Lower back pain
From sitting-all-day stiffness to acute disc flare-ups and sacroiliac dysfunction. Often relieved meaningfully in two to four visits.
Jason Gough DPT has practiced orthopedic physical therapy in Salem for over 15 years — combining hands-on manual therapy with targeted exercise to get you out of pain and back to moving well. No rotating strangers, no one-size plans.
2416 13th St SE · Suite B · Salem
Pain Solutions PT is built around a simple idea: you deserve to see the same experienced therapist every single visit. Jason Gough DPT handles your intake, your treatment, and your discharge plan — not a technician, not an aide, not someone you've never met.
Doctor of Physical Therapy · owner
Jason graduated from Pacific University of Oregon's Doctor of Physical Therapy program in 2009 and has spent his career focused on orthopedic physical therapy — the kind that is hands-on, exercise-forward, and honest about what will actually help. He opened Pain Solutions PT to offer Salem patients the one thing most busy PT clinics cannot: genuine one-on-one time with the same therapist, every visit.
Most people who walk in are not physical therapy regulars. They are warehouse workers who tweaked their back, teachers whose knees gave out mid-semester, and drivers still sore months after a fender-bender. We see all of it.
From sitting-all-day stiffness to acute disc flare-ups and sacroiliac dysfunction. Often relieved meaningfully in two to four visits.
Forward-head posture from screen work, post-MVA whiplash, and cervical joint dysfunction that feeds into shoulder tension and headaches.
Industrial and office-setting injuries — repetitive strain, lifting injuries, ergonomic breakdowns. We communicate with L&I and your employer as needed.
Whiplash, soft-tissue injuries, and post-collision pain that did not show on imaging. We document thoroughly and coordinate with your attorney or adjuster.
Stubborn knots in muscle tissue that cause local pain and referred patterns. Manual release work Jason does by hand — no dry-needling required for most cases.
Disc-related radiculopathy, sciatica, and nerve entrapment presenting as arm or leg pain, tingling, or numbness. We treat the source, not just the extremity.
Long-standing musculoskeletal pain that has not responded to rest alone. Graded exposure, manual therapy, and corrective exercise are the toolkit.
Rotator cuff irritation, impingement, and frozen shoulder. Often connected to thoracic mobility or cervical nerve-root involvement we can address directly.
SI joint dysfunction, IT band syndrome, patellofemoral pain. Hip and pelvis biomechanics often drive knee symptoms — we treat the actual origin.
Cervicogenic headaches (those driven by neck dysfunction) respond well to upper-cervical joint mobilization and suboccipital soft-tissue work.
Following a surgeon's protocol to restore range of motion, strength, and function after spinal, joint-replacement, or orthopedic surgery.
Carpal tunnel, lateral epicondylitis, and overuse strain in the forearm and hand — common in tradespeople, office workers, and musicians.
Every patient gets a thorough exam, honest listening, and a plan that makes sense for their life. The tools below are Jason's kit — drawn from as needed, never applied by protocol.
Joint mobilization, soft-tissue manipulation, and skilled hands-on techniques applied directly to the structures that are restricting movement or generating pain. This is the foundation.
Sustained pressure into myofascial connective tissue to eliminate trigger points and restore motion. Particularly effective for chronic muscular pain patterns that have not responded to stretching alone.
Specific, progressive exercises matched to your anatomy and your deficit — not a generic handout. We focus on building strength and motor patterns that hold up outside the clinic.
Retraining how your nervous system recruits muscles around an injured or painful joint. Common after surgery, after MVA, and in chronic pain cases where the movement pattern itself has changed.
Restoring the real-world movements that matter to you: bending to lift, reaching overhead, walking without a limp. We design rehab around your job, your sport, or your daily life.
For workers' compensation and L&I cases: a progressive program that rebuilds the specific demands of your job. Includes documentation and communication with your claims manager or employer.
A short, specific program you can actually do — designed for your kitchen, your lunch break, or your gym routine. Three targeted exercises you will do beats fifteen you will not.
"Getting you out of pain is step one. Keeping you out is the actual goal."
— Jason Gough DPT, Pain Solutions PT


No mystery, no pressure, no hidden protocols. Here is exactly what happens from the moment you walk in.
Bring a photo ID and your insurance card. You can arrive a few minutes early to fill out intake forms, or call ahead and we can email them to you.
Jason sits with you. What hurts, when it started, how it affects your day, what you have already tried. He listens before he evaluates.
Orthopedic and neurological tests, range of motion assessment, and hands-on evaluation of the specific structures involved. If imaging is needed, Jason will tell you why.
You leave the first appointment knowing what is wrong, what the treatment plan looks like, and a realistic answer to "how long will this take." No surprises on visit two.
Most new patients begin treatment on the same day as their evaluation. If your case needs imaging or a referral first, Jason will tell you that clearly and next steps will be set before you leave.
Call us and we will verify your benefits before your first appointment — no billing surprises on visit two.
We accept Washington and Oregon L&I claims. Jason documents thoroughly and communicates directly with your claims manager so you can focus on recovery, not paperwork.
Most auto and personal-injury-protection policies cover physical therapy after an MVA. We coordinate with your adjuster or attorney and handle claim documentation.
Flat visit fees, no bundled packages, no prepaid plans. If your insurance is unclear or you prefer to pay directly, call us and we will give you a straight answer on cost before you book.
Plan list is not exhaustive. Call us at (503) 385-8026 and we will verify your specific benefits before your first appointment.
If your question is not here, call us — we would rather answer it now than have you guess.
Oregon is a direct-access state — you do not need a physician's referral to start physical therapy. Call or request an appointment and we can get you scheduled directly. Some insurance plans still require a referral for billing; we will flag that when we verify your benefits.
Honestly, it depends on how long the problem has been building and what is actually wrong. Most acute injuries show meaningful improvement in two to four visits. Chronic conditions take longer. After your first exam Jason will give you a realistic timeline — not a generic 24-visit package.
Physical therapists are movement rehabilitation specialists. Jason combines hands-on manual therapy with progressive therapeutic exercise to address the structural cause of pain and rebuild function. We do not just treat symptoms — we work toward a clear discharge goal so you can graduate from care.
Yes. Pain Solutions PT is a one-therapist practice. You see Jason every single visit — not an aide, not a tech, not whoever happened to be available. That continuity is the point of the practice.
We do not sell prepaid visit packages. After your initial evaluation Jason will recommend a plan with a realistic number of visits and a clear end goal. We revisit the plan together as you progress.
Yes — both. We accept Oregon L&I workers' compensation claims and work with auto insurance / PIP for MVA cases. Jason documents thoroughly and communicates with claims managers and attorneys as needed.
Comfortable, loose-fitting clothing that allows access to the area being treated. Bring your insurance card, a photo ID, and any relevant imaging (MRI, X-ray) if you have them. If you have a referral from your doctor, bring that too.
Fill in the form and we will call you back the same business day to confirm a time. If today is urgent, please call instead.
Call us directly(503) 385-8026It usually does not. The sooner you come in, the fewer visits you will need.