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Message
Suggestions for back PT or finding effective PT?
Posted on 1/31/26 at 3:01 pm
Posted on 1/31/26 at 3:01 pm
I’m getting an open MRI on Thursday for recurrent back pain that has hindered my ability to work out. I’m 90% sure it’s muscular, but the MRI will confirm.
Thing is, everything I’ve tried has flared up the back pain. I think it was originally caused squatting heavy without sufficient mobility. Ankle and hip mobility have always been a weakness of mine. But now, simple warm up drills or doing yoga or a mobility drill can trigger the back pain.
Walking on the wrong shoes triggers the back pain.
Running? Yes. Straight to back pain.
It’s mostly mid back but someone lower back as well.
The ortho sent me to PT in early January and it was pathetic. The guy gave me a massage with a massage gun and then some electrical stimulation. Then he “taught me” cat-cow and child’s pose. I listened to him and only did those two for a week and when I went back, he did the same shite. $300 later….
So what’s your strategy for finding effective PT? Use the doctor’s suggestion? Or do you have a way of finding a good one?
I should add that I’ve gone to PT for sports-related reasons three times in my life, and all three were absolutely pathetic in terms of quality.
Thing is, everything I’ve tried has flared up the back pain. I think it was originally caused squatting heavy without sufficient mobility. Ankle and hip mobility have always been a weakness of mine. But now, simple warm up drills or doing yoga or a mobility drill can trigger the back pain.
Walking on the wrong shoes triggers the back pain.
Running? Yes. Straight to back pain.
It’s mostly mid back but someone lower back as well.
The ortho sent me to PT in early January and it was pathetic. The guy gave me a massage with a massage gun and then some electrical stimulation. Then he “taught me” cat-cow and child’s pose. I listened to him and only did those two for a week and when I went back, he did the same shite. $300 later….
So what’s your strategy for finding effective PT? Use the doctor’s suggestion? Or do you have a way of finding a good one?
I should add that I’ve gone to PT for sports-related reasons three times in my life, and all three were absolutely pathetic in terms of quality.
8
Posted on 1/31/26 at 3:12 pm to StringedInstruments
I had a grade 2 lumbar sprain last year.
Iced it the first three days, then used heat as needed and adjusted my workout routine to not poke the bear. After 2 months it was fully healed and I worked my way back up to my normal routine.
Iced it the first three days, then used heat as needed and adjusted my workout routine to not poke the bear. After 2 months it was fully healed and I worked my way back up to my normal routine.
Posted on 1/31/26 at 4:46 pm to StringedInstruments
Where does the pain hit? Is the MRI a Cervical spine, or lower down?
I have had a bulging disc between C5/C6 since November. I stupidly kept lifting heavy, until it progressed to the point that the "bouncing" from walking on a treadmill would send shooting pain into my shoulder blade, and my thumb and forefinger tingle to different degrees all day.
If it turns out to be a disc for you, and it's in the cervical area, neck decompression can provide some relief; my chiropractor is more like a sports therapist, and read the MRI, in addition to my ortho. If you get an RX for any type of prednisonse, it will work like a charm for 3-4 days, and then fade away. I'm getting a cortisone shot in my neck on Wednesday. If that doesn't work, the disc is getting replaced.
I have had a bulging disc between C5/C6 since November. I stupidly kept lifting heavy, until it progressed to the point that the "bouncing" from walking on a treadmill would send shooting pain into my shoulder blade, and my thumb and forefinger tingle to different degrees all day.
If it turns out to be a disc for you, and it's in the cervical area, neck decompression can provide some relief; my chiropractor is more like a sports therapist, and read the MRI, in addition to my ortho. If you get an RX for any type of prednisonse, it will work like a charm for 3-4 days, and then fade away. I'm getting a cortisone shot in my neck on Wednesday. If that doesn't work, the disc is getting replaced.
Posted on 1/31/26 at 6:05 pm to LemmyLives
quote:
Where does the pain hit? Is the MRI a Cervical spine, or lower down?
Pain hits mostly mid back. Extends into lats. Some lower back tightness.
They’re actually doing two scans. One on lower and one on mid.
Posted on 1/31/26 at 9:54 pm to StringedInstruments
I have two bulging disks in my lower back. Seated Good Mornings changed my life. I have progressed with these over the years slowly increasing weight and range of motion. Abs to the bench is the goal.
Posted on 1/31/26 at 10:00 pm to Aubie Spr96
quote:
Seated Good Mornings changed my life. I have progressed with these over the years slowly increasing weight and range of motion. Abs to the bench is the goal.
My mobility is so bad that my waist wouldn’t move but an inch before my back started rounding.
Posted on 1/31/26 at 10:03 pm to StringedInstruments
Wait for results. Then you can determine which route to take..
Posted on 2/1/26 at 8:10 am to StringedInstruments
I have been in an out of PT offices for back issues for a while. I can say that everyone of them will give me a series of stretches and exercises to do. But all of them in some form or fashion make me do these three exercises and over a period of 4 to 6 weeks they do seem to help.
The McGill Big Three
The McGill Big Three
Posted on 2/1/26 at 9:08 am to StringedInstruments
1 Get recs from friends and family.
2 maybe the PT you went to wasn’t great but at 2 visits you didn’t give it enough of a chance either. You are always going to start off with more basic stuff to see how the back responds before doing more aggressive exs
3 you may benefit from someone that has traction devices if an MRI shows disc damage.
4 find someone that does dry needling to help release the spasms initially
5 PT isn’t cheap. A general course for what you have may be 6-8 weeks at 2-3 x a week to be effective. You have a medical provider guiding you. Insurance sucks so you are going to have to commit to paying for the care
2 maybe the PT you went to wasn’t great but at 2 visits you didn’t give it enough of a chance either. You are always going to start off with more basic stuff to see how the back responds before doing more aggressive exs
3 you may benefit from someone that has traction devices if an MRI shows disc damage.
4 find someone that does dry needling to help release the spasms initially
5 PT isn’t cheap. A general course for what you have may be 6-8 weeks at 2-3 x a week to be effective. You have a medical provider guiding you. Insurance sucks so you are going to have to commit to paying for the care
Posted on 2/1/26 at 9:22 am to StringedInstruments
It should scale to wherever you are physically.
Posted on 2/2/26 at 7:51 am to StringedInstruments
I use Jason at River Cities PT.
He is very good.
He is very good.
Posted on 2/2/26 at 8:49 am to StringedInstruments
quote:
The ortho sent me to PT in early January and it was pathetic. The guy gave me a massage with a massage gun and then some electrical stimulation. Then he “taught me” cat-cow and child’s pose. I listened to him and only did those two for a week and when I went back, he did the same shite. $300 later….
I've been through two rounds of PT. Slightly bulging disc in my neck at first, and a couple years later had a similar bulge in my mid back.
They usually start you out fairly slow for the first couple of weeks. One thing that seemed to help the most was laying face down on the table, with a light dumbbell in my hand doing a version of a rear fly. Helped to strengthen the muscles around the bulge. Obviously stretching helps too. Dry needling, electrical stimulation, heat while you're there, plus resistance band work at home. It can be a slow process.
Posted on 2/2/26 at 12:50 pm to StringedInstruments
Where are you located at?
Call around and find a clinic that actually uses gym equipment and not just shitty mat exercises.
Go look at the clinic you are interested in to see if they are setup well, squat rack, bars, plates, etc
You can also look up a fitness forward PT on Barbell Rehab’s site and/ or The Institute Clinical Excellence’s site. Both group advocate for staying active and not avoiding exercise
Call around and find a clinic that actually uses gym equipment and not just shitty mat exercises.
Go look at the clinic you are interested in to see if they are setup well, squat rack, bars, plates, etc
You can also look up a fitness forward PT on Barbell Rehab’s site and/ or The Institute Clinical Excellence’s site. Both group advocate for staying active and not avoiding exercise
This post was edited on 2/3/26 at 5:57 am
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