Tracy Smedley

Director of Client Experience

Tracy Smedley leads the discovery calls welcoming each new patient to Continuous Motion Physical Therapy. Every life changing journey starts with a conversation — uncovering what is keeping you from living your best life and getting to be part of the solution with you.

Known for creating seamless, positive experiences, Tracy ensures that clients feel supported, informed, and valued at every stage of their journey while collaborating across teams to improve workflows and outcomes.

Tracy has been in the health and fitness industry for over 20 years and brings a well-rounded professional background rooted in client service and wellness support. Her drive for wellness began after her own health experience that interrupted her life while raising her two children — she knows firsthand how important it is to stay strong and healthy through injury, pain, or an unexpected health challenge.

Tracy takes pride in being part of an exceptional team that empowers patients to get back to doing what they love. Her reliability, strong work ethic, and commitment to delivering exceptional service make her a trusted and impactful contributor to the team.

Unveiling the Myths and Truths About Back Pain

Unveiling the Myths and Truths About Back Pain

Introduction

Back pain is a common ailment affecting people of all ages and backgrounds. Research indicates that approximately 80% of individuals will encounter back pain at some point. Understanding the facts about back pain is crucial in dispelling common myths and promoting effective treatment. Let’s delve into some of the prevalent misconceptions surrounding back pain and uncover the truth that can lead to a healthier back, emphasizing the role of a physical therapist.

Myth 1: Immediate Imaging is Necessary

Despite common belief, the rush to undergo immediate imaging for back pain isn’t always the optimal course of action.

Why immediate imaging isn’t always necessary

In many instances, the cause of back pain, including medical conditions like spinal stenosis, can be precisely identified through thorough orthopedic testing. This approach ensures a precise diagnosis and aids in tailoring a more effective treatment plan.

Orthopedic testing and its role in diagnosing back pain

Orthopedic testing, crucial for evaluating musculoskeletal function, involves a series of physical examinations that precisely assess the physical aspects of back pain, including issues related to the spinal cord, sciatic nerve, and facet joints. This targeted approach allows for precise interventions, avoiding unnecessary imaging that may not contribute to a better understanding of the problem.

Myth 2: Primary Care Physician Should Be the First Point of Contact

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The immediate instinct to consult a primary care physician for back pain is widespread. However, exploring alternative initial steps, such as considering pain relief options, can often lead to more effective outcomes, particularly in addressing various pain symptoms.

Role of a primary care physician vs. a physical therapist in treating back pain

While primary care physicians play a crucial role in healthcare, they may not always be the most effective first point of contact for back pain, especially if it involves sharp pain. With their specialized knowledge of musculoskeletal health, physical therapists can offer more targeted treatments, promoting improved blood flow for better healing outcomes.

Benefits of seeing a physical therapist first

This proactive approach is particularly beneficial for individuals with underlying health conditions, ensuring personalized exercises and hands-on therapies that contribute to a faster recovery, specifically targeting issues related to the lumbar spine, spinal discs, and spinal nerves. This approach reduces the overall duration and impact of the pain.

Cost-effectiveness and results of direct physical therapy

Direct physical therapy can also be more cost-effective than multiple visits to various healthcare providers, especially when addressing non-specific low back pain. The focused approach of a physical therapist can yield quicker results, potentially saving both time and money in the long run. Embracing this pain of truth offers a practical and efficient solution for those seeking relief from back pain.

Myth 3: Rest is the Best Treatment

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Another widespread belief is that rest is the ultimate solution for back pain. However, this might not be the case in every scenario, especially when considering the impact on everyday activities and common triggers.

Why rest isn’t always the best course of action

Contrary to the age-old advice of resting for back pain, this approach may only sometimes be the most effective. Prolonged periods of inactivity can contribute to muscle weakness and stiffness, exacerbating the problem, particularly in the context of the spine’s need for shock absorbers and the support of the spinal column. Additionally, it can lead to potential tissue damage, making the pain worse.

Active treatments to facilitate healing and strengthen the back

Active treatments, such as specific exercises and physical therapy, can facilitate healing and strengthen the back. These interventions aim to address the root cause of the pain and promote long-term well-being, often proving more effective than relying solely on over-the-counter pain relievers.

Incorporating these into your routine can improve your ability to accomplish everyday tasks with greater ease, making them an essential part of comprehensive pain treatment, particularly for those dealing with chronic pain.

Importance of returning to physical activity or sport

Encouraging individuals to return to physical activity or sport, under proper guidance from a healthcare professional, is crucial for preventing future episodes of back pain, especially for those who have experienced severe pain. A gradual and supervised return helps build resilience and ensures the back is better equipped to handle stressors, promoting the health of surrounding tissues, including muscles, nerves, and blood vessels.

Conclusion

In conclusion, understanding the facts about back pain is essential for effective management. Dispelling myths related to immediate imaging, the choice of healthcare professionals, and the role of rest leading to more informed decisions and, ultimately, a healthier back. When seeking relief, opting for evidence-based treatments ensures a more targeted and successful approach to managing and preventing back pain, allowing individuals to regain control over their daily living.

For personalized care and expert guidance, consider the benefits of spinal manipulation in Franklin County and postnatal physical therapy at Continuous Motion Physical Therapy.

FAQs

Q1: When is back pain serious?

A1: Back pain should be taken seriously if:

It is persistent and doesn’t improve over time:

  • This refers to ongoing discomfort that doesn’t show signs of relief despite rest or self-care.
  • Persistent pain may indicate an underlying issue that requires professional evaluation.
  • If the pain lingers for weeks without improvement, seeking medical advice becomes essential.

It worsens gradually or becomes more severe:

  • A gradual worsening or intensification of back pain suggests a potential progression or deteriorating condition.
  • Increased severity may indicate the need for a more thorough examination by a healthcare professional.

It is accompanied by other concerning symptoms, such as numbness, tingling, or weakness:

  • Additional symptoms suggest potential nerve involvement or other serious underlying problems.
  • Numbness, tingling, or weakness may signify issues that require prompt medical attention.

Discover crucial facts about back pain and its warning signs for prompt and informed action. Seeking healthcare professional medical advice is crucial in such cases to ensure a comprehensive evaluation and appropriate management.

Q2: Why is back pain the worst?

A2: It could manifest as a sharp stab or a dull ache, but eventually, 8 out of 10 individuals will encounter back pain. Back pain can be especially challenging because it affects daily activities and diminishes overall quality of life.

The discomfort, coupled with its impact on mobility, makes low back pain when standing a challenging condition to endure. Postural stress during daily routines can exacerbate this discomfort, limiting the range of motion and complicating the experience of back pain, particularly when considering an individual’s medical history.

Q3: Who is most affected by back pain?

A3: Back pain does not discriminate and can affect people of all ages. Nearly 80% of adults will inevitably experience back pain at some point. However, risk factors such as a sedentary lifestyle and poor posture can increase the likelihood of experiencing back pain, including conditions like disc prolapses, degenerative conditions, ankylosing spondylitis, and other inflammatory conditions. For many, conservative therapy, including regular exercise and proper ergonomics, can contribute to prevention.

A man in a suit and tie smiling.
Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Taylor Calixto, PT, DPT Cert. DN, PCES

Physical therapist headshot at Continuous Motion Physical Therapy in Goodyear AZ

Originally from Seattle, Dr. Taylor Calixto has always had a passion for sports, health, and movement. A lifelong soccer player, she was drawn to physical therapy after recovering from a shoulder injury. She earned her undergraduate degree from Boise State and completed her Doctorate of Physical Therapy at Western University of Health Sciences, where she developed a strong foundation in evidence-based, patient-centered care.
While in school, Taylor discovered a passion for pelvic health, inspired by two mentors who helped shape her path. She earned her dry needling certification in 2023 and completed advanced pelvic floor training in 2024. Dr. Taylor is committed to empowering patients through personalized, compassionate care—whether they’re returning to sport, navigating pregnancy and postpartum, or addressing pelvic health concerns.

Ashley Hardman - Performance Coach

 

Ashley Hardman brings a wealth of experience and passion to her role as a Performance Coach. She graduated from Brigham Young University (BYU) with a Bachelor of Science in Exercise and Wellness and a minor in Psychology, while also competing as a Division I softball player for four years.

During her fifth year at BYU, Ashley interned with the Olympic Strength Coaches, where she oversaw training programs for all campus athletic teams and ran the Gymnastics strength program. She went on to intern at EXOS in Carlsbad, CA, where she assisted in training club swim athletes, military personnel, retired NFL players, and NFL prospects.

Ashley’s diverse background also includes working as a physical therapy aide, a chiropractor scribe, and a personal trainer at a private gym. After relocating to Arizona, she returned to her alma mater, Estrella Foothills High School, as the Strength and Conditioning Coach, where she taught Weight Training and Athletic Performance classes, and led after-school strength programs for all campus sports.

Now at CMPT, Ashley is committed to helping clients achieve their goals by pushing them to become the best version of themselves. She believes in making 1% progress every day—for herself and for those she trains. Her personal approach to coaching builds strong relationships with clients and athletes, creating a motivating and supportive environment for lasting success.

 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified

Dr. Tyler Smith, PT, DPT

Physical Therapist

Dr. Tyler Smith is a Doctor of Physical Therapy with nearly a decade of clinical experience helping patients recover from injury, eliminate pain, and get back to doing what they love. He earned his Bachelor of Science in Exercise Science from the University of Akron before going on to earn his Doctorate of Physical Therapy from the University of South Florida. His background in exercise science laid a strong foundation for his hands-on, movement-focused approach to rehabilitation.

Dr. Smith is currently completing the American Academy of Manipulative Therapy (AAMT) Orthopedic Manual Physical Therapy Fellowship — one of the most prestigious post-graduate programs in the profession, held by only a small percentage of physical therapists. This advanced fellowship training reflects his commitment to delivering the highest standard of manual therapy care to every patient.

A standout specialty of Dr. Smith's is his work with golfers. He holds a Titleist Performance Institute (TPI) Medical Level 2 certification, the gold-standard credential in golf fitness and rehabilitation. Dr. Smith has spent years assessing and treating golfers of all ages and skill levels, understanding the unique demands the golf swing places on the body to design individualized programs that reduce injury risk, improve performance, and keep golfers on the course. He is also certified in Dry Needling and specializes in cervical, thoracic, and lumbar spine manipulation, as well as the evaluation and treatment of overhead athletes.

Outside the clinic, Dr. Smith enjoys being active and spending time on the golf course.

Credentials

Dr. Elana Trejo, PT, DPT

Physical Therapist

Dr. Elana Trejo has been a competitive athlete for most of her life and brings firsthand understanding of what it means to train hard, push through physical demands, and want to get back to full performance — not just feel better. That drive has taken her all the way to the competitive karate world stage, where she will be competing in the Karate World Championships this year.

Dr. Trejo earned her Doctorate in Physical Therapy from Franklin Pierce University and has spent three years treating a wide range of musculoskeletal and orthopedic conditions, including post-operative recovery, chronic pain, and acute injuries. She is trained in manual therapy, therapeutic exercise, and a variety of evidence-based modalities.

Dr. Trejo has specialized training in pelvic health through Herman and Wallace and ICE Pelvic Health, two of the most well-regarded pelvic floor programs in the country. She works with patients navigating leaking, pelvic pain, prolapse, core dysfunction, pregnancy-related discomfort, and postpartum recovery — always with a lens toward keeping them active and performing at their best.

Her dual background in orthopedics and pelvic health means she can dig deeper into what is actually driving your symptoms and build a plan that gets you back to doing what you do.

Credentials