November 2025
How to Stay on Track With Your Fitness During the Holiday Season
A Personal Note from Dr. Scott:

Finish Strong, Start Stronger
Every November, I like to take a step back and reflect.
It’s that time of year when the pace slows, the weather cools (well, a little here in Florida), and we start to shift into holiday mode. Most people begin coasting, telling themselves, “I’ll start fresh in January.”
But here’s the truth — how you finish the year determines how you start the next.
Momentum doesn’t magically appear with a new calendar. It’s built — and protected — through consistent effort when it would be easier to let things slide.
Over the years, I’ve seen a clear difference between those who wait for January and those who keep moving through November and December. The ones who stay active, stay mindful, and keep investing in their health always hit the ground running come the new year. The ones who pause? They spend the first few months just trying to regain what they lost.
Every year around this time, I sit down with a notebook and ask myself a few simple questions:
- What’s gone well this year — personally, professionally, and physically?
- What habits have I let slip?
- What do I want to feel proud of when I look back one year from now?
Sometimes that reflection leads to small changes — maybe getting back into an earlier bedtime routine, tightening up my workouts, or setting goals for our Back In Motion team. Other times, it’s just a reminder to keep doing the things that have worked — showing up, staying consistent, and taking care of myself so I can show up for others.
I encourage you to do the same.
Take a quiet moment this week and ask yourself what finishing strong looks like for you. It might mean committing to two workouts per week through the holidays, drinking more water, or finally getting that nagging pain checked out before it becomes something bigger.
Whatever it is, don’t wait for January.
Build your momentum now — so when the new year arrives, you’re not starting over… you’re already ahead.
Finish strong. Start stronger.
Dedicated to Your Success,
Dr. Scott Gray
Article of the Month
Why Neck Pain Keeps Coming Back (Even After Massage, Pills, or Resting)
By Dr. Scott Gray, PT, DPT, MTC, FAAOMPT
If You’ve Been Living With Neck Pain, You’re Not Alone
If you’ve been struggling with neck stiffness or pain that always seems to come back — even after massages, pain pills, or adjustments — I want you to know something right from the start: you’re not alone.
I see it every week. People who’ve done all the “right things” — stretching, changing pillows, getting massages — yet the pain always finds its way back.
And I get how discouraging that can feel.
You start to wonder if you’ll ever be pain-free again… if something’s permanently wrong… or if it’s just “part of getting older.”
But I can tell you with full confidence: that’s not the case.
You’re not broken. And your pain isn’t random.
The truth is, most people simply haven’t been given the right explanation — or the right plan — for what’s really going on.
Let’s change that.
Why Quick Fixes Don’t Last
If you’ve been chasing neck pain for months (or years), you’ve probably noticed the same frustrating cycle:
- You get a massage. It feels great — for a day or two.
- You take some painkillers or muscle relaxers. The tension eases up — until it comes right back.
- You get an adjustment, and for a short time you can move freely again — but then the stiffness returns.
None of these are wrong. In fact, they can all help temporarily.
But the reason the pain keeps coming back is because none of these treatments fix the cause of the problem. They only calm the symptoms.
Massage relaxes muscles — but it doesn’t retrain how they work.
Painkillers reduce inflammation — but they don’t stop what’s causing it.
Adjustments increase motion — but they don’t restore stability or strength.
It’s like patching a leak without finding out where the water’s coming from.
Until you address the root cause, you’ll stay stuck in the same loop — a few good days, then right back to square one.
A Story I’ll Never Forget
A woman named Susan (name changed for privacy) came to see me after almost two years of nagging neck pain.
She’d tried everything: chiropractic adjustments, massages, stretching, even changing pillows multiple times. She felt better for short bursts, but the stiffness always came back.
When she came to Back In Motion, she looked exhausted — not just from pain, but from frustration. She told me, “I feel like I’ve tried it all, but nothing sticks.”
After a thorough evaluation, the surprising truth came out: her neck wasn’t the real problem.
Her upper back and shoulders were stiff as concrete. Every time she turned her head, her neck had to overcompensate — doing the work those other areas weren’t.
Once we restored her upper-back mobility, improved her shoulder function, and strengthened her deep neck stabilizers, her pain was gone within a few weeks.
No drugs. No endless stretching. No guessing.
Just understanding and fixing the cause.
Your Neck Isn’t the Problem — It’s the Messenger
One of the biggest truths I wish more people knew is this:
Your neck pain is rarely about your neck.
The human body is a chain — every link connected to the next.
When one area becomes stiff (like your mid-back or shoulders), another area has to work harder. In this case, it’s your neck.
Your neck tightens up not because it’s broken, but because it’s protecting you. It’s your body’s way of saying, “Something else isn’t doing its job.”
That’s why treating the neck directly — with pills, stretches, or adjustments — rarely leads to long-term change. You’re treating the symptom, not the signal.
The real solution comes from looking beyond the neck and understanding how your entire body moves.
3 Common Myths That Keep You Stuck
Myth #1: “I Just Need to Stretch More.”
If stretching were the answer, you’d be pain-free by now.
The truth? Most necks are too mobile — not too tight. What they’re missing is stability and strength.
When your deeper stabilizing muscles aren’t doing their job, your bigger surface muscles take over — and that’s what makes you feel tight.
Stretching those muscles can actually make the problem worse over time.
What you really need is controlled, guided movement that strengthens the right areas and restores balance.
Myth #2: “It’s My Pillow or How I Sleep.”
Pillows can play a small role, but they’re rarely the main cause.
If your spine moves well and your muscles are balanced, you could sleep on a hotel pillow and wake up fine. If they’re not, even the best ergonomic pillow won’t help.
Blaming the pillow is like blaming your shoes when you trip over uneven ground. It’s not the pillow — it’s the foundation underneath.
Myth #3: “I Just Need an Adjustment.”
There’s nothing wrong with adjustments — they can help restore motion and relieve pressure.
But unless you build strength and control after that adjustment, the same restriction returns again and again.
Think of it like rebooting your computer without fixing the software bug. You’ll get temporary relief, but the problem always comes back.
The missing piece isn’t more motion. It’s better movement.
Why Modern Life Makes It Worse
Let’s be honest — modern life isn’t doing your neck any favors.
We spend hours hunched over screens, driving, or scrolling on our phones. Our heads creep forward, our shoulders round, and our upper backs stiffen.
This position trains your neck muscles to stay “on” all day. They’re constantly working to hold your head up — even when they should be resting.
Over time, this posture weakens your deep stabilizers, tightens your upper traps, and creates the perfect recipe for pain and fatigue.
It’s not an age problem. It’s a habit problem — and habits can be changed.
How to Finally Fix It (and Keep It from Coming Back)
Here’s where things start to get better.
At Back In Motion, we use what I developed called The Gray Method™ — and it’s built on one simple but powerful belief:
To get lasting relief, you have to fix the cause — not just the symptom.
We follow a three-step process that’s helped thousands of people finally move and feel better again:
Step 1: Detect the Real Cause
We don’t guess — we assess.
Through movement analysis, posture assessment, and mobility testing, we identify where the dysfunction actually starts.
In many cases, it’s not your neck at all — it’s your thoracic spine, shoulders, or even hips.
Step 2: Fix the Cause
Once we know the “why,” we can target it with the right combination of hands-on therapy and corrective movement.
This helps restore balance to your body — freeing up what’s tight, stabilizing what’s weak, and retraining your muscles to move the way they were designed to.
Step 3: Get Back to Being You
Once the pain is under control, our focus shifts to what really matters — helping you get back to feeling like yourself again.
This is where the long-term transformation happens.
We’ll work on restoring your strength, rebuilding confidence in your movement, and helping you return to the activities you love — whether that’s working out, golfing, or simply waking up without that stiff, heavy feeling in your neck.
When your body moves the way it’s meant to, life opens back up. You can drive without pain, sleep through the night, and tackle your day with more energy and ease.
Because it’s not just about fixing pain — it’s about helping you get back to being you.
A Story of Hope and Healing
Another client, Tom (name changed), came to see me after years of neck pain that affected his golf swing and sleep. He was close to giving up and considering injections.
When we evaluated him, we found — just like with Susan — his thoracic spine was stiff and his shoulder blades weren’t moving properly.
After a few weeks of focused treatment and specific exercises, he not only regained full motion but also returned to golf pain-free.
Today, he still checks in occasionally — not because of pain, but because he’s committed to staying healthy.
His words stuck with me:
“I thought this was just something I’d have to live with. Now I feel like myself again.”
That’s what happens when you fix the cause, not the symptom.
You Deserve to Move Without Fear
If you’ve been living with neck pain for months — or even years — please hear me on this:
You don’t have to settle.
You don’t have to “just deal with it.”
And you’re not too old or too far gone to get better.
Your body is resilient. It’s designed to heal — if you give it the right opportunity.
The key is getting the right guidance and finally understanding why it’s happening.
That’s where we come in.
Ready to Finally Fix It?
If you’re ready to break the cycle of neck pain and stiffness once and for all, I’d love to help.
At Back In Motion Physical Therapy & Performance, we offer a Fixing the Cause & Not the Symptom Assessment — a one-on-one session where we’ll uncover the exact reason for your neck pain and show you a personalized plan to eliminate it. Our neck pain treatment in Fort Myers is the best around, and it’s sole purpose is to fix the cause.
No pills. No guesswork. No “band-aid” fixes.
Just real answers — and a clear path to feeling like yourself again.
Because you don’t need to live with neck pain. You just need the right plan.
Oliver’s Healthy Recipe

Oliver’s Corner Recipe

Oliver’s Corner: Harvest Turkey & Sweet Potato Skillet
Why it’s great: High in protein, packed with fiber, and loaded with fall flavors. It’s a one-pan meal that’s easy for busy families.
Ingredients:
- 1 lb lean ground turkey
- 1 large sweet potato, peeled and diced
- 1 cup diced onion
- 2 cups chopped kale or spinach
- 1 apple, diced
- 1 tsp cinnamon
- 1 tsp paprika
- Salt and pepper to taste
- 1 tbsp olive oil
Ingredients
Directions:
- Heat olive oil in a large skillet over medium heat.
- Add onions and sweet potatoes; sauté 5–7 minutes until they start to soften.
- Add ground turkey and cook until browned.
- Stir in diced apple, kale, and seasonings.
- Cover and cook 5–10 minutes until sweet potatoes are tender.
Nutrition Highlight:
High-protein, gluten-free, full of antioxidants, and keeps blood sugar stable.
Fitness Corner
7 Hidden Reasons You Feel Tired All the Time (and How to Get Your Energy Back)

We’ve all been there — dragging through the day, running on caffeine, and wondering why we’re so exhausted all the time.
If that’s been you lately, it’s not just “getting older.” Fatigue is often your body’s way of saying something’s off.
Here are 7 common reasons your energy might be low — and what to do about them:
1. You’re Not Moving Enough
It sounds backward, but the less you move, the more sluggish you feel. Regular exercise increases blood flow, oxygen, and endorphins — all of which boost energy. Even a 10-minute walk can re-energize you.
2. You’re Not Eating for Sustained Energy
Skipping meals or relying on processed carbs causes blood sugar spikes and crashes.
Focus on lean proteins, high-fiber carbs, and healthy fats — think eggs, sweet potatoes, salmon, and veggies — to keep energy levels steady all day.
3. You’re Chronically Dehydrated
Even mild dehydration can make you feel tired, dizzy, or foggy.
Aim for half your body weight in ounces of water per day. Bonus: hydration improves joint health and muscle recovery too.
4. You’re Carrying Too Much Stress
Chronic stress keeps your body in “fight or flight” mode, draining energy reserves.
Try short breathing exercises, gentle stretching, or mindfulness breaks throughout the day — they really do make a difference.
5. Your Sleep Quality Needs Work
It’s not just about getting 7–8 hours — it’s about restorative sleep.
Avoid screens an hour before bed, keep your room cool and dark, and try to go to bed at the same time each night.

6. You’re Missing Strength Training
Building lean muscle increases your metabolism and helps your body use energy more efficiently.
Strength training also improves sleep quality and reduces fatigue-related aches and pains — a win-win.
7. You’re Ignoring the Warning Signs
If your energy has been low for weeks, don’t just “push through it.”
It could be related to underlying movement issues, hormonal imbalance, or postural dysfunction that physical therapy or guided exercise can fix.
Bottom Line
Feeling tired all the time isn’t normal — and it’s not a sign of getting old.
The good news? With the right movement, nutrition, and recovery habits, your energy can come roaring back.
Ready to stop feeling drained and start feeling strong again?
Arrange your FREE Fitness Consultation today to see how our personal training program can help you rebuild your strength, restore your energy, and feel like yourself again.
Staff Spotlight

Meet Dr. Sandy Gardner — Physical Therapist
Sandy Gardner is a licensed Doctor of Physical Therapy with over 25 years of diverse clinical experience, specializing in both adult and pediatric rehabilitation. She earned her Doctor of Physical Therapy from the University of Montana – Missoula in and her Bachelor of Science in Physical Therapy from the University of Illinois – Chicago. Originally from the south suburbs of Chicago, Sandy now calls Fort Myers, Florida, home. Her extensive background includes work in senior living centers, hospitals, outpatient clinics, and school-based settings, where she is known for her detailed assessments, individualized treatment plans, and compassionate, patient-centered care.
Sandy is committed to lifelong learning and professional growth. She holds certifications in Dry Needling (Parts 1 & 2), Reiki (Levels 1 & 2), Rehabilitation Administration, and CPR/BLS. She has completed advanced coursework and training with leading experts in the field, including Dr. Shirley Sahrmann, PT, PhD, FAPTA; Dr. Mary Massery, PT, DPT, DSc; and Beverly “Billi” Cusick, PT, MS, NDT, COF/BOF, deepening her expertise in manual therapy, movement science, and holistic rehabilitation strategies. Additional coursework includes muscle energy techniques, strain-counterstraintechniques, yoga for healthcare workers, kinesiology taping, and more.
While her current clinical focus is adult orthopedics, Sandy’s background includes years of supporting children and adolescents in both clinical and educational settings. A former mentor and clinical instructor, she is passionate about empowering her patients and their families through education, support, and a holistic approach that helps each individual reach their highest potential and quality of life.
Beyond her professional life, Sandy is the proud mother of anNCAA Division I athlete and a talented ballet dancer. Sandy has provided physical therapy support not only to her own children, but also to their teammates and dance peers, helping young athletes and performers stay healthy and achieve their goals. In her free time, she is an avid boater and yoga enthusiast, often found on the waters of Southwest Florida or in local yoga studios.
FAVORITES
Place: Beach
Food: Greek and Italian
Vacation Spot: Anywhere tropical
TV Show: Seinfeld
Film: Sound of Music
Guilty Pleasure Song: Don’t Stop Believing by Journey
Book: To Kill a Mockingbird
Sport: Hockey
Team: Chicago Blackhawks
Hobbies: Yoga, Boating, Outdoor Exercise
Offer Of The Month
Get Two Free Personal Training Sessions

If you’ve been thinking about getting back into a routine, building strength, or finally losing that stubborn fatigue — now’s your chance.
For a limited time, we’re offering 2 FREE personal training sessions with one of our certified fitness experts at Back In Motion Physical Therapy & Performance.
This is your opportunity to:
- Experience customized workouts designed for your body, goals, and fitness level
- Learn how to exercise safely and effectively — without pain or fear of injury
- Get a taste of how our team helps clients feel stronger, move better, and boost their energy in just a few sessions
Whether you’re restarting your fitness journey or wanting to take your training to the next level, these two sessions can help you build momentum and see what’s possible when you have expert guidance.
👉 Claim your two free sessions — spots are limited to first 5 inquiries!

Fitness Client Of The Month
Fitness Client of the Month — Sue Shearman

Sue has been training at Back In Motion for just a couple of months, and she’s amazed at how much stronger she’s become in such a short time. She says this is exactly the kind of program she’d been searching for for years. Before joining, Sue was doing HIIT classes and trying to lift weights on her own at Planet Fitness—but she quickly realized there’s no comparison to having the expert trainers at Back In Motion guide her every step of the way. With their support, Sue finally feels like she’s training smarter, not harder, and doing what’s right for her body and goals. She’s so glad she found Back In Motion!

Patient Case Study of the Month
How Lisa Overcame Achy Hips and a Stiff Neck

Lisa had been battling chronic hip and neck pain for years. Every time she tried to stay active, the pain would come roaring back—leaving her frustrated and unsure what to do.
After starting care at Back In Motion, our team used The Gray Method™ to uncover the real causes of her pain: stiffness and weakness in key areas that were throwing her body out of balance. Through a combination of hands-on treatment, targeted strength training, and movement retraining, Lisa began to move better, feel stronger, and finally get relief that lasted.



