Back Pain

There are many causes of back pain, and unfortunately most adults will experience back pain at some point in their lives. The type of pain experienced, as well as the duration and severity of the pain, will differ depending on the cause, as well as the individual. Although there is no complete cure for most causes of back pain, there are definite ways to reduce pain, improve mobility and flexibility, and avoid the ill effects caused by prolonged pain and disability.
At Determination Physical Therapy, we offer non-surgical options for effectively and safely managing back pain. Dr. Yakov Simkhayev is experienced in the treatment of back pain and customizes treatment programs with the aim of getting patients back to the level of activity and type of lifestyle they are accustomed to – without being sidelined by acute or chronic pain.

We offer a number of treatment options to improve or eliminate the effects caused by back pain, no matter what the cause. In addition to non-surgical medical treatments performed by Dr. Simkhayev, Determination Physical Therapy also offers one of the most effective and proven ways to improve back pain – physical therapy. Supervised exercise and strengthening through a comprehensive physical therapy program is one of the best ways to control back pain and diminish the effects of any disability caused by the pain. Our experienced physical therapy staff works one-on-one with patients, providing the greatest chance for a successful outcome.

Surgery should always be a last resort option for the treatment of back pain. It carries with it numerous risks, a long recovery time, and even the chance that surgery is not successful. Chiropractic care is another option, but is not helpful for all people or all types of back pain. Even for those that do benefit from chiropractic care, repeated trips to the chiropractor are required in order to maintain a pain-free state and therefore it is not a good long-term solution. Self-management of back pain, on the other hand, is a safe and proven long-term approach to controlling the effects of back pain.

Determination Physical Therapy’s approach to treating back pain begins with a thorough medical evaluation. We address the cause of the pain, how long it has been going on, what makes it better or worse, and how the pain affects the patient’s daily activities. We also take into account each individual patient’s goals, limitations and concerns before devising a customized treatment plan. We offer a variety of cutting-edge non-surgical treatment options to relieve and manage pain. We also devise comprehensive plans that allow patients to self-manage their pain, under our initial guidance. This provides immediate relief, as well as a long-term approach to living a life as free from back pain as possible.

Some causes of back pain that can be treated at Determination Physical Therapy include:

  • Arthritis
  • Degenerative Disc Disease
  • Muscle Spasm
  • Nerve Impingement (Radiculopathy)
  • Sacroiliac Joint Dysfunction
  • Sciatica
  • Scoliosis
  • Spondylolisthesis
  • Thoracic or Lumbar Sprain or Strain

If you have tried any type of treatment for back pain, including chiropractic care, and have seen no improvement after two weeks, it is time to find another approach that will work. At Determination Physical Therapy, we are dedicated to helping our patients diminish or eliminate pain, while avoiding surgery. Through a combination of cutting-edge treatments, as well as a focus on strengthening the body through a structured physical therapy program, we can provide you with the tools you need to effectively manage back pain so you can get on with living the life that you love.

Thoracic or Lumbar Sprain/Strain

What is a Thoracic or Lumbar Sprain/Strain?
A thoracic or lumbar sprain or strain involves an injury to the soft tissues of the back. Sprains involve injury to ligaments or discs and strains refer to muscle and tendon injuries. The thoracic region is located in the upper portion of the back and the lumbar region is in the area of the lower back.


What is Scoliosis?
Scoliosis is a condition in which the spine curves sideways or away from the middle of the back. Most cases of scoliosis are mild, but extreme cases can cause difficulty with lung function and breathing.

Nerve Impingement (Radiculopathy)

What is Radiculopathy?
Radiculopathy is a condition in which injury that occurs near the root of a nerve located in the spine causes pain, tingling, weakness or numbness in other locations along the nerve pathway. Symptoms may be felt in the arm, shoulder, hand, wrist or fingers if the impingement is in the cervical vertebrae (neck), the chest or abdomen if the impingement is in the thoracic spine, or the legs and buttocks if the impingement occurs in the lumbar region (lower back). Symptoms result from pressure or compression exerted on the root of the nerve.

Muscle Spasm

What is Muscle Spasm?
A muscle spasm is an involuntary contraction of a muscle or feeling of muscle tightness that usually occurs suddenly, is often painful, and typically does not last long. Muscle spasms are similar to muscle cramps. Muscle spasms have many causes, but if they are caused by an injury that is not treated, they may turn into muscle knots, or myofascial trigger points, which are painful and long lasting.

Degenerative Disc Disease

What is Degenerative Disc Disease?
Degenerative disc disease relates to changes that occur in the discs throughout the spine as a person naturally ages. The spinal discs, which function as shock absorbers for the spine, separate the vertebrae, and allow the spine to remain flexible, break down over time and can cause painful conditions such as herniated discs, spinal stenosis or osteoarthritis. Degeneration of spinal discs can occur anywhere throughout the spine, but most often occur in the cervical region (neck) or lumbar region (lower back).


What is Arthritis?
There are many types of arthritis, a condition that primarily causes inflammation, pain and limited mobility in the joints. Symptoms of arthritis are caused by a breakdown of cartilage surrounding the joint, which normally acts like a shock absorber and prevents bones from rubbing together. Some types of arthritis are a result of regular or excessive wear and tear on the joints and cartilage surrounding the joints, while others are a result of metabolic or immune system abnormalities, infections or injury. Each type of arthritis has slightly different symptoms, causes and treatments.


What is Spondylolisthesis?
Spondylolisthesis is a condition in which a vertebra located in the lumbar spine (lower back) cannot maintain its position and slips forward onto a bone below. If the vertebra slips too far, there may be nerve impingement or nerve damage. The condition ranges from very mild (no symptoms apparent) to severe (resulting in nerve damage). Spondylolisthesis is most commonly seen in adolescent athletes.

Sacroiliac Joint Dysfunction

What is Sacroiliac Joint Dysfunction?
Sacroiliac joint dysfunction refers to pain that is experienced in the sacroiliac joint. The joint sits next to the spine, connecting the sacrum (the triangular bone at the bottom of the spine) to the iliac bones of the pelvis. The joint connects the spine to the pelvis and supports a great deal of weight. Dysfunction in the joint is suspected in causing pain in the lower back and legs.

Piriformis Syndrome

What is Piriformis Syndrome?
Piriformis syndrome is a condition in which the piriformis muscle compresses or irritates the sciatic nerve, causing pain along the nerve in the buttocks, back of the leg and lower back. The piriformis muscle runs from the sacrum in the pelvis to the outer hipbone and is used in the rotation of the leg and hip.


What is Sciatica?
Sciatica refers to pain, tingling, numbness or weakness felt in the legs due to compression of or injury to the sciatic nerve in the lower back. Pain begins in the lower back and radiates through the buttocks and down the leg. Sciatica is not an injury in and of itself, but is the result of an injury or condition related to structures surrounding the sciatic nerve.

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Determination physical therapy

73 - 24 Yellowstone BLVD
Forest Hills, NY 11375