Manual techniques relax tense muscles and restricted joints in order to decrease back pain, reduce inflammation, and increase flexibility. Therapists use their hands to apply pressure and manipulate tissues in an attempt to loosen tight muscles, break up scar tissue, decrease muscle spasm, and improve joint function.

Therapeutic ultrasound uses energy waves to reach deep muscle tissues and ligaments and to increase blood flow to the injured area. This helps speed up the healing process and decrease pain by reducing swelling and edema. Ultrasound is applied using an applicator, called a transducer, which is placed in direct contact with the patient's skin.

Electrical stimulation applies electrical impulses to nerves and muscles via adhesive pads that are placed on the skin. It is used to reduce pain and inflammation as well as to facilitate muscle contractions. Therapists can adjust the settings to allow for a strong or gentle intensity.

Cervical traction is performed with the patient lying comfortably on their back as a machine gently pulls the neck. This opens the spaces between the spinal bones (vertebrae) and temporarily reduces pressure on the affected discs or nerves.

Lumbar traction is performed with the patient lying on their back or stomach as a machine gently pulls on the low back region. This opens the spaces between the spinal bones (vertebrae) and temporarily reduces pressure on the affected discs or nerves.

Strengthening exercises are performed in a controlled, progressive manner to target weak muscles and restore them to proper function after injury or surgery. Active therapeutic exercises distribute nutrients into the disc space and soft tissues in the back to keep the discs, muscles, ligaments, and joints healthy. A regular exercise routine improves mobility and strength, and reduces the severity and duration of possible future episodes of back and neck pain.Strengthening Exercises are performed in a controlled progressive manner to target weak muscles and restore them to proper function after injury or surgery. Active therapeutic exercises distribute nutrients into the disc space and soft tissues in the back to keep the discs, muscles, ligaments, and joints healthy. A regular exercise routine helps patients improve mobility and strength, minimize recurrence, and reduces the severity and duration of possible future episodes of back and neck pain.

Personalized stretching uses passive and active stretches to help patients regain function affected by lost range of motion. This, in turn, can reduce pain. Patients can stretch on their own during exercise or with the therapist's assistance during a PT appointment.

Dynamic Stabilization in the form of exercise is used to improve the neuromuscular core stability of the spine by activating the abdominal, spinal, and gluteal muscles. Through precise coordination of these muscles with various movements, an injury specific program is developed for the patient. This approach is utilized to activate the intrinsic spinal stabilizers in order to optimize the movement system and improve core control for daily activity in various planes.

Dry needling involves placing a very fine filament needle through the skin and into the deeper tissues that are considered trigger points to pain. Dry needling causes a micro lesion with the damaged tissue and is relatively painless. The purpose is to normalize the physiology of the area by reducing tissue tension and improving circulation. This will enhance the body's ability to heal and reduce symptoms. It is called "dry" needling because no medication is injected.