Our Services

Licensed and experienced physical therapists work to help clients overcome pain and injuries that impact their ability to function to their normal level of activity and fully enjoying their quality of life.

We use a variety of different types of therapy to treat each client holistically and not only relief pain and enhance healing, but ensure that an injury does not continue to reoccur.

We know that our clients want to live full, active lives and we set up long-term programs of care to ensure that they perform optimally throughout their lives as they re-engage with their sport of choice.

We use a hands-on technique known as manual therapy to mobilize and manipulate your body in an effort to decrease pain and increase your range of motion.

Manual therapy is very effective in adding flexibility to stiff joints and muscles.

This treatment, coupled with prescribed exercises, allows clients to regain their strength faster, especially when they can work on their rehabilitation at home between visits.

At Breakthrough Performance and Wellness, serving residents of Asheville and Buncombe County, NC, we are experienced and skilled in treated high school, college, and recreational athletes who have sustain sports injuries.

Our goal is to determine the cause of the injury, reduce pain and inflammation, and begin the healing process. At the same time we work to educate the athlete to prevent recurring injuries.

Sports injuries we commonly treat include those associated with CrossFit athletes, runner’s knees, rotator cuff tears, golfer’s shoulders, tennis elbow, soccer injuries, climbing injuries, and sprains, strains and fractures.

We offer customized sports conditioning programs adjusted to specific sports and skill levels to clients who are preparing for the rigors of engaging in specific sports without incurring a high risk of injuries.

We are not only sports specific, but we are also age and experience specific as we work with clients one on one to help their build the strength they will need as well as the agility, the power and the speed to match their personal goals.

To prepare you for your sport of choice, we look at limitations in movement patterns, areas that need further attention to avoid risk of injury, and exercises to build strength and power to match the specific needs of your favorite sport.

Dry needling is a special procedure that helps reduce acute or chronic pain in clients. It works by reducing muscle tension, promoting healing, and increasing their range of motion.

Dr. Dan Carmack is specially certified to deliver dry needling therapy.

You may benefit from it greatly if you are enduring neck, back or shoulder pain, arm pain, headaches, jaw pain, fibromyalgia or osteroarthritis of the joints or temporomandibular disorder (TMJ), among other conditions.

Dry needling involves having a certified practitioner insert a disposable filament needle into your skin and muscle tissue.

The needles are directed at the myofascial trigger points that cause and refer pain throughout the body. High concentrations of chemicals that cause pain can be found in these trigger points.

When the needle is inserted, it helps to normalize these chemical levels and decrease muscle tension and pain.

Lower and upper back pain and neck pain remains a common reason people seek physical therapy. All of these conditions seriously impact a person’s quality of lie and hinder them from participating in their normal level of activity.

We will work with you to determine the root cause of your pain and then prepare a customized treatment plan to bring you lasting relief and address the underlying cause of the pain.

In additional to physical and manual therapy, we have a number of specialized therapies that may be effective for you to return to your active life and live fully without pain.

Over-exertion or repetitive strain and poor posture are among the causes of shoulder pain.

Because the shoulder is a ball and socket joint that has the greatest range of movement in the body, it is also the most apt to sustain injury if certain muscles are not working properly.

This can manifest itself as bursitis, tendonitis, and impingement syndrome, among other conditions.

Joint dislocations and instability can also bring pain and injury to the shoulder as well as irritated nerves. We also see clients with a condition called frozen shoulder which is characterized by restricted movement and pain.

We treat shoulder pain with hands-on movement-based approaches as well as other therapies coupled with conditioning programs to build strength and prevent recurring injuries.

Sprained ankles, a term used to describe the condition of the ligaments of the ankle being injured and torn by sudden stretching, is pain and a reason behind many of our client visits.

The ankle can become sprained on both the outer or inner portions of the ankle joint. The issue is that once it happens, it is more likely to happen again, so we take considerable care to show clients how to build up their strength in the weakened area. This is often through stability exercises that can be done at home between visits to the clinic.

In practices such as ours where many of our clients are active and movement-conscious, cases of knee pain are increasing.

We assess the knee to determine the root cause of the pain and then combine hands-on therapy with other effective therapies to help clients reduce inflammation and pain and recover.

We often combine physical therapy and manual therapy with a series of prescribed exercises to help you build strength as you recover from injuries.

The pelvic floor is a “sling” of muscles spanning the bowl of the pelvis and this set of structures has many connections with the core, low back, and hip musculoskeletal systems.

Important functions such a childbirth, urination, bowel movements, and sex can be affected by changes in the pelvic floor. Changes in the pelvic floor can be caused by new activity demands, age-related changes, pregnancy, childbirth, trauma, and numerous other reasons.

We have therapists trained specially in treating pelvic floor dysfunctions, with the focus on finding the root of the issue and holistically treating the symptoms you are experiencing.