Orthopedic · South Florida

Physical therapy for neck pain and headaches in South Florida

Neck pain is nearly as common as back pain, and most of it is driven by hours of screen time, a stiff upper back, and weak deep neck muscles. Those are all things exercise changes.

  • Aetna and Medicare in-network; private pay with superbills for other plans
  • No referral needed to start (30-day direct access)
  • Video visits anywhere in South Florida
A woman doing a bridge exercise on a mat at home

About the condition

Neck pain and headaches: what is going on.

The neck carries the head over a thoracic spine that, for most adults, has stiffened from years of sitting. The result is a forward head, overworked muscles at the base of the skull and across the shoulders, and the stiffness, pain, and headaches that follow. Some people also have nerve symptoms into the arm from a narrowed opening in the spine. Whiplash, poor sleep positions, and stress tighten the whole pattern.

Physical therapy for neck pain restores mobility in the upper back and neck, strengthens the muscles that hold the head up with less effort, and addresses the workstation and sleep habits that keep the problem going.

Common experiences

What people with neck pain and headaches often describe

These are the patterns Dr. Shalem hears most often. Any of them is a reason to book a discovery call.

Stiffness and pain turning the head

Pain at the base of the skull or headaches that start in the neck

Aching across the upper shoulders by the end of the workday

Pain, tingling, or numbness into the arm or hand

Difficulty finding a comfortable sleep position

Pain after a car accident or fall

Treatment

How physical therapy addresses it.

The program includes mobility work for the upper back and neck, deep neck flexor and shoulder blade strengthening, nerve mobility exercises when arm symptoms are present, and specific workstation, pillow, and screen adjustments. Headache frequency and neck rotation are tracked as progress markers.

What a video visit looks like

Dr. Shalem watches posture and neck movement on camera, can see the actual desk setup, and progresses exercises with form checks. A towel and a doorway are the only equipment most plans need.

Coverage in Florida

Insurance and pricing

Bring your plan name to the discovery call and we confirm your physical therapy benefit before the first visit.

Aetna

In-network (Aetna designated provider). Most Aetna plans cover physical therapy with a copay or coinsurance; we confirm yours before the first visit.

Medicare

In-network with traditional Medicare. Medicare Advantage plans vary; ask on the discovery call.

Private pay

Available for any other plan. We provide a superbill you can submit for out-of-network reimbursement. HSA and FSA cards accepted.

Referrals

Florida allows you to start physical therapy without a referral. If care continues past 30 days for a condition no physician has seen you for, we help you get a quick practitioner review so treatment can continue.

In-home visits are available throughout Miami-Dade County with no travel fee. Broward, Palm Beach, Monroe, and everywhere else in South Florida are seen by video.

How it works

How a virtual visit works

Dr. Shalem watches posture and neck movement on camera, can see the actual desk setup, and progresses exercises with form checks. A towel and a doorway are the only equipment most plans need.

A woman at her kitchen table on a video visit with her physical therapist
  1. Discovery call

    15 minutes, free, by phone

    A short call to hear what is going on, explain how visits work, and check insurance or pricing. No pressure to book.

  2. Evaluation

    60 minutes, by video

    Dr. Shalem takes a full history, watches how you move and breathe, and guides the self-assessments she needs to build a plan.

  3. Your plan

    Same visit

    You leave the evaluation with a plain-language explanation and a short home program, usually a few minutes a day.

  4. Follow-ups

    45 minutes, every 1 to 2 weeks

    Progress checks, program updates, and techniques you can do yourself, for as long as they are useful.

For a video visit you will need

  • A phone, tablet, or laptop with a camera
  • A private room
  • A mat or towel
  • About an hour

Questions

Neck pain and headaches questions in South Florida

Can neck pain cause headaches?

Yes. Cervicogenic headaches start in the upper neck joints and muscles and are felt at the back of the head, behind the eye, or at the temple. They respond well to physical therapy.

What about tingling in my hand?

Arm symptoms often come from the neck. The program includes nerve mobility work, and signs that need medical evaluation are screened.

How should I set up my desk?

That is covered at the first visit, with the patient's actual desk on camera.

Do I need a referral for physical therapy in Florida?

Florida allows you to start physical therapy without a referral. If care continues past 30 days for a condition no physician has seen you for, we help you get a quick practitioner review so treatment can continue.

What insurance do you take in Florida?

Aetna: In-network (Aetna designated provider). Most Aetna plans cover physical therapy with a copay or coinsurance; we confirm yours before the first visit. Medicare: In-network with traditional Medicare. Medicare Advantage plans vary; ask on the discovery call. Private pay: Available for any other plan. We provide a superbill you can submit for out-of-network reimbursement. HSA and FSA cards accepted.

Dr. Elana Shalem, DPT

Your physical therapist

Dr. Elana Shalem, DPT

Doctor of Physical Therapy, University of St. Augustine for Health Sciences, Miami. Licensed in Florida.

Dr. Shalem treats pelvic health for women and men, from pregnancy and postpartum recovery to bladder, bowel, and pelvic pain conditions and recovery after prostate or pelvic surgery, and general orthopedic conditions of the back, neck, hips, knees, shoulders, and feet. Visits are one-on-one and unhurried, and she explains what she is seeing in plain language.

More about Dr. Shalem

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