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Orthopedic Spine Therapy

Our therapists have advance training in the evaluation and treatment of the spine. After a thorough history and evaluation of the spine the therapist may use various interventions to help you achieve your goal of reduced pain, increase mobility and/or return to normal function after an injury or surgical intervention. Some of the interventions are listed below.

Manual physical therapy is a specialized form of physical therapy delivered with the hands as opposed to a device or machine. In manual therapy, practitioners use their hands to put pressure on muscle tissue and mobilize joints in an attempt to decrease pain caused by muscle spasm, muscle tension and joint dysfunction.

Lumbar stabilization is an active form of exercise used in physical therapy. It is designed to strengthen muscles to support the spine and help prevent lower back pain. Through a regimen of exercises, and with the initial help of an experienced physical therapist, the patient is trained to find and maintain her/his “neutral spine” position. The back muscles are then exercised to teach the spine how to stay in this position.

This exercise technique relies on proprioception, or the awareness of where ones joints are positioned. Performed on an ongoing basis, these exercises can help keep the back strong and well positioned.

Lumbar stabilization is a multi-component program and involves education/training, strength, flexibility and endurance. It is generally used during all phases of a back pain episode and may be prescribed after a thorough evaluation of the patient’s specific condition.

 The goals of lumbar stabilization exercises include:

  • Reduce amount of back pain
  • Gain control over the movements of—and forces acting on—the spine during daily activity
  • Heal soft-tissue injury, such as muscle strain and torn ligaments
  • Reduce the chance of back injury due to repetitive motions or sudden movements or stresses
  • Read more about this exercise here.

Postural training - Postural problems are usually related to a series of joint restrictions, muscle imbalances, or weakness. Physical Therapists are highly trained in postural analysis. After an analysis is performed, the therapist can design a thorough workout program as well as use manual skills to eliminate any joint or muscle restriction.

Post-Operative Rehabilitation 

Bryan Health Physical Therapy can help you post-operatively achieve the range of motion, and strength you need to return to all of your previous activities. Each surgery has a specific progression of exercises that need to be followed during the rehabilitation process. Bryan Health Physical Therapy communicates directly with your surgeon in order to assure the most safe and effective progression of your specific protocol.



Justin Hash, PT, CSCS

Justin Hash, PT is a Lincoln native that has treated patients in the Lincoln area for over 10 years. Justin graduated from the University of Nebraska in Lincoln and studied physical therapy at the Mayo School of Health Sciences in Rochester, MN. Justin will be completing his certification in manual therapy from the University of St. Augustine in Feb 2014 placing him among an elite group of therapists who have achieved this level of competency.  He has treated all types of orthopedic injuries and has helped develop a hand therapy program which included fabricating custom splints. He has completed special training in gait analysis and fabrication of custom foot orthotics.  Justin has an expertise of working with patients with spine pain and is an integral part of our spine rehabilitation team. He also has experience with work injuries and has helped develop return to work programs and pre-employment testing. Justin has a special interest in golf related injuries.  He enjoys spending time with his wife and two children as well as golfing in his spare time.

Justin’s treatment philosophy is to accurately identify the underlying pathology and treat the cause of the orthopedic condition rather than the symptoms of the pathology.

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