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Upslope Physical Therapy & Performance Call
Close-up of dry needling at the neck and shoulder at UpSlope Physical Therapy

Neck Pain

Neck Pain Holding You Back? Let’s Fix It for Good.

We relieve tension, restore clean movement, and get you back to lifting, climbing, and working without stiffness or headaches. Real gym. Hands-on.

We get it

Your neck is on all day.
When it locks, so do you.

Whether long workdays leave your neck stiff, heavy lifts create tension headaches, or climbing sessions lock you up for days, neck pain should not be a permanent companion. We help active adults relieve the real cause so you can get back to training, working, and moving without bracing for the next flare.

Neck-pain physical therapy session at UpSlope in Fort Collins

Diagnosis

Neck pain rarely starts in the neck.

Your neck works nonstop: stabilizing your head, reacting to movement, transferring force through your shoulders and spine. When something is off, you feel it during overhead lifting, climbing steep routes, long hours at the computer, driving and travel, running and cycling posture, and stressful days that build into headaches. Temporary relief is not the goal. Sustainable strength is.

The neck is the symptom. The system is the cause.

Neck pain commonly comes from weak deep neck stabilizers, limited thoracic mobility, poor scapular strength and control, breath mechanics and stress load, and repetitive overhead or desk postures that accumulate over time.

So we fix the system, not just the sore muscles. Cervical spine, upper back, scapula, and breathing patterns all get assessed.

Here is what we look for.

  • +Deep neck stabilizer weakness that leaves the spine unsupported under load.
  • +Thoracic restriction that transfers movement demand up into the neck.
  • +Scapular control deficits that affect every overhead and pulling movement.

Most people stretch it, ice it, or wait it out. For active people, that is not a solution. It is a cycle.

We find the root cause.

Dr. Brady Hoffmann performing hands-on manual therapy on a patient's neck at UpSlope

Who we help

Active people who refuse to be careful.

We help Fort Collins climbers, lifters, desk workers, and active adults whose necks do real work every day.

If any of this sounds familiar.

  • +Stiff or painful neck rotation.
  • +Tension headaches that build through the day.
  • +Pinching or instability with overhead work.
  • +Pain during climbing, paddling, or lifting.
  • +Radiating symptoms into the shoulder or arm.
  • +Posture-related fatigue from desk work.
  • +A neck that locks up and goes away, then comes back.

Whether you are grinding through a 50-hour workweek, sending routes at the gym, or working through a heavy press cycle. We build the strength and control to keep your neck out of the way.

You stay in your sport.

What we treat

From acute strains to nerve irritation.

  • +Cervical strain or sprain
  • +Mobility restriction and stiffness
  • +Upper trapezius overuse
  • +Poor scapular control and posture
  • +Nerve irritation (radiating pain or numbness)
  • +Disc-related symptoms
  • +Stress-related tension and headaches
  • +Post-surgical neck rehab
Hands-on treatment for neck pain at UpSlope Physical Therapy

Should I see a PT?

FIND THE CAUSE. FIX THE PROBLEM. GET BACK TO LIFE.

When you are dealing with neck pain, you might wonder whether physical therapy is the right next step, or whether posture changes, rest, or time will fix it. Here is the honest answer.

PT is the most effective first step when:

  • +Neck stiffness or limited range of motion.
  • +Pain with turning your head, looking down, or sitting for long periods.
  • +Neck pain that radiates into the shoulders or upper back.
  • +Headaches or tension linked to neck discomfort.
  • +Pain that has not improved with rest, stretching, or self-care.

Neck pain is often shaped by how the neck works with the upper back, shoulders, posture, and breathing. By addressing these factors early, most people avoid unnecessary imaging and ongoing pain. They return to training and daily life with more confidence and less stiffness.

Talk to us first.

The Upslope Method

Four phases. One outcome.

01

Find the root cause

A deep dive into movement, strength, mobility, and the demands of your sport. We pinpoint exactly what is causing the pain. And why it keeps coming back.

02

Reduce pain, restore function quickly

Hands-on therapy, targeted mobility, graded loading. You feel relief in the first sessions, not the eighth. And you understand what changed.

03

Build strength, control & durability

Movement quality is restored. Now we build the foundation that keeps it. Real strength work in the gym to restore tolerance to load.

04

Unlock peak performance

Coached back through your sport-specific demands until you train with confidence again.

Patient story

Relief from nagging neck and shoulder tension.

“My left shoulder and neck tension were affecting my day-to-day. Dr. Frankie tailored everything and used dry needling and cupping — it helped dramatically.”

Jordan · Active Adult

Proof

We have done this work. A lot.

1500+
Patients Helped
225+
Google Reviews
90%
Success Rate

At UpSlope, we pride ourselves on an active approach to rehab. You will never hear us tell you to stop the things you love, because we get it. You want to stay in the gym, on the trail, on the court. Not on the sidelines.

In their words.

★★★★★ 5.0 on Google

  • Jennifer Boltz

    ★★★★★

    I highly recommend Dr Ryley and UpSlope physical therapy! Everybody was super friendly, professional, and informative. Dr Ryley was extremely helpful in strengthening my impinged shoulder muscles and giving me back my mobility.

    Google
  • Lex H

    ★★★★★

    I’ve had such a great experience at Upslope! Everyone is so welcoming and friendly, and I always feel comfortable when I’m there. My physical therapist (Nick) has been amazing, knowledgeable, encouraging, and genuinely cares about helping me feel better and make progress. I always leave feeling like I’m moving in the right direction. I would definitely recommend Upslope to anyone looking for a great physical therapist!

    Google
  • Yash Salvi

    ★★★★★

    These guys are truly amazing! Two months ago, I walked into UpSlope Therapy with a shoulder injury I suffered during a Spartan Race. I went from being someone with a very active lifestyle to barely being able to lift my arm. I regularly lift weights, play softball, and love hiking, so being injured meant I was missing out on a huge part of my life — the workouts, the games, the hikes, and honestly, all the fun that came with being active. The pain was even affecting my sleep at night. During my initial assessment, Dr. Riley took the time to thoroughly evaluate my shoulder, explain what was going on, and walk me through a clear recovery plan. Since getting back to an active lifestyle was so important to me, we put together a two-month plan focused on gradually rebuilding my mobility, strength, and confidence. Every session was attentive, personalized, and incredibly helpful. We started slowly and worked our way up, focusing on progress without pushing things too quickly. With every session, I could feel the difference — I was gaining more mobility, getting stronger, and slowly getting back to the activities I had been missing. One of the best moments was realizing that I could finally move my shoulder normally again and start lifting weights at the gym. Two months later, I’m back to my normal mobility, rebuilding my strength, playing softball, getting back out on the trails, and most importantly, enjoying my active lifestyle again. The entire team at UpSlope Therapy has been incredibly friendly, supportive, and encouraging throughout my recovery. They didn’t just help me heal; they helped me get back to doing the things that make life fun. I’m extremely grateful for my experience and would absolutely recommend UpSlope Therapy to anyone recovering from an injury or trying to get back to the activities they love!

    Google
  • Mary Quintero

    ★★★★★

    If you are having pain or dealing with an injury – even an old one Dr Lizzie is worth checking out! She has taken me from being in a lot of pain and limited mobility to back to being active, and most importantly – NO PAIN! What really stands out is her humor and how much she genuinely cares. Every session is tailored to what I needed and she is good at adapting the plan to meet you where you are physically. Her encouragement and clear explanations have given me tools to keep up my progress down the road. If you are dedicated to changing your life and want results – Dr Lizzie can get you there.

    Google
  • Kristen Casselman

    ★★★★★

    I had an amazing experience with Lizzie at Upslope! Before I came here, I was terrified that I may never be able to hike, do yoga, or get back into the gym without always having horrible pain in various parts of my body. Lizzie helped me work through my various issues and was willing to pivot as needed to whatever flare up I had going on at the time; this is something I had really struggled with when seeing previous physical therapists. She helped me get back to doing all of the physical hobbies I love, and I am so grateful for her and Upslope for getting me through a really challenging time!

    Google
  • Fay Ng

    ★★★★★

    I had an amazing experience at Upslope! I visited from California and was so fortunate to find Upslope. Dr. Frankie is so personal and knowledgeable. She has exceeded my expectations of PT and taught me so much during the short period of time I was able to work with her. The whole team is so compassionate, friendly and fun. If you’re lucky, Lizzie will make her snake impressions for you!

    Google

Read all 217 reviews on Google →

Questions

Before you reach out.

Do I need a referral?

No. Direct access in Colorado means you can come straight to us. No doctor visit first.

How long does neck rehab take?

Most people see significant improvement in 6 to 10 weeks. Nerve symptoms or disc involvement may take a bit longer. We will know after the first session.

What sets you apart?

We train the neck as part of the whole system. Scapula, thoracic spine, breathing. That is why our results last instead of cycling through flare-ups.

Get started

Get your neck back.

Stay in your sport, get out of pain, build the body you want.