Weeks 1–2
Pain
Calm the pain down.
Settle the pain down first, with hands-on treatment and the loading your joints can actually tolerate right now.
What We Treat
Jars you cannot open, and mornings your hands will not cooperate until they have warmed up. Stiff joints usually do better with the right loading, not with rest.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
It is almost never just one thing. It is usually some mix of four culprits: joint surfaces that are sensitive rather than simply worn out, muscles around the joint that have weakened from months of avoiding it, stiffness that builds when the joint is not taken through its range, and a rest-first habit that gradually reduces what the joint can tolerate.
None of that shows up on a quick glance. It takes a real, cause-first evaluation to sort out which one is actually driving your pain. That’s why rest, ice, or a generic stretching sheet so often falls short: they treat the symptom, not the source. Find the real cause, and the fix gets obvious.
The Honest Truth
Nobody regrets starting too early. Every week, someone in our clinic says they regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for a low back.
Weeks 1–2
Pain
Settle the pain down first, with hands-on treatment and the loading your joints can actually tolerate right now.
Weeks 2–6
Prime
Rebuild the motion and the control the joints lost, so the strengthening has something to work with.
Weeks 6–10
Perform
Load it properly, and take the joints back to the thing you actually want to do rather than to a generic exercise sheet.
Weeks 10+
Prevent
Keep it. You leave with the small amount of work that holds the result, and a clear endpoint rather than an open tab.
Natalie is truly an amazing physical therapist. I have worked with her on two joint replacements (shoulder and knee). She has helped me reach the goals I set for myself in my rehab with persistence, patience and hard work, which is greatly appreciated! Her team at AIM is always happy and caring of their patients! Thank you!!
daphne S. · Joint pain · via Google
Questions, Answered
Usually not, and it is rarely the first step. Imaging is useful when it would change the plan, and a lot of the time it does not: scans routinely show wear and tear in people who have no pain at all. A hands-on evaluation tells us how you actually move, which is what the treatment is built on. If your case does warrant imaging or a specialist, we will say so and help you get there.
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, which is exactly what a Doctor of PT sorts out at your evaluation, then progresses safely as you improve.
That depends on what the evaluation finds, and you will get a straight answer at that first visit rather than an open-ended course of care. Every plan here has a defined endpoint, and we tell you what it is before you commit to it.
Book Your Visit
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 200+ 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.
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