Innovare TxRegenerative & Wellness
Conditions We Treat

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, autologous orthobiologic procedures where they fit, and primary care that connects it all.

Book Your Visit (214) 233-3094
In short
Innovare Tx evaluates chronic back pain, neck pain, and sciatica with conservative, coordinated care — integrated physical therapy as the foundation, autologous orthobiologic injections where appropriate, and primary-care coordination — 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, rather than just numbing the pain, is the key to a good 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 restore mobility, build core and postural strength, and work on the movement patterns that trigger recurring pain — the standard-care changes that support lasting relief. See our physical therapy program

Orthobiologic options where they fit

For select, well-defined sources — such as facet-joint or SI-joint involvement, or chronic low back pain that has plateaued on conservative care — PRP, an autologous procedure prepared from your own blood, may be delivered to the targeted structure. It isn't right for every back, and it complements rehab rather than replacing it. 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 managed as part of the same plan instead of being scattered across offices.

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
  • Chronic, mechanical back or neck pain is assessed
  • Recurring flares that keep returning are discussed
  • Sciatica or nerve irritation without red-flag symptoms
  • Anyone willing to engage in a rehab-led 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 meant to support your rehab. Conservative back care is a process, and individual results are not guaranteed.

Why the one-roof model helps your back

Back pain is rarely one thing, so being bounced between separate clinics rarely helps. 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 — so you can get back to living.

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 — supported where appropriate by a targeted orthobiologic procedure — 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, activity modification, and — in select cases — orthobiologic injections to specific structures like the facet or SI joints may be part of care. 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.
For select, well-defined sources of spine-related pain — such as facet-joint or SI-joint involvement, or chronic low back pain that has plateaued on conservative care — PRP, an autologous procedure prepared from your own blood, may be delivered to the targeted structure. 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 — restoring mobility, building core and postural strength, and working on the movement patterns that drive recurring pain. Rowena Calleja, PT designs a spine-specific program, and any injection we offer is meant to support that rehab, 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, draw on our neuropathy expertise. 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 one provider who knows your full picture. That integrated, conservative-first model keeps your care coordinated rather than scattered from office to office.

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 find the source of your back or neck pain and build a conservative, coordinated plan.

Book Your Visit (214) 233-3094