Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques calm the irritated nerve and take the edge off inflammation, starting your very first visit.
What We Treat
The stiffness when you stand up from the couch. The twinge that decides whether today’s a good day. It starts with finding the cause, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your back doesn’t hurt for no reason. And it’s almost never just one thing. It’s usually some mix of four culprits: an irritated disc sending pain down your leg. Spinal joints that got stiff and stopped sharing the load. Deep stabilizing muscles that quietly weakened after your last flare-up. And daily habits, how you sit, bend, and lift, that keep reloading the same spot before it heals.
None of that shows up on a quick glance. It takes a real, cause-first evaluation to sort out which one is actually driving your pain. That’s why rest, ice, or a generic stretching sheet so often falls short: they treat the symptom, not the source. Find the real cause, and the fix gets obvious.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Here’s what the four phases look like for a low back.
Weeks 1–2
Pain
Hands-on techniques calm the irritated nerve and take the edge off inflammation, starting your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores motion in the stiff segments that have been quietly guarding the injury.
Weeks 6–10
Perform
Progressive core and hip strengthening builds the stability your spine was missing in the first place.
Weeks 10+
Prevent
Lifting, bending, and twisting mechanics get tested under real load before you’re cleared to go all-in.
My sciatic nerve was being pinched in my back to the point where I could barely walk, and my right leg was numb from my hip to my ankle. The only way I could sleep was on the floor with my feet on the sofa.
Within two weeks, I was able to sleep and the numbness was subsiding. The pain was at a very tolerable level. Four weeks in the therapy, my back was better than it has been for years. I owe a great deal to this team! At total health and wellness you get a well trained physical therapist and a chiropractor in one location. Doc Mangie and Paul walked me through every step of my recovery. I can’t thank them enough!!
Fred O. · Google review
Questions, Answered
Usually not, and it’s rarely the first step. Most low back pain improves without imaging, and studies consistently find disc bulges and “wear and tear” on MRIs of people who have zero pain at all, so a scan doesn’t always point to the real cause. We start with a hands-on evaluation to find what’s actually driving your symptoms, and if imaging ever becomes genuinely necessary, we’ll help you get it. You don’t have to wait on a scan to start feeling better.
Yes, in most cases movement helps more than rest does. Hurt doesn’t always mean harm, total rest tends to make a back stiffer and weaker, which sets up the next flare-up. The key is dosing the right movement for your specific back, which is exactly what your physical therapist or chiropractor sorts out at your first visit, then progresses safely as you improve.
It depends on what’s driving your pain and how long you’ve had it. Your plan runs through four phases, Pain, Prime, Perform, and Prevent, and you’ll always know which phase you’re in and what’s left.
Book Your Visit
Request a time and we’ll call you back to lock it in. No phone tree. Just a plan.
4.9 · 9 Google reviews
Personal injury & workers’ comp welcome
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
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