What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Head and Neck pain
Ankle and Foot pain
Elbow and Wrist pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Head and Neck pain
Ankle and Foot pain
Elbow and Wrist pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Head and Neck pain
Ankle and Foot pain
Elbow and Wrist pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Head and Neck pain
Ankle and Foot pain
Elbow and Wrist pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Head and Neck pain
Ankle and Foot pain
Elbow and Wrist pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Head and Neck pain
Ankle and Foot pain
Elbow and Wrist pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

What We Treat

Back pain
Knee pain
Hip pain
Shoulder pain
Head and Neck pain
Ankle and Foot pain
Elbow and Wrist pain

Find out more about how we connect the dots from the deepest root & eliminate your pain from the source below!

The Only Way to
Long-Term Pain Relief

Head and neck pain can affect posture, concentration, sleep, and daily comfort. For some people it presents as stiffness or tension. For others it shows up as headaches, radiating pain, or a feeling of constant tightness that never fully resolves.

Symptoms may begin after an injury, but more often they develop gradually from sustained postures, repetitive movements, stress, or poor movement control through the neck and upper back. In many cases, pain is influenced by how the head, neck, shoulders, and upper spine work together rather than a single structure acting alone.

At Next Level, we work with people who seek physical therapy for head and neck pain when symptoms persist, movement feels restricted, or discomfort continues to interfere with daily life. Our approach focuses on restoring mobility, improving postural control, and addressing the movement patterns contributing to ongoing strain.

Whether symptoms are localized or spreading, effective treatment looks beyond the site of pain and addresses how the entire upper body system is functioning.

Conditions Treated

  • Headaches
  • Herniated Disc
  • Bulging Disc
  • Degenerative Disc Disease
  • Forward Head Posture
  • Upper Trap Pain and Tightness
  • Muscle Strain and Sprain
  • Muscle Pain and Tightness
  • Post Surgical Neck Pain
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The 5 Best Exercises For Improving Neck Mobility & Relieving Pain
Do you find yourself turning your entire body just to look over your shoulder while driving? Or maybe you notice your neck doing most of the work during an ab workout. If so, you are likely dealing with a restricted and overactive neck. This is extremely common in a stress driven world where many people spend hours each day on computers and cell phones. Unfortunately, many suggested solutions fail to address the real cause of restricted neck mobility. Instead, they rely on passive stretching that acts as a temporary band aid for symptoms. Others avoid stretching altogether and are told to fix their posture or perform strengthening exercises like face pulls. Neither approach consistently solves the underlying issue and in some cases can make symptoms worse. Below are five exercises designed to target the most common contributors to restricted neck mobility, which tend to be faulty breathing patterns, limited rib cage movement, and repetitive movement habits. For best results, these exercises should be performed in the order listed. #1. Zercher band Breathing  [embed]https://www.youtube.com/watch?v=3CtDqIZnC_U[/embed] You might wonder why improving neck mobility starts with breathing and upper back expansion. There are two important reasons. First, the muscles that extend your neck and resist rotation attach all the way down into the middle of your upper back. If upper back mobility is limited, neck mobility will almost always suffer. Second, many muscles on the front and back of the neck act as accessory breathing muscles. This means they help move the rib cage to allow the lungs to expand. If the rib cage is stiff and cannot expand properly, these neck muscles are forced to work harder than they should. Over time, this leads to increased tension and overactivity. Zercher band breathing helps improve rib cage mobility and encourages expansion of the mid and upper back. Perform: 3 to 5 sets of 5 breaths #2. Staggered Stance DB Curls [embed]https://www.youtube.com/watch?v=o16wXhnkCs4[/embed] Biceps curls for neck pain might sound strange, but there is a method behind it. The arm position mirrors the previous exercise, and curling the weight encourages the shoulder to move down and away from the ear. Adding slight neck rotation introduces much needed movement while maintaining rib cage expansion. This position also places the upper trapezius, a common contributor to neck tightness, into a lengthened state. Breathing during the movement reinforces this position and helps reduce excess tension. Perform: 2 to 3 sets of 10 reps on the restricted sideBoth sides can be trained if needed #3. Lower Body Rolling [embed]https://www.youtube.com/watch?v=ZeugF67eiFw[/embed] The human spine is made up of 33 segments, with 26 capable of movement. Healthy motion depends on segmental movement, meaning each segment can move independently rather than the spine moving as one rigid unit. When segmental motion is lost, movement becomes stiff and robotic. This often shows up as turning your entire body instead of simply turning your neck. Lower body rolling teaches segmental movement from the bottom up. The motion starts at the hips and pelvis and finishes with the neck. An inhale at the end of the roll reinforces upper back and neck rotation. Perform: 2 to 3 sets of 6 rolls on the restricted sideBoth sides can be trained if needed #4. Rolling Arm Bar  [embed]https://www.youtube.com/watch?v=rfuEzHjiGro[/embed] Once you are comfortable with more passive or controlled neck movement, it is time to introduce more active motion. The rolling arm bar is an excellent tool for restoring and maintaining neck mobility. The kettlebell encourages shoulder reach, which helps maintain upper back expansion. This exercise uses the same bottom up segmental movement pattern as lower body rolling. Keeping your eyes on the kettlebell teaches the body to actively rotate the neck through a full range of motion. Neck fatigue is common at first, as you are retraining proper movement patterns. Most people notice improved baseline neck motion after performing this exercise. Perform: 2 to 3 sets of 6 rolls on the restricted sideBoth sides can be trained if needed #5. Turkish Get Up  [embed]https://www.youtube.com/watch?v=vPUD-Lqh6w0[/embed] Overhead shoulder movement is closely linked to movement of the lower cervical spine. This is why weightlifters often jut their head forward when pressing overhead. It helps maintain the relationship between shoulder and neck mechanics. The Turkish get up trains this relationship effectively. The kettlebell encourages shoulder reach and upper back expansion while keeping the neck moving in coordination with the shoulder. Maintaining your gaze on the kettlebell reinforces proper neck and shoulder mechanics. Looking upward also places the muscles on the front of the neck in a lengthened position. This movement ties together all of the mechanics addressed in the previous four exercises. Perform: 2 to 3 sets of 3 reps on the restricted sideBoth sides can be trained if needed Try this five exercise sequence to help restore neck mobility and reduce pain. If pain prevents you from performing these movements or symptoms persist, it may be time to be evaluated by a licensed professional. Reach out to Next Level Physical Therapy to schedule a free in person or virtual Discovery session.
To Chin Tuck Or Not (Part 1/2): When Does This Help Neck Pain?
Chin tucks, a common exercise that involves drawing the head straight back as if creating a double chin, are frequently prescribed for people experiencing neck related symptoms. Video 1 above demonstrates one of our physical therapists performing the movement. Video 1: The “Chin Tuck” exercise. Chin tucks can be effective for symptom relief in individuals with neck pain, neck pain that travels into the arm, headaches, or general aching in the back of the neck. Some people notice improved neck motion and a reduction or complete resolution of pain when performing chin tucks. At the same time, I regularly meet patients who have been doing chin tucks for years and are still seeking help for ongoing neck discomfort. The goal of this article is to make sure your time and effort are spent on strategies that actually move you forward. So let’s get into it. When is doing chin tucks useful?  There are a few key heuristics I use to determine when chin tucks are likely to be a good investment of time. 1. You Have a Directional Preference for Your Neck or Arm Pain Many individuals with neck pain also experience symptoms that travel into the arm or hand. A directional preference means that moving your neck in one direction makes symptoms worse, while moving it in the opposite direction makes symptoms better. For example, looking forward or down may increase neck or arm pain, while moving the head backward reduces it. If performing chin tucks and holding the end position for a few seconds improves your symptoms, that is a good sign. Continue performing them and monitor whether your discomfort decreases and your neck movement improves over time. Even if chin tucks do not reduce neck pain directly but lessen arm or hand symptoms, that is still a positive response. This phenomenon is known as centralization and is strongly associated with improved outcomes in neck pain. 2. Your Neck Endurance Needs Improvement When neck pain has been present for a long time, it is common for people to move their neck less. Over time, this leads to reduced capacity and endurance in the muscles that support the neck. The Neck Flexor Endurance Test, shown above in Video 2, is a tool sometimes used to assess how well someone can maintain a specific neck position. [embed]https://www.youtube.com/watch?v=0JEWM_McBmM[/embed] Video 2: The Neck Flexor Endurance Test  If a person struggles to hold this position for less than 30 seconds, or especially less than 10 seconds, it is often worthwhile to focus on building endurance of the deep neck flexor muscles. In these cases, chin tucks can be a helpful way to improve local neck strength and endurance. However, if someone does not demonstrate a directional preference and performs well on both neck flexor and extensor endurance tests, chin tucks are unlikely to significantly move them closer to their goals. When is doing chin tucks not useful?  I frequently see individuals who already hold their neck in a chin tucked position during standing or other upright activities. They often resemble the position shown in the image above. [caption id="" align="aligncenter" width="681"] Graphic 1: Doing more chin tucks won’t be useful here.[/caption] The lifter shown above is already performing a chin tuck due to the demands of the bench press. If this same neck position shows up during daily life and the individual also has neck pain, reinforcing that position with more chin tucks is unlikely to change the outcome. In these cases, the more important question becomes why high force activities like the bench press drive the neck into this position in the first place. We will dive deeper into that topic in the next part of this series. Key Takeaways Chin tucks are not a magic exercise. They are simply a tool that moves the body toward a specific position. They can be helpful if you have a directional preference that improves neck or arm symptoms when moving into a chin tucked position. They can also be useful if you have poor endurance of the deep neck flexors and need to rebuild local capacity. The most important takeaway is understanding your unique starting point and matching the intervention to that presentation. In Part 2, we will discuss when chin tucks are unlikely to be the answer and what to consider instead.
To Chin Tuck Or Not (Part 2/2): If Not, What Else?
In this article, we are going to discuss what other movements to consider if you are dealing with movement related neck discomfort and chin tucks have not helped. If you are not sure what a chin tuck is or whether it might be useful for you, refer back to the previous article in this series to see if your neck pain solution might be that simple. At the end of Part 1, we discussed how chin tucks are an exercise that extend the lower cervical spine while expanding the back side of the upper cervical spine. This relationship is shown in Picture 1. [caption id="attachment_1580" align="aligncenter" width="790"] Picture 1: The orientations of the two regions of the neck in a chin tuck position, live in action.[/caption] A key concept introduced earlier is that this position is not harmful. In fact, it is commonly used by individuals who are producing large amounts of force. When the goal is to be strong or generate force, the body often limits available movement to improve output. Think about the last time you helped someone move a couch. If you tightened your body and lifted straight up and down, the task likely felt easier. If you lost tension, twisted, or had to reposition yourself mid lift, your strength and leverage were reduced. When the body moves away from positions that limit rotation, it becomes harder to generate force efficiently. This is why strength athletes such as powerlifters compress certain regions of their body during lifts like the bench press. They pinch their shoulder blades together and extend the lower back to reduce unnecessary movement and improve force production. For them, this is a performance adaptation. Over time, however, this adaptation can contribute to a reduced ability to rotate or turn the head. To move into any position, the body must be able to expand into that space. Chin tucks extend or compress the lower neck. To turn your head to the right, the right side of the lower neck must expand while the left side compresses. The opposite must occur to turn left. If your head and neck naturally sit in a chin tucked position even when you are not lifting or producing force, and you struggle to turn your head in either direction, chin tucks are unlikely to improve your neck mobility. In these cases, exercises that promote expansion of the lower neck are often a better starting point. An Alternative: The Alternating Frog Crawl A great movement to begin restoring this ability is the alternating frog crawl, shown below. A video of the alternating frog crawl exercise. This exercise offers several benefits for individuals who have difficulty turning their head or who have experienced neck pain for an extended period of time. First, it teaches you how to create pressure through the ground to expand the space between your shoulder blades and the base of your neck. Second, it challenges you to maintain that expanded position against gravity, which helps build endurance in the muscles that support your neck and head. As you step one arm and the opposite leg forward, one side of the neck experiences compression while the other side expands. These are the exact biomechanical demands required to rotate the head side to side. Key Takeaways There is nothing inherently wrong with the chin tuck position. It can be helpful in specific situations, but it is not a universal solution for neck pain. The goal is to have a neck that can move into positions that resist motion when strength is required and positions that allow movement when rotation and flexibility are needed. If you have been relying on chin tucks without improvement and still feel limited by neck stiffness, it may be time to try a different approach. Focus on exercises that restore your ability to expand, rotate, and adapt so your neck can move freely again.
Why Your Neck Pain Is Being Caused By More Than Just “Bad Posture”
In today’s world of technology and working from home, posture has become a buzzword with a largely negative reputation. We are constantly surrounded by messages about what makes posture good or bad and why it is supposedly the root cause of all aches and pains. You have probably heard it all. Pull your shoulders back. Stand up tall. Stop looking down at your phone. Or the personal favorite, posture correctors that promise to fix everything by doing the work of your muscles for you. Have neck or back pain? It must be your posture. Fix your posture and the problem goes away. With so much information floating around, it can be difficult to separate what actually helps from what does not. You can spend hours researching neck pain and still walk away without a clear solution. The truth is that the body is far more complex than finding one perfect posture to solve every issue. We are built to move, adapt, and function dynamically. Everything in the body is designed to work together. Because of that, the solution to neck pain is rarely as simple as just having better posture. Take a look at picture 1 above. Every time you move your shoulder, your shoulder blade, also known as the scapula, must move as well. If we look at the muscles that surround the scapula, particularly the levator scapulae and upper trapezius, we can see that they attach on one end to the scapula and on the other end to the cervical spine. This means that every time you move your shoulders and use these muscles, you are also influencing your neck. If you are dealing with neck pain, pause for a moment and consider a few questions. Do you feel stressed and notice that you hold tension by keeping your shoulders shrugged? Do you spend hours typing at a keyboard that is positioned too high, forcing your shoulders upward all day? Do you feel limited when trying to reach overhead or behind your back? If any of this sounds familiar, the true contributor to your neck pain may be the position of your shoulders and the constant tension in those surrounding muscles. The second picture above shows the muscles of the neck from the front. This includes the sternocleidomastoid muscles, the scalene muscles, and again the upper trapezius. In addition to helping move your neck, these muscles also assist with breathing. Before diving deeper into this, it is important to understand what normal breathing should look like. Ideally, during an inhale, the rib cage should move outward and upward. During an exhale, it should move downward and inward. When breathing with the diaphragm, there should be noticeable rib cage movement with each breath. Sometimes this breathing pattern becomes inefficient. The rib cage no longer moves as it should, and the diaphragm is not used effectively. When this happens, the body often relies on the neck accessory muscles to help drive breathing instead. These muscles are relatively small and not designed to handle high demand. If they are asked to assist with roughly twenty two thousand breaths per day, they will struggle to keep up. Over time, this leads to increased tension in the neck and upper shoulder region and eventually pain. While bad posture is an easy explanation for neck pain, it is often an incomplete one. The body is far more interconnected than posture alone. Many muscles attach different regions of the body together, meaning dysfunction in one area can show up as pain somewhere else. Understanding this makes it clear why neck pain is rarely as simple as it is often presented. If you are dealing with chronic neck pain, it is important to zoom out and look beyond posture alone. You may listen to the advice to pull your shoulders back, but if your rib cage mechanics or breathing patterns are contributing to your pain, that solution will fall short. If this sounds like you, consider being evaluated by a licensed professional who can assess how your entire body is moving and help identify the true root cause of your neck pain.
See How We Created Massive Transformations For People Just Like You
Joanna C.
"Before Next Level, every time I felt pain, I would get scared... My only wish was to feel somewhat out of pain… and with Next Level, I achieved far more than that."
Abby C. & Joe C.
“Coming here showed me how much was really out of alignment… and the difference was instant. I felt better right away.”
Brianna
“It got to the point where I couldn’t even take a deep breath without feeling pain. I’d been in PT for years with no real progress… and then on the first day at Next Level, I saw changes that blew my mind.”
Shawn A.
"The one-on-one care is what sets this place apart. Next Level looked at the big picture—my movement, my measurements, the root cause... not only did the pain go away, but my hip and shoulder issues cleared up too."

Reviews

Michael W.
College Football Player

About three years ago I had a neck injury during one of my football games and went to numerous doctors and specialists who could not diagnose my problem. I was desperate to get back on the field but was discouraged after having no success with traditional medicine. Then I was introduced to Dr. Mike and my life was changed. His methods are unorthodox but extremely effective and after only a few sessions with him my neck pain was gone. After only a few sessions you can tell he is a very knowledgable person who is willing to go the extra mile to accommodate his clients. I can’t thank him enough for helping me get back on the field.

Mark A.
Volleyball Player

I can not say enough about the therapy I received from Dr Elyse Dinan and the staff at Next Level. I am a 65 years old and I came in for treatment of a pinched nerve in my neck which was causing radiating pain down my arm. The pain was preventing me from sleeping, dong daily activities, and playing volleyball. I had a goal that in 7 weeks I needed to be able to participate in the National Senior Games in Fort Lauderdale in the volleyball tournament. Within one week of treatment I was able to sleep through the night and in 3 weeks the pain had decreased dramatically. By the end of the 7th week of treatment I was confident that my body had healed well enough to participate in the Sr Games. I went to Florida knowing I was I was going to be able to play at a level I hadn’t for quite a long time. With Next Levels help I not only got to play in the games but our team won the gold medal! Thank you Elyse and Next Level!!!

Dan B.
Active Adult

Next Level Physical Therapy did wonders for me. I had a chronic pain on my right side of my back. It went to the neck down to the bottom of the back. It did not prevent me from doing things like working out but it inhibited me quite a bit. It also caused many headaches. Dr. Ben worked with me to create stability where I was lacking. My strength and flexibility were always there. I just needed to learn how to stabilize my body in areas to create more balance and harmony with the muscles. This was done with many breathing exercises where we hold a position and tighten up the muscle area. Then by achieving full breaths into the chest and releasing it, the oxygen getting to the areas allowed for the pain to disappear. Repeating these exercises each day allowed me to achieve a huge level of success. I now have very little pain, fewer headaches and more range of motion. My stability has become much greater allowing my intense workouts to be even better. Thank you Dr. Ben and Next Level Physical Therapy! You guys are #1 to me!