How Everyday Spine Care Can Provide
Long-Term Pain Relief

Have you been dealing with back pain for a long time? Are you wondering what you can do to find lasting relief? At Lycoming Physical Therapy, our McKenzie-trained therapists provide you with answers and a program to help you find relief that lasts! Your spine is made up of a complex structure of bones, muscles, ligaments, nerves, and discs. These structures work together to support the body and allow us to move around. Most episodes of back pain affect one or a combination of all these components. Back pain can result from injury, physical activity, or even prolonged inactivity. It can affect people of any age or gender, and often the exact cause remains unclear. Damage to one or more of these structures can result from strain, injury, or prolonged postures and lead to debilitating pain and loss of mobility. Call Lycoming Physical Therapy today for an appointment, and let us help you find lasting relief!
Exercise of the Month
Double Knees To Chest
Start on your back with your knees bent. Slowly bring both knees to your chest. Grasp your knees. Hold for 30 seconds and repeat. 1 Set, 3 Reps
It’s Your Choice!
Direct access allows you to be in control of your healthcare and the speed at which you’re able to receive it. Direct access laws allow patients to receive an evaluation and treatment from a physical therapist without a physician’s referral. This means less time and money spent trying to find a solution to your pain and discomfort.
If you require physical therapy for a chronic condition or recent injury, call our clinic today to request an appointment and get started on your journey towards a pain-free life.
Why Does Back Pain Persist?
Back pain can be one of the most debilitating conditions, affecting up to 80 % of the population at some time in their life. Unfortunately, some studies suggest that up to 90% of low back pain (LBP) diagnoses are non-specific. This lack of certainty means that not only do people suffer from back pain, but the exact cause may be difficult to identify.
Unfortunately, a lot of people don’t seek treatment when back pain arises. They might assume nothing—except for medication and rest—can solve their back pain problem. For some people, lower back pain can even lead to long-term pain and dysfunction.
The good news is that with guidance from your McKenzie-trained physical therapist, you can find solutions to your pain and how to manage it, so you can get back to living the life you enjoy!

Common Causes of Back Pain?
The source of back pain is most commonly from the spine itself or tissues surrounding the spine. Often back pain starts from injury or irritation of the muscles, joints (including the intervertebral discs and facet joints), nerves or surrounding ligaments, and other soft tissue.
The most common factors associated with back pain are:
- Improper posture or prolonged positions (i.e., prolonged sitting)
- Lifting strains
- Repetitive movements like bending and twisting
- Trauma from accidents or falls
Our McKenzie-trained therapists will assess your particular condition to identify the contributing factors and address all of them. Rather than focusing on one cause of your pain, your therapist will address all of the causes.
Why Choose the McKenzie Method?
The McKenzie Method is a standardized approach that assesses, treats and uses prevention strategies to resolve your back pain. By emphasizing the cause-and-effect relationship between movements and positions, your therapist provides you with a program for lasting relief.
One of the main differences with the McKenzie Method is the use of exercises and postures as the foundation for a home exercise program. The McKenzie Method is one of the few methods used in physical therapy that advocates for your independence. This emphasis provides you with tools to alleviate your pain and promote your independence so that you can reduce the likelihood of any future episodes.
One of the main characteristics of patients using the McKenzie Method is lasting improvements in pain and function and also a reduction in fear and disability beliefs.
What to Expect from Our McKenzie-Trained Physical Therapist
If you’re experiencing back pain, contact our McKenzie therapists immediately. Our therapists will perform a thorough physical examination and provide you with solutions that work based on the findings.
The McKenzie assessment enables your therapist to identify what postures and movements are causing pain and what ones alleviate your pain. These particular postures and specific movements become the starting point for treatment.
The main emphasis of the McKenzie Method is education and instruction on effective exercises and proper posture. Our goals include:
- Reduce pain quickly through postural education and repeated movements
- Return to normal functioning in daily activities
- Minimize the risk of recurring pain (avoid painful postures and movements)
Your physical therapist will interpret your condition and clarify what postures and movements will resolve your back pain. McKenzie therapists are guides to point you in the right direction for lasting pain relief.
Contact Us For an Appointment
Our therapists trained in the McKenzie Method can provide you with the tools to promote your independence in managing the current pain and even future recurrences. The McKenzie Method is based on results. Call Lycoming Physical Therapy today for a comprehensive assessment and learn what steps you can take to alleviate your pain for the long term!
Staff Spotlight: Tom Janca PT, Cert. MDT
Having been born in the Chicagoland area back in 1967, I vowed from a very early age to grow up and move away to a “big city” area of the country without sub-zero freezing weather and ice storms in the winter. So how did I end up moving to the little hamlet of Arnot, PA (pop. 350) and working in Montoursville? Earning my BS degree in Exercise Science at Southern Illinois University seemed to be my ticket to independence.
Unfortunately, I found personal fitness training less fulfilling than I thought it would be. Years later, after I completed prerequisite coursework in the Midwest, I moved to Philadelphia to attend Arcadia University and earned a Master’s degree in physical therapy by 2000. Wouldn’t you know it…my first physical therapy job offer was in a little town called Wellsboro, PA. From Chicago to…little town Wellsboro? Since I was a “big city kind of guy”, small town charm didn’t seem too charming. But I took the job anyway (determined to move back to a big city the next year).
As fate would have it, two months after moving to Wellsboro, I met my “wife to be” in November 2000. We married in November 2001 and moved to Arnot, PA in 2003. Since then we’ve had three kids – Joshua, Abigail, and Josiah. In time, I learned that many of the “perks” of city life (crowded streets, pollution, traffic congestion and high taxes) weren’t as attractive as hunting, hiking, trees, wide-open spaces, and wildlife. We still reside in Arnot but I now work at Lycoming Physical Therapy in Montoursville and very much appreciate rural life and small town charm.

Patient Success
“I would recommend any type of rehab for Lycoming Physical Therapy. They are very accommodating and are very attentive to your rehabilitation. The staff is very friendly and very well experienced in helping you through your need for recovery. I had a knee replacement 6 weeks ago and they exceeded my and my doctor’s expectations. Five star rating all around from me. Thank you staff for your help. I can’t wait for warmer weather so I can go walking. Thank you again.” – S.B.

Recipe of the Month: Strawberry Chocolate Yogurt Parfaits

Ingredients:
- 2 cups plain or vanilla Greek yogurt
- 1–2 tablespoons honey or maple syrup (optional, to taste)
- 1½ cups fresh strawberries, chopped into heart shapes
- ¼ cup dark chocolate chips or shaved dark chocolate
- ½ cup granola (low-sugar if possible)
Instructions:
- Mix yogurt with honey or maple syrup if you want it sweeter.
- Layer yogurt, strawberries, and granola in clear cups or jars.
- Sprinkle dark chocolate between layers and on top.
- Repeat layers and finish with strawberries and a few chocolate shavings.
- Serve immediately or chill for 15–20 minutes.
Sources
- https://pubmed.ncbi.nlm.nih.gov/28789465/,
- https://pubmed.ncbi.nlm.nih.gov/32669487/,
- https://pubmed.ncbi.nlm.nih.gov/29602304/,
- https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD004057.pub3/full?highlightAbstract=back%7Cpain,
- https://www.jospt.org/doi/full/10.2519/jospt.2018.7562,
- https://academic.oup.com/ptj/article/95/2/267/2684157



