Common Reasons for Back Pain

Appreciated Insight from a Physical Therapist Rockville, MD Patients

physical therapist Rockville, MD

If you are suffering from chronic back pain and have been unable to find relief, you may want to consider consulting with a physical therapist in Rockville MD. At the Pain & Arthritis Relief Center we have helped many of our fellow community members who suffered from back pain. Our medical staff has had significant success in treating patients with chronic pain after traditional medicine failed. We have also enabled many patients to avoid surgery. If you’re suffering from back pain, call our office today to find out how we can help.

The back is made up of bones, discs, ligaments, muscles, and tendons. A physical therapist in Rockville MD from the Pain & Arthritis Relief Center can diagnose your condition to determine what is causing your back pain. Below is some general information that can help you understand the common causes of back pain.

Bulges and the Herniation of Discs

The spine has 33 interlocking vertebrae and between each pair of vertebrae is a disc. These discs are made up of a capsule of connective tissue that surrounds a soft, jelly-like center. The job of the discs is to absorb shock and to provide flexibility of the spine. When there is an injury to the disc, that jelly-like center can be pushed out and cause it to bulge. Symptoms of a herniated or bulging disc include back pain, pain radiating down the legs, and numbness in arms or legs. A physical therapist in Rockville MD from the Pain & Arthritis Relief Center can examine you to determine if you are suffering from a bulging or herniated disc.


When the spinal column is misaligned, it can be extraordinarily painful. This in turn can limit the person’s range of motion. Trauma, toxins, or physical stress can cause this condition known as subluxations. A physical therapist in Rockville MD might tell you that subluxations are one of the most frequently overlooked causes of back pain in traditional medicine and can be easily corrected using non-invasive treatments.

Sprains and Strains

The most common injuries to the back are strains or sprains to the muscles, ligaments, or tendons. This often occurs when the patient has engaged in activities that they are not used to doing or if they were involved in an accident.

Twisting the wrong way, lifting a heavy object, or stretching beyond what the body is used to can cause injuries that leave a patient in pain. At the Pain & Arthritis Relief Center we have had great success treating patients suffering from sprains and strains.


Many patients do not realize that though stress can wreak havoc on us mentally, it can also take its toll on us physically. When a person suffers from chronic stress it will often present itself as chronic back pain. This is because when we are stressed, the body releases hormones that can cause tension and muscle spasms in trigger points of the body. A physical therapist in Rockville MD from the Pain & Arthritis Relief Center can focus on those trigger points to relieve stress and pain.

Avoid Surgery

If you’re suffering from an injury or have a painful chronic condition, a physical therapist Rockville MD offers may help you avoid surgery and reduce your pain. At the Pain Arthritis Relief Center, we believe that the body heals the body. By using regenerative, integrative medicine, healing can take place and wellness can begin.

There are many benefits to physical therapy. A trained and licensed health practitioner can help develop a treatment plan best suited for your individual needs. If you’re looking for a physical therapist Rockville MD residents turn to for pain relief, call us at (301) 710-9777 to make an appointment.

If you’re not familiar with the many benefits of physical therapy, the following information may be of interest to you. A physical therapist in Rockville MD may be available to meet with you in person to address your questions.

The Benefits of Physical Therapy

A physical therapist Rockville MD patients respect may provide help for people experiencing mobility issues and pain. Physical therapists are evidence-based healthcare practitioners, which means they make treatment decisions influenced by their patient’s condition, their training, and their patient’s wishes. A Rockville MD physical therapist aims to reduce a patient’s need for drugs or surgery.

Improving Motion and Mobility

Quality of life is closely related to living pain-free and having the ability to move freely. Being able to move freely allows one to fully connect with their loved ones, career, leisure activities, and to the world around them. Freedom of movement contributes to our good health, and in turn good health contributes to our freedom of movement. At least 18 percent of all American adults die from obesity-related issues. By improving the body’s ability to move without pain, it may become easier to stay healthy. This might be true for people who suffer from any number of health concerns, including the following:

  • High risk for heart attacks and strokes
  • Joint arthritis
  • Hip pain
  • Neck pain or whiplash
  • Disk pain

Reducing the Need for Surgery or Drugs

Prescription and over-the-counter drugs often have negative side effects. Even with insurance coverage, these medications may be expensive. Surgery often carries risks and, depending on the type of surgery, it may not guarantee long term positive results. Physical therapy may help treat conditions in place of surgery or drugs, and often with equal or superior results. In addition, the cost is usually less than that for surgery, which may require follow up treatments and medications. A physical therapist Rockville MD locals rely on for pain relief may provide a detailed treatment plan following an exam.

Physical therapy often eliminates the need for expensive imaging scans such as MRIs for those who suffer any of the following conditions:

  • Rotator cuff tears
  • Meniscal tears
  • Degenerative disk disease
  • Spinal stenosis
  • Knee osteoarthritis
  • Lower back pain

Your First Physical Therapy Appointment: What to Expect

Working with a physical therapist Rockville, MD trusts is one of the best methods to heal after an injury or massive surgery. If you have been referred to our office by your doctor, but don’t know where to start – don’t worry! Our Rockville, Maryland physical therapist  has compiled a beginner’s guide to physical therapy so you know what to expect when you come in for your first appointment.

What Exactly Is Physical Therapy?

Physical therapy is a method of healing the body after it has suffered trauma in some way. Most commonly used after suffering from an injury or surgery, physical therapy has the goal of easing pain while helping you function and move.

Patients may use physical therapy if they:

  • Have just had massive joint surgery, such as a hip or knee replacement
  • Suffer from chronic lower back pain
  • Are mobility impaired due to age or a chronic condition
  • Recovering after giving birth
  • Need to improve movement in some way
  • Are going through rehab after having a stroke
  • Are working on their balance
  • Have a chronic disease such as heart disease or diabetes
  • Are adapting to living with an artificial limb

Here at Pain & Arthritis Relief Center your Rockville, Maryland physical therapist has seen patients of all ages and walks of life; physical therapy is simply so versatile!

Your First Appointment

It is advised to show up to your first therapy appointment a few minutes early as there will be new patient paperwork you’ll need to fill out. Once you are taken back and have met your trusted Rockville, MD physical therapist, they will then perform a comprehensive consultation on you.

During the consultation, your physical therapist in Rockville, MD will evaluate your balance, flexibility, coordination, posture, and heart rate. They may also want you to walk so they can look at your natural gait, and do simple activities so they can see how your body performs during functional activities such as standing up and sitting down. In addition, the therapist will ask about your everyday work and home activities and how active you are.

Above everything else, you’ll work together to determine your goals for your therapy. Once the consultation is over you will have a comprehensive patient care plan which will detail what you’ll do during your appointments and how often you’ll come down to the office.

Before You Come In

There are a few things you’ll need to do before your first appointment.

  • Create a list of all of your symptoms, and rank them from what ones are the most restrictive.
  • Make a list of all current prescriptions and major surgeries in your medical history
  • Bring any questions you may have about treatment for your knowledgeable Rockville, MD physical therapist. No question is too silly, as we want you to be as comfortable as possible during your treatment.
  • Wear comfortable clothes! You’ll be moving around during your appointment so you’ll want to dress accordingly.

Seven Things your Physical Therapist should do during your First Visit

If you have back pain, it is important to “choose your words” carefully when you initially meet with your physical therapist for the first time. If you say you have “back pain,” this should be the starting point for a careful and thorough physical examination to diagnose the cause. It is important to keep a journal of the back pain. Write down when the pain started, its frequency, and when the pain lessens or becomes more severe. Explain what you cannot physically do since the start of the pain. Also, your physical therapist might ask you questions about your mattress and pillow. Be prepared to talk about them and how many hours a day you are on your feet.

That is your preparation work. Now here is what a good physical therapist in Rockville, MD should do (at a minimum) during your initial examination:

  1. Review your general medical history and overall health; discuss if the back pain is a result of an acute trauma or a chronic issue.
  2. Address a potential problem with the disc – a cartilage ligament that separates the vertebrae.
  3. Discuss the potential of a muscle strain as opposed to an injury of the spine.
  4. Determine if the joints of the spine move in a free and symmetrical pattern.
  5. Gently move the back in different planes if the pain is not too extreme.
  6. Touch and manipulate tissues of the spine to identify swelling (inflammation) or tenderness.
  7. Take x-rays to check for a plethora of issues such as proper spine alignment, posture, and scoliosis.

Accurate Diagnostics Take Time

The results of your first consultation will rule out certain conditions and give us a good indication of the possible sources of your pain. It may be necessary to schedule further tests to provide detailed images of your back to pinpoint the specific source of pain. This will enable the physical therapist to precisely identify the specific location of pain and most effective treatment.

Accurate diagnostics may take longer to accurately diagnose and treat every patient’s condition. We understand patients are anxious for a solution, and we ensure our time and efforts will produce quality outcomes with adequate and effective courses of treatment.

Further Diagnostic Testing

Depending on what we discover during your consultation it may be necessary for you to undergo further tests to help us narrow down the possible sources of your pain, better understand the condition or injury, learn why you’re in pain, make a precise diagnosis, and prescribe an effective treatment regimen.

A Precise Diagnosis

Once we are ready to give you an accurate diagnosis, we will outline the various treatment options available, and elect the ones the provider believes will work best for your condition.

Our therapists here at Pain Arthritis Relief Center want you to feel better as soon as possible. Your healing is our goal, so call us today for a consultation to learn more about how we can help.


If you’d like to explore the possibility of avoiding surgery and drugs for a painful condition, talk to a physical therapist. If you’re a candidate for physical therapy, a qualified therapist can help design a treatment plan that’s right for you. Call us at Pain Arthritis Relief Center if you’d like to meet with a physical therapist Rockville MD is proud to have in the community.

Contact the Pain & Arthritis Relief Center for a Physical Therapist Rockville, MD Offers

If you are struggling with chronic back pain, contact a physical therapist in Rockville MD from the Pain & Arthritis Relief Center today to learn how we can help you live a pain-free life.

A physical therapist in Rockville, Maryland, can help you overcome recurring or debilitating pain – no matter the cause. At Pain Arthritis Relief Center, we focus on more than arthritis: Sometimes, you need a medical professional to help with knee pain or sports injuries, and we’re ready to assist you.

There are several types of knee injuries that can reduce your range of movement and seriously restrict your ability to go about your day-to-day life. One of the most painful (and most common) is a torn ACL. You may have heard of a torn ACL if you’re a sports fan, but did you know it can affect you even if you’re not an athlete? Read on to learn more about how a torn ACL can affect you.

What is a torn ACL? 

ACL stands for Anterior Cruciate Ligament: Put in plain English, it’s a ligament that keeps you stable when standing or walking. Think of it like a rubber band that connects your shinbone to your thigh bone. The ACL is threaded through your knee joint, and just like a rubber band, it can potentially snap if it’s pulled the wrong way.

An ACL can be torn in a number of ways, but the most common source of a torn ACL is through strenuous physical activity like sports. Certain sports involve a lot of sudden pivots or changes in direction, and when this happens it can put a lot of stress on the ACL. In extreme cases, this can tear an ACL completely: You’ll hear an audible pop, and feel a whole lot of pain.

Unfortunately, in the event of a torn ACL, the injury itself is just the start of your problems. A torn ACL means a lengthy recovery period, and it can mean a lot of time spent off the court. Typically, torn ACLs take up to six months to fully heal, and in the meantime you’ll be dealing with pain and instability in your knee.

If you experience a torn ACL, first aid is essential. The RICE formula is tried and true: Rest, Ice, Compression, and Elevation. But it takes a whole lot more to get back to 100% after your torn ACL. Fortunately, a physical therapist in Rockville, MD, can help.

Pain Arthritis Relief Center: Your source for ACL recovery 

At Pain Arthritis Relief Center, we understand the importance of a proper recovery, especially in the event of a torn ACL. While ACL injuries are most common in athletes, we know that knee injuries can happen to anyone, and they all deserve proper care and attention for a full recovery.

While a torn ACL might mean you’re down for the count, the professionals at Pain Arthritis Relief Center are committed to helping you regain your motion and independence. Torn ACLs take hard work, planning, and dedication if you’re hoping to get back to normal, and we’ll be with you every step of the way to ensure you get to where you need to be.

If you’ve experienced a torn ACL or other type of knee injury, reach out to Pain Arthritis Relief Center today, and see how a physical therapist in Rockville, MD, can help you get the recovery and future you deserve.