“Great people, good facility, and good workouts for anyone. My lower back has much improved.”
Low back pain is information. Let's find what's really driving it.
Most low back pain isn't really about the back. It's about the hips that won't move, the core that doesn't fire on time, and the years of sitting that taught your spine to compensate. We don't train around the back that hurts. We find where your movement is breaking down, restore it, and reinforce it.
- Back pain is information. We find the movement that's actually driving it, then restore it
- Direct access in Oregon: start without a referral, and your first visit is free
- The same system, the same people, every visit, so each session builds on the last
Is low back pain starting to shape what you'll do and what you skip?
Disc, joint, and muscle issues all show up as 'low back pain' on the surface. Underneath: hips that won't move, a posterior chain that won't load, a hinge pattern that quit, and the daily inputs piling on: desk hours, one-sided loading, deconditioning. Your imaging report describes the structure; the movement assessment shows why it's getting loaded that way. We start with the second.
What we usually hear- A.Stiffness in the morning that loosens with movement
- B.Sharp pain bending forward: picking up groceries, tying shoes
- C.Aching after sitting longer than 30–45 minutes
- D.Pain that worsens with prolonged standing or walking
- E.Radiating discomfort into the glute or hamstring
Get a real plan for your low back pain: book a PT Evaluation.
Sixty minutes with a licensed Physical Therapist. We'll see how you move, find what's driving it, write you a plan, and tell you the truth about what it'll take.
Specific low back pain conditions we work with.
From your first visit to moving better for good.
Find it.
A 60-minute first visit with a PT or coach: postural pictures, a full movement assessment, baseline numbers. We find where your body is compensating, not just the joint that hurts.
Restore the movement.
Manual therapy, targeted programming, progressive loading, aimed at the movement vulnerability driving the pain, not around it. Same practitioner every visit, and the plan adjusts as your movement changes.
Reinforce it.
When your tissue can take it, the same system carries into classes and small-group training, reinforcing better movement about 3x a week until it's just how you live. Members come for relief and stay for years because the system keeps progressing.
Our approach to low back pain.
First visit is the Physical Therapy Evaluation: postural pictures, a full movement assessment, and a baseline. From there it's one system: manual therapy and targeted mobility to restore the movement, progressive strengthening to reinforce it. The move into small-group training happens the moment your tissue can take load. That's where the gains hold.
Programs you may use
Real members.
Real progress.
“Coach Sheldon and the whole team have been excellent. Auto accident left me with whiplash and a wrecked low back. Six months in, I'm back to skiing. Honest, evidence-based, and they listen.”
“I've been attending group fitness classes at ADAPT since 2019 and have experienced each class they offered. Since attending ADAPT, I have experienced less over-use injury and more comfort and confidence while hiking, backpacking and cycling. A big shout out to Carly, Caitlin, Jessica, Eric and Sheldon.”
See how your body actually moves.
Book a PT Evaluation online or text us a sentence about what hurts. We'll get back within one business day.
Five reasons members come, and stay for a decade.

One system, not a handoff.
Your PT and your coach aren't running separate playbooks. They read the same intake and apply the same movement principles, so restoring better movement in the clinic and reinforcing it in training is one continuous plan, not a baton pass.
Direct access in Oregon: no referral required.
Skip the doctor's-office stop-over. Walk in, get assessed, start moving better. PT is cash-pay: only motor-vehicle-accident (PIP) insurance is billed.
Same practitioner every visit.
Continuity that compounds. Each session builds on the last because the same eyes track how your movement is changing, and consistency is what actually changes the body.
Long-arc, not quick-fix.
A few weeks of relief is fine. Decades of capability is the goal. Getting older doesn't mean giving things up. Members come in for one problem and stay for years because the system keeps progressing with them.
We read movement, not just imaging.
Imaging describes the structure. The movement assessment shows where your body is compensating and loading the wrong tissue. We work with what your body actually does, then restore it doing the right job.
Get your week back from low back pain.
Members typically feel meaningful relief within the first few sessions and have a durable plan inside six to eight, though it varies with the body in front of us. Keep training a few times a week and the back tends to stay quiet for years.
- Comprehensive assessment. Postural pictures, full movement screen, and a baseline you can measure progress against. Numbers, not vibes.
- A plan built for your body.Shaped around your goals, your imaging, and what your body actually does, not what it's supposed to do.
- Same practitioner, every visit. Continuity that compounds. The plan adjusts as your movement changes.
- Reinforced until it sticks.As the pain quiets, the same system carries into classes and small-group training so the gains don't slide back.
Talk to a person.
Two steps: name + phone, then email + your goal. We'll call back within one business day, or call us directly at (503) 755-8558.
Book your PT Evaluation.
Sixty minutes with a licensed Physical Therapist. We'll see how you move and find what's driving the pain. No referral required. PT is cash-pay: only MVA insurance is billed.
Inside Physical Therapy.
Knee pain
Read more →02Shoulder & rotator cuff pain
Read more →03Neck pain & headaches
Read more →04Sciatica
Read more →05Hip pain
Read more →06Whiplash & motor vehicle accident
Read more →07Plantar fasciitis & foot pain
Read more →08ACL post-surgical recovery
Read more →09Tennis & golfer's elbow
Read more →See how your
body actually moves.
It starts with a conversation. Book a Game Planning Session: sixty minutes with a coach or PT. We'll look at how you move, find what's getting in the way, and write you a plan for what you want to keep doing. No referral, no commitment, no charge.
