Weeks 1–2
Pain
Take the pressure off the nerve.
Hands-on work on the stiff spinal segments and locked-up hip muscles settles the nerve down, starting your first visit.
What We Treat
Bracing on the counter just to stand up straight, and a burning down one leg that actually starts in your back. Both are treatable, and it starts with finding the cause.
Sound Familiar?
Two or more? That isn’t age catching up with you. That’s a pattern, and patterns have a cause.
Why It Happens
Your back doesn’t hurt for no reason. And it’s rarely one thing. Usually it’s a mix: a disc that’s irritated and crowding a nerve root. Spinal joints that stiffened up and stopped sharing the load. Deep stabilizers and glutes that quietly went offline after the last flare-up. And the way you sit, bend, and lift, reloading the same spot before it ever finishes healing.
That’s why sciatica fools people. The pain shouts in your calf, but the nerve is being pinched higher up, in your back. Chase the calf and nothing changes. A cause-first evaluation sorts out which link in that chain is actually driving it. It’s also why rest, ice, or a generic stretch sheet so often falls short: they answer the symptom, not the source.
The Honest Truth
Nobody regrets starting too early. Plenty of people regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for a painful back and an angry sciatic nerve.
Weeks 1–2
Pain
Hands-on work on the stiff spinal segments and locked-up hip muscles settles the nerve down, starting your first visit.
Weeks 2–6
Prime
Bending, rotating, and hip motion return in order, so your back stops guarding every direction at once.
Weeks 6–10
Perform
Progressive core, glute, and hip strengthening builds the support your spine was missing long before this started.
Weeks 10+
Prevent
Lifting, twisting, long drives, and long days on your feet get tested under real load before you’re cleared. That’s the endpoint, not another appointment.
When I first started I could barely bend my back without being in excruciating pain. After just a few sessions my back started to feel better and I had more mobility!
Shared by Courtney J. · Back pain
Questions, Answered
Usually not, and it’s rarely the right first step. Most back pain improves without imaging. Scans routinely show disc bulges and wear and tear in people who have no pain at all, so a picture doesn’t always name the cause. Your evaluation is hands-on instead: we test how each segment moves, how your hips and core hold up, and whether the nerve is involved. If imaging becomes genuinely necessary, we’ll help you get it. Waiting on a scan mostly costs you time you could have spent getting better.
In most cases yes, and the right movement helps more than rest does. Hurt does not always mean harm. Long stretches of total rest tend to leave a back stiffer and weaker, which is what sets up the next flare-up. What matters is dose and direction. Some positions calm a sciatic nerve down, and others stir it right back up. Sorting out which is which is the whole job, and you do it one-on-one with a Doctor of Physical Therapy, every visit.
Many people feel meaningful change within the first four to six visits. A full plan works through all four phases, Pain, Prime, Perform, and Prevent, and how long that runs depends on how long your back has been like this. Either way you get a plan with an endpoint. You’ll always know which phase you’re in and what’s left, instead of an open-ended string of appointments. And you spend it one-on-one with a Doctor of Physical Therapy, every visit.
Book Your Visit
Request a time and a real person calls you back, usually within one business day. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 33 Google reviews
Typical response: within one business day
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time and find you the earliest one that works.
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