Back pain and your best options

Back pain and your best options

Are you suffering from low back pain? You are not alone. 8 out of 10 people in America suffer from low back pain, so the question becomes, “what is the best course of action”?

Taking medications such as Advil or Tylenol or obtaining diagnostics such as an X-ray or MRI allows health care providers to objectively determine what conditions are occurring in the spine. However, imaging and medication have repeatedly displayed a lack of improving and reducing back pain consistently. Spine pain is one of the most challenging conditions to diagnose and treat, resulting in many people suffering from chronic pain, or pain lasting longer than six months.

What is causing your back pain? 

The vertebral spine is a series of stacked joints which makes diagnosing the cause of pain sometimes tricky. Creating an individual treatment plan becomes challenging without understanding the true nature of an individual’s pain. The most important part of reducing back pain is evaluating what the possible causes may be coming from and addressing those issues. Most back pain is mechanical in nature or responds to specific movements and exercises to increase and decrease pain. 

Studies consistently support physical examination as one of the best ways to assess and reduce back pain, often providing more information than expensive and time-consuming diagnostic imaging and testing. 

Movement examinations can identify:

  • Joint obstruction, such as a disc
  • Excess stress on tissues or muscles around the spine
  • Structurally impaired tight tissues

A structured physical examination provides the individual specific movement preferences, which guide the prescription of exercises to treat the spinal conditions successfully. Your therapist will also take the time to assess the possibility of other causes of back pain such as cancer, fracture, rare conditions, infection, or nerve compression that would require further medical evaluation.

What is a physical or movement examination? 

A movement or mechanical examination completed by a skilled physical therapist is the front-line method of choice for improving back or spine pain. Often, you’re able to see a physical therapist without a prescription.    

Step 1 

Your therapist listens to and obtains a detailed history of your pain’s signs, symptoms, and patterns.  

Step 2 

Your therapist then obtains baselines and examines if your pain changes with specific movements. When working with a certified McKenzie or movement-based physical therapist, the response you note with these movements allows your therapist to sub-classify your pain into a movement category. This helps the therapist build a truly individualized program and forecast the likely course of action and time needed to feel better.    

Step 3 

Work with your therapist on improving limiting factors and pain by completing the correct movements and avoiding positions that can worsen the pain. This may include exercises to:

  • Improve range of motion
  • Build strength
  • Reduce pain, tingling, or numbness in your leg, or
  • Hands-on techniques to assist the patient when required.  

Step 4 

Learn how to reduce, maintain, and sustain the benefits and pain reduction yourself.    

Other options  

Because X-rays and MRI often show positive findings in patients without pain, we cannot rely solely on imaging to assist patients with getting back to normal. Medications do not usually treat the cause of pain, and prolonged rest has been shown to increase disability and time off from work. Seeing a physical therapist who can assess movement patterns and provide individual treatment that reduces back pain saves people time, money, and possible adverse side effects from medications, getting you back to your goals sooner.

To schedule an evaluation with a physical therapist, call the location nearest you or request an appointment online.


Article by Fannya Manchak, PT, MSPT, CCCE, Cert. SFMA-1, DN, SportsMetrics and Jeffrey Vaisberg PT, DPT Cert. MDT, SFMA, CWC.

 Progress Physical Therapy, Feasterville, PA & Ivy Rehab, Claymont, DE 

Jeffrey is a board-certified McKenzie provider, Doctor of physical therapy who practices in Claymont, DE and Feasterville, PA at Ivy Rehab Physical Therapy. He graduated with his Doctorate of Physical Therapy and Bachelor of Kinesiology degrees from Temple University. Dr. Jeff spent most of his career in Philadelphia treating many patients, from high-level athletes to patients suffering from chronic pain. One of Jeff’s specialties is helping people who have not had quality outcomes with their current or past treatment. As a lifelong student, Jeff utilizes his certifications in MDT for mechanical evaluation and treatment, StrongSteps for fall prevention, SFMA for functional movement, and weightlifting coaching. Jeff currently enjoys participating in HIIT and Muay Thai training and enjoys treating MMA athletes, weekend warriors of all skill levels, and patients suffering from chronic pain. Jeff has worked in outpatient orthopedics since graduating in 2011. He holds a direct access license in DE and PA, which allows patients to see him without a doctor’s or physician’s prescription. If you are suffering from pain, recovering from surgery or injury, or need a second opinion on your injury, Jeff is the perfect health care professional to help attain your goals. 

The medical information contained herein is provided as an information resource only, and does not substitute professional medical advice or consultation with healthcare professionals. This information is not intended to be patient education, does not create any patient-provider relationship, and should not be used as a substitute for professional diagnosis, treatment or medical advice. Please consult with your healthcare provider before making any healthcare decisions or for guidance about a specific medical condition. If you think you have a medical emergency, call your doctor or 911 immediately. IvyRehab Network, Inc. disclaims any and all responsibility, and shall have no liability, for any damages, loss, injury or liability whatsoever suffered as a result of your reliance on the information contained herein.

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