Our Mission

Our mission is to deliver comprehensive, creative care for the whole individual and to revitalize the patient and physician's relationship. By combining the best of eastern and western medicine, we tailor unique and effective treatments for a variety of rheumatologic and internal medicine conditions. 

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Except for medicare, we are a Direct Pay practice. This allows us to provide high-quality, time-intensive care to our patients.   Read more in the FAQ's section. 

Our Services

Internal Medicine

Rheumatology

Acupuncture 

How can we help you?

Dr. Zarbalian takes a holistic, multi-faceted approach to these conditions among others:

• Chronic pain, acute injury, and musculoskeletal disorders 

  • Fibromyalgia and myofascial pain syndromes​

  • Ehlers-Danlos syndrome, with a focus on hypermobility subtype

  • Osteoarthritis

  • Chronic pain due to a variety of conditions

• Autoimmune and allergic conditions 

  • Including rheumatoid arthritis, lupus (SLE), Sjogren's, and sarcoidosis among many others​

  • Mast cell activation syndrome (MCAS) 

  • Vasculitis and raynaud's phenomenon 

  • Polymyalgia rheumatica and Temporal arteritis

  • Autoimmune diseases effecting any number of organs (eye/ears/sinuses, lung, kidney, intestines, heart, thyroid)

    • oftentimes, Dr. Zarbalian will work in collaboration with the specialist who made the initial diagnosis.

• Neurologic disorders ​

  • Peripheral neuropathy​, small fiber nerve disorders

  • Chronic fatigue syndrome (also can be classified as an autoimmune condition)

  • Autonomic dysfunction / dysautonomia and attendant symptoms (POTS)

• Digestive disorders 

  • Irritable bowel syndrome, bloating, reflux

  • Inflammatory bowel disease and its associated musculoskeletal symptoms

• Psychologic conditions

• • Anxiety states, panic disorders, depression and insomnia often are major factors in chronic pain and autoimmune conditions.

    • Acupuncture and herbal approaches can be as effective as traditional allopathic approaches to alleviate mild depression, anxiety, and high stress states. 

Areas we Serve:

Our office is located in Vienna, Virginia but we serve surrounding areas:

• Washington, DC and suburbs

• Fairfax County

• Arlington County

• Loudoun County

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Dr. Zarbalian is licensed to practice medicine in Virginia and Maryland.​