Expert Pelvic Floor Physical Therapy in Asheville, NC
At Breakthrough Performance Physical Therapy, every appointment is one-on-one with a licensed Doctor of PT — never handed off to an aide. Whether you’re dealing with pelvic floor dysfunction, a sports injury, or chronic pain, we’ll help you move, perform, and feel better. Let our team help you heal naturally.
Still Hurting After Weeks of Waiting It Out?
Pain, leakage, pelvic pressure, or a nagging injury can quietly steal the activities you love. Most people wait too long — or settle for generic care that never addresses the root cause. Sound familiar?
You’ve Tried to Push Through
Rest, stretching, and hoping it resolves on its own hasn’t worked. The pain — or the leaking, the pressure, the tightness — keeps coming back, and it’s starting to limit your daily life.
Generic Care Left You Without Answers
You’ve seen someone, but the sessions felt rushed, impersonal, or cookie-cutter. No one took the time to find the actual cause — and you’re not getting any closer to the results you need.
You’re Worried You’ll Never Get Back to Normal
Whether it’s hiking the trails around Asheville, running your next race, or simply making it through the day without pain or embarrassment — you’re starting to wonder if that life is still possible.
Asheville's Pelvic Floor PT Clinic That Gets Results
At Breakthrough Performance Physical Therapy, we don’t treat symptoms — we find and fix the root cause. Our Doctors of Physical Therapy specialize in pelvic floor dysfunction, orthopedics, sports rehab, and more. Every session is one-on-one, evidence-based, and built around your specific goals. On average, our patients see a significant reduction in pain in 6 visits or less. This is PT the way it should be.
- 100% one-on-one time with a licensed Doctor of Physical Therapy — no aides, no technicians, no shortcuts
- No referral needed — North Carolina is a Direct Access state, so you can book directly
- 5.0-star rated across 103 Google reviews — the top-rated pelvic floor PT near me in Asheville
What Our Patients Say
“I was considering surgery for my knee and hip. A friend recommended Breakthrough. Dr. Rachael was very confident we would see results — and we did. I can walk, sleep without pain, and play tennis again.”
Your Path to Recovery Starts with 3 Simple Steps
We’ve built a clear, proven process so you always know where you are and where you’re going — from your very first visit to full return to activity.
Step 1: Get a Thorough Assessment
Your journey begins with a comprehensive one-on-one evaluation with a Doctor of PT. We identify the true root cause of your pain or dysfunction — not just where it hurts, but why. For pelvic floor concerns, our specialists provide a private, sensitive, and clinically expert assessment.
Step 2: Follow Your Personalized Plan
We build a customized treatment plan around your goals, lifestyle, and timeline. Using evidence-based techniques — from dry needling and manual therapy to pelvic floor internal techniques and therapeutic exercise — every session is purposeful and one-on-one with your Doctor of PT.
Step 3: Return to the Life You Love
Whether that means running trails in Asheville, returning to sport, managing pelvic floor symptoms with confidence, or simply moving through the day without pain — we don’t just get you better, we equip you to stay that way with a customized home exercise program and re-injury prevention strategies.
Pelvic Floor PT & Conditions We Treat in Asheville
From pelvic floor dysfunction and sports injuries to chronic pain and post-surgical recovery, our Doctors of Physical Therapy treat a wide range of conditions — all with the same one-on-one, root-cause approach. If you’re searching for specialized pelvic floor physical therapy near me or expert orthopedic PT in Asheville, you’ve found it.
- Pelvic floor dysfunction — incontinence, pelvic pain, painful intercourse, diastasis recti, prolapse, and endometriosis pain support
- Spine, hip, knee, and shoulder conditions — low back pain, sciatica, rotator cuff injury, ACL rehab, plantar fasciitis, and more
- Head, vestibular, and TMJ conditions — headaches, migraines, vertigo/BPPV, concussion symptoms, and orofacial pain
What Asheville Patients Are Saying
5.0 stars across 103 Google reviews — real results from real people
Dan at Breakthrough Performance is an exceptional resource for all your PT needs. Immediately upon our initial assessment he identified some old 20+ years of patterns that addressed the cause in areas I was not aware of. After several weeks, the daily workout performance videos and App helps you stay focused, and on track. His gym is well loved, and his education and background help patients reach their fitness and performance goals! Definitely a valuable resource.
–Zachery A.
I worked with Rachel Pascko on a couple issues over several months and I’ve seen dramatic improvement. She has a sophisticated understanding of biology and fitness training, she’s a fantastic teacher, and she’s just a lovely and pleasant person. I have referred family to this practice and would refer anyone else who could use a PT.
–Holly S.
Would recommend to anyone! Had ACL reconstruction + meniscus repair 1.5 yrs ago. Things were moving slower than expected, had stubborn swelling and inflammation. Completed therapy at a different facility but felt I reached a plateau. Found Breakthrough where I worked with Megan for several weeks. She was amazing, worked with me to reach goals, improve my stability / strength as well as improve my confidence. Finally made me feel hopeful again.
–Cassie C.
Meet Your Asheville Physical Therapy Team
Doctors of PT. Real specialists. 100% one-on-one care.
Dan Carmack, PT, DPT, OCS, CSCS
Owner and Orthopedic Certified Specialist with extensive experience helping patients reach their fitness and performance goals. Known for his exceptional diagnostic abilities, identifying patterns and root causes that other practitioners miss. Specializes in orthopedic PT, sports injuries, dry needling, golf performance, and back pain.
Rachael Paszko, DPT, OCS
Pelvic Floor Specialist and Orthopedic Certified Specialist who completed an orthopedic residency in 2020. She has found her passion for treating individuals experiencing pelvic floor dysfunction, with extensive training through Herman and Wallace Pelvic Rehabilitation Institute. Specializes in working with distance runners, triathletes, CrossFit athletes, and pregnancy/postpartum care.
Emma Gasinski, PT, DPT, Cert. DN, RYT
Specializes in helping older adults reduce fall risk and improve overall fitness, as well as treating vestibular disorders including BPPV and vestibular hypofunction. Certified in dry needling with additional training as a registered yoga teacher and CrossFit Level 1 coach. Passionate about chronic pain management and functional movement.
Megan McCallister, DPT, TPI-C, Cert. DN
Asheville native who played soccer collegiately at Western Carolina University and was a member of the inaugural women’s team with Asheville City SC in 2018. Certified in dry needling and holds a Level I certification through the Titleist Performance Institute. Specializes in sports PT, golf performance, and strength training for active adults.
Visit Us on Biltmore Ave, Asheville
Just 6 minutes and 1.9 miles from downtown Asheville via Patton Ave and Biltmore Ave — we’re easy to find and even easier to get to. Head south on Biltmore Ave from downtown and you’ll find us on the right, conveniently located near River Hills Shopping Center, South Forest Shopping Center, and Town and Country Shopping Center. Monday–Friday, 7 AM–6 PM.
Common Questions
Everything you need to know before your first visit to our Asheville pelvic floor and physical therapy clinic
Do I need a doctor’s referral to come in?
No referral is required. North Carolina is a Direct Access state, which means you can schedule directly with our Doctors of Physical Therapy without seeing your physician first. Just call us, and we’ll get you in.
Do you accept insurance?
We are a cash-based practice. After each session, we provide you with an itemized superbill you can submit to your insurance provider for potential out-of-network reimbursement. Many patients are surprised by how much their plan covers. We also offer a completely free 20-minute evaluation so you can experience our care before committing.
What should I expect at my first pelvic floor PT appointment?
Your first session is a one-on-one evaluation with a Doctor of Physical Therapy — never rushed, never handed to an aide. For pelvic floor concerns, Dr. Rachael Paszko conducts a thorough, private assessment to understand your full history and symptoms, and to identify the true root cause of your dysfunction. All pelvic floor appointments are conducted with sensitivity, professionalism, and your comfort as the top priority.