In-person and virtual options available.
This path provides patient-centered physical therapy and performance training that adapts to your body, capacity, and goals. Charlie combines evaluation, treatment, and coaching to help you recover, train, and perform with confidence.
This is for athletes in any sport, performers, public figures, and motivated individuals who want high-level support for immediate concerns or long-term performance. You may arrive with something that needs attention today or with a desire to stay healthy and durable throughout your training. If you value a precision approach and want your health, training, and medical team working toward the same outcome, this path is for you.
Every session starts with a complete evaluation. This may include a detailed conversation, review of imaging or medical reports, testing specific movement patterns, or using tools to measure conditioning, readiness, or physiological stress. Charlie selects tests that match your situation, including positional assessment, load response, and other testing tools.
Your plan is built from the information your body and your history provide. Nothing is assumed, and nothing is forced into a preset protocol. When your situation involves other professionals, Charlie can coordinate with them to ensure your care and training decisions support the same outcome.
Individualized treatment based on what your body shows. Sessions may include manual techniques, dry needling when appropriate, pattern work, or strategies that restore access to positions you cannot reach on your own.
One-on-one virtual sessions that include evaluation, guided testing, movement instruction, and a structured plan.
Training designed to improve strength, movement, and long-term durability without provoking the same patterns again. Every progression is based on how your body responds to load.
He had dealt with hip limitations on both sides and felt his swing was getting tighter. He could not touch his toes without pain and had almost no internal rotation on the left side. Even simple standing movements were uncomfortable.
The turning point came when we restored pressure and neutral trunk position.
Once the trunk and pelvis were centered, his hip rotation changed right away. Flexion and rotation improved. Movements that had been painful became tolerable. It became clear that the issue was less about a structural problem and more about the way he created stability by extending through his lower back.
Within a week he returned to light play with far less discomfort.
His swing felt smoother and less restricted. Rotation felt available instead of blocked. He also had a better sense of how certain training choices had been provoking symptoms.
This case showed how a small change in position can open movement that had been unavailable for years.
During the exam there was no pain at all. None of the local assessments, palpation, or special tests reproduced symptoms. This made it clear that the issue was driven by load rather than a structural problem.
The movement evaluation showed a pattern that matched what he felt on the course.
Forward bending looked uneven. Multi segmental extension was limited, especially with arms overhead. Rotation looked unbalanced. Hip internal rotation on the left was limited and reproduced his familiar pain when not stabilized. Deep squat was limited by ankle range. Nothing was provoking pain in the room, but several key patterns showed consistent issues across positions.
The turning point came when we tied the left hip and lumbar extension together.
His limited hip rotation and limited hip extension on the left created a situation where he used his lumbar spine to make up the difference during his swing. The pain only appeared during golf because the forces were higher and the hip could not absorb them.
Intervention focused on rotation, hip mobility, and improving trunk control.
We addressed spinal rotation with specific patterns, worked on hip internal rotation, targeted the psoas, and trained pressurization in the three and a half month position. We also reviewed training choices since fitness was a major missing factor for him.
This case showed how load dependent pain can reveal itself only in the skill itself.
By understanding the hip limitations and the way he stabilized through extension, we created a plan that matched the demands of his swing instead of chasing pain that did not show up in the clinic.
He had back and hip pain that foam rolling never changed, foot discomfort he could not explain, and persistent shoulder and chest symptoms that left him unsure what was happening in his body. He felt anxious and wound up, which added to the confusion.
The turning point came when his movement patterns changed almost immediately.
Hip rotation, backward bending, and rotation improved right away when we used neurodynamic sequencing and restored centered trunk control. His single leg stance on the left side was initially very poor, then improved significantly after treatment. These quick changes suggested a protective or nervous system mediated presentation rather than a fixed structural problem.
Exam findings helped tie his symptoms together.
Hip rotation was limited. Thomas Test findings showed involvement of the psoas, rectus, and TFL. External rotation and backward bending improved when we addressed the L5 S1 area. The left side presented as the main source of his familiar discomfort.
Intervention focused on building a plan rather than chasing isolated symptoms.
We worked on neurodynamics, hip rotation, psoas mobility, and sagittal control with inter abdominal pressurization. We addressed the right shoulder and supraspinatus through needling and targeted patterns. Once movement improved, he could feel his pec again during pressing movements, which reduced his concern and gave him a clearer path forward.
This case showed how quickly things can change when the right pieces are addressed in the right order.
He finally understood why his symptoms felt scattered and why DIY training decisions had not helped. The plan gave him direction, confidence, and a clear way to move forward.
