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Chronic Back Pain? Why Uprightly Is Changing the Way We Think About Spine Health & Spine Care

Updated: 6 hours ago

Portrait of Michael Halliday, PT founder of the Uprightly Program

Uprightly is advanced spine care rooted in physical therapy—designed as a lasting alternative to the cycle of chiropractic care, pain management, and surgery. It is the result of more than 40 years of clinical research and application led by physical therapist Michael Halliday. The revolutionary treatment was born from a deeply personal and tragic experience—one that ultimately reshaped how spine care should be understood and delivered.


The Chronic Back Pain Story That Changed Everything


Early in his career, Michael watched patient after patient cycle through the same broken path with chronic back pain: physical therapy, medication, chiropractic care, injections, surgery — sometimes more than once — with no one ever stopping to ask whether any of it was actually working.


One case stayed with him. A man in his 30s, a heavy equipment operator supporting a family, felt something give in his back on the job — the start of a chronic back pain case that would consume the next several years of his life. Imaging showed nothing, so he was sent back to work. Years of treatment followed — PT, medication, chiropractic care, two surgeries — and none of it gave him his life back. He lost his ability to work, and eventually everything else.


Michael couldn't shake the question: how many back pain sufferers are we treating, and how many are we actually helping?  That question sent him looking for answers — and hopefully, a way to treat spine issues with measurable, lasting results.


50 Clinicians. 50 Different Philosophies.


They traveled the West Coast to meet with 50 different spine clinicians, searching for better answers. What they found was 50 different philosophies on how to treat the spine.

These inconsistencies revealed a lack of clarity in the field. So, Michael made that his mission and went deeper.


Collection of Uprightly Research Anthology and manuals

Michael spent years in research, reviewing over 1,200 published articles on spine care. From that, he and clinicians who helped him built an anthology and the foundation of a new way forward.

They developed a way to assess the shape of the spine for research, progress tracking, and even accountability.


He discovered that spine function and disc health are unavoidably related to spine shape.


Image of spine shape from contour gauge

They taught patients how to actively rebuild their own spine and to maintain it for life.

They continued clinical research, indexing tens of thousands of spine shape tracings and related symptoms within specialized physical therapy practices and across several universities.

University logos related to Michael Halliday research on spine care

Hundreds of medical and academic professionals have contributed to the research and development of proper spine care.

Photo collage of medical experts supporting spine care research
Scott Wallentine DPT, Vert Mooney MD, Carleen Lindsay PT MSchAH and others

Today, that work has resulted in 42 discoveries on how people can take control of their own spine health. A new method for spine care—one focused not on temporary relief, but on restoring and rebuilding the spine itself.


What Halliday discovered is often received by patients as something that “just makes sense” and empowers them to recover and self-care for life, much like brushing teeth or washing hands for good hygiene.


The Problem With Traditional Spine Care


Traditional models often imply, “we can fix you.” Halliday challenges that concept and calls on providers to introduce more accountability to outcomes.

A key insight from Michael’s research is that many common treatments are symptom-focused rather than mechanically corrective. While they may provide temporary relief, they don’t address the underlying function of the spine, which means issues often return—and in many cases, episodes can become more severe with a longer road to recovery.


Many opt for spine surgery, which now costs over $50k, with no certainty of the outcome.  Chronic back pain costs sufferers thousands of dollars per year on non-surgical care, cycling through treatments and other solutions.


Common treatment might help you feel better for a time, for example with decompression therapy. Yes, when your unused car tires look flat and bulgy, jacking up the car would take off the pressure and remove the bulge—for a moment. Is that acceptable treatment?


Common treatments might help you feel better for a time — decompression therapy, for example. Think of a car with flat, bulging tires. Jacking up the car takes the weight off, and the bulge disappears... for as long as the car stays up. But the tire never actually got reinflated. Set the car back down, and the bulge returns, because nothing was restored — the load was just removed. Is that acceptable treatment?


What Uprightly Does Differently


Michael’s team took a different approach for decades and saw measurable improvements and the Uprightly Program and products are based on that clinical research and practice.


Uprightly focuses on restoring the mechanics and shape of the spine, enabling it to function as it was designed. Through coach guided care and tools like the Uplifter, participants work to activate upright muscles and apply controlled, cyclic loading, which encourages the disc to regain fluid and function. It’s more like pumping up that car’s flat, bulging tires.



Uprightly does not promise quick fixes—and that’s intentional, although many see symptom relief within just one week. Sustainable outcomes come from consistent, guided action.

This process is not about short-term comfort—it’s about long-term resilience.


Beware of External Forces


Another important discovery is how everyday environments influence spine shape. From workstations to sofas to mattresses, the surfaces people interact with frequently either support or gradually degrade spine health. Uprightly has the assessment tools to prove it.


Without proper support, your spine shape and progress can regress over time.

That’s why Uprightly extends beyond recovery—it’s a complete system designed to help people rebuild, protect, and sustain their spine over a lifetime.


The Real Shift


Traditional care often keeps people in a cycle of treatment.

The message is simple: real change happens when individuals take an active role in their recovery. With the right guidance and tools, rebuilding spine health isn’t just possible—it’s often predictable in the cases we work with.


Uprightly is built on helping people recover, rebuild, and protect their own spine for life.

Image of Uprightly Program master class video available from App or web portal.

And, as the saying goes, “An ounce of prevention is worth a pound of cure.” Just as brushing your teeth each day helps prevent costly problems later, caring for your spine daily can help you avoid trouble down the road. How much is your spine health worth—and isn’t it worth learning how to rebuild and protect your spine?



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This article is based on clinical research by Michael Halliday, MSPT, and colleagues. It is intended for educational purposes and is not a substitute for personalized medical advice. Please consult your healthcare provider regarding your specific spine health needs.

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