About Bristow Physical Therapy & Chiropractic

Bristow Physical Therapy and Chiropractic is about health.  We believe that ever person should live life to the fullest.  Fun and adventure await each of us.  To live life to its fullest we must be in good health. We offer three professional services to achieve this goal.  Each service enables each patient to become healthier in a quicker, cheaper, and more effective manner.

The staff has over 20 years of experience utilizing European and American style treatments.  There are many methods of treating different injuries.  Knowledge and experience to diagnose and treat these injuries enable a quicker recovery.

Each patient is treated respectfully as an individual not a number.  Each patient gets a doctor or therapist that listens and spends time with them.  The staff develops an individual treatment program based on the patient’s injury.  The patient’s recovery is our clinic’s number one goal.    

Our clinic grows not by advertisement but by success.  Patients treated and healed are our advertisement.  Satisfied patients express their happiness and recommend our services to their friends, family, and neighbors.  Our clinic welcomes all patients in need of treatment.  Our clinic believes each treated patient should be able to go forth and live life to the fullest.

About Dr. Howard Van Nostrand

Dr. Howard Van Nostrand graduated from Farmingdale High School in 1985. He went on to the State University at Cobleskill in upstate New York where he got an undergraduate degree with a biology major and a chemistry minor. He then went to Life Chiropractic College in Marietta, Georgia. While attending chiropractic school, he also went to school to receive a bachelor’s degree in nutrition. He also took classes in physical therapy to increase his knowledge in health care. He graduated and became a doctor of chiropractic in 1991 and National Board certified in Physical Therapy then his excitement started.

Upon graduation, he held 4 state licenses that included North Carolina, South Carolina, Florida, and Virginia. He did an internship in Palm Beach, Florida to learn sports medicine. The doctor with whom he worked treated patients from the Atlanta Braves and Montreal Expos (Nationals).  After that internship he did another internship in Boynton Beach, Florida dealing with geriatrics and pediatrics. There he learned a major point of knowledge that there was no difference between the two groups and both were treated the same way – gently and with love.

Dr. Van Nostrand specializes in treating all types of musculoskeletal problems ranging from headaches, neck/low back pain, disc pathologies, extremity problems, and soft tissue issues. He also treats auto accidents, sports related injuries and preventative measures.

With these types treatment, Dr. Van Nostrand started work in all 4 states at the request of the State Associations or individual doctors. This continued until Dr. Van Nostrand opened an office in Charlotte, North Carolina. While there, he became the doctor for the Professional Bull Riders Association in Statesville, NC. He also became the chiropractor for the minor league professional hockey teams, The Buffalo Sabers and the Pittsburg Penguins in Charlotte and Greensboro, NC. The excitement didn’t stop there because he also worked on the NASCAR teams for Mr. Richardson.

In 1997, Dr. Van Nostrand left a very successful practice to move overseas to practice chiropractic in the Netherlands. He had been going back and forth working there for months at a time while his associates worked in his clinic here in the U.S. In the Netherlands, he became one of the first American chiropractors to work in their famous social health care system. While working for the chiropractic system, he attended and worked for the Institute of Functional Rehabilitation in Hoorne, Holland. When he left Holland in 1999, he was made aware that he was 1 of only 1100 doctors in the world with his education and experiences. This brought on the opportunity to work all over the world, and he has.

Dr. Van Nostrand has worked in many states and countries. These include Norway, Ireland, Holland, the Bahamas, Mexico and others all over the world.

In 2000, Dr. Van Nostrand returned to Virginia and opened  his practices here.

Dr. Van Nostrand practices the European style of health care. He experienced a different and more effective approach to treating neuro-muscular skeletal problems there. This style of health care is far superior to that of the United States because the patient improves more quickly, more cheaply and more effectively.  This style of healthcare is now practiced here in Bristow Physical Therapy and Chiropractic by Dr. Van Nostrand and the other professionals that work for him.



About Dr. Karrie Giger

Dr. Karrie Giger graduated from College of Notre Dame of Maryland in 1995 with an undergraduate degree in Biology and a minor in Psychology. She was trained in Europe attending the Physiotherapie Academie Hogeschool Enschede in the Netherlands and graduated in 1997. She returned to the United States and received her Doctorate of Physical Therapy degree from Shenandoah University in 2008. She has done internships in Holland, Germany, Florida and Louisiana and is experienced in several different settings of care including short and long term rehabilitation, acute hospital care, home therapy and out-patient orthopedics and women’s health.

Dr. Giger has studied extensively with the McKenzie Institute to receive her Mechanical Diagnosis & Therapy Certification (Cert. MDT) for spine care in 2006, and with the American Physical Therapy Association to receive her Certificate of Achievement in Pelvic Physical Therapy (CAPP) for Women’s Health in 2009. She has also been certified with Professional Health and Fitness Institute as a Strength & Conditioning Instructor (CSCI) since 2001 and a Weight Management Instructor (CWMI) since 2003

Dr. Giger is very passionate about general wellness and prevention. Her treatment style is one-on-one hands-on manual therapy, relying heavily on evidence based practice and patient education. “Accurate diagnosis allows for proper treatment of the problem, rather than symptomatic management alone, offering a more desirable outcome.” She believes it is important for the patient to understand the anatomy of the mechanical diagnosis as well as the treatment plan prescribed, to better understand why there is a dysfunctional problem and how to become an active participant in your own care in order to begin feeling relief immediately, improving pain quickly and regaining function cost effectively.