Mid-Back Pain & Thoracic Spine Rehabilitation

Nebraska allows direct access to physical therapy, meaning you can schedule an appointment without a physician referral. However, some insurance plans may require a referral for reimbursement purposes — we recommend checking with your insurer prior to your first visit.

Postural and movement-related thoracic pain often improves within 4–6 weeks of consistent mobility and strengthening work. Rib dysfunction frequently responds even faster to manual therapy, sometimes within a few sessions. More chronic presentations, especially those tied to long-standing postural habits, may take 8–12 weeks to fully resolve.

An Orthopedic Clinical Specialist (OCS) is a physical therapist who has passed a rigorous specialty examination administered by the American Board of Physical Therapy Specialties. OCS-certified therapists demonstrate advanced clinical knowledge, skills, and experience in orthopedic diagnosis and treatment — the highest credential available in musculoskeletal physical therapy.

Prolonged sitting, especially in a rounded posture, places sustained load on thoracic spine structures and weakens the postural muscles that support the upper back over time. This is one of the most common causes of thoracic pain we see, and it typically responds very well to targeted mobility and strengthening exercises combined with practical workstation adjustments.

Your first appointment is a full orthopedic evaluation with Dr. Crowe. We review your medical history, conduct a comprehensive examination of your thoracic spine, posture, and breathing mechanics, identify the root cause of your condition, and build an individualized treatment plan with you before you leave. You will not be passed off to a technician or aide at any point.

At Power of Motion, every session is one-on-one with your OCS-certified therapist — no aides, no shared appointments, no 15-minute check-ins while your therapist manages three other patients. You receive your therapist's full attention, expertise, and hands-on care for the entire session, every time. This model consistently produces better outcomes and a faster, safer recovery.

Yes, we do accept most insurance carriers. To name a few:

Blue Cross Blue Shield

Aetna

Midlands Choice

Medica Insure

Cigna

Medicare

We are constantly working on our insurance credentialing with insurers: Please contact our office to discuss insurance and payment options. We are happy to help verify your benefits prior to your first visit so there are no surprises.