Low Back Pain

Do you suffer from back pain?

If so, you are not alone. According to NIH, Americans spend at least $50 billion each year on relieving low back pain. Between 70% and 85% of American adults are effected by low back pain at some point during their life. Lower Back pain, middle back pain and upper back pain can keep you from working out, playing with the kids or performing daily activities at home. Many of our back pain patients have previously tried medications, injections, chiropractor, massage therapy, physical therapy and/ or acupuncture to relieve their back pain, but nothing works. If you are tired of living with chronic lower back pain; middle back pain or upper back pain we have great news! There is a brand new technique called Advanced Soft Tissue Release (ASTR), which effectively treats back pain for good! Doctor Jacobs specializes in the treatment of lower back pain. Our back pain specialists are ready to treat you today!

What is Advanced Soft Tissue Release (ASTR)?

Advanced Soft Tissue Release (ASTR-patent pending) is a very gentle manual therapy technique, created by Dr. Joseph Jacobs, Doctor of Physical Therapy, that gently and effectively treats back pain. Many of our back pain clients who have tried everything under the sun finally find relief with ASTR. Most back pain patients experience pain relief within their first session and testify that Dr. Jacobs' approach is gentle and does not cause additional pain. Most back pain patients boast that the results are immediate and long-lasting. ASTR is exclusively available at Reliant Physical Therapy for back pain patients. Click here to read our patient testimonials and learn how you can also begin living pain free from back pain. Doctor Jacobs specializes in the treatment of soft tissue restriction. Reliant has many trained specialists who can help treat your pain using ASTR.

Back Pain

Back pain is one of the most common problems effecting millions each year. There are a variety of issues that could lead to back pain from the muscles, bones, joints and nerves. Lower back pain is the most common occurring pain. Pain can range from the neck to the pelvis. 

Low Back Pain

According to NIH, Americans spend at least $50 billion each year on relieving low back pain. Low back pain is one of the most common causes for job-related disability. Between 70% and 85% of American adults are effected by low back pain at some point during their life. Low back pain patients may have one or more of the following symptoms: back pain, neurologic symptoms, leg pain and/or spinal deformity.  

Causes of Low Back Pain:

These are some of the causes for low back pain

Symptoms of Low Back Pain:

These are some of the low back pain symptoms

  • Back pain such as dull achy or sharp
  • Pain may radiate down to hip, leg and/ or foot
  • Sensation such as tingling or numbness
  • legs or feet muscle weaknesses

Low Back Pain Prevention:

These are some of the ways to prevent low back pain

  • Improve posture
  • Healthy weight
  • Strength core muscles
  • Avoid very heavy lifting
  • Avoid high heels
  • Avoid smoking

Herniated Disc

When a "slipped" or "ruptured" disc in the lower back or neck occurs, it is called a herniated disc.  Herniated disc are one of the most common reasons for neck, arm, lower back and leg pain. A disc herniates or ruptures when part of the center of the disc pushes through the outer layer of the disc and causes pressure on the spinal canal. This may cause pressure on the nerves. Any light pressure on the nerve may cause weakness of the arm/leg muscle, pain and/or numbness.

These are some of the symptoms for herniated disc:

Herniated disc symptoms usually occur on one side of the body:

  • Herniated disc in the lower back may cause back pain, hip/ thigh/ leg/ foot pain, numbness, muscle weakness
  • Herniated disc in the neck area may cause neck pain, shoulder /arm/ forearm/ hand pain, numbness, muscle weakness
  • Pain at night
  • Pain with bending, twisting, sitting, standing or walking
  • Pain with sneezing, laughing or coughing

These are some of the risk factors for herniated disc:

  • Smoking
  • Excessive body weight
  • Poor body mechanics when lifting
  • Repetitive strenuous motion such as: lifting, bending, pushing, pulling and/or twisting


Sciatica is a common form of leg and low back pain. Sciatica symptoms may arise from spinal stenosis, disc herniation or post-operative scarring. Sciatica nerve root pain usually radiates down one leg. Sciatica symptoms may include lower back pain, tingling, numbness, or weakness in various parts of the leg and/or foot. Doctor Jacobs specializes in the treatment of sciatica.


Scoliosis is a sideway curvature of the spine or backbone. Scoliosis curve sometimes looks like an “S” or “C” letter shape. Scoliosis is a common disorder that effects many children and adults.  People who are not surgical candidates for scoliosis may benefit from physical therapy in order to relieve pain. Fascia restriction release may improve muscular imbalance due to Scoliosis curvature. Doctor Jacobs specializes in the treatment of scoliosis.


According to the Arthritis foundation, about 27 million people in America suffer from Osteoarthritis (OA). Osteoarthritis is one of the most common forms of joint disorder. Osteoarthritis is caused by wear and tear of the joints, as a result of aging or overuse. Osteoarthritis is a chronic condition generally involving the degradation of the cartilage and the bone. Common risk factors for Osteoarthritis include:  joint overuse, genetics, obesity, age, and previous joint injury. These are some of the common symptoms of Osteoarthritis:

  • Joint stiffness or soreness
  • Increased pain after activities or at the end of the day
  • Joint stiffness after resting and decreased stiffness after movement

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is an autoimmune disease and is considered to be a form of inflammatory arthritis. Rheumatoid arthritis is a chronic disorder. Rheumatoid arthritis patients bodies attack their own. Fluid  builds up in joints as a result of rheumatoid arthritis, which may cause of joint pain. Rheumatoid arthritis patients may experience inflammation throughout the body. Rheumatoid arthritis is a symmetrical disease, which occurs on both sides of the body. These are some of the common symptoms of Rheumatoid arthritis:

  • Decreased joint range of motion
  • Joints may feel warm 
  • Increased swelling and inflammation
  • Joint pain
  • Fatigue
  • Patient avoided hip surgery.

  • Patient avoided back surgery.

  • This newborn came in unable to move his neck from the side position. He suffered from torticollis, severe neck and back spasms. After just 1 ASTR treatment, he had complete range of motion.

  • Patient came in unable to move his neck from the side position. After 3 ASTR treatments, he regained full range of motion.

  • This young gymnast came in unable to do the splits. After just 1 ASTR treatment, she had full range of motion.


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