Dr. Amanda Courtney D.C.

Dr. Courtney’s journey began when she graduated with her Honors Bachelor of Sciences degree in Life Sciences from McMaster University, in Ontario, Canada. She then made the life changing move to earn her doctorate at Palmer College of Chiropractic, Florida. She excelled in her academics graduating Cum Laude. During this time she became passionate about wellness and prenatal chiropractic care. Dr. Courtney has since treated thousands of patients. She has treated patients from 2 weeks to 90+ years of age providing genuine, compassionate care. Dr. Courtney is thankful to have found her home in Rockledge, FL and is proud to provide chiropractic care to the Suntree, FL community. 

Dr.Courtney- chiropractor

Dr. Elizabeth Lagasca D.C.

Dr. Elizabeth Lagasca was born and raised in Crawfordsville, Indiana. She received a Bachelor of Science Degree in Biology from the University of Saint Francis in Fort Wayne, Indiana in 2013. In 2018, she received her Doctor of Chiropractic from Palmer College of Chiropractic in Port Orange, Florida. Dr. Elizabeth’s chiropractic career began in South Florida where she managed three chiropractic offices while actively engaging with the community regarding the benefits of chiropractic care. In 2019, Dr. Lagasca moved to Brevard County in order to be closer to family and has been providing chiropractic care to the community for the past three years. Dr. Elizabeth has post-graduate education in pregnancy, postpartum, pediatrics and is trained in the Webster technique. Dr. Elizabeth applies an individualistic approach to each patient’s health and wellness concerns. She offers care for all ages, newborn through geriatric. She truly values each patient’s health and aiding them in reaching their goals. Dr. Elizabeth lives in Melbourne, Florida with her husband and two children.

Dr.Elizabeth Lagasca

Our approach for developing your care plan

Your first visit begins with a consultation discussing your medical health history. During this time Dr. Courtney will listen to your story. Based on the information that you provide a thorough examination is performed. The results of this testing and your medical history will provide essential information when designing an individualized care plan. Our goal is to help you achieve optimal health and wellness. As a result you will experience reduced pain and better mobility.

Chiropractors address the root cause of your condition in order to provide the best and most effective treatment. Continued chiropractic care as part of a preventative health approach helps you to maintain balance, achieve long term pain relief and prevent injury.

Chiropractors treat various conditions including:

Low back pain

Nerve pain including Sciatica 

-Neck pain

Midback pain


Prenatal discomfort

Disc injuries

Shoulder injuries

Knee injuries 


Your Treatment


The adjustment is the primary treatment used by Chiropractors for treating spinal or extremity complaints. The doctor will find areas of restricted motion and then apply a gentle thrust into the joint. This allows proper motion and function of the joint to be restored. The nerves that originate from the spine, travel to organs and tissues throughout the whole body. Chiropractic adjustments have the ability to improve not only back pain, but overall nervous system function.

There are many common misconceptions when it comes to the actual “cracking” sound made using specific adjustment techniques. It is much more gentle than anticipated. The sound is actually called a cavitation. It is caused gas being released within the joint. This helps decompress the spine, reducing stress and restoring normal biomechanics. There is no wearing of joints due to “grinding.”  In fact, quite the opposite. Adjustments improve the motion of your joints and limit the dysfunctional “grinding” that is often noted with arthritis. Most people feel decreased stress, tension, and better mobility after an adjustment. 

Class IV Medical Laser

laser therapy- red light- cold laser- class IV / 4

Laser Therapy has been approved by the FDA. The Summus Laser utilizes specific wavelengths of light that affect muscles, joints, and tissues. This process is called ” Photobiomodulation”.  It expedites the healing process and is used primarily for patients suffering from an assortment of acute, and chronic pain and inflammatory-related conditions.

The Summus Medical Laser differs from that of other class 3a and 3b laser and red light therapy devices by supplying up to 1500 times more power deep into target tissues. Due to the greater amount of energy delivered, this laser device is not considered to be a “low-­level” or “cold” laser.

Conditions that can be improved with Laser Therapy include:

  • Tendinopathies
  • Carpal Tunnel Syndrome
  • Myofascial Trigger Points
  • Lateral Epicondylitis (Tennis Elbow)
  • Ligament Sprains  Muscle Strains
  • Repetitive Stress Injuries
  • Chondromalacia
  • TMJ pain
  • Patellae
  • Plantar Fasciitis
  • Rheumatoid Arthritis
  • Osteoarthritis
  • Shoulder, Back & Knee Pain
  • Herpes Zoster (Shingles)
  • Post-Traumatic Injury
  • Trigeminal Neuralgia∙ Fibromyalgia
  • Diabetic Neuropathy & Diabetic Foot Ulcers
  • Venous Ulcers
  • Burns
  • Deep Edema / Congestion
  • Sports Injuries
  • Auto & Work Related Injuries

Clinical studies and trials of laser therapy instruments indicate the following beneficial effects of laser light therapy on tissues and cells:

  1. Accelerated Tissue Repair and Cell Growth.
  2. Reduced Fibrous Tissue Formation.
  3. Anti-­Inflammation.
  4. Analgesia.
  5. Improved Vascular Activity.
  6. Increased Metabolic Activity.
  7. Improved Nerve Function.
  8. Immunoregulation.
  9. Trigger Points and Acupuncture Points.
Rapid Release Therapy
Rapid Release Therapy is a FDA registered high-speed vibration device. It targets large and small muscle areas to reduce muscle spasm, trigger points and break down scar tissue. This treatment vibrates at 10,000 RPM using this energy to help reduce pain, tension, stress, and muscle tightness. 
Soft Tissue Therapy

Graston, Muscle scrapping, IASTM, soft tissue therapy

IASTM- Instrument-assisted soft tissue mobilization is a technique used to break up fascial adhesions (the connective tissue surrounding your muscles) and scar tissue. This results in an improved range of motion, more efficient biomechanics, and brings blood flow to the area. This allows injuries to heal more quickly and reduces restrictions surrounding your joints. 

Electrical Stimulation

Eletrical muscle stimulation, EMS, ESTIM, TENSThere are many forms of electrical stimulation used to treat a large variety of musculoskeletal injuries and nerve pain. E-Stim accelerates deep tissue healing by electrical impulses that cause repeated muscle contractions. These contractions increasing blood flow helping repair injured muscles and improve their strength through cycles of contraction and relaxation. E-stim focus also sends signals that reach the nerves, to block pain receptors from being sent to the brain, resulting in pain relief. 

One common question is: “How is E-Stim different than the TENS unit I have at home?” There is a large difference. Although TENS units help reduce the pain signals the current is not as strong and no muscle contraction occurs eliminating the healing component. 

Ultrasound therapy can treat both chronic and acute injuries. This treatment is great at addressing musculature injuries (muscles, tendons, ligaments and bone) involving inflammation. The goal is to reduce pain, speed healing by penetrating deep into the tissue, bringing blood flow to the area, and breaking down scar tissue. Some examples of conditions ultrasound can help treat are: sprains, tendinitis, and bursitis.

Who we help

Chiropractic for pregnancy:


Dr. Courtney is a Webster certified chiropractor. This means that she has specific training in prenatal chiropractic care. The technique involves an analysis and gentle adjustment to the sacrum (tail bone). In addition gentle massage of specific muscles and ligaments reduce stress on your body and baby. The goal is to reduce the effects of pelvic imbalance. This restores proper maternal physiology. By addressing several causes of dystocia (stalled labor) ,the Webster technique may lead to a safer easier birth outcome.

Pelvic imbalance impacts:

– comfort for both mom and baby

-optimal fetal positioning

– labor progression

Chiropractic care is a safe and natural way to help treat discomfort developed during pregnancy. Prenatal adjustments can help with low back, sciatica pain, mid back and neck pain.

There is no contact with baby at any time.

To learn more read our blog on Chiropractic care during pregnancy.





How can a chiropractor improve your athletic performance?

Almost every major sports team hire chiropractors to ensure their team can perform their best! Chiropractic adjustments help athletes improve performance, reduce the risk of injury and improve nervous system function.

If a runners pelvis has restricted motion their maximum stride potential cannot be reached.

If a swimmers sacrum is restricted their ability to kick efficiently is reduced.

These small changes in bio-mechanics have significant performance impacts. There is a the reason athletes like Tiger Woods, Michael Phelps and Tom Brady are all proud patients of chiropractors. They want to be the best and perform to their full potential!

Sports Physicals are offered for middle and high school aged students for $25.00.

Chiropractic for seniors

rockledge fl chiropractor 

Many senior citizens are benefiting from pain relief, increased mobility and balance because of regular chiropractic care. 

 It is a well known fact that degenerative disc disease and arthritis are common as we age. The severity can vary depending on the amount of stress your body has been through over the years. How can chiropractors help with this? Chiropractic adjustments restore proper motion to the joints helping to prevent arthritis. Once arthritis develops adjustments can slow down the arthritic process. This is why preventative chiropractic adjustments are so important. As a result you will have improved quality of life for years to come. 

Ever wonder why people “shrink” when they age? 

Did you know that your discs make up ¼ of your body height?

The answer is that degeneration (dehydration or injury) of your discs is what causes this. 

Get adjusted today to prevent further injury to your spine.


Chiropractic care for babies & children:

 Chiropractor care for children

Dr. Courtney and Dr. Elizabeth are experienced in working with patients of all ages. This being said, babies and children are often forgotten when it comes to chiropractic care. Many people ask “why do children need adjustments, they don’t have any pain?”. Let’s start from the beginning, the birthing process can be a traumatic event. Chiropractors check the spine following birth and throughout childhood to ensure optimal neurological and structural development. When infants are developing their bones have not fully hardened yet (ossified). Because of this they are subject to injury or may develop misalignment’s chiropractors call subluxations from infancy. We have all seen children crawling, climbing, falling, playing sports etc. It is a part of childhood but can have long term effects if left untreated. Chiropractic adjustments are a great addition to your families health habits. Developing these habits in your children from a young age will contribute to your family’s optimal health.

To learn more read our blog about pediatric chiropractic care. 

Payment Options

Spine by Design Chiropractic knows how important your health and wellness is. It is our top priority to ensure that our patients get the care they need. We work with each patient to determine the best payment options for the treatment that they require . We want to make sure that you and your family get the best quality of care regardless of insurance high deductible plans, copays and non covered services. So there are ” no surprises”. 

You have the right to receive a “Good Faith Estimate” explaining how much your
medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not
using insurance an estimate of the bill for medical items and services.
• You have the right to receive a Good Faith Estimate for the total expected cost of any nonemergency items or services. This includes related costs like medical tests, prescription drugs,
equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1
business day before your medical service or item. You can also ask your health care provider,
and any other provider you choose, for a Good Faith Estimate before you schedule an item or
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute
the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit

We also offer active-duty military family and Veteran discounts. Your service is appreciated and we know that your access to chiropractic care is limited. Being the wife of a Veteran, our goal is to provide the best quality care at an affordable price to those that serve this country.

Insurance companies we are in network with: Cigna, BCBS, United Health Care (NOT NHP policy holders), Medicare part B and Simply Medicaid.

Your benefits are dependent on your particular health policies chiropractic benefits and medical necessity guidelines. This is not a guarantee of coverage. Please check with your insurance plan, and member services/provider directory to understand your chiropractic benefits before your initial visit. 

If your insurance plan denies the services provided you will be responsible for all non-covered charges. 

Feel free to call us directly if you have any questions.