Back pain is the leading cause of missed-work days and work limitations (Georgetown Health Policy Institute, 2019)

If a patient has back pain that has persisted for more than 2 weeks, manual physical therapy is needed to expedite healing.

The average net benefit of treating acute low back pain with physical therapy is estimated to $4,160 per episode.

Low Back Pain Treatment Session Plan at Cardinal Physical Therapy in South Sioux City, NE. Images of physical therapist treating back pain in 4 ways: identifying the cause of back pain, using manual therapy &  manipulations with strength exercises

Advanced techniques for the spine

A Grade 5 manipulation occurs when a joint is positioned near its end range of motion during the manual therapy technique with high velocity and low amplitude force application.

The benefits proposed are:

  • improved range of motion

  • modulated nerve activity in afferent fibers

  • altered sympathetic activity and elicited hypoalgesic response

This technique requires advanced training beyond the doctoral level for proficient use. Dr. Tubbesing is COMT level certified.

Plant with image of person gardening in background depicting a person feeling well after being treated for back pain

Life integration

Generalization of new movement patterns is a challenge for many patients. At Cardinal Physical Therapy we will learn about the activities in your life you want to do pain free.

While you build strength and improve compensatory patterns, integrating the skills to your daily lives requires intentional instruction.

Taking time to practice the skills in your job or life impeded by pain, results in lasting improvements. Replicating job and life scenarios and mimicking necessary work motions using aligned form heals and prevents future injury.

Image of person working in an industrial setting after treating for work comp injury of low back pain

We offer treatment for back pain for all patients, including injured workers. We offer comprehensive worker’s compensation physical therapy care.

One week ago my pain level was 6+, but after 4 sessions my pain level is nonexistent! Isaac is knowledgeable, friendly, compassionate and cares. I have been to different physical therapy offices but the big difference is Isaac stays right there through your session, watching and correcting you.
— Pat B.
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