Cumming & Alpharetta, GA. Accepting new patients, urgent 48-hour appointments.(470) 380-7007Fax 866-851-2493care@northatlantavertigo.com
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Home / Neck & spine pain

Advanced spine pain relief in Cumming & Alpharetta, GA

60-minute 1-on-1 spine therapy utilizing advanced pain neuroscience and hands-on rehabilitation. Led by Dr. Manan Patel, one of the few certified Therapeutic Pain Specialists (TPS) in North Atlanta.

Dr. Manan Patel, PT, DPT, TPS
  • 15+ yearsof outpatient clinic care
  • Vestibular & pain specialistDr. Manan Patel, PT, DPT, TPS
  • 60-minute visits1-on-1 with a physical therapist
  • Medicare, BCBS & Tricarein-network. $129 self-pay option

Why a Therapeutic Pain Specialist

60-minute 1-on-1 spine therapy utilizing advanced pain neuroscience and hands-on rehabilitation. Led by Dr. Manan Patel, one of the few certified Therapeutic Pain Specialists (TPS) in North Atlanta.

Neck surgery recovery

“PT has changed my life with Dr. Patel. I hadn’t done anything for three months after my surgery ( cervical fusion of my…”
Read full review on Google
Ashley L.Google review, Sep 2026, Dr. Patel

Spine care that fits our specialty

We focus on the neck and spine problems that overlap with our vestibular and concussion work: neck pain and headaches, whiplash and auto accident injuries, pinched nerves, disc problems, sciatica, persistent pain and rehabilitation after spine surgery. Because Dr. Patel is also a Certified Vestibular Specialist, neck pain, headaches and dizziness can be treated in one plan.

Find your pain type in 30 seconds

Tap where it hurts and answer three quick questions. You will see which conditions fit and what treatment involves.

Step 1 of 4
Do you have any of these with your pain: new loss of bladder or bowel control, numbness in the groin or inner thighs, arm or leg weakness that is quickly getting worse, fever with back pain, or a recent serious fall or crash that has not been checked by a doctor?
Where does it hurt most? Tap the body map or choose below.
Head (headaches)NeckUpper back or shoulder bladeLow backArm or hand pain, numbness or tinglingLeg or foot pain, numbness or tingling
Which best describes your headaches?
Which fits your neck pain best?
Which fits your upper back pain best?
Which fits your low back pain best?
Where do your arm or hand symptoms start?
Where does your leg or foot pain start?
Which fits best?
How long have you had this pain?

Want a fuller check that also screens for warning signs? Take the full neck and spine self-check.

Neck and spine conditions we treat

Neck and head

Back and discs

Persistent pain and spine surgery

Neck pain with dizziness or after a head injury?

Neck pain, headaches, dizziness and concussion symptoms often overlap. We test the neck, inner ear and eye movements in the same 60-minute visit.

Hurt in a car accident or at work?Whiplash, concussion and back injuries with $0 at your visit through a Letter of Protection, Auto MedPay or Workers' Comp.

What a Therapeutic Pain Specialist does differently

A Therapeutic Pain Specialist is a physical therapist with advanced post-graduate certification in pain science and the treatment of persistent pain. For you, that means:

  • A clear explanation of why it hurts and what will help, in plain language
  • Treatment that calms a sensitized nervous system, not just a sheet of stretches
  • Hands-on care combined with exercise that builds strength and confidence
  • A plan for flare-ups, so setbacks do not undo your progress
  • Every visit a full 60 minutes, 1-on-1, in a quiet private room

$129 flat-rate pain care

Bypass the crowded clinics. Get a full hour of dedicated, 1-on-1 specialized pain care for a predictable $129 flat rate—often less than standard high-deductible insurance copays.

  • For self-pay, out-of-network and high-deductible patients, including Aetna, Cigna and UnitedHealthcare
  • In-network with Traditional Medicare, BCBS / Anthem and Tricare
  • Auto MedPay, personal injury liens and Workers' Comp: $0 at your visit

See insurance and pricing

How a visit works

  1. Book in Cumming or Alpharetta

    Call or request a time online. No referral is needed to start.

  2. A full 60-minute evaluation

    Movement, strength and nerve testing, a hands-on assessment and a clear explanation of what is driving your pain.

  3. Start treatment the same day

    Hands-on care, a home program you can follow, and a plan for getting back to what matters to you.

Neck and spine pain questions

What is a Therapeutic Pain Specialist (TPS)?

A Therapeutic Pain Specialist is a physical therapist with advanced post-graduate certification in pain science and the treatment of persistent pain. Dr. Manan Patel is one of the few certified Therapeutic Pain Specialists in North Atlanta. For you, that means a clear explanation of why it hurts and a plan that calms a sensitized nervous system while building strength.

Which neck and spine problems do you treat?

Neck pain and cervicogenic headaches, pinched nerves in the neck, whiplash and auto accident injuries, herniated and bulging discs, low back pain, sciatica, persistent (chronic) pain, and rehabilitation after neck or back surgery.

Why does a vertigo clinic treat neck and back pain?

Because the neck, the balance system and pain are closely linked. Neck problems can cause dizziness and headaches, whiplash and concussion often happen together, and persistent pain and persistent dizziness respond to some of the same principles. Dr. Patel is both a Certified Vestibular Specialist and a certified Therapeutic Pain Specialist, so these problems can be treated in one plan.

Can neck problems cause dizziness?

Yes. Neck-related (cervicogenic) dizziness can follow whiplash or come with neck pain and stiffness. Because inner-ear problems can feel similar, Dr. Patel tests the neck and the inner ear in the same visit.

Can neck pain cause headaches?

Yes. Cervicogenic headaches usually start at the base of the skull, are often one-sided and change with neck movement or posture. They respond well to hands-on care and specific neck exercise.

Do I need an MRI before physical therapy for neck or back pain?

Usually not. Guidelines advise against routine imaging for back pain without warning signs, and disc changes on MRI are common in people without pain. We screen for warning signs at your first visit and refer you to a physician if imaging is needed.

Can physical therapy help sciatica or a herniated disc without surgery?

Many people improve with conservative care that calms the irritated nerve and restores movement and strength, and many herniated discs shrink on their own over time. We screen for warning signs and coordinate with your physician if a surgical opinion is needed.

How soon should I start therapy after a car accident?

Once a doctor has ruled out a fracture or other serious injury, usually within days. Early, guided movement generally helps whiplash recover better than prolonged rest or a soft collar.

Do you accept auto accident and Workers' Comp cases?

Yes. We accept personal injury attorney Letters of Protection, Auto MedPay and Workers' Compensation, with $0 at your visit, and provide objective documentation for your physician, attorney or case manager.

Do you treat pain after spine surgery?

Yes. We provide rehabilitation after cervical and lumbar fusion, discectomy and laminectomy, following your surgeon's protocol and keeping their office updated.

What if my pain has lasted for months or years?

Pain lasting more than three months often involves a more sensitive nervous system. Dr. Patel's pain neuroscience approach, with graded exercise and hands-on care, is designed for this kind of persistent pain.

Will treatment hurt?

Treatment is matched to what your body tolerates. Some exercises cause mild, temporary soreness, but we avoid flaring your pain and adjust as you go.

How many visits will I need for neck or back pain?

It depends on your condition and how long you have had it. Recent injuries often improve faster than pain that has lasted for months. We give you an estimate after your evaluation.

Is the $129 rate available for neck and back pain?

Yes. The $129 flat rate covers a full 60-minute, 1-on-1 visit for neck and back pain for self-pay patients and out-of-network plans, including Aetna, Cigna and UnitedHealthcare.

Do I need a referral for neck or back pain?

No referral is needed to start. Georgia law lets you begin physical therapy without one. If your care continues past 21 days or 8 visits, Georgia requires a referral from your physician, and we coordinate that with your doctor's office. Some insurance plans have their own rules, so we check your benefits first.

Guides to read before your visit

When to get urgent care

Get emergency care for new loss of bladder or bowel control, numbness in the groin or inner thighs, arm or leg weakness that is quickly getting worse, back pain with fever, or pain after a serious fall or crash.
Dr. Manan Patel, PT, DPT, TPS
Led by Dr. Manan Patel, PT, DPT, TPSDoctor of Physical Therapy and one of the few certified Therapeutic Pain Specialists in North Atlanta, with 15+ years of outpatient care. Meet Dr. Patel and the team

Where to get treated

Book at either clinic. Same phone number, same team, same 60-minute visits. In-network with Traditional Medicare, BCBS / Anthem and Tricare; Auto MedPay, injury liens and Workers' Comp accepted; or $129 flat-rate visits for self-pay patients and out-of-network plans, including Aetna, Cigna and UHC.

Cumming clinic

Off GA-400 Exit 13 on Peachtree Parkway

566 Peachtree Pkwy, Ste 124
Cumming, GA 30041
Monday–Saturday, 9 AM–5 PM

Alpharetta clinic

Inside Georgia Brain & Spine Physical Therapy

9635 Ventana Way, Ste 103
Alpharetta, GA 30022
Monday–Friday, 9 AM–5 PM

What patients say

Google reviews from patients recovering from surgery, injuries and pain.

PT has changed my life with Dr. Patel. I hadn’t done anything for three months after my surgery ( cervical fusion of my…
Read full review on Google
Ashley L.Google review, Sep 2026, Dr. Patel
Dr Patel has an excellent plan for my recovery and I have progressed very well following it. He has challenged me further each week which I appreciated.
Tony N.Google review, Sep 2026, Dr. Patel

Featured reviews, shown with first name and last initial. All reviews are on Google: Dr. Patel and clinic. See all featured reviews.

Ready to move without pain?

60-minute, 1-on-1 visits in Cumming and Alpharetta. Urgent appointments within 48 hours.

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