pain relief through activity, physical medicine and pain medicine physicians in Hyattsville, Lanham, LaurelUltimately, physical therapy helps the injured patient build muscle strength, increase flexibility and improve stability by working one on one with a trained professional. Strength training and weight is crucial to recovery, especially around the injured area, but also to the entire body. Initially, physical may make limited use of what is referred to as "modalities" to help treat pain. Modalities are considered to be a passive form of therapy as the therapist applies treatment to the patient but the patient does not exert energy to regain strength. This can include the use of heat, ice, and ultrasound to relieve pain so the patient can move quickly into more active, and constructive methods of rehabilitation, like exercise.


Manual Therapy Techniques — Nonsurgical Alternatives That Work

nonsurgical treatment for musculoskeletal pain, lanham, laurel and hyattsville, Choice Pain, Dr Tristan Shockley, pain management center Maryland, chronic pain treatment Washington DC, chronic pain treatment Maryland, spinal injections for back pain Maryland, non-surgical treatment for back pain Washington DC, non-surgical treatment for back pain Maryland, home remedies for back pain Maryland, home remedies for back pain Washington DC, spine injections for back pain Washington DC, pain care treatment options Washington DC, spinal injections Laurel Maryland, injections for back pain Washington DC, injections for back pain Washington DCA manual therapist’s background typically begins with physical therapy education followed by additional training in spine. This specialized training distinguishes them from general physical therapists and can be within a host of manual therapy philosophies. Each school of thought involves unique, pain-relieving techniques that help patients return to function as efficiently as possible. Some of the spine-specific manual therapy skill sets are taught by schools such as McKenzie, Paris, Ola Grimsby, Cyriax and Maitland.

Manual therapy relates to the use of the therapist’s hands to achieve pain relief. Using specialized techniques, the spine therapist is able to provide pain relief through hands-on movements applied to vertebrae and soft tissue areas. The result is that pain relief is achieved not passively, with a modality like ice or heat, but through active movement of the joints and tissues.


Spine Therapy Schools of Thought

A manual therapist works joints in a way that relieves pain and enables the patient to progress into the exercise gym. Although there are several schools of thought within the field of manual therapy, the most effective method involves the integration of several approaches based on each individual patient.

For instance, the Cyriax approach uses manipulation techniques to relieve back and neck pain. There is “low velocity, low amplitude manipulation,” involving slow movement over a small range of motion, and “high velocity, high amplitude manipulation,” in which movement is quick and covers a wider range of motion.

Perhaps the most mainstream and respected spine therapy technique is the McKenzie technique. Years ago, a New Zealand therapist named Robin McKenzie noticed that some back and neck pain symptoms were relieved through various specific stretches and movements. His treatment philosophy has since evolved into an entire therapy school. According to the McKenzie method, pain that may initially extend down a leg or arm can be centralized in the low back or neck. Ultimately, the pain will continue to shrink until, working with movement, it disappears. To become McKenziecertified, a therapist must complete numerous courses in evaluation and treatment techniques and then pass a rigorous certification exam. A certified McKenzie therapist is often able to relieve symptoms using special movements that arch or flex the back or neck. One of the most beneficial aspects of the McKenzie method is that the patient can learn the exercises and perform them at home.

Another therapy approach is called “spine stabilization.” This method maintains that back pain sufferers can control their pain by finding a painfree zone of movement and learning to hold the spine in this position to avoid injury. This can also involve retraining the patient in posture and walking techniques.

Regardless of the specific school of thought, the best spine specialized therapists do not use passive modalities such as ice or heat packs simply because passive pain relief methods do not have a lasting effect. The only way to permanently relieve pain involves altering the physiology of the back by using exercise to make the back stronger, more flexible and resistant to injury.

Contact Us to learn more about pain control and pain management options offered by Dr Shockley at CHOICE Pain and Rehabilitation Center in Hyattsville, MD.



Disclaimer: The pictures displayed in this website are images of physicians, patients and employees who have consented to have their pictures in this website.

Choice Pain is a regional specialty center for pain management, providing treatment and pain relief for a variety of pain conditions including: back pain, neck pain, pain from arthritis, headache pain, fibromyalgia, TMJ pain, cancer pain and myofascial pain.  Choice Pain — with offices in Hyattsville, Lanham, Gaithersburg, & Dundalk — is referred patients from across the Washington DC and Baltimore region, including nearby cities of: Silver Spring, Baltimore, Bethesda, Rockville, Annapolis, South Laurel.

Prizm Logo
Website Design & Educational Content © Copyright 2018 Prizm Development • Developing Centers of Excellence for Better Healthcare.


To contact CHOICE Pain and Rehabilitation Center, fill in the form below. Your information will be delivered directly to a representative who will follow up with you to answer any questions you have or to help you set up an appointment.


With three locations across the Washington D.C. area, taking the next step towards a pain free life may be easier than you think.

Click below to request an appointment at any of our three D.C. locations.

Make an Appointment


Our Mini-brochure is a great introduction to Choice Pain and Rehabilitation, featuring physician bios, treatment capabilities, and other important information. Feel free to print the print-friendly PDF and bring it with you to your appointment to ask any questions.

View Brochure