Eliminate Back Pain Without Medications, Injections, Or Surgery
Don’t sacrifice the active lifestyle you love over a problem that can be fixed. At Strike Physiotherapy & Performance we help athletes and active adults in North Hollywood get rid of back pain and stiffness for good, naturally.
Are You Being Held Back By Back Pain?
You're dealing with persistent back pain and stiffness that won't improve, no matter how much rest you take.
You're frustrated because your pain keeps getting worse despite trying painkillers, massages, or chiropractic adjustments.
You're afraid to go back to running, lifting, or exercising because you worry it will aggravate the pain.
Simple things like bending down, tying your shoes, or getting out of bed in the morning have become uncomfortable or painful.
You've been told "it's just part of aging" or that you "slept on it wrong", and you know that can't be the whole story.
You're looking for a real, lasting solution to lead a more active life, not another temporary band-aid.
If You Said Yes To Any Of These, You're Not Alone.
- Back pain is the single most common issue we see at our clinic in North Hollywood. It's incredibly easy to dismiss it as "nothing" or assume it'll go away on its own, but six months later, you're still living with it, often worse than when it started.
- Maybe you've blamed it on sleeping badly, or told yourself it's just a spasm that'll pass. But deep down, you know something isn't right, and none of the things you've tried so far have actually fixed it.
- The right treatment, one that actually finds the root cause, can change everything. And that treatment is available right here at Strike Physiotherapy & Performance.
Dr. Levan Akopov
A Message From A Licensed Physical Therapist
It’s very common to think that back pain is nothing serious, that it’ll just go away on its own. People blame it on sleeping in a weird position, a random spasm, or simply “getting older.” But then weeks turn into months, and nothing changes.
If that’s happening to you, you’re far from alone. Lower back pain is the #1 problem we treat at our clinic, and every person who walks through our door wants to know the same thing:
"Why Is This Still Happening To Me After Months Of Putting Up With It?"
The truth is, most back pain isn’t caused by a single event. It’s usually the result of years of poor posture, weak core muscles, and movement patterns that slowly break down the structures in your lower back. That time you “threw it out” picking something up? That was just the final straw, not the actual cause.
And here’s what makes it worse: the most common advice, rest, painkillers, and “wait it out”, doesn’t address any of that. It just buys time while the underlying problem keeps getting worse.
What You've Been Told Vs. The Truth
Before finding us, most of our patients were given well-meaning but ineffective advice. Here’s what’s wrong with it, and what actually works.
✕ Bad Advice
Just REST And It'll Go Away
You may feel temporary relief, but once you resume activities, the pain and stiffness come right back. Rest doesn’t fix the underlying dysfunction, it just delays confronting it.
✓ The Reality
Targeted Movement Is The Cure
Your back needs the right exercises to rebuild strength and restore proper mechanics. Strategic, guided movement, not avoidance, is what eliminates back pain for good.
✕ Bad Advice
It's Just Part Of Getting Older
Back pain and stiffness as you age is not normal and not inevitable. This myth causes millions of people to accept a problem that is entirely treatable, and miss out on years of active living.
✓ The Reality
Age Is Not The Problem
Weakness, immobility, and poor movement habits are the problem, and those can be fixed at any age. Our patients in their 50s and 60s regularly return to training pain-free.
✕ Bad Advice
Take Painkillers And Push Through
Pain medication is addictive, carries health risks, and only masks symptoms. It does nothing to address why your back hurts, and the pain always returns when the pills wear off.
✓ The Reality
Fix The Cause, Not The Symptom
When you treat the root cause, weak muscles, poor mechanics, joint dysfunction, you eliminate the pain at its source. No pills required, and the results actually last.
✕ Bad Advice
Surgery Is Your Only Option
✓ The Reality
Physical Therapy Often Outperforms Surgery
Research consistently shows that for most back pain conditions, targeted physical therapy delivers equal or better outcomes than surgery, with zero downtime and zero surgical risk.
Confused About What To Do Next? Let's Talk.
Book a free discovery call with a PT. We’ll discuss your back pain, answer your questions, and help you figure out the best next step, with zero obligation.
You've Probably Also Tried…
None of these are your fault. They’re the most common paths people take, and they almost never provide the lasting relief you’re looking for.
Yoga & Stretching
A friend recommended their yoga class, but certain poses made the pain worse, and you left feeling more discouraged than when you started.
YouTube Exercises
You tried exercises from "experts" online, but without knowing your specific issue, they either did nothing or aggravated the pain further.
Massage & chiro
You felt great for a day or two after each session, but the relief never lasted, and you kept needing to go back again and again.
Generic Physical Therapy
You tried PT at a big clinic where you saw a different person each visit, got handed a sheet of exercises, and never felt like anyone understood your actual problem.
Get Rid Of Back Pain For Good
It’s very common to think that back pain is nothing serious, that it’ll just go away on its own. People blame it on sleeping in a weird position, a random spasm, or simply “getting older.” But then weeks turn into months, and nothing changes.
Your back pain didn’t start the day you felt it. It started with years of accumulated stress on structures that were slowly breaking down, poor posture at your desk, weak core muscles, hip stiffness, movement patterns that put excess load on your lower back. We find those root causes and fix them.
Every session is one-on-one with a doctor of physical therapy No aides, no rotating therapists, no cookie-cutter protocols. We build a plan around your body, your pain, and your goals, whether that’s getting back to deadlifting, running a 5K, or simply bending over without wincing.
Our top-performing patients are people who are motivated and ready to take back their active lifestyle, even if they feel stuck right now. You shouldn’t have to give up the things you love over a problem that can be solved.
With Us, You'll Get Back To:
- Running, lifting, and training at full intensity, without guarding your back or fearing a flare-up.
- Waking up in the morning without stiffness, getting through your day with energy and zero discomfort.
- Bending, twisting, and carrying things without bracing yourself or dreading the consequences.
- Playing with your kids, keeping up with your active lifestyle, and finally feeling like yourself again.
- Having a bulletproof back, with the strength, mobility, and knowledge to make sure the pain never returns.
Real People. Real Results.
Posted on Google michael jacksonTrustindex verifies that the original source of the review is Google. I had a wonderful experience working with Levan after my knee replacement. My knee is so much stronger now, l am back to my normal activities with confidence. Highly recommend!Posted on Google KadenTrustindex verifies that the original source of the review is Google. Levan really helped me a lot with working out and correcting my posture and concerns that I had. He didn’t just teach me the correct ways of using workout equipment but also educated me along the way. He made sure to leave me with good knowledge to take after the sessions ended. He put a lot of time with making sure I was doing the correct exercises so that I could fix my problems. If you’re really serious, Levan is the right guy to go to.Posted on Google Gillian TerzisTrustindex verifies that the original source of the review is Google. I highly recommend Levan for PT! His deep knowledge and expertise have been invaluable: he quickly diagnosed the root cause of my ankle injury, and developed a personalized rehab program that has helped me return to running much sooner than I expected. His sessions are motivating and rewarding, and have helped me understand the importance of overall body strength for injury prevention.Posted on Google Jeremy WestinTrustindex verifies that the original source of the review is Google. Best and most knowledgeable and practical PT you will ever see. Will get to the bottom of the true causes of your pain or limitations and then will develop and guide you through a plan of attack to build back strength, stability and pain-free movement. Will create custom videos and an app-based plan to help you continue progressing between sessions. You get the full hour and it’s all 1:1.Posted on Google Michele LockerTrustindex verifies that the original source of the review is Google. I’m a 58-year-old woman with a total left hip replacement with back pain. Strike is the only place I felt like I have been gaining strength and getting back to my old self. You might say it’s expensive and it is. I’ve been to quite a few PTs and private gyms. This is a personalized curated experience.Posted on Google Bagrat SafarianTrustindex verifies that the original source of the review is Google. This is where I got a relief of my shoulder pain. First time in many years and after trying many other places!Posted on Google Bagrat SafarianTrustindex verifies that the original source of the review is Google. This is where I got relief of my shoulder pain. First time in many years and after many places I tried!Posted on Google Melkis RosadoTrustindex verifies that the original source of the review is Google. I came in with extreme lower back pain after a wrong stretch. Levan was able to give me a quick assessment over the phone based on how I was feeling and the pain I was in. I came in and he was just as detailed and attentive as over the phone. I took the first session with him for an evaluation and I was sold after. Great customer service and knowledgeable therapist. I highly recommendPosted on Google Greg HamiltonTrustindex verifies that the original source of the review is Google. Last year I went back to the gym to get in shape. Everything was going well until I started to develop pain in my right shoulder. It got so bad I thought I was going to have to stop. Fortunately through researching Physio Therapists in my area, I came across Levan at Strike. He not only put together a program to work on my shoulder, he also partnered with my trainer at the gym. This enabled me to get my shoulder pain resolved, but allowed me to continue at the gym! Levan is a fantastic Physio Therapist! I highly recommend him.Posted on Google Sabrina ZoharTrustindex verifies that the original source of the review is Google. My partner and I workout 3X a week with Levan and I don't think words describe how happy we are to have found him!! The space is beautiful and Levan genuinely cares and really pays attention to your body and overall performance. We have a ton of injuries and he ensures each workout is tailored around them without activating the injury. I genuinely can't speak highly enough of him and strike, if you're waiting to book let this be your sign to do so!!!
Strike's 3-step Process to Get You Back to Your Best

Step 1
Find The Real Cause

Step 2
Fix Your Problem Areas
We’ll build a personalized treatment plan tailored to your specific needs and goals, getting you stronger, pain-free, and on track to reach your goals faster.

Step 3
Unlock Peak Performance
After eliminating your pain, we’ll elevate your performance beyond pre-injury levels and bulletproof your body against future setbacks.
Frequently Asked Questions
How long will it take to feel relief from my back pain?
Most patients notice meaningful improvement within 2–4 sessions, though full recovery depends on how long you’ve had the pain, its underlying cause, and your goals. We’ll give you a realistic timeline after your initial assessment so you know exactly what to expect.
Do I need an MRI or X-ray before starting treatment?
In most cases, no. A skilled hands-on assessment can identify the root cause of your back pain without imaging. MRIs often reveal age-related findings (like disc bulges) that aren’t actually the source of pain. If imaging is genuinely needed, we’ll tell you and help coordinate with the right provider.
Can you help if I've already been told I need back surgery?
In many cases, yes. Surgery should be a last resort for most back conditions, and a large body of research shows that conservative care produces equal or better long-term outcomes for many conditions, including herniated discs and sciatica. We’ll honestly assess whether we can help and refer you out if surgery is truly the best option.
Will I have to stop lifting or working out while I recover?
Almost never. Our philosophy is to keep you moving and training, modified as needed, while we resolve the pain. Complete rest tends to weaken the supporting muscles and prolong recovery. We’ll help you train smarter, not stop.
Do you treat chronic back pain or only acute injuries?
Both. Whether your pain started yesterday or you’ve been dealing with it for years, our approach is the same: identify the true root cause, address it with hands-on care and targeted exercise, then build resilience so it doesn’t return.