Back Pain Physical Therapy in NYC | Chiropractor for Back Pain


About Back Pain

Back pain is a common complaint among adults around the world, and it accounts for the majority of doctor visits in the United States. Yet most back pain is non-specific in nature, meaning that no specific mechanical or pathological cause can be identified. There is a growing consensus that back pain is multifactorial, meaning that each case of back pain may have more than a single cause. For that reason, accurate diagnosis is key to effective back pain treatment.

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Dr. Lev Kalika
Clinical director & DC RMSK

About Back Pain Specialist Dr. Lev Kalika

Dr. Lev Kalika, clinical director of NYDNRehab, is the author of multiple medical publications and research, and an international expert in the fields of rehabilitative sonography, ultrasound guided dry needling and sports medicine. Dr. Kalika works with athletes, runners, dancers and mainstream clients to relieve pain, rehabilitate injuries, enhance performance and minimize the risk of injuries. His clinic features some of the most technologically advanced equipment in the world, rarely found in a private clinic.

Why Back Pain Physical Therapy at NYDNRehab is Better than Conventional Back Pain Treatment

The human body is made up of interconnected structures designed to work together in coordinated patterns to produce movement. Because the spine is involved in every aspect of human movement, back pain often originates from weakness, tightness or imbalances of muscles and connective tissues located far from the locus of pain.

Conventional medicine often focuses on pain management, treating generalized back pain with opioids, steroid injections and anti inflammatory medications without addressing its underlying causes. This often leads to recurring episodes of back pain that are never fully resolved, causing chronic pain and disability.

Why Back Pain Physical Therapy
Excessive use of MRI and surgical

Excessive use of MRI and surgical interventions have proven to be no more effective than conservative care for improving patient outcomes, and excessive use of prescription pain medications appears to be fueling the current global opioid epidemic.

Many people stop moving when they are in pain, but with back pain, active treatments are more likely to be successful than passive treatments. Any back pain treatment should involve active care, where the patient is an active participant in their recovery. Active care includes exercise, modifying thoughts and beliefs about back pain, and learning more about behaviors that cause back pain.

Types of Back Pain

Non-specific back pain
Non-specific back pain

Has no identifiable root. The patient experiences pain, yet no mechanical cause can be determined by medical practitioners.

Myo-fascial back pain
Myo-fascial back pain

Has its origins in the fascia, the thin tough sheath of connective tissue that encases and compartmentalizes muscles. Myofascial pain often stems from trigger points, tiny knots in fascia that sensitize nerves in local muscles or connective tissue.

Mechanical back pain
Mechanical back pain

Originates from excessive stress on muscles surrounding the vertebral column. Mechanical pain is often caused by daily habits such as poor posture, poorly-designed workstation ergonomics, or faulty lifting techniques.

Nociplastic back pain
Nociplastic back pain

Arises from heightened activation of peripheral sensory nerves, despite no clear evidence of tissue damage.

Neuropathic back pain
Neuropathic back pain

Is caused by disease or damage that affects the somatosensory nervous system.

Nociceptive back pain
Nociceptive back pain

Is the most common type of back pain. It arises from physical damage to the body due to trauma or surgery.

Symptoms, Causes and Risk Factors of Back Pain

  • Dull or achy pain in the spinal region
  • Burning pain that runs from the low back to the legs (sciatica)
  • Muscle spasms and tightness
  • Pain that gets worse after long periods of sitting or standing
  • Pain and stiffness when trying to stand up straight
  • Pain when walking
  • Pain when moving from standing to sitting
  • Lifting objects with poor technique
  • Poor workspace ergonomics
  • Poor posture when sitting or standing
  • Weakened deep spinal muscles and core musculature
  • Neuromuscular dysfunction
  • Faulty gait mechanics
  • Motor deficits in the lumbopelvic region
Risk Factors
  • Sedentary lifestyle with excessive sitting
  • Smoking
  • Obesity
  • Metabolic disease
  • Physically demanding work
  • Poor sleep habits
  • Overuse from exercise or occupation

Accurate Diagnosis Means Successful Back Pain Treatment

Our initial back pain diagnosis begins with a clinical exam. Radiology rarely adds useful information unless conservative care fails to resolve back pain. In such cases, epidural steroid injections or surgery may be considered as a last resort. However, the first line of defense for back pain treatment is always conservative care, making imaging with MRI or Xray unnecessary.

Diagnostic ultrasonography can be useful for identifying soft tissue damage or inflammation, and it can be used to provide a differential diagnosis for disc bulges or spinal canal stenosis. Ultrasound can also be used to guide pain-blocking injections and dry needling procedures.

Accurate Diagnosis Means Successful Back Pain Treatment
We Use High-Tech Equipment for Optimal Results

We Use High-Tech Equipment for Optimal Results

At NYDNRehab, we go beyond treating back pain symptoms to finding the underlying causes of back pain and eliminating them. To optimize results, we use advanced technologies that are rarely found in a private clinical setting.

We approach back pain with a variety of manual and therapeutic exercise techniques, spinal stability strengthening, gait retraining, ultrasound guided dry needling and exercises to correct motor dysfunction and improve neural communication between the muscles and the central nervous system.


Regenerative Technologies for Back
Pain Physical Therapy

At NYDNRehab, we use a combination of treatment approaches for back pain, based on the specific needs of the individual patient. The human body has its own innate healing mechanisms, but it sometimes needs a nudge to accelerate the healing process. Regenerative technologies help to jump-start healing by stimulating tissue repair at the cellular level. Our outpatient regenerative therapies expedite recovery with minimal discomfort for the patient.

We combine regenerative shock wave therapy, electromagnetic transduction therapy and other regenerative approaches to relieve pain and stimulate healing. Our regenerative technologies and innovative therapeutic approaches make NYDNRehab the premier clinic for back pain treatment in New York.

Focused Extracorporeal Shock Wave Therapy (ESWT)

Focused ESWT is used as a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for chronic degenerative tendon disorders and myofascial pain syndrome.

Extracorporeal Magnetic Transduction Therapy (EMTT)

EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, causing a disturbance that triggers a regenerative response. EMTT waves can penetrate deep tissues up to 18 cm beneath the skin’s surface, to target difficult-to-reach tendons, muscles, bones and nerves.

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

Extracorporeal Pulse Activation Technology (EPAT)

EPAT, also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. This speeds up the delivery of oxygen and nutrients to damaged tissues and stimulates cellular metabolism, to accelerate the healing process.

High Energy Inductive Therapy (HEIT)

HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT generates a magnetic field 600 times stronger than the field of a normal magnet, to stimulate healing of nerves, muscles and blood vessels.

Regenerative Indiba

INDIBA CT9 Radiofrequency Device

INDIBA CT9 Radiofrequency Device

Our INDIBA Tecar therapy machine converts electrical current into a stable radio frequency current of 448 kHz, designed to increase and stabilize the exchange of ions in damaged cells, evoking a regenerative response that accelerates healing. INDIBA can be used to successfully treat joint and muscle disorders, low-back pain, sports injuries, surgical incisions and various pain syndromes. Another therapeutic effect of INDIBA is extreme and prolonged cellular hyperthermia. Due to this effect, INDIBA therapy combined with manual therapy and soft tissue tissue manipulation enables instantaneous release to occur, significantly shortening the number and duration of physical therapy sessions. What is normally accomplished in two months of physical therapy can be accomplished in 3-4 sessions with INDIBA.

Ultrasound Guided Dry Needling

Myofascial trigger points often contribute to lower back pain. Dry needling is an outpatient procedure that inserts non-medicated needles into the trigger point to evoke a twitch response, releasing the trigger point and immediately relieving pain. Ultrasound guidance eliminates the need for multiple insertions, reducing pain and discomfort for the patient.

Regenerative Ultrasound Guided Injection Therapies

Ultrasound Guided Injection

Injection therapies use natural/neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Guidance by ultrasound ensures that the injected substances hit their mark, for maximum effectiveness.

Focused Shockwave Therapy

Platelet Rich Plasma (PRP)

PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors such as growth factors, cytokines, lysosomes and adhesion proteins. The injected solution stimulates the synthesis of new connective tissues and blood vessels. PRP can help to jump-start healing in chronic injuries and accelerate repair in acute injuries.

Proliferation Therapy, aka Prolotherapy

Prolotherapy uses a biologically neutral solution, often containing dextrose, saline or lidocaine. The solution irritates the affected connective tissue, stimulating the body’s own natural healing mechanisms to encourage growth of new normal ligament or tendon fibers.

Electromagnetic Transduction Therapy (EMTT)

More Treatment Options

Acute Back Pain
Acute Back Pain
  • Over the counter NSAID’s (non-steroidal anti-inflammatory drugs) to relieve pain and inflammation
  • Acupuncture
  • Chiropractic care
  • Ultrasound guided dry needling (UGDN)
  • Epidural Steroid Injections (ESI)
Chronic Back Pain
Chronic Back Pain

Persistent back pain may require more extensive treatment, including:

  • Physical therapy
  • Chiropractic care
  • EMTT (electromagnetic transduction therapy)
  • ESWT (extracorporeal shock wave therapy)
  • Ultrasound guided dry needling (UGDN)

Preventing Back Pain

An ounce of prevention is worth a pound of cure, especially when it comes to back pain. The most important thing you can do to prevent back pain is to exercise on a regular basis and manage your weight. In addition, adopting healthy lifestyle habits like smoking cessation, a whole foods diet, getting enough sleep, managing stress and staying hydrated will help to reduce your risk of back pain.

Back pain often stems from mechanical errors during running, walking, sports and exercise. A thorough biomechanical and 3D gait analysis can help identify mechanical errors that increase your risk of back pain. Gait retraining, corrective feedback training and posture retraining can all help to protect you from back pain.

Preventing Back Pain

Get Personalized Back Pain Physical Therapy Designed Just for You

At NYDNRehab, we never take a cookie-cutter approach to patient care. The causes and symptoms of back pain can vary from one patient to the next, and each case requires a unique treatment approach. We thoroughly examine each patient and base our treatment solutions on your personal diagnosis. We provide one-on-one Physical Therapy, custom-designed for the individual patient.


Benefit from Our Innovative Non-Invasive Therapies

Back pain rarely requires surgery. Physical therapists and chiropractors are the most equipped practitioners for dealing with common back pain. At NYDNRehab, we take a multimodal modern approach to treating back pain. Our treatment protocols include corrective exercise, manual therapies, dry needling and home exercise prescription. Our back pain specialists are certified and knowledgeable in multiple different treatment approaches that can be combined to optimize the effectiveness of your treatment plan.

Get Back Pain Treatment That Really Works!

Get Back Pain Treatment That Really Works!

Back pain can be debilitating, interfering with your ability to enjoy life to its fullest. Pain medications and surgeries often fail to get to the root cause of back pain, treating the symptoms without resolving their underlying causes. At NYDNRehab, we make it our mission to get to the source of your back pain and correct it, so you can move freely again and enjoy a full and active life.

If you suffer from chronic back pain and want to find the best back pain doctor in NYC, visit NYDNRehab in midtown Manhattan. Our back pain specialists provide individualized treatment plans to meet the unique needs of every patient. We don’t just treat back pain – we get to its source and restore healthy pain-free function, so you can enjoy the very best quality of life. Contact us today and schedule your first session, to get rid of your back pain for good.

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    Dr. Lev Kalika Clinical director & DC RMSK

    Research at NYDNRehab

    Conference: the 12th World Congress of the International Society of Physical and Rehabilitation Medicine (ISPRM 2018) At: Paris, France “DRY NEEDLING UNDER ULTRASOUND GUIDANCE DECREASE NEUROPATHIC COMPONENT AND INCREASE LEVEL OF MOTION IN PATIENT WITH LOW BACK PAIN”