Fast Acting Pain Relief With Long Lasting Results

We are the experts in gentle pain and injury solutions. Our progressive techniques are sure to produce the results that you desire with your pain relief. As a patient, you will undergo a complete physical exam and one on one with a skilled therapist who will listen, understand, and be quick in determining your needs. Even if you have tried other treatments and therapies, we offer programs that are right for you, and are proven to be the MOST effective for people suffering from:




Benefits of Our Programs:

1. Reduced pain
2. Start seeing immediate results
3. Learn how to avoid future problems
4. Live life more enjoyably
5. Return to a more active lifestyle
6. Sleep better
7. Increased flexibility & movement
8. Improved core stability


Physical Therapy In Collierville

Physical Therapy in Collierville is Being Redefined!


Revolutionary pain relief treatments that work immediately are available only at PT Squared physical therapy and personal training. You will love that it is gentle and very affordable, whether you have insurance or not.


Physical Therapy in Collierville is not the same at every clinic. The PT squared team are caring, compassionate and they are the best at what they do. The programs being offered here by their licensed therapists range from pain relief, post rehab to momaerobics. You’ll find some of the best physical therapists in Collierville at our facility and you’ll find services not being offered by other therapists. If you are looking for fast pain relief or to improve the quality of your life, we guarantee you will find the best physical therapist Collierville has to offer at our facility.


Some of the reasons PT Squared Physical Therapy and Personal Training is unlike any other lies in their caring staff and revolutionary pain relief procedures. They truly are the experts in relieving pain and improving the quality of life for their patients. Call today and get a free screening to determine if we are the right place for you.



Back Pain not that scary

It is said that the second leading cause of disability in the US is back pain and you can stop it before it gets that far.


Even though the vast majority of people suffering from lumbar injury can get relief through conservative treatments such as exercise, anti-inflammatory medication, physical therapy, and adjusting skills are generating apprehension about the need for surgery according to this article. Back pain myths are becoming a hindrance in the treatment of back related injuries. Only 1 in a hundred people are advised to undergo spine surgery, only when all conservative methods have failed. Surveys reveal that there are myths about spinal surgery, and the belief that one surgery may lead to multiple ones is deterring the lumbar injury sufferers to seek surgery for relief. It has been observed that some even wait as many as 90 days, which is more than the stipulated period for seeking help


Back Pain Myths


“It is heartbreaking to see that myths and an unnecessary fear of surgery are holding people back from getting even the most conservative help for their back pain,” said Joseph Cheng, MD, MS, associate professor of Neurological Surgery at Vanderbilt University Medical Center and NASS Public Affairs Committee chair.


Most Don’t Need Surgery

 According to Cheng, the vast majority (90 percent) of people with back pain will get better without treatment or by using conservative treatments, such as anti-inflammatory medication, exercise, coping skills and physical therapy.

Spine surgery is recommended in only about 1 percent of cases, with very specific diagnoses, after a more conservative course of treatment already has been tried.


Back Pain Myths

 Despite these facts, patient concerns about potential surgery came up many times throughout the “9 for Spine” survey results. The survey shows that 66 percent of spine specialists surveyed believe that fear of possible treatments, including surgery, keeps their patients from seeking help for back pain.

Many of their patients believe the myth that once you have spine surgery, you are destined to have multiple spine surgeries. The survey also found that over 12 percent of patients wait more than 90 days from the onset of their back pain to seek help from a spine specialist—far longer than the recommended four to six weeks.


Preventing Back Pain

 When asked what advice they would offer their patients to prevent back pain, 76 percent of the specialists surveyed stressed the importance of regular exercise and nearly 50 percent urged patients not to smoke.

Said Dr. Cheng, “Right at the top of the list are common sense things like exercising regularly, not smoking, maintaining a healthy body weight and using proper body posture and mechanics when using electronic gadgets or lifting heavy objects.”


Back pain myths and fear of surgery are two major reasons for people with back pain being reluctant to visit spine specialists, as revealed through surveys. According to Health News Digest’s article, many people have fear that a single surgery will lead to multiple operations, even though it has been established that only 1% need surgery for spinal problems. Some people with back pain have been observed to hold back, suffering with back pain for three months just because of the fear of surgery. Relief from back pain can be obtained through regular exercising, smoking cessation, maintaining healthy body weight, and keeping ergonomic postures when lifting heavy objects or using any gadgets. There can be no better alternative than regular exercise to keep away from back pain, if you ask me. If freehand workout helps to prevent surgery in the long run, why not do it after consulting a physician.




Weekly food Menu for March 23- April 2nd


Breakfast Bites 

Buenos Dias Burrito

Eggs Ranchero

Hustle and Flow

Ultimate oatmeal


Ba Beef Stew

Beefed up Brown Rice Pasta

Chicken and Quinoa

Turkey Lasagna

Spicy Chicken Salad Wrap


Salmon and Veggies

Rick’s Power Chili

Ultimate Beef Dinner

Viva La Turkey

Ultimate cobb salad


Half Time

Hummus bowl

Ultimate Brownie

Ultimate Cottage

Veggie Bowl

Continue reading

More Reviews for PT Squared Physical Therapy and Personal Training in Collierville

We have now been in existence for 1 year and a half and a lot of great things have been happening. We have made a lot of new friends and gotten a lot of people to feel better whether it be from Physical Therapy or Personal Training. Below are some of the reviews we have received since start date. We are so happy that people have enjoyed their time at PT Squared Physical Therapy and Personal Training. 


a week ago
I went to the doctor for chronic knee pain and was informed that if I went through physical therapy, it would reduce my chances of having to have knee surgery. I wanted to make sure that I went to a place that I could trust, so I chose PT Squared. I contacted Josh and he was able to schedule my assessment very quickly and then I started my sessions. The staff at PT Squared is extremely professional and welcoming. They genuinely care about the progress you are making as their patient. Also, they are very flexible with their scheduling, which was very important to me since I live in Midtown. I started going to PT Squared at the end of January and graduated from their program 1 month later. Since then, I haven’t had any pain in my knees. And yes, I am continuing my at home exercises :)
2 months ago
I just finished my therapy for a partial knee replacement and couldn’t be more pleased! I’ve had other surgeries that required therapy but me being the genius I am, I figured I could do it myself. Wrong! I am so glad that I found PT Squared because of the treatment I was given. Krista and Josh are two of the nicest and genuinely friendly people you will ever meet! If you ever need therapy, Krista is the best!!! They also have personal training that I may be going back for. So in my opinion, if you ever need therapy for any reason, PT Squared is the place to go! Thanks Krista and Josh, sincerely Doug Ping
a month ago-
I just want to say a HUGE thanks to the staff at PT Squared. Several months ago, I began looking for a personal trainer for my son that could create a workout program specific for the sport he enjoys playing. I remembered seeing someone from PT2 at a school health fair so looked them up and yes they were able to do what I was looking for. Krista has helped my son not only physically but mentally. He has so much more confidence. A MAJOR benefit that you get from training with Krista is that she not only knows how to get you stronger but she also knows how to help you prevent injuries. You DO NOT get this with most trainers. At the same time, my other son needed therapy for his ankle. He has just begun this venture but has already started seeing results. Lastly, from the moment you call PT Squared you are not a number or a name but a friend. Josh is GREAT to work with and treats everyone as family. You will NEVER find another place like PT Squared! They are genuine people who want the BEST for everyone. They truly LOVE what they do and love to help you get better.
a month ago
I signed up and completed my first bootcamp session at PT Sqared. When you go into a business with plans to spend money, there is such a feeling of anxiety on if you made the right decision. Well, I have to tell you that I know I have never spent money more worth while. To see a couple, pour their hearts into their business and take such amazing care of their clients has been a great experience. The workout was wonderful and I will be going back today! Josh and Krista make everyone feel welcome, appreciated and valued. For me, joining an exercise class is intimidating. I have done it many times and never gone back. The staff at PT Squared takes care of that fear. I felt comfortable and not the least bit scared of my beginner abilities. So again, money well spent!
2 months ago
Just wanted to give a big shout out to the staff at PT Square. I recently went in for some physical therapy on my left heel. It had been giving me a lot of problems and a friend of mine,, his wife, recommended them. The staff there is first class. They went into detail of what i needed to do to get my heel back to normal. They are by far the friendliest physical therapist i have ever been to. Josh and his staff are first class people and that is what the town of Collierville is all about.
3 months ago
I have never been treated better. These guys helped me to straighten out a 2 year worsening back problem. They also taught me how not to get into that shape again. They did more for me than any Doctor has. Thank You!
4 months ago
After seeing an ad for boot camp at PT Squared, I decided to try it. One of the best decisions I have ever made!! After three months (must have liked it!!), they have taken a none exercising person to someone who looks forward to getting up twice a week for 5:30 am boot camp. I might not be able to do every exercise at the highest level but Krista always has a modified way to get the most out of each exercise. I feel I am getting stronger with each class. Everyone and everything about PT Squared is friendly, inviting and comfortable feeling.
7 months ago
PT Squared is great! I have participated in several of the exercise classes that they offer which are wonderful. You get a great workout with an awesome group of people. The atmosphere is very clean and well organized. Even if you don’t need the physical therapy aspect they have something to offer everyone!
2 months ago
I had excruciating back pain and popped in unexpected. Krista helped me that day and I’ve been coming for pain relief and maintenance ever since. Boot camp was amazing too! Very friendly and sincere care!
9 months ago
I lucked out picking PT^2 to rehab after my injury. The staff was very well trained and used a great series of techniques to retrain my ankle. The team constantly engaged in conversation making the entire experience pleasurable. I had therapy three times a week for about five weeks and I never had to wait a minute past my scheduled appointment time. I was amazed at how quickly I regained the ability to walk unassisted. If you are in need of physical therapy, I highly recommend checking out PT Squared.
6 months ago
PT Squared was a great experience for me. They helped me before and after my surgery. I found them very knowledgeable and helpful, and they were incredibly accommodating of my schedule. They treat their clients like family (which could be good or bad, depending on your family!)
11 months ago
My experience with PT Squared was fantastic. They built me up from having a gimpy knee to being able to do stretches, walk, and exercise without pain. I look forward to going back for personal training in the near future. Thanks guys! Donaven Bowen
11 months ago-
I was fortunate enough to find PT2 when they first moved to Collierville almost a year ago. They have, hands down, the friendliest and most accommodating staff in the business, and you can tell they sincerely care about their patients. Not only have I used their great training facility, but it’s the first and only place I send my own family for physical therapy, and would recommend it to anyone.

You can’t out train a bad diet – Healthy meal plans are a must




A lot of people believe that their exercise program will somehow make up for the way they eat. They use the excuse that they can eat whatever they want because their exercise offsets the excess calories taken in. This way of thinking is typically a set up to fail.  Most people do not end up with a six pack and really low percentage of body fat eating whatever they want whenever they want. The body just doesn’t work that way.  Often a person does not realize the amount of calories they consume and they also think they burn a lot more calories than they actually do. The majority of people have no clue how many calories are in the foods that they eat, but justify them with spending 30 minutes jogging or in the gym. The bottom line is that healthy meal plans and adequate exercise are the way to good health and  a tone body.


In the same 3 minutes it takes to consume 800-1000 calories of food a person only burns approximately 40-45 calories in high impact cardio exercise.  It takes a lot more effort to burn 800 calories than it does to eat 800 calories. Yes, we all know that it takes less time to eat then exercise but the comparison helps us realize that one donut can defeat the results of an hour of aerobics.  Is it worth it? The excess calories rarely get burned off. In diet vs. exercise you can never out train a bad diet. The bad diet will win every time.  For someone who desires to be lean it takes eating the right amount of proper foods and an effective exercise routine. Receiving the maximum results from exercise will not happen without healthy meal planning.  They go hand in hand.  Most of us are not Olympic Athletes who train up to 10 hours per day. They are the only exception.











In the same 3 minutes it takes to consume 800-1000 calories of food a person only burns approximately 40-45 calories in high impact cardio exercise.  It takes a lot more effort to burn 800 calories than it does to eat 800 calories. Yes, we all know that it takes less time to eat then exercise but the comparison helps us realize that one donut can defeat the results of an hour of aerobics.  Is it worth it? The excess calories rarely get burned off. In diet vs. exercise you can never out train a bad diet. The bad diet will win every time.  For someone who desires to be lean it takes eating the right amount of proper foods and an effective exercise routine. Receiving the maximum results from exercise will not happen without healthy meal planning.  They go hand in hand.  Most of us are not Olympic Athletes who train up to 10 hours per day. They are the only exception.


Diet Recipes for Success- Steps for healthy meal plans

  • Eat 4-6 small meals per day
  • Snack on bananas, non fat yogurt, nuts and seeds 
  • Cut down on portion size – a fist full is enough
  • Choose lean proteins – tuna, salmon, egg whites, lean beef, turkey breast, ground turkey
  • Increase water drinking and stick to non caffeinated beverages – an average person adds an extra 500-800 calories per day drinking soda
  • Choose healthy fats – extra virgin olive oil
  • Eat high fiber carbs – corn tortillas, oatmeal, whole wheat pasta, whole grain bread
  • Cut back on alcohol intake
  • Don’t think you have to clean your plate 
  • Track daily calories – it surprises a lot of people how many calories they actually consume

The general population that is serious about exercising spends approximately 6-8 hours working out per week. This most likely will not cover the amount of calories taken in for a person who eats whatever they want whenever they want.  A great exercise program works if it does not have to go against an unhealthy diet. This is why you can’t out-train a bad diet.  It is so important to know what to eat, when to eat, and how much to eat. Healthy meal plans are the way to utilize working out to the fullest. When a person says they can eat what they want because they exercise the body has news for them. The exercise will not offset their excess of calories. Running on a treadmill is great but it will not burn the excess calories of eating half a pizza. In general, people underestimate the actual amount of calories they eat and drink and over estimate the amount of calories they burn during a workout. Unless a person lives a healthy eating lifestyle combined with a regular exercise routine the body will not be able to burn the excess.  It takes both.   

We have seen a lot of people come in and out of our doors for weight loss and the majority of them get the results they need. They get those results because not only because of their training but they have their healthy meal plans done by someone else or they do it themselves. Above was an article I found from that is right on point with our beliefs. If you need help with your healthy meal plans we have pre-made fresh food that all you have to do is warm up in the microwaves for 2 minutes. The calories, fat grams, protein and carbohydrates are shown on each item. Call 901-221-2619 if you have any questions or are ready to get ready to make unbelievable changes with your body.

Weight Loss Success Stories with Collierville’s Fitness Bootcamp




Perfect Model of What PT Squared is all about


This picture is of a former patient that had a knee injury for 4 years. He came to us in May of 2013 desperate for help because he wanted to get back to running and doing spartan races. He got better within 6 visits and started fitness training with us in September. Not only is he running spartan races but he cut his time from 2hrs and 35 minutes to 1 hour and 9 minutes. He will break 1 hour next race without a doubt. This is what PT Squared LLC is all about when you go from injury to exercising and completing fitness goals. PT Squared’s Fitness Bootcamp is for everyone that is ready to make a difference. You will read below on how to go from doing absolutely nothing to getting in the best shape of your life. Feel Free to call PT Squared LLC at 901-221-2619 and set up a FREE fitness consultation to get a better understanding of fitness.





The Main Problems
So why do most people have trouble making exercise a regular habit? Well, there are probably a number of factors, but here are the main ones as I see it:

  1. Too difficult. People set out with a lot of ambition and enthusiasm, and start out with a big goal. “I’m going to go to the gym for an hour a day!” or “I’m going to run 30 minutes every day!” The problem is that the goal is too difficult to sustain for very long. You can do it for a few days, but you soon run out of energy, and it becomes a drag to do it. This is why Collierville’s Fitness Bootcamp is right for you. We make hard enough for an extreme athletes and we add modifications for someone that hasn’t exercised their whole life. We understand not everyone’s goals or fitness levels are the same 
  2. Too many goals. Often we set out to do too much. We want to run, and lift weights, and eat healthy, and quit sweets, and stop drinking soda. Well, those are multiple goals, and you cannot focus on the exercise habit if you’re trying to do all the others at the same time. Or we might start with one goal, but then get caught up in another goal (to stop procrastinating, for example), and lose our focus on the first one. This is why the Personal Trainer at Collierville’s Fitness Bootcamp controls your ambitions and takes you step by step to reaching the goal of your choice
  3. Not enough motivation. It’s not a lack of discipline, it’s a lack of motivation. The most powerful motivators, in my experience, are logging your habit and public pressure. There is nothing more more motivating than working out with 10 friends at Collierville’s Fitness Bootcamp that will push you and support you long the way. 

The 4 Simple Steps
So how do we solve those problems? Keep it simple. Here are the 4 simple steps to start the exercise habit (and keep it going). I should note that you can use these 4 steps to start any habit.

1. Set one easy, specific, measurable goal. There are several keys to setting this crucial goal:

  • Written: Write this down. Post it up. If you don’t write it down, it’s not important.
  • Easy: Don’t — DO NOT — set a difficult goal. Set one that is super, super easy. Five minutes of exercise a day. You can do that. Work your way to 10 minutes after a month. Then go to 15 after 2 months. You can see what I mean: make it easy to start with, so you can build your habit, then gradually increase.
  • Specific: By specific, I mean what activity are you going to do, at what time of day, and where? Don’t just say “exercise” or “I’m going to walk”. You have to set a time and place. Make it an appointment you can’t miss.
  • Trigger: I recommend that you have a “trigger” right before you do your habit. For example, you might always brush your teeth right after you shower. The shower is the trigger for brushing your teeth, and because of that, you never forget to brush your teeth. Well, what will you do right before you exercise? Is it right after you wake up? Right after your coffee? Right when you get home? As soon as you take off for lunch? A trigger that you do every single day is important.
  • Measurable: By measurable, I mean that you should be able to say, definitely, whether you hit or miss your goal today. Examples: run for 10 minutes. Walk 1/2 a mile. Do 3 sets of 5 pushups. Each of those has a number that you can shoot for.
  • One goal: Stick to this one goal for at least a month. Two months if you can bear it. Don’t start up a second goal during that 30-day period. If you do, you are scrapping this goal.

2. Log it daily. This is the key habit. If you can log your workout, you will start to see your progress, and it will motivate you to keep going. And you have to make it a habit to log it right away. Don’t put it off, and say you’ll do it before you go to bed. As soon as you’re done working out, log it. No exceptions. And don’t make the log complicated — that will only make you resist doing the log. Just the date, time, and what you did.

3. Report to others. I think this is key. You can do it on your blog, on an online forum, with your spouse, or friends or family, or a workout partner, or a coach, or a group, or a class. However you set it up, make it part of the process that you have to report your daily workout to other people. It could be using an online log, or on a forum, or through email, or the phone, or just by telling your co-workers what you did this morning. But be sure that they know your goal, and that you are going to report to them, and be sure that they are expecting it every day.

4. Add motivation as needed. The first three steps might be enough for you to get the habit going. But if not, don’t just give up. If you miss two consecutive workouts, you need to look at why, and add a new motivation. Rewards, more public pressure, inspiration, whatever it takes. You can add one additional motivator, and then see if it works. If you miss two more consecutive workouts at any time, add another motivator. And so on, until the exercise habit sticks.



Massage Therapy health benefits

Massage is no longer available only through luxury spas and upscale health clubs. Massage therapy is used at PT Squared Physical Therapy and Personal Training in Collierville as a way to “Multiply Your Results”.  Our Massage Therapist are experienced in therapeutic massage to reduce muscle tension and help with sports performance along with back/ neck pain. Massage Therapy in Collierville will forever be changed due to all the benefits learned for Massage. It was once though as just a relaxing benefit but there are many health benefits associated with Massage Therapy. Insurance does not cover Massage but at PT Squared in Collierville, TN we offer a 20 percent discount to all clients and patients for their massage. We even have a chance for a 1 hour massage once a month for $45 with a yr contract. Regular Price is $75 for full hour and $45 for half hour. Read below what our friends at the Mayo Clinic said about Massage Therapy. Call us at 901-221-2619 if you have any additional questions.


What is massage?


Massage is a general term for pressing, rubbing and manipulating your skin, muscles, tendons and ligaments. Massage therapists typically use their hands and fingers for massage, but may also use their forearms, elbows and even feet. Massage may range from light stroking to deep pressure.

There are many different types of massage, including these common types:

  • Swedish massage. This is a gentle form of massage that uses long strokes, kneading, deep circular movements, vibration and tapping to help relax and energize you.
  • Deep massage. This massage technique uses slower, more-forceful strokes to target the deeper layers of muscle and connective tissue, commonly to help with muscle damage from injuries.
  • Sports massage. This is similar to Swedish massage, but it’s geared toward people involved in sport activities to help prevent or treat injuries.
  • Trigger point massage. This massage focuses on areas of tight muscle fibers that can form in your muscles after injuries or overuse.

Benefits of massage


Massage is generally considered part of complementary and alternative medicine. It’s increasingly being offered along with standard treatment for a wide range of medical conditions and situations.

Studies of the benefits of massage demonstrate that it is an effective treatment for reducing stress, pain and muscle tension.

While more research is needed to confirm the benefits of massage, some studies have found massage may also be helpful for:

  • Anxiety
  • Digestive disorders
  • Fibromyalgia
  • Headaches
  • Insomnia related to stress
  • Myofascial pain syndrome
  • Paresthesias and nerve pain
  • Soft tissue strains or injuries
  • Sports injuries
  • Temporomandibular joint pain

Beyond the benefits for specific conditions or diseases, some people enjoy massage because it often involves caring, comfort, a sense of empowerment and creating deep connections with their massage therapist.

Despite its benefits, massage isn’t meant as a replacement for regular medical care. Let your doctor know you’re trying massage and be sure to follow any standard treatment plans you have.



Physical Therapy in Collierville is evolving







What Makes PT Squared different?


People want to know what makes PT Squared (Physical Therapy and Personal Training) different than any other medical office. Patients are use to the same treatment during Physical Therapy and expect it to be the norm. The treatment I am talking about is walking in the door then sitting down maybe for 30 min (Maybe 2 hours) by yourself. Next you go back to an area and get told some exercises to do. (Maybe some manual therapy or Modalities)  You get done and you are told to walk up to the front desk to pay and maybe set up more appointments. This might last for 2-3 months. After all of this you never hear from the Clinic again.


PT Squared Process for Physical Therapy


  • You walk in the door and are immediately treated like family
  • You come back within 5 minutes of your appointment time
  • You get asked everyday how you are feeling and see how your day or week is going. Before you know it we are connected on every level
  • You go to the front desk and are checked on before you leave
  • You are given some exercises to take home and are educated
  • You get better than you ever expected from Physical Therapy
  • Wait its not over….You are checked on every 3-4 months just to see how you are doing and how everything is going.


At PT Squared Physical Therapy  we were asked about our “Niche”. Our Niche is supreme customer service. You are never just a number. You are always family. This is what our goal was when we opened. We looked at our complaints.

  • Hours only open while I am at work. (We come in early as 5am and stay late as 8pm)
  • Treated like a number not a person. (We get to know you and your family)
  • WAIT TIME. I swear waiting will kill your experience and whole day. (Rarely will you ever be longer than 5 minutes past your appointment time)
  • Never being checked on after I am done with therapy (Christmas Cards, Birthday Cards, and Random phone calls checking on you. We never miss a beat!)
  • To go above that we ask what we could do to make your experience even better at PT Squared Physical Therapy in Collierville. We also pair up with other Medical Professionals (Physical Therapists, Doctors, NP, Chiropractors, ensure you get the best treatment)
  • Not enough services offered after Physical Therapy. (We offer Massage Therapy, Nutritional Counseling, Personal Training, Group fitness Classes, Post Rehab, Yoga, etc)
  • They don’t give back to non profit organizations and the Community. (PT Squared Physical Therapy raised over 30k last year for MDA of the mid south, Collierville animal Shelter, Jessica’s new Journey etc)


Give back

I tell people all the time that want to be known as the most charitable small business. Its not about how much you make but about how much you give. We are a middle class family that wants to make a difference in your life for the better. PT Squared (Physical Therapy and Personal Training) is ran by a happily married couple with strong christian beliefs. Our path was not easy to open this business but we were determined to do things the right way. If you need anything or just would like to talk to us please call us at 901-221-2619 or stop by and say hello

In the next Blog I will talk about how we started this business and why we want to do so much for the community. I hope you have a great day and try to stay warm.


Herniated Disk Treatment with a Physical Therapist

How Is a Herniated disk Diagnosed?

Your physical therapist will conduct a thorough evaluation that includes a review of your medical history and will use screening tools to determine the likelihood of a herniated disk. For example, the therapist will:

  • Ask you very specific questions about the location and behavior of your pain, weakness, and other symptoms
  • Ask you to fill out a body diagram to indicate specific areas of pain, numbness, and tingling
  • Perform tests of muscle strength and sensation to determine the severity of the pressure on your nerves
  • Examine your posture and observe how you walk and perform other activities
  • Measure the range of motion of your spine and your arms and legs
  • Perform special tests, such as the straight leg raise test or the crossover straight leg raise test, that help diagnose a herniated disk
  • Use manual therapy to evaluate the mobility of the joints and muscles in your spine
  • Test the strength of important muscle groups

If you have muscle weakness and loss of sensation or very severe pain, special diagnostic tests, such as magnetic resonance imaging (MRI), electromyography, or nerve conduction studies may be needed. Physical therapists work closely with physicians and other health care providers to make certain that you receive an accurate diagnosis and appropriate treatment.

Research shows that in all but the most extreme cases (usually involving muscle weakness or high levels of pain), conservative care, such as physical therapy, has better results than surgery.

If your physical therapist’s evaluation indicates that there are no signs of nerve compression and you don’t have any signs of muscle weakness or numbness, treatment can begin right away. If the evaluation indicates that the herniated disk might be compressing the nerves, your therapist will consult with a physician specialist.


How Can a Physical Therapist Help with a Herniated disc?

Your physical therapist’s overall purpose is to help you continue to participate in your daily activities and life roles. The therapist will design a treatment program based on both the findings of the evaluation and your personal goals. Your treatment program most likely will include a combination of exercises.

Your therapist will design:

  • Exercises that involve specific movements to relieve nerve pressure and decrease pain and other symptoms, especially during the early stages of treatment
  • Stretching and flexibility exercises to improve mobility in the joints and the muscles of your spine, arms, and legs—improving motion in a joint can be key to pain relief
  • Strengthening exercises—strong trunk muscles provide support for your spinal joints, and strong arm and leg muscles help take some of the workload off those joints
  • Aerobic exercise, which has been proven to be helpful in relieving pain, promoting a healthy body weight, and improving overall strength and mobility—all important factors in managing a herniated disk

This might sound like a lot of exercise, but don’t worry: research shows that the more exercise you can handle, the quicker you’ll get rid of your pain and other symptoms.

Your physical therapist also might decide to use a combination of other treatments:

  • Manual therapy to improve the mobility of stiff joints and tight muscles that may be contributing to your symptoms
  • Posture and movement education to show you how to make small changes in how you sit, stand, bend, and lift—even in how you sleep—to help relieve your pain and help you manage your condition on your own
  • Special pain treatments—such as ice, traction, and electrical stimulation—to reduce pain that is severe and not relieved by exercise or manual therapy

Once your pain is gone, it will be important for you to continue your new posture and movement habits to keep your back healthy.


Can a herniated disk be Prevented?

Herniated disks can occur as a result of aging, but there are lifestyle changes you can make to reduce your overall risk:

  • Maintain a healthy weight may reduce the overall stress on your spine
  • Use proper posture—improving your alignment may contribute to the health of your spine
  • Use proper body mechanics—changing how you perform activities, especially those that you do frequently, may help reduce your risk of a herniated disk. Not sure what changes to make? Discuss your occupation with your therapist, who will provide an analysis of your job tasks and make suggestions on how you can reduce your risk of injury.

Many physical therapy clinics conduct regular educational seminars to help people in the community learn to take care of their backs and necks. These seminars often are free and provide demonstrations along with written information about exercises for the back and neck, instruction on proper lifting and sitting postures, and other tips to keep your back healthy.

If you already have a herniated disk, your physical therapist can help you develop a fitness program that takes into account your herniated disk. There are some exercises that are better than others for people with a herniated disk, and your therapist will educate you about them. For instance:

  • Exercising in water can be a great way to stay physically active when other forms of exercise are painful
  • Exercises involving lots of twisting and bending are not good for everyone
  • Weight-training exercises, though very important, need to be done with proper form to avoid stress to the back and neck


Back Pain Relief with exercise programs at PT Squared

More than 1 in 4 adult Americans say they’ve recently suffered a bout of low-back pain. It’s one of the most common reasons people go to the doctor. And more and more people are being treated for back pain relief.

America spends over 80 BILLION a year on back pain treatments. But many specialists say less treatment is usually more effective for back pain relief.

In fact, there is evidence that many standard treatments for back pain relief — surgery, spinal injections and painkillers — are often ineffective and can even worsen and prolong the problem.


Dr. Jerome Groopman agrees with that premise. He suffered back pain for almost 20 years. He was a young marathon runner 32 years ago when back pain struck out of the blue.

“I couldn’t run. It was difficult to sleep,” he says. “I wasn’t confined to bed, but I was hobbling around.”

Groopman, a Harvard cancer specialist who writes about medicine for The New Yorker, wanted the problem fixed — right away. So he found a surgeon who removed a damaged disc, the jellylike cushioning between each vertebra.

The surgery didn’t fix his pain.

Then, one day during brunch at a friend’s house, something happened that altered the course of his life.

“I stood up from a chair and just had an explosive electric shock through my lower back,” he remembers. “Basically, I fell to the floor and couldn’t get up.”

His previous pain was severe. But this was over the top. Groopman could hardly move.

“I was so desperate after almost three weeks that I found a neurosurgeon and orthopedist who said, ‘You have spinal instability. We’ll fuse you, and in three weeks you’ll be playing football.’ “

In a spinal fusion, surgeons weld together adjacent vertebrae with a bone graft. It’s an increasingly common operation.

But for Groopman, more surgery made things worse.

“I woke up from the surgery in excruciating pain, and basically could hardly move my legs,” he says. “And I remember the orthopedic surgeon coming by and saying, ‘Well, I don’t know why you’re having so much trouble. … But, you know, if it doesn’t get better in a few weeks we could reoperate.’ “

Some research suggests that 1 in 5 patients who have surgery for back pain relief end up having more surgery. For some, like Jerry Groopman, it doesn’t help at all.

There’s “good reason to think that we are overprescribing painkillers, overprescribing injections, overprescribing back surgery,” according to Dr. Richard Deyo. He is an authority on evidence-based medicine at Oregon Health Sciences University who has studied treatment of back pain.

One reason invasive treatments for back pain have been rising in recent years, Deyo says, is the ready availability of MRI Scans. These detailed, color-coded pictures that can show a cross-section of the spine are a technological tour de force. But they can be dangerously misleading.

“Seeing is believing,” Deyo says. “And gosh! We can actually see degenerated discs, we can see bulging discs. We can see all kinds of things that are alarming.”

That is, they look alarming. But they’re most likely not the cause of the pain.

Lots of people who are pain-free actually have terrible-looking MRIs. And among those who have MRI abnormalities and pain, many specialists question whether the abnormality is really the cause of the pain, and whether fixing it can make the pain go away.

Surgery can help for certain conditions, such as a herniated or buldging disc with leg pain called sciatica. But most age-related back pain usually can’t be fixed with surgery.

Research is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to Dr. James Rainville of New England Baptist Hospital in Boston.

“It’s a change in the way the sensory system is processing information,” says Rainville, who is a physiatrist, or specialist in rehabilitation medicine. “Normal sensations of touch, sensations produced by movements, are translated by the nervous system into a pain message. That process is what drives people completely crazy who have back pain, because so many things produce discomfort.”

This is a different way of thinking about pain. Normally pain is an alarm bell that says, “Stop what you’re doing right now or you may hurt yourself!” But for many people, that pain is a false signal. It’s not about looming danger; it’s actually caused by hypersensitive nerves.

 About 25 percent of patients with acute back trouble get stuck in an endless loop of pain. This chronic back pain is often due to persistent hypersensitivity of the nervous system.

Genetics may help explain why back pain becomes chronic for that 25 percent. But whatever the underlying cause, people have discovered how to ignore their pain.

Weeks of regular visits to a bootcamp  where specially trained Physical Therapist Assistant and personal trainer gradually increase the intensity of exercises designed not only to increase the strength and flexibility of the back, but also to teach patients that it’s OK to move normally again.

Most patients in our boot camp and similar programs find that the pain eventually lessens over a few months. Sometimes it even goes away.

For years after his spinal fusion, Groopman was never without back pain. He tried a long list of things without success. Then a friend suggested that he go to a fitness bootcamp with a Therapist.

Given his long search for relief, Groopman was skeptical. But he decided to give boot camp a try.

“He was really tough,” Groopman recalls. “He said to me, ‘You are worshiping the volcano god of pain!’ And I thought: ‘What is this about?’ “

In a strange way people with chronic back pain do something very similar. They sacrifice parts of their life — playing golf or softball, running, picking up bags of groceries or grandchildren. Patients get so afraid of pain, they do anything to avoid it.

They keep putting things onto this altar, thinking that’s going to change the situation.

But it usually doesn’t work. Instead, they get more paranoid about any twinge of pain, and all the while they lose strength and flexibility.

Eventually that message sank in with the skeptical Dr. Groopman. “It took about two months for me to really buy in that this was the way to go,” he says. “Just let it go. Don’t pay attention to it. … And after about nine months, I was basically without any back pain.”

It doesn’t work that well for everyone. Janet Wertheimer still has some back pain. But she says after graduating from boot camp she can pretty much do anything she wants to — ski, go on mountain hikes, walk her dogs.

And the pain? Most of the time, she says, she blocks it out and moves on.


Bootcamp Classes- What’s all the Talk about?

Bootcamp Classes in Collierville, TN have been on an upward trend over the past few years and people wonder “What’s all the talk about?” Bootcamp can scare some people because they are afraid they will get yelled at or it will be too tough to complete. That’s exactly the opposite of what bootcamp classes are all about. Below are a few reasons why people love bootcamp classes:

1) Train with a group of friends who are very supportive

2) Proper instruction form a personal trainer

3) Accountability to go to the Bootcamp Classes. You feel like you have to be there when others are there as well waiting for you

4) Its just plain FUN

5) Good for any age or fitness level

6) Classes are efficient. You will get alot more done in an hour than you thought possible in a gym

7) Burn Calories and Gain Muscle. You will lose inches while building muscle.


These are 7 reasons why Bootcamp Classes in Collierville have been trending upward. At PT Squared LLC we have 2  days a week committed to our Bootcamp Classes. Its a great addition to your training regimen and is taught by a certified Personal Trainer with years experience. Our classes are early morning and in the evening and cost $3 dollars a day for the month. Call 901-221-2619 if you would like to see “What’s all the talk about?”