Bob Rowe

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Bob Rowe
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PT, DPT, DMT
Jacksonville
Orthopaedic Manual Physical Therapy
Brooks Rehabilitation
3599 University Blvd. S.
Jacksonville
FL
32216

If I have back and/or neck pain and it goes away, should I still see a physical therapist anyway?

Yes. Pain is often a way for the body to tell us there is a problem.  However, there are times when we have problems that are not painful, but can lead to degenerative problems over time.  Researchers have found that muscles in the neck and lower back frequently stop working normally following a painful episode of neck and/or low back pain.  When these important muscles stop working, there is a significantly increased risk that additional painful episodes will occur in the future.  Physical therapists can identify if these very important muscles are working correctly and if they are not, the physical therapist can teach an individual exercises to make them work correctly.

While I am receiving physical therapy, is it normal for me leave the treatment session in more pain than I had before I started the session on that day?

This is a common and complex question.  In general the answer is No, but there are exceptions.  Within Brooks Rehabilitation we offer an advanced training program for physical therapists called a physical therapy orthopaedic residency program.  For the physical therapists enrolled within this program, the goal is to learn how to manage their patients so the patients can attend the treatment sessions and leave with less pain than they had when they arrived.  Therefore, we do not believe in the “no pain, no gain” mentality.  In fact, we have found that we can get better long term outcomes when we do not significantly increase the pain of the patients we are serving.  So the answer is, a specially trained physical therapist can typically treat patients with muscle and joint problems while not creating additional pain.

Bob Rowe
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Bob Rowe
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