Back Pain

How To End Back Pain And Stiffness Naturally Without Medication or Injections

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If you are unsure about what you should do, skeptical, or afraid of being let down then we have a perfect option for you.  We offer a free, 30-minute “Discovery Visit”.  This option is for the person who knows they need to do something but wants to learn a little more before making any commitment. The goal will be to help you decide what the best step for you to take is.

A personal message from physical therapist Nick Scotto

  Are you tired of your back pain flaring up when you try to complete the simplest of tasks?

  Are you worried that this back pain will never go away and keep you from being active, fit , and healthy?

  Do you ever feel frustrated and confused when things like chiropractic, physical therapy, massage, and injections don’t work?

  Have you been told by your Doctor to just “rest more” and “the reason for your pain is because you are older now” or even worse “just stop exercising/running”

  Do you feel like you are missing out on life, enjoying time with your family and friends because of this back pain?

Are you frustrated with injections that don’t work, pain medications that only mask the symptoms, and want to avoid surgery?

If any of this sounds like you and you are looking to get permanent healing from your injury or get rid of the pain you are experiencing then you have come to the right place.

The amount of people dealing with back pain seems to be increasing each day leaving many active individuals frustrated, depressed, and worried.

The real shame of the matter is that so many people suffer from back pain and are often told:

  • “You’ll just have to live with it”

  • “It’s just a part of getting older and there’s nothing you can do”

  • Just “rest for a little” and “see what happens”.

  • Take these pills (which can be addictive) or get an injection (which only masks the symptoms).

  • “You may just need to get surgery” (which is usually more invasive and unnecessary)

However healing back pain just isn’t that simple……

……and if you are really struggling to keep healthy, fit, and active and just want to get back to your normal active lifestyle 

…..then you have come to the right place…..

At River City Physical Therapy we specialize in helping active individuals 30+ heal their backs naturally and get back to living an active lifestyle without medications, injections , or surgery. 

We understand that it can be difficult to know exactly what you should when dealing with back pain. There’s SO many options out there and you may have already tried a few.

But if you are still dealing with back pain here are several reasons why it could be lasting longer than it should:

1.You thought it would go away on it’s own with rest but it didn’t

2.You went to the Doctor who gave you some pain meds or even worse……told you to stop exercising

3.A family member told you that you should get used to the pain as you are “just getting older”

4.You saw another physical therapist or healthcare provider but nothing they said or did seemed to have long lasting relief

5.You decided to self treat through ice, heat, and YouTube exercises but none of those worked and even made it worse!

6. You got a series of injections that left you disappointed and the pain still there.

If any of this has happened to you and you are afraid of what might happen if you make another wrong decision then we would love to help by inviting you to schedule a FREE phone call to talk to a Physical Therapist to find out what can be done to help you.

Just because you tried many treatments before that didn’t work doesn’t mean there isn’t a solution for you. 

When it comes to treating back pain the BIGGEST MISTAKE that is often made (by Doctors included) is treating the symptom of pain and not going through the necessary process of understand the true “root cause” of the problem

Our goal at River City Physical Therapy is to not only get rid of your pain, but teach you how to treat yourself, let your body heal naturally, and give you a permanent fix to your problem.

At River City Physical Therapy we use a unique approach to help you get rid of your pain and make it STAY away.


Step 1. We Will Listen To You


This is one of our BIGGEST pet peeves. Nobody listens to the patient anymore (it’s all about maximizing billing, following company procedure, and being “efficient”). Here’s a thought…….how about listen to the patient for once.

Today’s healthcare system is stacked against you and often does not provide the solutions that you need. 15 minute doctor visits, standardized care where you feel rush, and lack of communication between you and your healthcare provider just won’t get you the results that you want.

There is NO one size fits all treatment for back pain and taking the time to listen to your goals and problems is the single most important step before starting any sort of treatment. We want to make sure that you are comfortable working with us and that we feel you are a good fit for our clinic.


Step 2. Find the Root Cause


Each person is unique and thus their injury and pain is unique to them. What works for your friend or loved one may not necessarily work for you. All too often treatments are directed ONLY at the site of pain. 

But is that where the pain is actually “coming from?”……

More often than not the answer is NO. The pain is actually being caused by a different area of the body. This could be caused by a lack of strength in a muscle, poor flexibility in the joints, or faulty movement patterns.

Undergoing a proper assessment to figure out what the “root cause” of the pain is the second most important step to get you the lasting relief you need in order for you return to a normal and active lifestyle.

Treating symptoms will get you temporary relief and feeling “OK”……..but……treating the root cause is where you get the PERMANENT relief that you want.


3. Teach You To Treat Yourself.


Have you ever had to rely upon multiple weekly visits to get the treatment you need? Causing you to spend more of your time and money than you would like?

The truth of the matter is that multiple visits per week is often NOT necessary to heal from injury/pain despite what you’ve been told.

At River City Physical Therapy we give you everything you need at each stage of your rehab to work on at home so you can provide an optimal healing environment for your pain/ injury.

You’ll know exactly what exercises, stretches, and techniques you should be working on at home. You will have the tools you need to help treat yourself. 

This way you can maximize the time spent out of the clinic working on whats most important to you…….living an active lifestyle worry free of any back pain

We offer a Free 30 Minute discovery visit at NO risk to you. You can come in to meet us so we can have an honest conversation about what your problem is, your struggles, what you would like to achieve, and for us to decide if we would be a good fit to work together. You’ll walk a way with a better idea of what is going on and what you need to do about it.



Dr. Nick Scotto

Which Costly Mistakes Are You Going To Make Trying To Fix Your Back Pain?


7 Simple Steps to Naturally Your End Back Pain (and Stiffness ) Without Needing Medications, Injections, or Surgery!


Look Who Else Came To River City Physical Therapy And Left Feeling Happy, Healthy, and More Active…

I came into River City Physical Therapy to see Nick because I had sudden, unexplained pain in my back that was so intense, I could hardly move and sometimes brought me to tears. I chose to see Nick at River City Physical Therapy because I already knew him from Church.  Also, he successfully helped my husband get better from an issue he’d been suffering from for years so I was impressed by Nick’s knowledge about the body and how to find and treat problems. I experienced results from Nick’s therapy immediately. I shuffled into his office, stiff as a board and in much pain. I didn’t know what was wrong with me and I was scared I would always suffer from it. With that first visit, I learned the source of my pain and what aggravates it. I was encouraged by his confidence and commitment to getting me better and by the exercises I learned. He saw me for 5 visits and I have been doing his exercises and I am definitely better, confident that I can live my everyday life without pain. I can now stand, walk, sit, and simply function without pain. I was in such pain before that I could not do my everyday necessities. I had pain dressing myself, nursing, sitting in a chair, standing to cook, caring for children, etc. Now I am back doing the things I need to do without the pain I had before.

Cristi, Busy Mom, Jacksonville

Dr. Scotto was able to find the main source of my discomfort. Before his initial consultation my back pain kept me from performing my daily activities. During our consultation he asked very specific questions to find the exact source of pain and we immediately started to work on a plan of recovery. The results were almost immediate. I now have regained total confidence in my strength and motion. I fully recommend Dr. Scotto’s services.

Mike, Mid 30's, Jacksonville

After being in pain for about a year and having already tried a cortisol shot, chiropractic, massage, and other PT I found River City Physical Therapy. My pain was in my back and referred down my leg and kept me from doing normal daily activity as well as the things I love to do. I was immediately impressed by the care I received as I was given a holistic evaluation where I was listened to and my concerns were addressed. As opposed to being one of many patients in the room, I was the only patient during the appointment time and each week the treatment plan was adjusted to meet me where I was. Within just a few weeks I noticed significant improvement allowing me to return to kickboxing, high intensity workouts, and tennis. I would absolutely recommend River City Physical Therapy. The Dr. is competent and professional but also seems to care about his patients.  The entire time I was being treated I felt safe, respected, and cared for well. I went in to get better physically but feel that I also was cared for emotionally. I truly cannot say enough good about the care I was given

Erin, Exercise Enthusiast, Jacksonville

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