Back pain refers to discomfort, stiffness, or aching sensations anywhere along the spine, from the neck base to the tailbone. It ranges from sharp, localized pain to dull, widespread aching. Upper back pain typically involves the thoracic spine and shoulder blade region. Mid-back pain affects the area between shoulder blades and lower ribs. Lower back pain, the most common type, impacts the lumbar spine and sacral region.
Your spine consists of 33 vertebrae cushioned by intervertebral discs that absorb shock and allow movement. These bones protect the spinal cord while supporting your entire body weight.
Surrounding muscles, ligaments, and tendons stabilize the spine during movement. The erector spinae muscles run along your spine’s length, while deeper stabilizers like the multifidus control individual vertebrae.
Nerve roots exit between vertebrae, sending signals throughout your body. When structures compress these nerves, pain can radiate to arms, ribs, or legs. Facet joints between vertebrae enable bending and twisting but can become irritated with overuse or injury.
Mechanical Causes:
Structural Issues:
Lifestyle Factors:
Physical Factors:
Age-Related Changes:
Health Conditions:
Occupational Hazards:
Pain Characteristics:
Movement Limitations:
Associated Symptoms:
At Physiocare, we understand that back pain affects every aspect of your life. Our evidence-based approach combines advanced manual techniques with therapeutic technologies to address the root cause of your discomfort, not just mask symptoms.
Physiotherapy restores proper spinal mechanics, reduces inflammation, and strengthens supporting muscles to prevent recurrence. Through hands-on treatment and targeted exercises, we improve tissue healing, enhance flexibility, and retrain movement patterns that contribute to pain.
Our therapists identify biomechanical faults and compensatory patterns, then create personalized programs addressing your specific pain triggers. This comprehensive approach ensures lasting relief rather than temporary fixes.
Spinal Manipulation: High-velocity, low-amplitude thrusts restore joint mobility and reduce nerve irritation. This technique releases trapped joints, improves spinal alignment, and provides immediate pain relief for mechanical back pain.
Maitland Mobilizations: Gentle, graded joint movements improve spinal flexibility without forcing structures. These oscillatory techniques reduce stiffness, enhance circulation to injured tissues, and allow pain-free movement restoration.
Mulligan Mobilizations: Combines joint mobilization with active movement, correcting positional faults while you move. This approach restores normal tracking patterns and eliminates pain during functional activities.
Myofascial Release: Sustained pressure releases restrictions in connective tissue surrounding muscles and spine. This technique addresses trigger points, improves tissue extensibility, and reduces referred pain patterns.
Graston Technique (IASTM): Stainless steel instruments detect and treat scar tissue and fascial restrictions. This evidence-based method stimulates healing, breaks down adhesions, and improves tissue quality in chronic back pain.
M2T Blade (IASTM): Advanced instrument-assisted soft tissue mobilization targeting deep fascial layers. This technique enhances blood flow, releases myofascial restrictions, and accelerates tissue regeneration.
Cupping Therapy: Uses negative pressure to lift soft tissues, increasing blood flow, reducing muscle tension, and decreasing inflammation. Cupping promotes tissue healing and provides effective pain relief, particularly for muscular back pain.
B-Pulse Therapy: Delivers targeted electrical stimulation to activate muscles, improve circulation, and reduce pain. B-Pulse supports muscle re-education, accelerates recovery, and enhances functional movement.
Acupuncture: Involves the insertion of fine needles at specific points to stimulate the nervous system, reduce pain, improve circulation, and restore balance within the body. Effective for both acute and chronic pain conditions.
Dry Needling: Targets myofascial trigger points using thin needles to release muscle tightness, reduce pain, and improve mobility. Particularly beneficial for muscle spasms and persistent musculoskeletal pain.
Graded Joint Mobilization: A hands-on technique that gently improves joint movement and flexibility through controlled, progressive mobilization. Helps reduce stiffness, restore range of motion, and improve joint function.
Traction Therapy: Applies controlled decompression to the spine or joints to relieve pressure, reduce pain, and improve alignment. Commonly used for disc-related issues, nerve compression, and chronic back or neck pain.
Laser Therapy: Photobiomodulation stimulates cellular repair and reduces inflammation at the source. This painless therapy accelerates healing, decreases pain signals, and enhances tissue recovery without side effects.
TENS (Transcutaneous Electrical Nerve Stimulation): Electrical impulses block pain signals and stimulate endorphin release. TENS provides immediate pain relief, reduces muscle spasms, and allows comfortable participation in therapy.
IFC (Interferential Current): Deep-penetrating electrical currents reduce inflammation and promote tissue healing. This therapy targets deeper structures, improves circulation, and provides effective pain management.
DNS (Dynamic Neuromuscular Stabilization): Restores optimal movement patterns based on developmental kinesiology principles. DNS retrains core stabilization, corrects faulty breathing patterns, and establishes functional spinal control.
Red Cord Therapy (Neurac): Suspension-based neuromuscular activation identifies and corrects movement dysfunction. This approach strengthens deep stabilizers, improves coordination, and restores pain-free functional movement.
Deep Oscillation Therapy (DOT): Electrostatic pulses create gentle tissue oscillation, reducing swelling and pain. DOT accelerates healing, improves lymphatic drainage, and treats both acute and chronic back conditions.
Accu Stim (Microcurrent): Subsensory electrical currents enhance cellular energy production and tissue repair. This therapy reduces inflammation at the cellular level, promotes healing, and provides cumulative pain relief.
Dolphin Neurostim (Microcurrent): Targets trigger points and nerve pathways with concentrated microcurrent. This technique releases stubborn muscle knots, reduces nerve hypersensitivity, and provides immediate functional improvement.
NIS (Neuro Integration System): Corrects neurological dysfunction affecting muscle activation and pain perception. NIS addresses the communication breakdown between brain and body, restoring optimal function.
Radio Frequency Therapy (StimPod): Electromagnetic stimulation enhances neuromuscular function and reduces pain. This advanced therapy improves muscle coordination, releases tension, and accelerates recovery.
EMTT (Storz Extracorporeal Magnetotransduction Therapy): High-energy electromagnetic pulses stimulate cellular metabolism and tissue regeneration. EMTT provides powerful anti-inflammatory effects, enhances circulation, and treats chronic, difficult-to-resolve back pain.
Our therapists hold advanced certifications in manual therapy, neuromuscular rehabilitation, and specialized techniques rarely found elsewhere. We combine evidence-based traditional physiotherapy with cutting-edge technologies, ensuring you receive the most effective treatment available.
With six convenient locations across Ottawa, we make quality back pain care accessible when and where you need it. As a trusted, we’re committed to helping you return to pain-free living through personalized, compassionate care that addresses your unique needs.
Treatment is tailored to your comfort level. While some techniques may cause brief discomfort, we adjust intensity to ensure tolerable, therapeutic experiences that promote healing.
Previous experiences may have lacked comprehensive assessment or advanced techniques. Our multidisciplinary approach and specialized technologies often succeed where traditional methods haven't.
No referral is required in Ontario. You can book directly with our physiotherapists, who are primary healthcare providers qualified to assess and treat back pain.
Many patients experience relief within 2-3 sessions. Significant improvement typically occurs within 4-6 weeks, though chronic conditions may require longer treatment for lasting results.
Yes. Even long-standing back pain responds to comprehensive physiotherapy. We address underlying dysfunction, break pain cycles, and restore function that improves quality of life significantly.
Gentle movement is typically better than complete rest. We'll guide you on appropriate activity levels and provide exercises that promote healing without aggravating your condition.
Most back pain resolves with conservative physiotherapy treatment. Surgery is rarely necessary and usually considered only after exhausting non-surgical options, which we provide comprehensively.
Yes. Spinal dysfunction can cause referred pain, postural compensation, and movement limitations affecting shoulders, hips, and legs. We address these interconnected issues holistically.
We provide education on posture, ergonomics, and home exercises strengthening core stabilizers. Regular maintenance and lifestyle modifications significantly reduce recurrence risk.
Most extended health plans cover physiotherapy. We can direct bill many insurance providers and provide receipts for reimbursement. Contact us to discuss your specific coverage.
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EXCELLENT Based on 455 reviews Posted on Jack ScriveTrustindex verifies that the original source of the review is Google. After working a desk job for over 45 years, I got a very bad posture and lots of pain. I originally saw Gunjan Vermani, she was very thorough in her initial examination and came up with a plan that fit my condition perfectly. I then saw Mehul Patel, another great therapist. He is now treating my condition. All the staff are very kind and pleasant which make for a very friendly atmosphere.Posted on Marisela CastilloTrustindex verifies that the original source of the review is Google. Vijay gave very good service , very nice and friendly people.Posted on Tracey SametzTrustindex verifies that the original source of the review is Google. The team at Physiocare create a strong and professional healing environment. The best physio team I have ever experienced 💜Posted on Jocelyne MoskalukTrustindex verifies that the original source of the review is Google. Where to start! I came to this clinic hopeful of progress on an ongoing injury that went undiagnosed for 5 years and was referred by my neurologist as what felt like my last resort considering it was a 50 min drive one way and I had to attend twice a week. I was afraid it was going to be the same outcome as all the other past experts I've consulted for my very particular situation. Vani and her amazing team have really done a lot of positive in my life these last few months. I have nothing but amazing things to say about this clinic and the employees working here. You immediately feel cared for from the moment you step in to the moment you pay and walk out. Something very incredible happened in my last visit that I gladly want to share. I am a privacy expert in the Federal Government for the last 20 years and consistently stress the importance of privacy protection and raising awareness around this area. While I was on the traction machine, I overheard one of the employees raising awareness to their staff in a meeting on this particular subject and this made my heart happy. They indeed take privacy protection and privacy breaches very seriously. She did it in an utmost professional manner including citing the act. This is very important to me and I know it is for everyone else as it should. Just know that this is your place full stop. I don't think there is any other better place. To all the staff: thank you all for your amazing services. You are indeed #1 and your professionalism outshines anything. Keep smiling and helping us getting better one appointment at a time.Posted on Abir BarakaTrustindex verifies that the original source of the review is Google. I had a wonderful experience with Marwa’s osteopath services. She is highly professional and made me feel at ease right away. Her technique was both effective and comforting, helping me feel relaxed and well cared for throughout the session. I definitely plan to book another appointment with her, highly recommended!Posted on Joanna van HaastrechtTrustindex verifies that the original source of the review is Google. Very professional and caring therapists. Nishika and staff are wonderful.Posted on Alpesh GujjarTrustindex verifies that the original source of the review is Google. I’ve been going to Physiocare for the past 4 years whenever I need physiotherapy, and they’ve always been great. Dr. Vijay and Dr. Mehul have both been a big help over the years. On my recent visit, Dr. Vijay treated my neck pain and did an excellent job—I'm feeling much better now. The staff is always friendly, and the clinic is clean and well-maintained. Highly recommend Physiocare for anyone looking for quality physiotherapy treatment.Posted on Maureen PatrickTrustindex verifies that the original source of the review is Google. I was very pleased with the care I received, and have follow up appointments already booked.
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