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Innovare TxRegenerative & Wellness
Conditions We Evaluate

Back & neck pain care in Addison & Dallas, TX

Chronic back pain, a stiff neck, or sciatica that won't quit can wear down your whole life. At Innovare Tx in Addison, we take a conservative, coordinated approach — integrated physical therapy, primary care that connects it all, and, after evaluation, investigational autologous orthobiologic procedures.

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In short
Innovare Tx evaluates chronic back pain, neck pain, and sciatica with conservative, coordinated care — integrated physical therapy as the foundation, primary-care coordination, and investigational autologous orthobiologic injections if a clinical evaluation supports them — all under one roof in Addison, TX. Most back and neck pain is managed with conservative care.

Why back and neck pain becomes chronic

The spine is a stack of joints, discs, muscles, and nerves that has to be both strong and flexible. When one part is irritated — a worn disc, an arthritic facet joint, a strained muscle, or an irritated nerve — the surrounding muscles tense to protect it, mechanics shift, and a cycle of pain and guarding sets in. Understanding that cycle is part of building a plan.

Common sources of back and neck pain

  • Degenerative disc changes — age-related wear that can cause stiffness and ache.
  • Facet-joint arthritis — wear in the small joints of the spine.
  • SI-joint dysfunction — pain at the junction of spine and pelvis.
  • Muscle & ligament strain and posture-related overload.
  • Sciatica & nerve irritation — radiating pain, numbness, or tingling down the leg or arm.

Symptoms worth evaluating

  • Aching or stiffness that lingers for weeks or months
  • Pain that worsens with sitting, bending, or lifting
  • Pain radiating into the buttock, leg, arm, or hand
  • Numbness, tingling, or weakness in a limb
  • Recurring “flares” that keep coming back
  • Stiffness and reduced motion in the low back or neck

Some symptoms need urgent attention — loss of bladder or bowel control, or rapidly progressive weakness. If you have those, seek emergency care. Otherwise, an evaluation is the right next step.

Your conservative, coordinated options

For most chronic back and neck pain, conservative care comes first. We build a plan around what's actually driving your pain.

Integrated physical therapy — the foundation

Physical therapy is the cornerstone of spine care. Rowena Calleja, PT designs a program to work on mobility, core and postural strength, and the movement patterns linked to recurring pain, as standard care. See our physical therapy program

A back or neck program usually includes:

  • An assessment of how you bend, lift, sit, turn and walk, and which positions ease or provoke the pain
  • Graded exercise for the trunk, hips and upper back, progressed as you tolerate it
  • Hands-on work where it helps you move, such as joint mobilization and soft-tissue techniques
  • For neck pain, work on posture endurance, shoulder-blade control and desk setup
  • For sciatica, positions and movements that settle leg symptoms, then a gradual return to load
  • A short home program and a plan for flare-ups

Related reading: when sciatica resolves, what posture research shows, desk ergonomics for neck pain and physical therapy after a car accident.

Orthobiologic procedures

We offer PRP, an autologous procedure prepared from your own blood. It is investigational, it isn't right for every back, and it does not replace rehab. Whether it is an option for you is decided at a clinical evaluation. Explore orthobiologic medicine

Nerve-related symptoms

When numbness, tingling, or burning is part of the picture, the problem may involve the nerves themselves. We assess nerve involvement carefully and can draw on our neuropathy program when appropriate. Learn about neuropathy treatment

Primary care that connects the dots

With family practice under the same roof, contributors to back pain — weight, conditioning, inflammation, and overall health — can be part of the same plan.

PRP, PPP, BMAC, and A2M are autologous procedures prepared from your own blood or bone marrow. They are considered investigational and are not FDA-approved for the treatment of any specific orthopedic condition, including osteoarthritis. Individual results are not guaranteed. Any decision to pursue an orthobiologic procedure should be made with your provider after a clinical evaluation.

How candidacy is determined

  • A clinical evaluation reviews your symptoms, history, and imaging
  • Your diagnosis and prior treatments are discussed
  • Your activity goals and overall health are considered
  • Any nerve symptoms and red flags are checked
  • Whether you can follow a recommended plan

Severe nerve compression, spinal instability, or certain structural problems may require a surgical opinion — and we'll evaluate honestly and refer you when imaging and symptoms point that way.

What to expect at your visit

Your first visit is a thorough evaluation: history, exam, and review of any imaging. Most patients begin with a structured physical therapy plan; if a targeted orthobiologic injection is an appropriate option, it's a same-day, in-office procedure. Conservative back care is a process, and individual results are not guaranteed.

How the one-roof model works for your back

Back pain is rarely one thing. At Innovare Tx, your evaluation, therapy, any injection, and the health factors behind your pain are coordinated by one team in one place. Charles Ortega, PA-C and Rowena Calleja, PT keep the plan unified, conservative first.

Targeted soft-tissue recovery therapy for back and muscle pain
Conservative care, coordinated

Therapy-led and coordinated

For most chronic back and neck pain, a structured rehab plan is the conservative starting point. We coordinate it all under one roof.

Physical therapyRead: PT vs. surgery

Nerve pain too? Explore neuropathy treatment

Questions, answered

Back & neck pain FAQs

Most back and neck pain is managed conservatively. A coordinated plan of physical therapy and activity modification may be part of care. We also offer orthobiologic injections, which are decided case by case. PRP is an autologous procedure prepared from your own blood; it is considered investigational and is not FDA-approved for the treatment of any specific orthopedic condition. Surgery is reserved for specific problems such as severe nerve compression or instability, and we'll refer you when imaging and symptoms point that way.
Common sources include degenerative disc changes, facet-joint arthritis, sacroiliac (SI) joint dysfunction, muscle and ligament strain, poor posture and mechanics, and nerve irritation such as sciatica. Often more than one factor is involved. A careful exam, your history, and imaging help separate the structural source from the muscular contributors so the plan targets the right thing.
Yes. Sciatica is nerve pain that radiates from the low back into the buttock and leg, usually from irritation or compression of a nerve root. Many cases are managed with conservative care — targeted physical therapy, movement and posture work, and addressing the underlying source. When nerve symptoms are involved, we evaluate carefully and coordinate the right next step.
We offer PRP, an autologous procedure prepared from your own blood. It isn't right for every back, it is considered investigational and is not FDA-approved for the treatment of any specific orthopedic condition, and it is not a substitute for rehab. Charles Ortega, PA-C will tell you honestly whether it is an appropriate option for your case.
It's central. For most chronic back and neck pain, physical therapy is the foundation — working on mobility, core and postural strength, and the movement patterns linked to recurring pain. Rowena Calleja, PT designs a spine-specific program, and any injection we offer does not replace it.
Numbness, tingling, or weakness in the arms or legs can signal nerve involvement and deserves prompt evaluation. We assess whether your symptoms are nerve-related and, when relevant, can draw on our neuropathy program. Certain red-flag symptoms — loss of bladder or bowel control, progressive weakness — need urgent care, and we'll direct you appropriately.
Back pain has many moving parts — structural, muscular, postural, and sometimes neurological. At Innovare Tx, your evaluation, physical therapy, any targeted injection, and primary-care coordination all happen under one roof with a care team that knows your full picture. The approach is conservative first and coordinated.

Want the background on orthobiologic options? What are orthobiologic procedures?

Ready for a back or neck evaluation?

Book an evaluation at our Addison clinic — we'll assess your back or neck pain and build a conservative, coordinated plan.

Book Your Visit (214) 233-3094
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