Weeks 1–2
Pain
Calm the pain down.
Hands-on techniques calm the irritated disc and nerve, taking the edge off the burning down your leg, starting your very first visit.
What We Treat
The stiffness when you stand up from the couch. The line of pain that runs down your leg before you’re even out of the car. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Your back doesn’t hurt for no reason, and when the pain runs down your leg, there’s a specific reason for that too. It’s usually some mix of a few culprits: a disc bulging just enough to press on a nearby nerve root, which is what sends that burning line 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, and it’s not something a printout of stretches can sort out. It takes a real, cause-first evaluation to know which one is actually driving your pain. You’re used to being the one who fixes things: the schedule, the family, the small emergencies nobody else catches. This is the thing you keep bumping to next week. Find the real cause, and next week can finally be the week.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for back pain and sciatica.
Weeks 1–2
Pain
Hands-on techniques calm the irritated disc and nerve, taking the edge off the burning down your leg, starting your very first visit.
Weeks 2–6
Prime
Targeted mobility work restores motion in the stiff segments that have been guarding the injury since it started.
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: that’s the endpoint, not just another appointment.
Dr. Jack was great to work with. He was able to get my lower back pain under control and helped me get back into a workout routine after being away from it for a while. He’s super knowledgeable and keeps things light, which made pt a positive experience overall.
Alina V. · Google review, Town Center
“I came in with a torn rotator cuff weeks away from surgery. When I arrived I couldn’t lift my arm high enough to put on a shirt without pain.”
“I’m back to playing with my kids and moving around without any pain.”
Questions, Answered
Usually not, and it’s rarely the first step. Most back pain and sciatica 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 and nerve, which is exactly what a Doctor of PT sorts out at your evaluation, then progresses safely as you improve.
You’ll know what to expect from your first visit, because the plan comes with an endpoint. A full plan for back pain and sciatica runs through all four phases, Pain, Prime, Perform, and Prevent, typically over 8–10 weeks, depending on how long you’ve been dealing with it. Either way, you get a plan with an endpoint: you’ll always know which phase you’re in and what’s left, not an open-ended string of appointments.
Book Your Visit
Request a time and a real person will call or message you back, not an automated queue. No phone tree. Our expert team of administrators is ready to help.
5.0 · 1232+ Google reviews
Typical response: under 2 business hours
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time.
Visit Us
Great Neck, Town Center, Kempsville/Greenbrier, Norfolk and Redmill. Same team, same standard, whichever door you walk through.