Low Back Pain · Bend, Oregon

Your Back Is
Stronger Than
You've Been Told.

Bikers Hikers Pickleball Skiers Desk Workers

Maybe it seizes up halfway up a trail. Maybe it aches through a pickleball match, or by two o'clock at your desk. You've probably been handed a sheet of stretches and told to take it easy. I built my practice around back pain because it's the thing I most like helping with, and "take it easy" is usually the worst advice you'll get.

Who We Help

Does This Sound Like You?

Most of the backs I see belong to one of two people. Both got told to rest and see how it goes.

01
Active People

It Shows Up When You Push

You hike, you ride, you ski, you play pickleball. You're active everywhere except the one thing that scares you, and your back keeps showing up when you push it. You're tired of stopping short and sitting seasons out.

  • Pain flares on long hikes or bike rides
  • Morning stiffness that takes an hour to shake
  • Nerve pain or tightness shooting down the leg
  • Nervous to push hard because your back might "go out"
  • Missing seasons, events, and activities you love
02
Desk Workers

The Desk Day Swallows Everything

You sit for hours and by midday your back is aching. By evening it's cranky enough that the gym plan goes out the window. Stretching, massage, and ibuprofen help for a day, then it's back.

  • Can't sit through meetings without constantly shifting
  • Sharp pain when you stand up after sitting
  • Tried massage, chiro, or PT, and it helped for about a week
  • Back pain affecting your sleep, focus, and mood
  • Can't do the things you want after work because you're drained
The Real Problem

Why Your Back Pain Keeps Coming Back

Here's the thing with backs. Most of what gets done to them calms the sore spot and changes nothing else.

01

The Sore Spot Usually Isn't the Whole Story

Stress has to go somewhere. If your hips or your mid back aren't doing their share, your low back picks up the slack, and eventually it gets angry about it. Generally speaking, we spread the load out instead of beating up the same spot.

02

You Got Treated for the Pain, Then Sent Home

Ice, massage, and a sheet of stretches feel good for a day. If nothing changes in how you move, how much your back can handle, or the eight hours you spend sitting, it comes back. That's not you failing. That's the plan stopping too early.

03

Nobody Told You What's Safe

Rest or keep moving? Stretch or get stronger? Push or back off? Without a straight answer you start protecting it, and you do less and less. Doing nothing gets nothing, and a back that never gets loaded never gets stronger.

Conditions We Treat

Whatever Yours Got Called

The label on your back matters less than you'd think. It rarely changes the plan. Here's what people usually walk in with, and what we do about it.

01 Disc

Disc Bulges & Herniations

Sharp pain or numbness that runs down the leg. Discs are like the wear and tear in a pillowcase. Almost everyone over forty has some, and most of them don't hurt. We settle it down, then load it back up a little at a time.

02 Nerve

Sciatica & Nerve Pain

Burning, lightning-bolt, or tingling down the leg. Everyone calls anything down the leg sciatica, and honestly it's a garbage term. We figure out whether it's actually nerve stuff or just pain that travels, because the plan is different.

03 Joint

SI Joint & Stiff Back Joints

One-spot pain, stiffness, or clicking low in the back or around the pelvis. Hands-on work gets it moving, then strength work keeps it that way. This one usually turns around faster than people expect.

04 Muscle

Strains & "My Back Went Out"

The sudden one. The muscle is protecting you right now and it's saying don't use me. We coax it back with easy movement, then build enough strength that the next tweak is a bad day, not a bad month.

05 Stenosis

Spinal Stenosis

Pain, heaviness, or tired legs with walking or standing. It's a normal finding for a lot of people over sixty, and it's workable. We find what you can do, keep you walking, and get your legs strong enough to carry more of the load.

06 Posture

The Desk Back

Back pain from sitting the same way for eight hours. Your back likes to move and hates being stuck in one spot. We fix the desk setup, add movement snacks through the day, and get you strong enough that sitting stops being a problem.

How I Work

Rehab Built Around Your Life

I want to know your job, your sport, what you're scared to do, and what you'd do this weekend if your back let you. Then we build the plan around that, and you keep doing as much as you possibly can while we work on it.

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Hands-on work to calm it down and get it moving again
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Strength work for the stuff that got weak while you were protecting it
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A program that fits your week, whether that's hiking, biking, lifting, or eight hours at a desk
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Guardrails you understand, so you know what a flare-up means and what to do about it without me
Book a Free Consult Call
8 in 10 people with low back pain have something workable going on, not a "defect" that needs fixing
1 in 4 adults get back pain bad enough to limit their day at some point. It's really common, and it's workable.
Dr. Steven Dobson PT, DPT, OCS, CSCS · Bend, Oregon
Been through his own back injury. Deadlifts again.
How It Works

Your Path Back to Strong

Four steps. You always know which one you're on.

01
Step 01

Free Consult Call

Thirty minutes. You tell me what's going on and what you want back. I tell you straight whether I can help, and what the first step would look like.

02
Step 02

The Blueprint

A full hour. Some questions, a movement exam, a few numbers on what your back can handle today. Then we sit down and I tell you what I think it's going to take.

03
Step 03

The Plan

You leave knowing what's probably going on, what we're doing about it, and roughly how long. Most people work with me about twelve weeks, because getting out of pain is only the first part.

04
Step 04

Back to Your Life

Back on the trail. Back on the court. Back at your desk without dreading two o'clock. We don't stop when the pain quiets down. We stop when your back handles more than it did before this started.

Real Results

People Who Got Their Backs Back

In their words, from Google.

" Steven helped me with a recurring back injury and was able to provide guidance, support, and information to help me recover. I went from being afraid to lift weights again to having confidence and breaking personal bests by 20+ lbs in only a few months.
PA
Patrick Lifter ★★★★★
" Ever since my back surgery, I struggled to load my squat and deadlift. Steven helped me adjust my form and my load. Now I am stronger than I've ever been and don't have back pain with heavy lifts anymore.
ER
Erin Physical Therapist & Lifter ★★★★★
" I couldn't lift a barbell a month ago. With Steven's help I was able to be confident lifting again and even hit a new deadlift PR.
TA
Taryn Dobson Strength Client ★★★★★
" I am 100% pain free now and back to normal activities. One thing I loved most about Steven's approach: he focuses on athletes and people who enjoy being in the gym.
MA
Mayra Dobson Strength Client ★★★★★
Common Questions

Frequently Asked

The ones I get asked on almost every call.

How long until I see results? +

Most people feel a difference in the first 2 to 4 sessions. No guarantee on that, because it depends on how long it's been going on and what's driving it. You'll get a realistic timeline after the first hour, so there are no surprises.

Do I need an MRI or X-ray before starting? +

No. Almost every image of someone over forty looks abnormal, and only about half of those people have any pain. So the scan is just information, and it rarely changes the plan. What I find in the room tells me more. If something does need a scan, I'll say so and point you to the right person.

Can I keep exercising and staying active during treatment? +

Usually yes, and I'd rather you did. Runners don't quit running and lifters don't quit lifting. You'll get guardrails: what's green, what to modify, and what to skip for a hot minute. If you're doing nothing, you're probably getting nothing.

How is this different from PT I've tried before? +

A lot of back rehab gets stuck in what I call rehab purgatory. You do the easy stuff for months, nobody pushes you, and you slowly do less and less. Here it's a full hour, one on one with me, and it gets harder on purpose, because getting stronger is the part most rehab skips.

Do you accept insurance? +

I don't formally take insurance, and that's what lets me spend a full hour with you. Most people use HSA or FSA money, and I can give you a superbill to send to your plan. No promises on what they pay back, but it can help.

What if I've had back pain for years and nothing has worked? +

Years of back pain is really common, and it's usually not that nothing works. It's that the plan stopped at "the pain's down, good luck." I've worked with people who've had it for 5, 10, and 20 years. It takes longer and it's a little annoying, but most of them got somewhere they didn't think they could.

What if I don't live in Bend? +

Then we do it over video. You film your lifts, I send feedback back, we talk once a month, and your program lives in the app. It works really well for lifters. The whole thing is laid out on the remote rehab for back pain page.

Let's Find What You Can Do

Start Small.
Prove It Wrong.

Book a free 30-minute consult call. You tell me what's going on with your back, I tell you straight whether I can help. Worst case you leave with a clear answer.

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No obligation
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Straight answers
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Clear next steps
Book a Free Consult Call