Active physical therapy represents a way for a patient with pain to increase activity in a safe, supervised and gradual fashion, strengthening the back muscles, correcting postural problems and educating the patient in ways to prevent recurrent injury.  In addition, passive modalities such as heat, massage and ultrasound may reduce the inflammation and pain. It is our philosophy that the synergistic use of physical therapy and interventions optimize patient recovery in most conditions.  We work closely with several physical therapists.