Full Overview of Services

At Osteopractic Physical Therapy of the Carolinas, our services are centered around hands-on, one-on-one physical therapy focused on restoring movement, reducing pain, and improving long-term physical function.

Rather than treating isolated diagnoses or following preset protocols, we evaluate how your body moves, where restrictions exist, and what is limiting your activity. This allows us to help patients with a wide range of conditions — whether symptoms are acute, chronic, recurring, or preventative in nature.

If you’re unsure which service applies to your situation, that’s normal. Most patients don’t need to choose a treatment — they just need an evaluation.

Hands-On Manual Therapy (Foundation of Care)

Manual therapy is the foundation of treatment at OPTC and is used to restore joint motion, reduce muscle tightness, and improve movement efficiency.

Depending on your needs, manual therapy may include:

  • Joint mobilization and manipulation

  • Soft tissue techniques

  • Instrument-assisted soft tissue work

  • Cupping or body tempering

  • Targeted hands-on mobility work

Manual therapy is always guided by evaluation findings and integrated with movement retraining when appropriate.

Learn more about Manual Therapy

Spinal & Extremity Manipulation

Spinal and extremity manipulation is used selectively when joint restriction contributes to pain, stiffness, or movement limitation.

This service is:

  • Performed by a Doctor of Physical Therapy

  • Applied intentionally, not routinely

  • Integrated with other hands-on and movement-based care

Learn more about Spinal Manipulation

Dry Needling

Dry needling is used to address pain, overactivity, and persistent tightness that does not resolve with stretching or exercise alone.

It is commonly used for:

  • Chronic Muscle Tightness

  • Tendon-related pain

  • Persistent stiffness that does not resolve with stretching

  • Headaches, TMJ

  • Nerve impairments

  • Spinal pain

  • Shoulder & knee pain

  • Plantar fasciitis

  • And more!

Learn more about Dry Needling

Cupping Therapy

Cupping therapy is a soft tissue technique used to improve tissue mobility and reduce restriction by lifting, rather than compressing, underlying tissues.

It is often used when muscles feel restricted, guarded, or resistant to other approaches.

Learn more about Cupping Therapy

Body Tempering

Body tempering uses controlled pressure over larger muscle groups to reduce muscle tone and improve tissue tolerance, particularly in active individuals.

It is commonly used for recovery, chronic tightness, and heavily loaded muscle groups.

Learn more about Body Tempering

Therapeutic Exercise, Mobility & Strengthening

Therapeutic exercise is used at OPTC to support and maintain the gains made through hands-on treatment, not replace it.

Rather than prescribing generic exercise programs, we focus on:

  • Restoring lost mobility

  • Improving joint control and coordination

  • Building strength where it supports movement efficiency

  • Reducing the likelihood of recurring symptoms

Exercises are selected based on what is limiting your movement, not based on diagnosis alone.

This approach ensures that improvements carry over into daily life, training, and work — not just the treatment table.

Individualized Exercise Programming

Exercise programming at OPTC is purposeful and minimal, designed to complement hands-on care rather than overwhelm patients with volume.

Programs may include:

  • Targeted mobility work

  • Stability and control exercises

  • Progressive strengthening when appropriate

  • Guidance on activity modification

Patients are given only what they need to maintain progress — not extensive routines for the sake of compliance.

Our goal is improved movement confidence, not dependency on endless exercises.

Learn more about our Exercise Programming

Diagnostic Ultrasound (When Appropriate)

Diagnostic ultrasound is used selectively at OPTC as a clinical assessment tool, not as a treatment modality.

When appropriate, ultrasound may help:

  • Visualize muscle activation and contraction

  • Assess tendon structure or irritation

  • Support clinical decision-making

  • Improve patient understanding of their condition

  • Guide treatments such as dry needling

Ultrasound findings are always interpreted in the context of:

  • Movement assessment

  • Physical examination

  • Functional presentation

It is used to inform care, not replace hands-on evaluation.

Preventative & Maintenance Physical Therapy

Not all patients come to OPTC because they are injured.

Preventative and maintenance care is designed for people who want to:

  • Stay active

  • Address recurring tightness early

  • Maintain mobility

  • Reduce the risk of future injury

This service pairs well with the OPTC monthly membership option.

Learn more about Preventative & Maintenance Care
Explore the OPTC Membership

Not Sure Which Service You Need?

You don’t need to know which technique or service is right for you before scheduling.

If you:

  • Feel restricted or tight

  • Have recurring pain

  • Want to move better

  • Want to stay active long-term

An evaluation will determine the most appropriate approach.

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Schedule an Initial Evaluation