2447 152nd Ave NE, Redmond WA 98052Mon to Fri, 9:00 to 6:00 · Sat, 9:00 to 2:00 by appointment Client Login

    There's a Reason Nothing Has Worked. And There's a Reason This Does.

    If you have tried physical therapy, chiropractic, injections, or medication and the pain keeps coming back, this page is for you.

    Why the Pain Keeps Coming Back

    Most treatments for back and neck pain are passive — they treat symptoms while the structural deficit that caused the pain remains untouched. The result is a predictable cycle that repeats until the root cause is addressed.

    THE CYCLE
    STEP 1
    Pain appears
    STEP 2
    Treatment is applied
    STEP 3
    Relief is felt
    STEP 4
    Activity resumes
    STEP 5
    Pain returns

    The structural deficit is never addressed — so the cycle restarts.

    The Structural Deficit Nobody Told You About

    Your spine is stabilized by deep muscles called the lumbar and cervical extensors. These muscles do one critical job: they hold your spine in alignment under load. When they weaken — which happens through inactivity, injury, or aging — your spine loses its primary support system.

    No passive treatment rebuilds these muscles. Not massage, not adjustments, not injections, not medication. These treatments can reduce pain temporarily, but they cannot restore the structural support your spine needs to stay pain-free.

    The only way to reverse this atrophy is through specific, progressive loading — isolating these muscles and strengthening them in a way that standard gym equipment and conventional physical therapy cannot replicate.

    What Most Treatments Reach — And What They Miss

    Surface Muscles & Symptoms

    Massage, manipulation, injections, and medication address the surface muscles, the joints, and the pain itself. These approaches can reduce symptoms — but they do not reach the deep stabilizers that hold the spine in alignment under load. The structural deficit is left untouched.

    The Deep Spinal Extensors

    MedX equipment isolates the lumbar and cervical extensors — the deep stabilizers that no general treatment can reach. We measure their strength, build it back deliberately, and retest to confirm progress. This is the layer of musculature that determines whether your spine holds together over time.

    The cycle repeats until the deep stabilizers are addressed. That is the difference.

    What Makes It Possible

    How We Actually Address the Structural Deficit

    You just read why the pain keeps coming back. Here is exactly what we use to break the cycle. Each modality is assigned to a specific finding from your assessment — never as a package.

    STRENGTH

    MedX Spinal Strengthening

    Medical-grade equipment that isolates the deep spinal extensors — the muscles your back actually depends on for stability. We measure your strength objectively at the start, build it deliberately over your program, and retest so progress is real, not assumed. The equipment originally developed for spinal rehabilitation research at the University of Florida.

    STRUCTURE

    Manual Therapy

    Hands-on soft-tissue and joint work — fascial release, deep psoas work, and the targeted manual techniques that 35 years of clinical practice have refined. Some restrictions can only be reached this way. This is the work that started Fix Back & Neck Pain.

    TISSUE

    Piezowave Shockwave

    Focused acoustic wave therapy that resets chronic tendon, fascia, and trigger-point conditions that have stopped responding to rest, stretching, or conventional treatment. Five to fifteen minutes per session. No needles, no medication, no downtime.

    RECOVERY

    Red Light Therapy

    Full-body photobiomodulation that accelerates tissue repair and reduces inflammation at the cellular level. Twenty minutes on a treatment table between sessions. One of the most thoroughly researched recovery modalities of the last decade.

    35+
    years of clinical experience
    Question 1 of 8

    How long have you been dealing with back or neck pain?

    No Surprises

    What Your First Visit Actually Looks Like

    The first visit is twenty minutes and costs $75. It is a conversation, not an assessment.

    STEP 01

    The conversation

    twenty minutes

    You tell us what is going on, how long it has been going on, and what you have already tried. We tell you honestly whether this is the right place. Nothing is measured and nothing is loaded.

    STEP 02

    What we recommend

    at the end of the same visit

    If there is something to work with, we tell you which way in fits, either a full history and exam at $170, or a postural screening with a MedX test at $390 for both baselines in one visit.

    STEP 03

    You decide

    in your own time

    There is no pressure to book anything that day. The conversation is the point, and it is the same $75 whether you go further or not.

    The First Conversation is twenty minutes, in person in Redmond or by video anywhere in Washington. We can usually see you within a week of your call.

    From a Client Who Stayed
    Lifelong Active

    "I am in my seventies. I still walk, I still hike, and I still play weekend golf. I have been seeing Trent for years and the program he keeps me on is what keeps me moving. From minor aches to the pains that come with the activities I love, he addresses what is actually going on, and I do the stretching and strengthening he gives me between visits. This is how I stay in the life I want to be living."

    — Carol P., Lifelong Active

    Take a Moment — Is This the Right Fit for You?

    Two honest questions to ask yourself before you call. Both have a clear answer.

    Question 01

    You May Be a Great Fit If...

    • ✓Chronic pain lasting 3 or more months
    • ✓Tried physical therapy, chiropractic, or injections without lasting relief
    • ✓Considering surgery or told surgery is your only option
    • ✓Post-surgical plateau — recovery stalled
    • ✓Ready to commit to a structured strengthening program
    Question 02

    Still Not Sure?

    If you are dealing with an acute pain from a recent injury, have an undiagnosed condition, or are unsure whether strengthening is appropriate for your situation — start with a conversation. Call us and we'll help you figure out the right next step before you commit to anything.

    Client Guide

    Download The Strong Spine Guide

    Find out if your spine can be fixed, not just managed. 12-page guide including a scored readiness assessment.

    • ✓Understand the structural root cause
    • ✓Take a scored readiness self-assessment
    • ✓Learn why passive treatments fail long-term
    • ✓See the data behind the outcomes

    We Work With These Conditions

    Chronic Low Back Pain

    Targeted strengthening that addresses the structural deficit driving your pain.

    Herniated or Bulging Disc

    Rebuilding the musculature around the disc to reduce mechanical load and pain.

    Spinal Stenosis

    Progressive loading protocols designed for stenosis clients at every stage.

    Degenerative Disc Disease

    Strength restoration that compensates for degeneration and restores function.

    Chronic Neck Pain

    Cervical extensor isolation that standard equipment cannot replicate.

    Sciatica

    Addressing the lumbar weakness contributing to sciatic nerve compression.

    Post-Surgical Rehabilitation

    Advanced strengthening for clients who have plateaued in standard rehab.

    Spondylolisthesis

    Specific stabilization protocols for spondylolisthesis clients.

    The Long Arc

    Your Path Forward — From First Visit to Lasting Change

    Most clients do not show up once. The arc of working with us has three phases, and the most important one is the one most clinics never talk about.

    01

    First Visit

    20 minutes · single visit

    A conversation, not an assessment. You tell us what is going on and what you have already tried, and we tell you honestly whether this is the right place. If it is, the measuring happens at the next visit.

    02

    Active Care

    8 to 16 weeks · weekly sessions

    Your protocol, executed. Manual therapy resolves the structural restrictions. MedX rebuilds the strength deficits. Piezowave addresses chronic tissue conditions. Red Light supports recovery between sessions. Most clients feel meaningful change within four sessions and significant change by week eight.

    03

    Maintenance

    ongoing · 1 to 2 sessions per month

    This is the phase most clinics never name. Clients who hold their gains and stay out of the cycle are the ones who stop treating bodywork as an emergency intervention and start treating it as part of their life. One to two focused sessions per month protects the work and addresses small issues before they become large ones.

    Getting Started Is Simpler Than You Think

    The First Conversation is twenty minutes and $75. Not sure whether this is the right place? That is exactly what those twenty minutes are for. There is no obligation and no pressure.

    The First Conversation Is the Easiest Part.

    Tell us what you are dealing with and what you have already tried. We will tell you honestly whether what we do can help — and if it cannot, we will point you toward who can.

    425-758-4619

    2447 152nd Ave NE Redmond WA 98052
    Mon to Fri, 9:00 to 6:00 · Sat, 9:00 to 2:00 by appointment