Our Physical Therapy Philosophy

The philosophy of Specialized Spine Care is to treat the underlying cause of chronic neck and back pain instead of treating the symptoms of it. We do this by building the strength of the spinal musculature using machines with proven effectiveness that isolate those muscles by preventing compensation with surrounding areas. This is done with all other joints in the body, such as the shoulder or knee, but it is often not considered for the neck or back.

 

What is physical therapy?

Many have done some version physical therapy in the past and it can include a lot of different treatments. Some are more passive where the treatment is done to the patient and others are active where the patient is doing the work. Some examples of passive treatment that are common for the neck and back included traction, UltraSound, massage, and chiropractic adjustments. Examples of active treatments include stretching, strengthening, stabilization exercises, Muscle Energy Techniques, etc. Because there are many causes for neck and back pain, some of these treatments work very well for one person, but do not help at all for another person.

At our clinic, we believe in treating the body as a whole—not just isolated areas of pain. Our approach allows us to address both neck and back issues simultaneously, recognizing how closely these regions work together to support movement and posture. We also understand that every patient’s situation is unique. Many of our patients are managing conditions such as arthritis, osteoporosis, herniated discs, spinal stenosis, or multiple sclerosis. That’s why we tailor each treatment plan to accommodate your specific needs and limitations, ensuring that your therapy is both effective and safe. Our goal is to help you move better, feel stronger, and restore your confidence in your body’s ability to heal and perform.

What makes physical therapy at Specialized Spine Care different from traditional physical therapy?

This program is considered a more aggressive version of traditional physical therapy and this is because we focus on strengthening the spinal musculature and the supporting muscles of the spine. We use very few passive treatments because those treatments do not fix the cause of neck and back pain typically. They may help to decrease pain, but they often provide only short-term relief. You will be instructed stretches and motion exercises to do on your 1st day with the goal to do them every day, but the ultimate goal in the clinic is to strengthen the spinal muscles.

We also want to teach you how to maintain your strength on your own once you are strong enough to do so. The strengthening exercises for the spine are done using MedX machines, which were created by the same group that created Nautilus. Most strengthening and stabilization exercises given at other physical therapy clinics do not isolate the appropriate spinal muscles well enough to prevent compensation of surrounding muscles. This prevents effective strengthening of the intended muscles. The MedX machines, however, have extra components to prevent this compensation from occurring and this makes these exercises much more effective. Nautilus machines, therapy bands, and/or exercises using an exercise ball will also be incorporated into the routine to strengthen the surrounding musculature since many have to decrease their activity level or modify how they do activities when there is pain. This also often causes a loss of strength in those supporting muscles, which means they also must be rebuilt.

As with any strengthening or workout routine, there will be increased muscle soreness after doing these exercises and this is expected. However, as your strength improves and starts to get back to the level it was prior to having pain, your pain should decrease.