Neck and Low Back Pain

Over 80% of people will experience low back pain, and half will experience neck pain at some time in their life. Our physical therapists are extensively trained and specialized in spine care. After a spine-related injury, we use a conservative approach supported by long-term outcomes to help you return to a healthy and active lifestyle. 

Spine therapy can help avoid costly imaging and more invasive treatments while reducing or eliminating ineffective pain medications. We utilize evidence-based and cutting-edge therapeutic interventions to maximize your time and empower you on your road to recovery.   

Conditions we treat:

  • Low back pain 
  • Neck pain
  • SI joint dysfunction
  • Thoracic spine and rib pain
  • Headaches
  • Post-operative care
  • Thoracic outlet
  • Pelvic pain
  • Radicular and nerve-related pain
  • Whiplash
  • Spinal stenosis
  • Scoliosis
  • Degenerative disc disease
  • Auto-immune disorders

Common treatment options include:

  • Hands-on spine mobilization techniques
  • Muscle energy techniques
  • Dry needling
  • Neural mobilization
  • Soft tissue mobilization
  • Pain neuroscience education
  • Spine stabilization exercises
  • Functional strengthening
  • Exercise management plan

Whether your back pain stems from a work or sports injury, we're the experts to get you back to life's playing field.

Frequently Asked Questions
Do I need to see a doctor before starting treatment for neck or back pain?

No, a doctor's referral isn't required to start physical therapy in Nebraska. Many patients come to us first to avoid unnecessary imaging or invasive procedures. If your pain doesn't improve or if something more is going on, we'll help you connect with the right specialist.

How do I know if my back or neck pain is serious enough for physical therapy?

If pain is limiting your daily activities, work, or sleep — or if it's lingered more than a few days — it's worth getting evaluated. Since low back pain affects over 80% of people and neck pain affects half of us at some point, you're far from alone, and early treatment often prevents small issues from becoming bigger ones.

Will I need imaging, such as an X-ray or an MRI, before treatment?

Not necessarily. Our conservative, evidence-based approach often helps you avoid costly imaging altogether. If your therapist determines imaging is needed based on your evaluation, they'll help guide you to the next step.

What does a typical treatment plan for neck or back pain look like?

It depends on your diagnosis and goals, but treatment often includes a combination of hands-on techniques such as manual therapy and dry needling, along with spinal stabilization and functional strengthening exercises. Your therapist will build a plan specific to your condition, whether that's a herniated disc, whiplash, sciatica, or something else.

Can physical therapy help with chronic conditions like spinal stenosis or degenerative disc disease?

While we can't reverse degenerative changes, therapy can significantly reduce pain, improve mobility, and help you manage these conditions long-term — often reducing reliance on pain medication in the process.

Is dry needling painful, and is it right for my back or neck pain?

Dry needling uses a thin filiform needle to target tight or irritated muscle tissue, and most patients tolerate it well. It's one of several tools your therapist may use, and whether it's a good fit depends on your specific condition and comfort level — something you can discuss at your evaluation.

My pain started after a work injury or car accident — can you still help?

Whether your neck or back pain stems from a workplace, auto, or sports injury, our therapists are experienced in treating these cases and can work with your workers' comp or auto insurance claim as needed.