Starts visit one
Pain
Take the pressure off the nerve.
Manual therapy, soft tissue work, and nerve glides calm the irritated root and quiet the muscles that have been spasming to protect it.
What We Treat
Back pain and sciatica treatment in Richardson.
The hot line down one leg. The morning you plan around your back before your feet hit the floor. It’s fixable, and it starts with a cause-first evaluation, not a guess.
Sound Familiar?
Does this sound like you?
- Both hands on the bathroom sink before you can stand all the way up
- A hot line running past your knee into your foot before you’re all the way out of the car
- The moment your back gives out halfway up from a laundry basket
- Rolling onto your side and pushing up with your arms, because sitting straight up is off the table
- Pain that shows up right on cue around hour six in the desk chair
- Doing the math on a two-hour drive before you agree to go anywhere
Two or more? That’s a pattern, not bad luck.
Why It Happens
Sciatica is a symptom. Something is squeezing that nerve.
Your spine is discs, joints, nerves, and muscle working as one system. Pain shows up when one part stops holding up its end. A disc bulges and leans on a nerve root, so you feel burning and numbness down the leg instead of in your back. The small facet joints that link your vertebrae get stiff and inflamed, and twisting or bending turns sharp. Tight bands of muscle spasm and refer pain into the hip and glute. And the deep stabilizers quietly weaken after every flare-up, so the same spot keeps taking the hit.
None of that is visible from across the room. A cause-first evaluation sorts it out: range of motion testing, nerve tension testing like the straight leg raise, and a real look at your posture and how you walk. That’s why rest, ice, and a printed stretch sheet keep coming up short. They answer the symptom. We go after the cause.
The Honest Truth
Sciatica doesn’t get bored and leave.
If you keep waiting
- The leg outlasts the back: numbness and weakness show up where the sharp pain used to be
- You stop bending at all, which weakens the exact muscles that are supposed to protect your spine
- Flare-ups stop being a once-a-year event and start being something you plan the calendar around
If you start this week
- You find out what is actually driving the leg pain, not just what hurts
- Hands-on treatment starts at that first visit, not after a stack of paperwork
- You get a plan with an endpoint, mapped across all four phases, not an open tab of visits
You’ve worked around this back for months because the people who count on you needed you upright. That was the right call at the time. It just isn’t a plan.
How We Fix It
Four phases. Built around your spine.
You work one-on-one with a licensed physical therapist, every visit. Here’s what the four phases look like for a back and an angry sciatic nerve.
Once the pain settles
Prime
Get the motion back.
Joint mobilization and targeted mobility work free up the stiff segments that stopped sharing the load and handed the job to one spot.
When motion returns
Perform
Build a back you trust.
Progressive core and hip strengthening rebuilds the support your spine has been missing, loaded up a step at a time instead of all at once.
Before you’re cleared
Prevent
Make the flare-up stop coming back.
Lifting, bending, and sitting mechanics get retrained and pressure-tested, plus the ergonomic fixes that keep reloading the same spot. That’s the endpoint, not another appointment.
They took the time to understand my injury and tailored a rehab plan specifically for me. The facility is well-equipped with a wide range of modalities. They use all the right tools to get you back on your feet as quickly and safely as possible.Rated 5 out of 5 stars
Shared by David B. · Google review
Where it starts: taking the pressure off the nerve
Where it ends: bending, lifting, and driving without negotiating first
Back pain & sciatica
Pain to Prevent
Questions, Answered
What people ask before booking for back pain.
Usually not, and it’s rarely the right first step. Plenty of people with no pain at all have disc bulges and wear and tear on their scans, so a picture on its own doesn’t tell you what is driving your symptoms. We start with a cause-first evaluation instead: range of motion, nerve tension testing, posture, and how you walk. If imaging turns out to be genuinely necessary, we will tell you and help you get it. You don’t have to wait on a scan to start feeling better.
In most cases yes, and movement tends to help more than rest does. Hurt does not automatically mean harm. Full rest leaves a back stiffer and weaker, which is what sets up the next flare-up. The skill is dosing the right movement for your specific back and your specific nerve, then progressing it as the leg calms down. That gets sorted out at your evaluation and adjusted as you go, one-on-one with a licensed physical therapist, every visit.
It depends on what we find and how long you have been carrying this, so we will not quote you a number before we have looked. What you get instead is a plan with an endpoint. Your back moves through four phases, Pain, Prime, Perform, and Prevent, and you always know which phase you are in, what has to happen to clear it, and what is left. In Texas you can be seen by a licensed physical therapist for up to 30 days without a physician referral, so you can start now and sort the rest out from there.
Book Your Visit
Ready when you are.
Request a time and a real person calls you back during business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
- Hours Monday to Friday, 8:30am to 5:30pm
- (972) 526-5693 Prefer to talk now? Call us.
- No referral needed to start
5.0 · 150+ Google reviews
A real person calls you back
Step 1 of 5
Request sent.
That’s the hard part done. We’ll call during business hours to lock in your time. If you’d rather not wait for the call, the number below reaches the clinic directly.
Visit Us
Care this good, this close.
On Point Movement & Performance
- 445 Walnut St. STE 109, Richardson, TX 75081 (opens in a new tab)
- (972) 526-5693
- Fax: (469) 784-9424
- info@onpointmvp.com
- Monday to Friday, 8:30am to 5:30pm