Spine (Neck and Back) Care

Relief from Low Back and Neck Pain Starts Here!

Low back and neck pain are some of the most common musculoskeletal complaints affecting people of all ages. This discomfort can significantly interfere with daily life, whether it’s caused by poor posture, repetitive stress, injury, or simply aging. Fortunately, research consistently shows that physical therapy is the most effective first-line treatment for addressing both acute and chronic back and neck pain—without the need for medications, injections, or surgery.

At Makovicka Physical Therapy, we take a hands-on, personalized approach to your recovery. Our expert therapists are trained to develop custom treatment plans that not only relieve your symptoms but also help restore movement, strength, and quality of life. In addition to one-on-one care, we empower you with education and a tailored care plan, giving you the tools to prevent future flare-ups.

What to Expect During a Therapy Session

Your journey to feeling better begins with a comprehensive initial evaluation. During this first visit, your physical therapist will thoroughly understand your pain, symptoms, lifestyle, and goals. This conversation and a physical assessment help us pinpoint the likely source of your discomfort.

From there, your therapist will design a personalized treatment plan that evolves with you. Each session may include:

• Manual therapy to mobilize joints and relieve muscle tension

• Targeted exercises to build strength and improve flexibility

• Therapeutic modalities such as heat, cold, or electrical stimulation for pain relief

• Education and body mechanics coaching to prevent re-injury

• Progressive home exercise programs that support your recovery outside the clinic

Your plan is dynamic—adjusted as you improve—to ensure continued progress toward your goals. Whether you’re aiming to return to work, enjoy hobbies pain-free, or simply move without discomfort, we’re here every step of the way.

Do I Need an MRI or Imaging Before Starting Physical Therapy?

In most cases, no imaging is necessary before beginning physical therapy for back or neck pain. In fact, research indicates that getting an MRI or other diagnostic imaging too early—especially within the first six weeks—can actually lead to unnecessary interventions. Studies show that early imaging may increase your risk of being prescribed opioids, undergoing surgery, and incurring higher healthcare costs, all without improving outcomes.

It’s also worth noting that findings like disc bulges or degenerative changes are a normal part of aging, and over 75% of people with these conditions don’t experience pain. In many cases, these findings don’t explain your symptoms at all. That’s why starting with physical therapy is often the safest, most cost-effective, and most successful way to manage pain and restore function.

Will My Pain Ever Go Away?

Yes—low back and neck pain are treatable, and with the right approach, they don’t have to become chronic conditions. While prior injuries can make you more susceptible to future issues, attending physical therapy is a proactive step toward long-term recovery.

Our goal is not just to get you out of pain, but to equip you with the strength, mobility, and movement strategies to stay pain-free. With consistent care, education, and commitment to your home program, you can significantly reduce the risk of future injuries and maintain your progress well beyond your time in the clinic.

Don’t let back or neck pain control your life. Let Makovicka Physical Therapy be your partner in healing, movement, and prevention. Click here for a list of locations in Omaha, Lincoln, or the surrounding areas. We are conveniently located near your home, work or school, and ready to be of assistance!