Vanda Silva; D.O. provides a clinical excellence as a Spine Manipulative therapist with 15 years experience in Physical Therapy, Dry needling, spine manipulation, pre-surgery care; post-surgery care; Spine and movement assessment; injury and pain management. Vanda treats common conditions such as: back pain, Sacroiliac joint pain, Pre and Post-pregnancy conditions; headaches (migraine, TMJ); neck pain; tennis elbow; carpal tunnel syndrome just to mention a few