Take Control of your Back pain with Help from Britt Zink Physical Therapy Services


At Britt Zink Physical Therapy Services we know that Back pain and Sciatica can take a serious toll on your daily life. If you are seeking relief from Back pain or Sciatica, we can help.

Britt Zink is a certified McKenzie MDT Physical Therapist who will perform a thorough evaluation to determine the root cause of your pain. Britt will partner with you to develop a treatment plan to provide you with pain relief so you can get back to the activities you love without medications, injections or surgery. Reach out to us today for back pain treatment in Sioux Falls, SD.

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Back problems

Low back pain affects nearly every person at some point in their lives. Some recover from their first bout of pain and never are bothered again. But for the majority of the population, low back pain and in some individuals, sciatica, become a recurring problem that plagues them for years. Research suggests that between 60 and 75% of individuals who have back pain once will have recurring or chronic back pain. You likely will find that your attacks of low back pain and sciatica become more frequent, and are more severe with each successive attack. These attacks of low back pain and sciatica can be disabling. Some even have back surgery only to find that they are worse with disability and pain after the surgery then they were before.

Low back pain may be described as fibrositis, slipped disc, degenerative disc disease/DDD, degenerative joint disease/DJD, arthritis, herniated disc, spinal stenosis, bulging disc, spondylosis, spondylolisthesis, lumbago or sciatica.

Britt Zink, MSPT, Cert. MDT

Britt Zink, MSPT, Cert. MDT

Owner & Founder Britt Zink Physical Therapy Services LLC

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How Back Pain and Sciatica affects Us

Most of us do not have a clue as to what brought on our back pain. Back pain rarely occurs due to a single, traumatic event. It often starts for no apparent reason. It disturbs our tolerance for the activities we love, disrupts our sleep, makes prolonged sitting, standing and even walking intolerable. The pain is often severe and debilitating, and then it leaves as suddenly as it came on.

As the condition becomes more chronic, these aches and pains and other symptoms may become constant, and individuals struggle to find something that will give them relief. When dealing with constant pain, people may avoid recreational and leisure activities that they enjoy, miss work, may undergo expensive (and often, unnecessary) radiological imaging studies, injections, and take medication to relieve their pain; only to find that the pain does not go away and keeps recurring. This pain often makes their daily lives absolutely miserable, and they avoid activities in order to keep their pain at a tolerable level. Even worse, they struggle to get a good night of sleep and with lack of sleep, their symptoms during the day worsen.

If you have suffered symptoms like this, you may have already discovered that these symptoms can last for months or even years. You probably have tried treatments that give you temporary relief (adjustments, ultrasound, cupping, electrical stimulation, massage, ice, heat, dry needling, acupuncture, etc) that may give you some relief for a short period of time, but rarely give you any lasting relief. Your symptoms keep recurring and you long to find something that will give you lasting relief once and for all. The reason your symptoms keep recurring is because these temporary treatments do not address the CAUSE of your pain and do nothing to prevent if from recurring again.

The majority of low back pain and sciatica is mechanical in nature; that is, it is caused by moving parts and certain movements that can lead to the onset of pain. If pain is already present, these positions and movements make your pain worse. Often, your pain is worse with sitting, when bending forward, you have pain when getting up out of a chair, and you feel more stiff and sore in the morning. Activities such as gardening, vacuuming, caring for young children, making beds and performing basic housework become unbearably painful. Often patients with low back pain will feel better with movement, and feel worse when they remain still for a prolonged period of time. You may have periods of time during the day when you have no pain, and you may have days where the pain feels constant. You may feel pain down the back of your thigh, or you may even feel numbness and tingling down into your foot and toes.

You may also have seen another therapist or healthcare provider who gave you a generic sheet of exercises to do for your back pain based on your "diagnosis" but they didn't take you through a thorough mechanical exam. You may have tried these exercises and found these to be of some benefit but often stretching and strengthening alone does not get rid of your back pain. It is important to have an awareness of how you move and position your back during the day can significantly contribute to your back pain.

Wouldn't it be nice to finally get to the ROOT CAUSE of your pain, be shown techniques and exercises that will not only relieve your pain, but prevent it from coming back? How good would it be to learn how to apply treatment to yourself that you could perform in the privacy of your own home to decrease your pain and prevent it from coming back?

It has been demonstrated repeatedly that patients need a rational explanation of their condition. They need education in postures, activities, and exercises that allow them to remain pain free. They need advice from a specialist on how to avoid detrimental forces encountered in our daily lives and how to apply beneficial strategies. All of these things can be found at Britt Zink Physical Therapy Services!

Wondering if we could help you with your Back pain?

  1. Are there periods in the day when you have no pain? Even 10 minutes?
  2. Is pain confined to areas above the knee?
  3. Are you generally worse when sitting for prolonged periods or upon rising from the sitting position?
  4. Are you generally worse during or right after prolonged bending or stooping as in bed making, vacuuming, ironing, digging or gardening?
  5. Are you generally worse when getting up in the morning, but improve after about a hour?
  6. Are you generally worse when inactive and better when on the move?
  7. Are you generally better with walking?
  8. Are you generally better when lying face down? When testing this, you may feel worse for the first few minutes, after which time the pain subsides. In this case, the answer to the question is "yes."
  9. Have you had several episodes of lower back pain over the past months or years?
  10. Are you able to move fully in all directions without pain between episodes?
  11. Are you pain-free between episodes?
  12. If you have pain in the buttocks or upper/lower leg, does it sometimes stop completely, even though you still have back pain?

If you answered "yes" to any of these questions, there is great chance you can benefit from the treatment strategies offered by Britt Zink at our clinic.

Self-treatment strategies are the ultimate goal, but hands-on manual techniques may be necessary initially to assist with your recovery. It is recommended that you undergo a thorough comprehensive examination and evaluation by our own McKenzie MDT certified therapist, Britt Zink.

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McKenzie Method

What's Mechanical Diagnosis and Therapy?

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McKenzie Method: How it works

McKenzie MDT is a comprehensive, evidence-based system of examination, evaluation, diagnosis, prognosis, intervention and prevention strategies aimed at patient education and independence. It is known to provide results for patients in the first 2-3 visits. It is founded on sound clinical reasoning for individualized plans of care. Cost-efficient treatment minimizing the need for expensive tests or procedures: no needles, no injections, no surgeries.

Step 1: Active Examination: Listening to the patient's detailed history and with the patient's active involvement using repeated postures and movements during the unique MDT examination process, Britt Zink establishes a clear direction with a solid baseline to develop an individualized plan of care.

Step 2: Dynamic Diagnosis: The patient will be prescribed specific exercises and given guidance for appropriate postures and behaviors to adopt or temporarily avoid outside of the clinic. Britt Zink can quickly re-evaluate your symptoms and range of motion changes to maintain the treatment course or modify the plan of care. This may include hands-on manual techniques as needed to assist in your recovery.

Step 3: Reliable intervention: By learning how to self-treat your current condition, you gain knowledge to minimize the risk of recurrence and you are empowered with knowledge and techniques to deal with your symptoms should they ever recur.

Prevention is the ultimate goal- YOU ARE IN CONTROL OF YOUR PAIN!


What others are saying about their Back Pain and Sciatica Specialty Treatment with Britt Zink

Britt is AMAZING! She is incredibly patient and willing to work with you, but you also have to do your homework! I started getting sciatica pain near the end of my pregnancy (3 years prior from when I started with Britt) and thought this will go away as soon as I have this baby. It did to some extent but little did I know that many things in my life were having me constantly bend over creating a bulge in that disc and leading to further sciatica flare ups! After a Mackenzie Method recommendation from a coworker I started searching in this area and found Britt! She has been such a blessing to my life. In a couple short months of meeting once or twice a week, we got the pain under control and I have had minimal flare ups since seeing her because I continue to do my "homework"! It all starts with You! You can do it and Britt will help you!


Low Back Pain with Sciatica

I had been having lower back pain for years. I finally got to the point where I was sick of it.
I called on Britt Zink, She diagnosed me within 20 minutes, educated me using models (which I appreciate) gave me exercises and sent me on my way.
My pain almost instantly went away. Each re-evaluation appointment, Britt would check my progress, assign me more exercises and each week I got results.
I can't say thank you enough to Britt for how good my back feels.


Low Back Pain

Britt is an excellent therapist, and an even better person. Through working with Britt, I feel the best I have in 10 years. I appreciate how Britt's interventions are simple to do and do not require special equipment. Nor do I have to take a large amount of time out of my day to get my exercises completed.


Neck and Low Back Pain

The first time I came to see Britt, I could hardly walk and the pain was unbearable- Sciatic Nerve. She helped me through some exercises and showed me how to do some at home by myself. I was impressed how thorough and caring she was. She became a friend who helped me and cared for me. I learned from her I could do things to help myself. Today I am back to my normal self thanks to Britt.


Low Back Pain with Sciatica

I injured my back while lifting a heavy trolling motor. I had pain in the lower back that spread to the hip, buttocks, leg and foot on my right side. I also had a tingling burning sensation run up and down the leg. I couldn't walk to the mailbox across the street, stand in one place for 30 seconds, lay on my back or my stomach. I I got online and discovered that I had a sciatic nerve issue due to a bulging or herniated disc. I figured the issue would disappear with time but I was wrong. I met with my doctor who checked me out and sent me to Britt for physical therapy. I wasn't sold on physical therapy but figured if it worked it sure beat shots or surgery so I went to Britt and within 3 .5 weeks she had me pain free. She also gave me a follow up plan to strengthen my core muscles and instructions to follow if I had a flareup. Britt was very patient with me. We worked together through a series of baby steps up to the daily routine I needed to perform to relieve the pain. Britt is a very nice person who really cares about her patients. I looked forward to my sessions with her. It was not all work and pain. I hope I never have another flareup but if I do, I will return to Britt to perform her magic on me. I really appreciate everything she did for me and I'm grateful my doctor sent me to her. I'll miss her.


Low Back Pain with Sciatica

Are you wondering how PT can help you? Do you have questions you would like to ask before you schedule your first appointment? We would be happy to have a PT call you to answer your questions.

Do you have questions about insurance coverage or about scheduling your appointment? Wondering if a doctor order is needed for PT? We would be happy to discuss any questions you have. ‚Äč

Not sure how Physical Therapy can help you? Want to discuss your problem in person with a PT?