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At Advanced Pain Solutions, a provider's hand beside spine models used to explain disc pressure

Back pain in Redmond, OR

When your back starts planning your day.

Stiffness that lingers in the morning, soreness after a long drive, a flare when you get back to your routine.

A spine model in the treatment room

The short answer

Most back pain in active adults comes from strained muscles, an irritated disc, worn spinal joints, posture that loads one area too hard, or an irritated nerve. An exam in our Redmond clinic shows which. Care usually begins with chiropractic care and spinal decompression, adding guided rehab and other options.

When does it get in the way?

Back pain can sneak into everything, from how long you sit at your desk to lifting groceries or heading out for a hike. You may start skipping the longer drive or thinking twice before nine holes or a ride.

Which part of the spine is it?

We look at how your spine is aligned and how it moves under everyday load. From there, a plan may combine chiropractic adjustments for back pain with decompression or rehab.

What is going on

Understanding back pain

Your spine carries load through discs, small joints, ligaments, muscles and nerves working together. Back pain can range from a dull, constant ache to a sudden, sharp pain that shoots down the leg. It may come on after a fall or a heavy lift, or build slowly as the spine changes.

What is actually happening

  1. Load builds up

    Long drives, desk days, lifting or an old injury put more stress on one part of the spine than it recovers from.

  2. The body guards

    Muscles tighten and movement narrows to protect the area, while a disc or a nerve may stay irritated.

  3. The pattern sets in

    The same segments keep taking the load, so the pain returns with the same activities.

Who this usually affects

  • Desk workers and long-distance drivers
  • Golfers, riders and mountain bikers
  • People who lift, push, pull or twist for work
  • Anyone with an old back injury that still flares

When it is something else

  • Pain from the hip joint itself, often felt in the groin
  • Back pain from a kidney stone or an infection
  • A recent fracture or spine surgery still in its healing window
Note

An exam, sometimes with X-rays, is how a provider tells which part of the spine is involved.

Chiropractic BioPhysics X-rays give a baseline and a target, so changes in your posture can be tracked over time.

Is this what you feel?

Symptoms of back pain

Back pain can sit in one spot or spread.

Your list

of 8

Bring your list to the evaluation; it helps us start in the right place.

Book an evaluation
Illustration of a standing figure used to show where pain is felt

The dashed line: where leg pain travels

Why it happens

Common causes of back pain

Back pain is not always tied to one moment, and several causes can be present at the same time.

  1. Muscle strain and sprain

    A strain injures a muscle or tendon, and a sprain the ligaments that hold the vertebrae together. Twisting or lifting the wrong way, yard work or a hard workout after time off are common triggers.

  2. Disc irritation or herniation

    Discs are cushion-like pads between the vertebrae. An irritated or herniated disc can press on nearby nerves, causing back pain and sometimes pain down the leg.

  3. Joint wear and arthritis changes

    Over time the discs break down and the small spinal joints can wear, which goes along with arthritis and a narrowed spinal canal. It may feel like stiffness after rest or an ache that builds through the day.

  4. Posture and long hours sitting

    A desk job with poor posture, or hours in an uncomfortable chair, loads one part of the spine more than the rest. Jobs with heavy lifting, pushing, pulling or twisting add to it.

  5. Nerve compression and sciatica

    A compressed nerve can feel sharp, burning or electric, sometimes with tingling, numbness or weakness in the leg or foot. Disc problems, spinal narrowing or joint changes can cause it.

A side-view drawing of the low back: vertebrae, discs, facet joints, nerve roots, muscles and the spinal curve Spinal curve Muscles Vertebra Disc Facet joint Nerve root SIDE VIEW · LOW BACK
The cause in view lights its part

How we treat it

How we treat back pain in Redmond

A back pain plan usually combines correction, options that calm pain and guided rehab you continue at home. Chiropractic care, decompression, rehab and injections all happen in one clinic, and the team shares your plan.

01 · Chiropractic first

Chiropractic adjustments

Adjustments support mobility in spinal joints that are stiff or not moving well.

About chiropractic adjustments
  1. 02Chiropractic BioPhysics

    Digital X-rays measure your spinal angles and posture, then mirror-image adjustments, traction and posture exercises work toward a target.

  2. 03Spinal decompression

    Gentle tension, then release. A computerized table stretches the spine in cycles and can target one spinal level.

  3. 04Focused shockwave therapy

    Acoustic pulses from a handheld applicator for stubborn soft-tissue pain around the low back and hips, with no needles.

  4. 05Regenerative medicine

    Regenerative injections such as PRP, made from your own blood, can be part of a plan when your exam supports them.

  5. 06Guided rehab

    Control, endurance and strength for the movements that set you off, coached by our medical assistants.

  6. 07Back bracing

Regenerative therapies are not a cure and results vary. Some biologic products discussed here are not FDA approved for this use. Your provider will review options, risks and costs with you.

All of your options

Back pain options, side by side

A spine surgeon decides whether an operation is needed, usually after imaging such as an MRI.

OptionWhat it is forAt Advanced Pain Solutions
Rest and activity changesA new flareAdvice at your visit
Chiropractic care and CBPStiff joints and alignment that loads one area too hardOffered here
Spinal decompressionDisc stress or nerve irritation that worsens with sitting, bending or long drivesOffered here
Guided rehabStrength and control, so your back handles daily load againOffered here
Epidural steroid injectionsA steroid placed near irritated spinal nerves for short-term reliefNot offered here
Spine surgeryProgressive weakness, loss of bladder or bowel control, or pressure on a nerve that other care has not helpedWe perform no surgery
General information, not advice

Offered hereNot offered here

What to expect

Recovery and timeline

Back pain is often described by how long it has lasted.

  1. Your first visit

    Your history, an exam and a movement check.

  2. A few days to weeks

    Acute back pain comes on suddenly and usually lasts a few days to a few weeks.

  3. 4 to 12 weeks

    Pain that lasts this long is called subacute. Rehab builds strength and control, in the clinic and at home.

  4. Past 12 weeks

    Pain that lasts longer than 12 weeks is called chronic, and a plan looks at each factor that adds to it.

Your timeline depends on what is irritating your back and how long it has been going on.

Can it wait?

When to get help right away

Do not wait

Get urgent care today if

  • Trouble urinating, or loss of bladder or bowel control
  • Weakness, pain or numbness in your legs
  • Back pain after a fall or an injury
  • Back pain with a fever
  • Weight loss you did not intend
  • Severe pain that does not ease with medication

Go to urgent care or an emergency room, or call 911.

While it settles

During a flare-up

Leg weakness that is getting worse, or losing control of your bladder or bowels, needs an emergency room or 911. For the other signs, see a medical provider promptly.

Cost and payment

What care costs

Your care

Prices are not posted online.

What you pay depends on your plan, such as how many adjustments, decompression sessions or rehab visits it includes.

Pay over time
Costs are reviewed with you at your consultation, and financing is available through Cherry.

In patients' own words

5.0 · 216 Google reviews

Came into APS with lower back pain that has stopped me from enjoying the outdoors over the past year. The team at APS were very friendly and informative, assisting in correcting my back issues. I am now able to enjoy weekends with my kids.

Seth Z.Back pain

I’ve been dealing with back issues for a decade and felt like I had no hope after years of pt and chiro. After 3 months I’m gaining my life back and have had more success than ever!...

Derek W. Back pain

A patient's story Individual results vary.

Brian G.'s story Individual results vary.

Individual results vary.

See all reviews on Google
Dr. Kent Rookstool, DC, founder of Advanced Pain Solutions
Dr. Kent Rookstool, DCDoctor of Chiropractic and founder
Dr. Kevin Lewis, DC, chiropractor at Advanced Pain Solutions in Redmond
Dr. Kevin Lewis, DCDoctor of Chiropractic

Who you will see

Expert care for back pain in Central Oregon

Your plan is led by the Doctor of Chiropractic who founded the clinic and has dealt with his own significant back pain.

A second Doctor of Chiropractic works alongside him.

Dr. Kent Rookstool, DC, Doctor of Chiropractic and founder · Dr. Kevin Lewis, DC, Doctor of Chiropractic

Book a visit with our team

By the numbers

2012

Dr. Kent caring for patients since

From Dr. Kent's published bio

3

Licensed providers on the team

5.0

From 216 Google reviews

See the reviews on Google

Getting here

The drive from Bend and Sisters

From downtown Bend the drive is about 24 minutes (16.6 miles) on Highway 97. From downtown Sisters it is about 30 minutes (19.6 miles) on Highway 126.

1020 SW Indian Ave Ste 100, Redmond, OR 97756 · (541) 923-6024
Mon to Thu 9 AM to 6 PM

  1. TerrebonneHighway 97 · 6.5 mi11min
  2. PrinevilleHighway 126 · 18.4 mi22min
  3. BendHighway 97 · 16.6 mi24min
  4. SistersHighway 126 · 19.6 mi30min
  5. MadrasHighway 97 · 29.8 mi48min
  6. SunriverHighway 97 · 33 mi46 to 49min
Drive time from the clinic, no traffic

Your first visit

Schedule Your Back Pain Evaluation

Share a brief note about where it hurts, what sets it off and how long it has been going on. We will evaluate your symptoms, discuss your goals, and explain which options may fit.

  1. Request a time

    Call (541) 923-6024. Mornings or afternoons, Monday to Thursday.

  2. Understand what is driving it

    We look at how your pain behaves, what movements trigger it, and what tissues may be involved.

  3. A clear plan

    We walk you through what we find in plain language and outline next steps that match your goals.

Pay over time
Cherry financing. No hard credit checks.
No referral
No referral is needed.
Hours
Mon to Thu 9 AM to 6 PM

Book by phone

Prefer to talk it through first?

Call (541) 923-6024Directions and hours

Questions

Back pain questions

Still unsure? Call (541) 923-6024, Monday to Thursday.

Can you help if I have had back surgery?

You can be evaluated after back surgery. Your provider reviews your surgery history along with your current alignment, mobility and nerve symptoms, then explains which parts of care fit you. Bring your surgery records and any imaging to your first visit.

Is bed rest good for back pain?

Usually not for long. A short rest in the first day or two can help when pain is sharp, but too much rest can make the pain worse and slow recovery. Light movement and short walks help you stay flexible and strong.

Why does my back hurt more after sitting?

Some back problems, such as an irritated disc, hurt more after sitting or standing in one position. A desk job with poor posture, or an uncomfortable chair, can add to it. Break up long sits and long drives with short walking breaks, and choose a chair that supports your back.

Can back pain come from somewhere other than the spine?

Yes. Kidney stones or infections, endometriosis, pregnancy and osteoporosis can all cause back pain, and so can fibromyalgia or an infection in the bones of the spine. That is one reason your first visit begins with your full history, before any treatment is chosen.

Can stress make back pain worse?

It can. Poor sleep, depression or anxiety can make back pain come more often and feel more severe. Tell your provider how you are sleeping, since that helps shape a plan that fits your week.

What can I do to protect my back day to day?

Sit, stand, lift and sleep in ways that support your back, and keep a healthy weight. Stay active with walking, stretching and core-strength exercises. On a hard day, choose low-impact activity such as walking or swimming over pushing through the pain.

Who should not have spinal decompression?

Published reference lists rule it out during pregnancy, after a spinal fusion or with hardware such as screws or rods, and with a broken bone, a tumor or an infection in the spine, advanced osteoporosis or an abdominal aortic aneurysm. Past back surgery, severe spinal stenosis, a slipped vertebra and a blood thinner are among the reasons to check first.

Advanced Pain Solutions

Start with what your back is telling you.

Clearer answers and a plan that actually makes sense.

Mon to Thu 9 AM to 6 PM · 1020 SW Indian Ave Ste 100, Redmond