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One standard of care. Every way in.

Every service on this page runs through the same evaluation, the same Doctor of Physical Therapy, and the same plan with an endpoint. The service is the tool; the standard is what doesn’t change.

Hands-on shoulder treatment on a treatment table at ALTR Performance & Physical Therapy
Every service, one plan · Mount Pleasant
01 The standard 01 / 05

Most people don’t arrive already knowing which of these they need. That’s fine. Deciding is our job, not yours, and it happens at the evaluation, not on this page. Every visit starts the same way regardless of which service you eventually land on: a cause-first evaluation with a Doctor of Physical Therapy, one-on-one, that finds the reason for the problem instead of guessing at the symptom.

From there, care moves through four named phases, Pain, Prime, Perform, Prevent, and every service below exists to do a job inside that plan. Physical therapy is usually the foundation, the service most people start and finish on. Dry needling, cupping, and manual therapy are tools we bring in when the plan calls for them, never sold as a separate errand or a standing weekly ritual. Sports rehab and personal training are what the plan becomes once the pain’s handled and the goal shifts to getting back out there, or staying out there longer than you did last time.

Guessing which service you need on your own tends to cost you a few wasted weeks: the stretch that felt good for a day and changed nothing, the strength program aimed at the wrong joint because nobody tested the one above and below it first. An evaluation skips that guessing. It also means you’re never signed up for a service in isolation. Dry needling doesn’t happen without a plan around it. Cupping doesn’t get booked as a stand-alone hour disconnected from what the doctor is already treating. Every service on this page answers to the same plan, the same doctor, and the same endpoint, whichever door you happen to walk through first.

Step one Cause-first evaluation, every service
Delivery One-on-one with a Doctor of Physical Therapy
Structure Four phases: Pain, Prime, Perform, Prevent
Endpoint Named at evaluation, reviewed every phase
02 The services 02 / 05

The index.

Every door leads to the same standard. Read the summaries, or skip them; the evaluation decides either way.

01

Physical Therapy

Hands-on, cause-first care for pain that’s overstayed its welcome. This is the foundation nearly everyone starts on, and for most people it’s the entire plan. Your evaluation finds the actual source of the problem, not just where it hurts, and treatment begins that same visit. From there you move through Pain, Prime, Perform, and Prevent at your own pace, with a Doctor of Physical Therapy running every session personally. No referral required to start, and no guessing about when it ends: the endpoint is named at evaluation and reviewed with you at every phase.

02

Sports Rehab

Return-to-sport testing you have to pass, not a date circled on a calendar. Sports rehab picks up where general recovery leaves off: strength, agility, and sport-specific movement rebuilt against clearance standards, not a calendar count. You don’t get cleared because six weeks passed. You get cleared because you hit the numbers your sport actually demands, tested by the doctor who’s been tracking your progress the whole way. Built for the athlete who wants back on the field, not back on a waiting list, and built to end the day you’re actually ready.

03

Dry Needling

Precise, targeted work for the knot that’s set up permanent residence since spring. Dry needling uses a thin filament needle to release the muscle tissue and trigger points that stretching and time alone haven’t touched. It’s a tool inside a larger plan, not a standalone appointment: your Doctor of Physical Therapy uses it when the evaluation points there, alongside the manual therapy and exercise doing the rest of the work. Most people feel a change in the treated area within the same session, with results building over subsequent visits.

04

Cupping

A hands-on tool for tight, guarded tissue: cups create suction that lifts the tissue rather than pressing into it. It’s used inside a plan built from your evaluation, when guarded tissue is getting in the way of the movement and strength work that follows, never as a stand-alone appointment.

05

Manual Therapy

The hands-on part of physical therapy: joint mobilization to restore motion where it’s missing, and soft-tissue work for muscle that’s staying tight and guarded. Done by your Doctor of Physical Therapy, not an aide, for the full hour, with the strength work that makes the change stick.

06

Vestibular Therapy

Vertigo, dizziness, and the balance and visual symptoms that linger after a concussion. Testing finds whether the problem is your inner ear, your eyes, or how your brain integrates balance information, then targeted rehab, including BPPV maneuvers, retrains the system. Dr. Bagley has advanced training in vestibular rehab and concussion management.

07

Personal Training

Training built around how you actually move, coached by a Doctor of Physical Therapy who is also a Certified Strength & Conditioning Specialist. For beginners who want to start without getting hurt, people coming back after rehab, and anyone who wants a professional writing their program.

08

Prevention Pathway

Know where you stand before something goes wrong. One hour of full-body testing, strength, mobility, and movement quality scored with objective numbers and age-matched against your peers, then a program built around what we found that runs on your own time at your own gym. Monthly check-ins with your Doctor of Physical Therapy keep it current, with direct access in between. Built for the active adult who isn’t hurt and wants to keep it that way.

09

Weight Loss

Lose the weight without losing the muscle. Strength training built and supervised by a Doctor of Physical Therapy, so what you lose is fat, not the muscle underneath it. Especially important if you’re on a GLP-1: we don’t prescribe or manage the medication, we make sure your body comes out stronger instead of smaller and weaker. Same assessment, program, and check-in model as the Prevention Pathway.

10

For Employers

Musculoskeletal injuries are the number one driver of employer healthcare spend, and a gym stipend doesn’t touch them. On-site screenings, injury prevention workshops, job-specific ergonomics, and a designated Doctor of Physical Therapy your team can message directly, with treatment on-site, in-clinic, or remote. Programs are built around your workforce, so employees get help early, before it becomes a claim.

11

The Performance Reset

A free, 60-minute on-site workshop for your team, led by a Doctor of Physical Therapy. Your team moves together, picks up a few things they can actually use, and leaves with less tension than they walked in with. No cost, no pitch to your employees, just space to move. Afterward, a few minutes with leadership to share what was noticed and whether there’s more worth doing.

03 How to choose 03 / 05

Not sure which one is yours.

Here’s the honest version: you don’t need to know. The people who end up on this page usually aren’t trying to self-diagnose between “sports rehab” and “personal training,” they’re just trying to stop guessing and start somewhere. That’s exactly what the evaluation is for. Schedule the free 15-minute call, describe what’s going on in your own words, and your Doctor of Physical Therapy routes you to the right service, or the right combination of two or three, before you’ve spent a dollar guessing on your own.

A rough starting point, if you want one: pain that’s new or that’s been nagging for weeks usually starts with physical therapy. An old injury or a return to a sport starts with sports rehab. A single stubborn knot that hasn’t responded to anything else is a dry needling conversation. General maintenance and injury-proofing lives in the Prevention Pathway. Dizziness or vertigo starts with vestibular therapy. But treat that as a guess, not a diagnosis, the same way we would; the evaluation is what actually decides it; the paragraph above is just a place to start the sentence when you call.

If you already know your symptom better than the service you need, start on What We Treat ⟶ instead and work backward from there.

04 The intake 04 / 05

Put it in writing.

Five short questions. We call you back to set up your free 15-minute call.

The people who end up filling this out are rarely in the worst pain of their life. They’re just done working around it, done picking the errand that doesn’t require the stairs. If that’s the stage you’re at, this is the part where you stop researching and start.

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Call request 01 / 05

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05 Where we are 05 / 05

Where to find us.

One clinic, one doctor, one address. Come see the place before you commit, if you like.

Map 01The neighborhood

The clinic · ALTR Performance & Physical Therapy

Address 539 Long Point Rd Ste 201, Mount Pleasant, SC 29464

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