Non-Invasive
At Desert Spine and Pain, physical therapy (PT) is the cornerstone of non-invasive spine care. Whether you’re recovering from an injury, dealing with arthritis, or preparing for or recovering from surgery, PT helps restore movement, strengthen support muscles, and reduce pain. Led by Dr. David L. Greenwald, M.D., FAANS, FACS, one of the nation’s leading neurosurgeons, our Phoenix-based team emphasizes therapy first, surgery last. PT empowers patients to take control of their recovery and maintain long-term spine health.
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In simple terms: PT teaches you how to move, stretch, and strengthen so your back and neck hurt less and function better.
Scientifically: PT uses biomechanical loading, neuromuscular re-education, and targeted strengthening to reduce nociceptive input (pain signaling), improve spinal stability, and enhance functional outcomes.
Acute injuries – Strains, sprains, whiplash, or fractures once stable
Degenerative conditions – Degenerative Disc Disease, Facet Disease, arthritis
Nerve-related pain – Sciatica, Radiculopathy
Pre-surgical preparation – Building strength before surgery improves recovery
Post-surgical rehabilitation – Restores motion and prevents scar-related stiffness
Sports injuries – Spondylolysis, overuse injuries
Stretching for flexibility
Strengthening (core, glutes, postural muscles)
Balance and coordination drills
Hands-on mobilization of joints and soft tissues
Improves mobility, reduces stiffness
Ergonomic corrections (desk setup, lifting mechanics)
Gait and alignment retraining
Heat, ice, ultrasound, or electrical stimulation to reduce pain before exercise
Individualized routines you can continue independently to maintain progress
Reduces pain and stiffness
Improves flexibility and posture
Builds long-term spinal support
Reduces risk of reinjury
Enhances confidence in movement
Often avoids or delays surgery
Temporary soreness after exercise
Requires consistency and effort — results come over time
May not fully resolve severe nerve compression or instability (in which case surgery may be required)
Weeks 1–2: Learning new movements, early pain reduction
Weeks 2–6: Noticeable improvements in mobility and strength
Weeks 6–12: Significant reduction in pain; many return to normal activity
Long-term: Ongoing exercise maintains results and prevents recurrence
Neurosurgeon-led care – Dr. Greenwald integrates PT into every treatment plan
Conservative-first philosophy – Therapy is prioritized before injections or surgery
Individualized programs – Tailored to your condition, goals, and lifestyle
Compassionate support – We coach you through setbacks and celebrate progress
Most patients attend PT for 6–12 weeks, though duration depends on your condition and goals.
Yes, in many cases. PT can relieve pain and improve function enough to avoid surgery.
Mild soreness is normal, but PT should not cause sharp or worsening pain. Your therapist adjusts exercises to your tolerance.
We will provide one if needed. In many cases, you can begin PT directly.
We ensure your therapy is integrated with your full treatment plan, using imaging, diagnostics, and surgical expertise if necessary.
Dr. David L. Greenwald, MD
Neuro-Spine Surgeon
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If you’re dealing with back or neck pain, physical therapy can be one of the most effective ways to restore strength, reduce pain, and enhance mobility. Dr. Greenwald and his caring team will evaluate your condition and connect you with trusted physical therapy professionals to design a plan tailored to your needs. Every step you take toward rehabilitation brings you closer to a stronger, more active life. Schedule your consultation today and begin your journey toward recovery and lasting spinal health.
Dr. David L. Greenwald, MD, FACS, is a board-certified spine surgeon who strongly believes in the power of physical therapy as a cornerstone of spine care and recovery. Whether used as a primary treatment or part of post-surgical rehabilitation, physical therapy helps strengthen core muscles, improve flexibility, and restore natural movement to the spine. Dr. Greenwald works closely with experienced physical therapists throughout South Florida to create customized programs that target each patient’s unique condition—whether it’s a herniated disc, spinal stenosis, or chronic back pain. His goal is to promote healing, prevent future injuries, and help patients regain confidence in their movement through safe, structured, and effective therapy.
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