Neck & Back Pain

  • The therapy and treatment she provided was amazing! My life has improved because I’ve learned how I can heal my body. Dr DeStefano is knowledgeable and she gave caring care.

    Angelika R.

    Neck pain can cause debilitating and extremely uncomfortable sensations, especially if the pain stretches from your neck down to your shoulders. According to the American Physical Therapy Association (APTA), approximately one-third of the population will experience neck pain in any given year. It can get worse if left untreated, and in severe cases, surgery may even be needed.

    Your neck is an integral area of everyday movement, and sharp pains can prevent you from functioning properly in your day-to-day life. Whether your neck pain presents difficulty when trying to sit up straight in your chair at work or tilting your head down to tie your shoes, physical therapy can help get you back to a normal, pain-free function. Many people are able to find relief from their neck pain every year through the help of physical therapy. Our physical therapists are dedicated to finding the appropriate treatment to provide you with the relief you need. If you are suffering from neck pain, request an appointment with one of our therapists today!

    Neck pain: defined

    There are a number of reasons why neck pain may occur. When someone experiences neck pain, it typically runs from the base of their skull to the top of their shoulder blades, finally settling in the back of the neck. The pain can vary in severity, from a constant dull ache to sharp and stabbing pains. Neck pain can sometimes include additional symptoms, including but not limited to:

    • Headaches
    • Stiffness and muscle tightness in the upper body
    • Numbness or tingling
    • Discomfort and pain when remaining in the same position for too long
    • Loss of sleep due to pain and discomfort
    • Arm weakness
    • Inability to fully stand up or sit up straight

    Why do I have neck pain?

    Neck pain is most commonly caused by injury to the tissues or bone structures in the neck; however, certain degenerative conditions can also lead to neck pain. Some common conditions that give you a pain in your neck include:

    • Injuries. Whiplash is one of the most common injuries that results in neck pain, typically sustained by an automobile or high-impact sport collision. This is known as a “strain” injury, causing the head to whip rapidly back-and-forth, thus affecting the soft tissues in the back of the neck.
    • Muscle strains. The muscles in your neck can become strained by overuse. Even something as simple as sitting at your desk all day with your neck craned toward the computer screen can lead to a strain in your neck muscles.
    • Nerve compression. If you have a herniated disc in your neck, the nerves that branch out from your spinal cord can become compressed. In some cases, nerve pain can even extend from the neck all the way down to the hands and fingers — a condition known as “radiculopathy.”
    • Illnesses. Certain diseases and ailments can result in neck pain, such as rheumatoid arthritis, meningitis, or cancer.
    • Joint degeneration. Much like any other joint in your body, the neck joints can erode with age, causing pain. Conditions such as osteoarthritis can also reduce the cartilage between the vertebrae in the neck, also resulting in neck pain.

    How will physical therapy solve my neck pain issues?

    According to WebMD and many other resources, physical therapy is one of the best methods for treating neck pain. At Optimal Motion Physical Therapy, our Herndon physical therapists will conduct an initial physical evaluation to analyze the range of motion in your neck, as well as any limitations you have due to your pain. They will then create a diagnosis that will determine the make-up of your treatment plan. You will work together to understand the goals and expectations of each step in your individualized treatment plan, with the main focus being overcoming neck pain and recovering as quickly as possible.

    Treatments for your neck pain will most likely include manual or “hands-on” therapy, which consists of special techniques designed to reduce the stiffness of your neck and improve its range of motion. Our Herndon physical therapists will also provide you with targeted exercises that will strengthen, build, and improve the muscles and tissues in your neck. We will focus on improving your posture to aid in the recovery of your neck muscles, as well as avoiding re-injury in the future. Additional treatment services may include trigger point dry needling, manual therapy, rehabilitation ultrasound imaging, ice and heat therapies, ultrasound, or electrical stimulation, as our physical therapist deems fit.

    Don’t let your daily discomfort be a pain in the neck any longer. Contact our office to speak with one of our licensed Herndon physical therapists today and schedule your initial consultation! We will help you get started on the road toward long-lasting pain relief.

  • My life has improved because Secili brings joy to all who know her. I feel more hopeful about my chronic pain and my fitness moving forward.

    Kelly T.

    To say that Secili has changed my life, is no understatement. If you are battling core issues, pelvic floor troubles, or hypermobility, I cannot recommend a better provider. Secili quickly diagnosed muscle imbalances and trigger points located elsewhere in my spine and treated me with a combination of exercises and dry needling. I was back on my feet within a month with no more debilitating pain! I totally credit Secili for helping me live a pain free and healthy life!

    Catherine C.

    Secili has been the best decision of a physical therapist I could make. My scoliosis and degenerative disc disease were painful and limiting my quality of life.

    Barbara J.


    According to the American Physical Therapy Association, back pain is the most commonly reported pain across the nation, and one out of every four Americans has experienced back pain in the past three months. Back pain usually results from an injury or strain, however, it can sometimes be difficult to determine if the discomfort you are experiencing is general back pain or sciatica.

    Sciatica, a specific type of back pain caused by a nerve issue, is extremely common. Whether you are suffering from general back pain or sciatica, working with an Optimal Motion physical therapist at our Herndon location can help relieve the discomfort in your back and restore your health. Physical therapy may even eliminate your need for harmful painkilling drugs, such as opioids, or an invasive surgical procedure. If you are experiencing back pain, contact our office today. Our skilled physical therapists will create an individualized treatment regimen for you, focusing around your recovery.

    What’s the difference between general back pain and sciatica?

    Back pain

    “Back pain” is a term that can be caused by an array of different conditions. For example, you may experience back pain due to poor posture, a motor vehicle accident, or a lifting injury. The treatment plan that your Herndon physical therapist sets up for you, will depend on how you developed the back pain, in addition to its exact location and your past medical history.

    Back pain can be described as acute, meaning it is short-term, or chronic, meaning it is long-term (typically lasting for three months or longer.) The pain you experience can be rooted in your back muscles or the bones in your spine. Pain is complex and may also involve you’re central nervous system. We, at Optimal Motion, will treat you holistically.

    Sciatica

    Sciatica is a specific type of back pain that is reported as being highly uncomfortable. However, it is also fortunately very simple to diagnose. People with sciatica experience pain along their sciatic nerve, which is the largest nerve in your body.

    The sciatic nerve begins at your lower back and then splits at the base of your spine to extend further down to your buttocks, legs, and finally to the bottom of each foot. The sciatic nerve can become “pinched,” which causes a “shooting,” “stinging,” or “burning” sensation in your lower back, buttocks, legs, or feet.

    How do back pain and sciatica develop?

    General back pain typically develops as the result of an injury. This can be due to repetitive straining motions, such as leaning down multiple times throughout the day to pick up a toddler, or a more serious, sudden trauma, such as a motor vehicle accident. Underlying conditions, such as herniated discs, can also cause immense pain and can lead to sciatica. Degenerative disc disease is a common condition resulting in back pain, which can be caused by poor posture or obesity. Those with this condition typically report dull, aching pains in their lower back.

    Sciatica’s technical name is “lumbar radiculopathy.” People who develop this condition are generally between the ages of 30 and 50. Many different types of injuries can cause the development of sciatica, including arthritis, bone spurs, or any other injury that impacts the sciatic nerve. This may include a sports-related collision, a harsh fall, or something that occurs gradually over time through overuse, repetition, or general “wear and tear.”

    Seek help for back pain and sciatica through physical therapy:

    Back pain and sciatica are both completely treatable through physical therapy. Your Herndon physical therapist will create a treatment plan for you that is dependent upon your diagnosis. The early stages of your physical therapy treatments will focus on pain relief, which may include ice and heat therapies, manual therapy, light exercises, or posture improvement.

    Once you begin to improve, your physical therapist will expand on your exercises and stretches, focusing on increasing your strength and range of motion. For example, water aerobics are common forms of treatment for back pain and sciatica, because it is a low-impact exercise that still allows you to stay active and regain strength.

    If you are suffering from sciatica, your Herndon physical therapist will implement a specific treatment plan to address the sciatic nerve and other affected structures. The overall goal of physical therapy for back pain and sciatica is to alleviate pain, improve range of motion, and strengthen the body so you can get back to doing your normal daily activities without worrying about pain or discomfort.

    If you are experiencing back pain or sciatica, contact Optimal Motion Physical Therapy in Herndon, VA to schedule an appointment. No matter how severe the pain may be, we will help you get on the road to recovery as quickly as possible.

    FAQS

    What are the causes of back pain?

    There are a large number of conditions that can result in back pain. For example, poor posture, car accidents, and sports-related injuries are just a few of the ways that someone may develop back pain. Injury is the most common cause of back pain. This can happen in one of two ways: 1) an instant, sudden trauma, such as a car accident, or 2) repetitive use that puts excessive stress on the back over time, such as bending down several times throughout the week to pick up boxes. Some other factors that may contribute to your back pain include degenerative disc disease, lumbar spinal stenosis, fractures, herniated disc, osteoarthritis, osteoporosis, and tumors of the spine.

    Why does my back hurt?

    How can I get relief from back pain?

    What are the best exercises for back pain?