If you’ve been dealing with pain for months or even years, you’ve probably asked yourself the same question over and over:
“Why isn’t this getting better?”

You may have rested, stretched, strengthened, tried physical therapy, massage, injections, or even surgery — yet the pain keeps returning. This often leads people to believe something is “damaged,” “degenerating,” or permanently wrong.

But in many cases, chronic pain isn’t coming from the original injury at all.

If you’ve ever felt rushed during a physical therapy visit, repeated the same exercises week after week, or wondered why your care felt generic, you’re not alone.

Many people assume that using insurance automatically means better or more affordable physical therapy. In reality, the insurance-based model often limits the quality, time, and personalization of care.

This is why more patients—and more physical therapists—are turning to cash-based physical therapy.

What Is a Movement System Impairment?

If you’ve ever wondered why your pain keeps coming back—even after rest, stretching, or physical therapy—you’re not alone. Many people are told they have tight muscles, weak muscles, or wear-and-tear changes on imaging. While those factors can play a role, they often miss a more important piece of the puzzle: how you move.