back country



Tension headaches associated with muscle tightness in the neck.


  • Sprains and Strains
  • Thoracic Outlet Syndrome
  • Disc Herniation
  • Joint dysfunction
  • Arthritis
  • Whiplash
  • Post-surgical
  • Postural Dysfunction
  • Muscle Tension


  • Sprains and Strains
  • Rotator Cuff Strains or Tears
  • Shoulder Instability
  • Muscle Imbalance
  • Tendonitis and Bursitis
  • Labral Tear
  • Frozen Shoulder
  • Arthritis
  • Post-Surgical Including Total Shoulder


  • Sprains and Strains
  • Tennis Elbow
  • Golfers Elbow
  • Tendinitis
  • Nerve Pain
  • Arthritis
  • Post-Surgical


  • Sprains and Strains
  • Carpal Tunnel Syndrome
  • Tendonitis
  • Nerve Pain
  • Arthritis


  • Sprains and Strains
  • Muscle Imbalance
  • Postural Dysfunction
  • Disc Herniation
  • Rib Dysfunction
  • Joint Dysfunction
  • Muscle Tension


  • Sprains and Strains
  • Disc Herniation
  • Spinal Stenosis
  • Spondylosis
  • Degenerative Disc Disease
  • Arthritis
  • Muscle Tension
  • Post-Surgical
  • Sacral Iliac Joint Dysfunction


  • Sprains and Strains
  • Arthritis
  • Tendonitis and Bursitis
  • Labral Tears
  • IT Band Syndrome
  • Piriformis Syndrome
  • Post-Surgical Including Total Hip Surgery
  • Muscle Imbalance
  • Degenerative Joint Disease


  • Musculoskeletal Imbalances
  • Sprains and Strains
  • Pulled Hamstring
  • Quadricep Weakness


  • Sprains and Strains
  • Patella Femoral Syndrome
  • Meniscal Tear
  • Degenerative Joint Disease
  • Ligament or Labral Tears
  • Post-Surgical Including Total Knee Surgery
  • Tendinitis
  • Arthritis


  • Radiculopathy: Nerve pain associated with a pinched nerve usually in the neck or low back
  • Sciatica: Nerve pain associated with a pinched nerve in the low back or buttock


  • Sprains and Strains
  • Achilles Tendonitis
  • Running Injuries


  • Plantar Fasciitis
  • Heel Pain
  • Metatarsalgia
  • Nerve pain

our specialties

Kinetacore - Dry Needling

Suffering from a sports injury or other chronic pain? Functional Dry Needling brings lasting relief for a broad range of Neuromuscular Dysfunction. Download our free brochure to learn more or watch the video below.

Mechanical Diagnosis and Therapy (MDT)

Have you ever experienced low back or neck pain? If so, you are not alone because 70 percent of the adult population will experience low back or neck pain in their life and 80 percent of these people will have it happen more than once, researchers reported in 2006.

  • Read More: Therapy can root out back, neck pain

    Low back and neck pain are among the most common reasons for disability and the total cost implications for this are larger than any other disease.

    In fact, low back and neck pain are as prevalent as the common cold and most can be treated with fairly conservative measures, according to a paper by Robin McKenzie and Stephen May, published in Spinal Publications New Zealand.

    One way to do so is through what is called mechanical diagnosis and therapy. MDT focuses on reducing what is truly going on with your body instead of masking the symptoms.

    The therapy helps to abolish symptoms through a simple exercise program that focuses specifically on what you need. It helps those with back, neck and joint problems, based on a conception McKenzie termed centralization.

    Centralization is the concept of removing symptoms in the arms and legs (sciatica symptoms, for example) with the goal of eventually decreasing and abolishing symptoms at the source, usually the low back or neck.

    It is not about masking symptoms but rather about treating the truly underlying problems that affect many of us daily.

    The primary focus of this highly evidence-based practice is to give the patients the independence to treat themselves with a simple home exercise program.

    The beauty of this self-management technique, with PT coaching, is the ability of the patient to treat themselves in the future if the symptoms arise again.

    For example, if a 44-year-old male with chronic low back pain is referred to physical therapy the therapist would first evaluate and identify what helps to reduce the patients symptoms usually through repeated motion techniques.

    Based on the evaluation, the therapist would be able to identify the most appropriate plan for treatment.

    The patient would have to consistently do the exercises and follow up with the therapist about the response to treatment.

    The therapist can then confirm that the exercise program was appropriate and may be modified to speed up recovery.

    Soon the patient will become more independent with their exercise program and need fewer sessions as time goes on.

    A patient who has been educated, coached and instructed on the appropriate treatment intervention will be much less likely to need continued care for their diagnosis in the future.

    It's important to keep in mind that not all back, neck and joint pain can be reduced or abolish by exercises alone and that is when an MDT therapist will use hands-on techniques to facilitate appropriate care.

About Back Country Physical Therapy in Sheridan Wyoming

Other Services Provided

  • Gait, Balance, and Fall Prevention

    You may have lost your balance or even had a fall. Back Country Physical Therapy can help. Our bodies have three main balance systems; our vestibular system, our somatosensory system, and our eyes. The vestibular system is part of the inner ear and gives us our sense of spatial awareness. The somatosensory system is composed of little receptors in our joints called proprioceptors. These tell our brain that we are standing up, just by the feeling in our feet and joints. As we age, the vestibular and somatosensory system are not as effective as they once were and with any visual problems, this only compounds matters. As a result, millions of people fall every year. In fact, 1 in 3 elderly people will fall this year. Many folks over the age of 65 break their hip every year, and 20% of those that break their hip will die in 1 year. At Back Country Physical Therapy, a gait and balance analysis will help to identify your potential balance and gait limitations and/or fall risk. In turn, you will be provided the most appropriate and comprehensive treatment to help reduce your risk for falls. Gait analyses will be conducted for any individual that may have pain after performing any activities such as running. This can be beneficial for both the young and the elderly.

  • Manual Therapy

    Manual Therapy is hands-on treatment of muscles, tendons, ligaments, and joints. This treatment is particularly important for those suffering from muscle guarding (knots) or joint pain. A person may have difficulty with, or fear of moving a joint because of pain. Manual Therapy encompasses massage, soft or deep tissue mobilization, joint mobilization, and joint manipulations amongst other treatment interventions. Back Country Physical Therapy can help.

  • Electrical Stimulation

    This helps with a variety of conditions. A physical therapist might place electrodes or patches around the area requiring treatment. Painless electrical impulses will either cause a "tingling" sensation or a muscle contraction depending on what the therapist is trying to accomplish during your treatment. There are several types of electrical stimulation used in physical therapy. FES (Functional Electrical stimulation), NMES (neuromuscular stimulation), and Russian Stimulation act to contract muscles to prevent them from shrinking after an injury. This may also be used for those who have difficulty or inability to contract a muscle such as those who have suffered from a stroke. These types of stimulation help to restore function in those with disabilities or injuries. TENS (transcutaneous electrical nerve stimulation) and IFC (Interferential Current) are used to relieve or abolish pain. IFC penetrates deeper than TENS and helps to reduce swelling, pain, and bring nutrients necessary for healing to an injured area. Back Country Physical Therapy provides these services.

  • Ultrasound

    The ultrasound provided in physical therapy is different than the ones used during pregnancy. Instead of seeing what's inside you, Back Country Physical Therapy uses an ultrasound for treatment. Ultrasounds have been used for decades by physical therapist. In fact, for the last 50 years, physical therapists have used them to provide deep heat and vibration to expedite tissue healing.

  • Therapeutic Exercise

    Physical therapists are trained extensively about the musculoskeletal system. An important aspect of their training is movement of the human body. Back Country Physical Therapy may provide a tailored exercise program to address your needs. This is usually an important part of recovery because those that move, usually get better faster.

  • Education

    It is important that you understand what is going on with any condition or injury you have. It is the therapist's job to provide you with this information. All questions are welcome. Back Country Physical Therapy will carefully listen to what you have to say, and in doing so, will provide you with the knowledge and skills necessary for a speedy recovery.

  • Vestibular Therapy

    Many people suffer from dizziness or vertigo. This can be caused by a variety of different reasons. If you are experiencing any of these symptoms, you should consult with your physician first. Your physician may refer you to physical therapy for vestibular rehabilitation. Vestibular rehabilitation can help to reduce or abolish your dizziness with a variety of treatment techniques which may involve movement patterns with your body or your eyes. A diagnosis such as BPPV (Benign Paroxysmal Positional Vertigo) can be successfully treated and resolved with as little as one physical therapy session.

  • Sports Rehab

    Many of us have heard of an ACL tear or a pulled hamstring, but there are hundreds of injuries that can result from playing sports. Back country Physical Therapy is dedicated to get you off of the bench and back in the game as soon as possible. Whether it is a minor injury or a broken leg, we can help. Your coach and/or athletic trainer will determine the extent of the injury, treat you, and you may have to see a physician. If further treatment is necessary, Back Country Physical Therapy is trained in sports related injuries and will provide you with the best treatment strategies necessary for your recovery. You may benefit from a particular support device or taping to prevent re-injury. Sports related therapeutic exercise will be incorporated into your recovery process. Pain relieving techniques such as electrical stimulation, ultrasound, manual therapy and dry needling may be used to assist in your recovery. Education will be provided to prevent re-injury.

  • After Surgery Treatment

    Surgery is no fun, but Back Country Physical Therapy can help. All patients that have received an orthopedic (joints) or neurological (back) surgery can benefit from physical therapy. There are many different types of neurological and orthopedic surgeries with many different ways of performing a particular surgery. Each surgeon has different protocols for their patient to follow, and every patient is different. Our job is to cater to your needs as an individual and help get you back on your feet, doing what you love without jeopardizing the integrity of your surgery.

  • Orthotic Fitting

    If you have ever experienced plantar fasciitis, you know how painful it can be when you first get out of bed and put your feet on the ground. Custom orthotics can be made at Back Country Physical Therapy and you will walk out with them on day one.

  • Stroke Rehab

    CVA's or Cerebral Vascular Accidents, also known as strokes, can be debilitating and devastating to patients and their loved ones. It is extremely frustrating when you try to get your body to move, and it doesn't cooperate. However, neuromuscular re-education can help retrain the brain. It takes time and patience as those wires in your brain try to re-establish connections, but it can be done. Back Country Physical Therapy is here to help you achieve your goals.

  • Treatment for Back, Neck, Joint Conditions and Injuries

    Please see injury/condition finder above or Mechanical Diagnosis and Therapy. Core stability exercises may also be included in your exercise program.

  • Chronic Pain Treatment

    This can be downright draining on anyone who has to endure the ongoing torture of chronic pain. After initially sustaining an injury we feel pain, and many people fully recover, however, some do not. After about 3 months, some people continue to have pain even though the tissues have completely healed. Your mind continues to harbor ill will towards the affected area or other parts of your body. This sometimes causes your brain to interpret normal stimulus, such as a gentle touch, as pain. There are many factors that play a role with chronic pain. Back Country Physical Therapy offers many treatment strategies to decrease or eliminate chronic pain depending on severity.

  • Kinesio, Athletic and McConnell Taping

    Many people with pain can benefit from the use of taping. Kinesio taping by a trained physical therapist can help to decrease pain, muscle guarding, facilitate muscle activity, decrease swelling, and provide stability for a joint. Athletic taping is used on many athletes to promote stability in a joint, so they may return to their sport faster. McConnell Taping is provided for people who have instability in a joint. This helps to realign the joint to decrease pain allowing them to perform exercises or continue doing their activities of daily living. Back Country Physical Therapy can provide these services.

  • Wheel Chair and Scooter Evaluations

    Back Country Physical Therapy is trained in the latest Medicare guidelines and will do everything possible to assist in providing you with the equipment you need to stay mobile, so you can do the things you enjoy doing in life.

25 E Alger St
Sheridan, WY 82801