Back Pain & Sciatica Treatment in New York

Back pain and sciatica are among the most common reasons people stop doing the things they love. Both are also among the most treatable conditions in physical therapy, when the source is properly identified.

Your back did not just "give out."

Most back pain is not caused by a single event. It is the result of years of small movement compensations, postural habits, and muscular imbalances that finally crossed a threshold. The "incident" that triggered your pain was often just the final straw on a long-accumulated load.

This matters because it changes how we treat it. Addressing only the site of pain without understanding the contributing factors is why most back pain keeps coming back. At Miccass Physical Therapy, we trace the chain to its origin.

A man gripping his lower back in visible pain

Back pain presents differently for everyone.

The location, character, and triggers of your pain tell us which structures are involved and guide our treatment approach.

Lower Back Pain

Dull ache or sharp pain in the lumbar spine, often worse with prolonged sitting or standing.

Morning Stiffness

Difficulty moving when you first wake up that gradually loosens over 20-30 minutes.

Radiating Pain

Pain that travels from the back into the buttock or upper thigh, often indicating nerve involvement.

Muscle Spasm

Involuntary muscle contractions that produce intense, localized pain and visible tightening.

Reduced Bending

Difficulty touching your toes, putting on shoes, or performing forward bending tasks.

Pain After Sitting

Back pain that intensifies after extended periods of sitting, then requires time to settle after standing.

When back pain radiates down the leg.

Sciatica causes sharp, shooting pain, numbness, or tingling that radiates from the lower back down through the leg. Common causes we treat include a herniated disc pressing on the sciatic nerve, piriformis syndrome, spinal stenosis, and degenerative disc disease.

Treatment combines manual therapy to reduce nerve compression, McKenzie Method exercises for disc-related sciatica, core strengthening to support spinal stability, and neural mobilization to improve nerve gliding.

We find the source, not just the symptom.

Back pain treatment at Miccass Physical Therapy begins with a thorough movement assessment: how you bend, hinge, rotate, and load your spine. This tells us far more about the source of your pain than an MRI or X-ray.

Treatment combines the most effective manual therapy techniques for the spine with a targeted exercise program designed around your specific findings, your daily demands, and your goals.

No referral needed. Most insurances accepted. In most cases, you can be seen within the same week.

A clear path back to full movement.

Reduce Pain and Restore Movement

The first phase focuses on reducing acute pain and muscle guarding while restoring your ability to move without fear. Manual therapy and targeted exercise begin here.

Address the Contributing Factors

Once pain is managed, we address the movement patterns, weaknesses, and habits that allowed it to develop. This is the phase most people skip, and why their pain returns.

Build Long-Term Resilience

We progress your loading capacity and equip you with an independent maintenance program so your back stays healthy long after you discharge from care.

What our patients say.

“The level of care at Miccass goes above and beyond other physical therapy centers I've tried in NYC. I've seen Jenny, the owner, for foot and back issues, and she has personalized my care to a level that is highly unusual. I highly recommend Miccass.”
Stefanie Tuder

Schedule Your Appointment

No referral needed. Most insurances accepted. Same-week appointments available.

Your first visit is a full evaluation: come in, tell us everything, and leave with a plan.

Prefer to call? (212) 595-4500