manual adjustments, all designed to target the underlying cause of your pain.

Graston Technique
By using specialized instruments, the Graston Technique is a manual application that can relieve back pain by breaking down scar tissue, easing tight fascia, and increasing blood flow in the soft tissues of the muscles.

Active Release Therapy
ART Treatment focuses on manual, hands-on release of tight muscles in the back, neck, shoulders, and hips. It can break up scar tissue, release tight fascia, and free trapped nerves causing nerve pain or referred pain.

Chiropractic Care
Chiropractic care can help treat back pain non-surgically by using manual adjustments of the back and spine. A combination of adjustments, soft tissue therapy, and rehabilitative exercises targets the underlying cause of the pain.

Dry Needling
Using the body’s natural healing processes, dry needling uses thin, solid needles that are directly inserted into a tight muscle knot, causing the muscle to twitch and activate healing. It is used in tight muscle groups or muscle knots to release pressure.

Trigger Point Injections
Using hollow needles, trigger point injections can relieve back pain by depositing medications directly at the source of the pain. This can reduce inflammation and break down the stress cycle of pain, which keeps the muscles knotted.

Sports Performance
Elite Integrated Health offers many ways to treat and prevent back pain that may be interfering with sports performance. Ask about our Golf TPI Assessments, Kinetisense Movement Screening, compression boots, and more.
Common Back Pain Injuries
Low Back Pain
Upper Back Pain
Mid Back Pain
Sciatica
Disc Herniation
Car Accident Injuries
Chronic Pain
Sports Injury
Injury Prevention
Contact Elite Integrated Health Today
Since 2010, Elite has been focused on non-surgical back pain treatments that are long-lasting and treat the root source of the pain. We don’t rely on medications or prescriptions, but instead use manual adjustments that help activate your body’s natural healing processes. We take a collaborative approach with all of our staff for one complete treatment plan that looks at the body as a whole.
You can schedule your first appointment directly online or call us for more information. We accept insurance and are happy to assist with coverage questions or concerns. We are located in Columbia, MD and are open Monday – Thursday until 6pm, Friday mornings until noon.
Take the step towards pain-free living. You deserve it.
Frequently Asked Questions
Can back pain improve without surgery?
Yes. Many cases of back pain can be treated via manual, non-surgical methods. Our doctors may discuss dry needling, trigger point injections, soft tissue therapy, therapeutic exercises, chiropractic care, and personalized rehabilitation as alternatives to surgery.
What causes chronic back pain?
Chronic back pain may be the result of continued muscle strain, herniated discs, arthritis, poor posture, repetitive movements, sports injuries, or previous accidents. In most cases, it is a combination of factors that has led to persistent back pain. We can treat chronic back pain via non-surgical methods for long-lasting relief.
When should I seek treatment for back pain?
If your back pain persists for longer than a few days, is recurring, limits mobility, prevents daily activities, interferes with athletic performance, or radiates into your legs, arms, shoulders, or neck, you want to schedule an appointment at Elite Integrated Health. Early treatment can prevent further injury or even chronic pain.
What non-surgical treatments are available for back pain?
At Elite Integrated Health, we offer a variety of non-surgical back pain therapies, including dry needling, trigger point injections, Graston Technique®, Active Release Therapy (ART), therapeutic exercises, corrective movement programs, soft tissue therapies, chiropractic care, and customized rehabilitation plans. Your treatment is tailored to your diagnosis, symptoms, and goals.
Can non-surgical treatment help a herniated disc?
In many cases, yes. While every patient is different, manual care and treatment plans can help reduce inflammation, relieve nerve irritation, improve mobility, and strengthen the muscles supporting your spine. Many patients experience significant symptom relief without requiring surgery.
How long does it take for non-surgical back pain treatment to work?
The goal of back pain treatment is to see immediate results while working towards long-term relief. Many patients report seeing an improvement after their first appointment, while persistent injuries or back pain may take a few visits to thoroughly diagnose and treat.
Is exercise safe when I have back pain?
The right exercises can strengthen your core, improve flexibility, and reduce stress on your spine, which can help alleviate or lessen back pain. However, performing the wrong exercises can make symptoms worse. Elite practitioners can advise on the best exercises for your lifestyle that will not make the back pain worse.
Can poor posture cause back pain?
Poor posture places additional stress on the muscles, joints, and discs of your spine. Sitting for long periods, having an improper workstation setup, or repetitive movements can all contribute to chronic discomfort. We help patients improve posture, movement patterns, and body mechanics to reduce pain and prevent future injuries.
Can back pain return after treatment?
If the underlying cause is not treated, back pain may recur. That’s why our approach focuses on more than symptom relief. We work to improve strength, flexibility, posture, and movement patterns while creating an injury prevention plan for long-term stability.