Physical Therapy, Performance & Wellness Services

Mountain Wellness & Physical Therapy provides one-on-one physical therapy, sports rehabilitation, performance training, and wellness coaching for active adults and outdoor enthusiasts in Black Mountain, Asheville, and Western North Carolina.

We work with runners, trail runners, cyclists, mountain bikers, hikers, rock climbers, paddlers, and active adults who want to recover from injury, move better, and stay in the sports they love.

Our approach goes beyond treating the area that hurts. We look at how your entire body moves, and how strength, mobility, stability, recovery, lifestyle, and the specific demands of your sport may be contributing to the problem.

Sports & Orthopedic Physical Therapy in Black Mountain and Asheville, NC

Our one-on-one physical therapy services are designed for active people dealing with pain, injury, weakness, mobility limitations, or changes in performance. Our goal isn't simply to decrease pain. We want to help you understand what's contributing to the problem, restore your ability to move, and build the strength and capacity needed to return to the activities you enjoy.

Running & Trail Running Physical Therapy

We help runners and trail runners address injuries, movement limitations, strength deficits, and training-related problems that interfere with running.

Assessment and treatment may include running-specific movement evaluation, hip and core strength, single-leg stability, mobility, load tolerance, strength programming, and progressive return-to-running strategies.

Whether you're trying to get back to a neighborhood run, Western North Carolina trails, or your next race, our goal is to help you build the capacity and confidence to return to running.

Cycling & Mountain Biking Physical Therapy

We work with road cyclists and mountain bikers experiencing pain, injury, weakness, mobility restrictions, or difficulty performing on the bike.

Cycling-specific rehabilitation may evaluate mobility, strength, core and hip stability, movement patterns, and the physical demands of riding.

Treatment and performance programming are individualized to help cyclists return to riding, tolerate longer days on the bike, and build strength for climbing, descending, technical riding, and the demands of Western North Carolina terrain.

Rock Climbing Physical Therapy

We provide physical therapy and performance support for rock climbers dealing with injuries, pain, weakness, mobility restrictions, or difficulty returning to climbing.

Climbing places unique demands on the shoulders, elbows, wrists, hands, spine, hips, and lower extremities. Our assessment looks beyond the painful area to evaluate mobility, strength, stability, movement control, and the specific physical demands of climbing.

Treatment may include manual therapy, ASTYM®, dry needling, mobility work, progressive strengthening, shoulder and scapular stability training, core strength, grip and upper-extremity conditioning, and climbing-specific return-to-sport progression.

Whether your goal is returning to the climbing gym, getting back outside, improving movement confidence, or building durability for your next objective, treatment is built around how you climb and what you want to get back to.

Hiking, Backpacking & Outdoor Performance

You don't have to be injured to work with a physical therapist. We offer movement, mobility, strength, and performance assessments for hikers, backpackers, outdoor athletes, and active adults preparing for an upcoming adventure.

We can help you prepare for longer hikes, backpacking trips, races, cycling and mountain biking events, paddling adventures, and climbing objectives.

Programming may address lower-extremity strength, balance, stability, mobility, endurance, carrying capacity, and the specific demands of the terrain or activity you're preparing for.

ASTYM®, Dry Needling & Manual Therapy

Mountain Wellness offers specialized hands-on treatment, including ASTYM®, integrative dry needling, joint mobilization, and manual therapy, as part of an individualized physical therapy plan.

ASTYM® Treatment

ASTYM® is a specialized soft tissue treatment that uses handheld instruments to identify and treat areas of tissue restriction that may be contributing to pain, stiffness, or limited movement.
During treatment, your physical therapist gently moves the ASTYM® instruments across the skin over muscles, tendons, and other soft tissues. You may feel areas that are smooth and others that feel more textured or sensitive. These findings help your therapist identify areas that may need additional attention.
ASTYM® is commonly used for tendon and soft tissue problems, overuse injuries, scar tissue, and mobility restrictions. We combine it with movement, mobility, and strengthening exercises to help you move better and return to the activities you enjoy.

Integrative Dry Needling

Integrative Dry Needling (IDN) is a specialized form of dry needling that looks beyond tight muscles or individual trigger points. It uses an understanding of the nervous system, muscles, and soft tissues to help address pain, muscle guarding, movement restrictions, and neuromuscular dysfunction.
During treatment, your physical therapist uses very thin, sterile needles in specific areas based on your symptoms, movement assessment, and the nerves and tissues that may be contributing to the problem.
Rather than simply needling the spot that hurts, treatment may address areas along the nervous system that influence how your body experiences pain, controls muscle tension, and responds to movement. IDN may be used to help improve mobility, decrease muscle guarding, support healthy circulation within the tissues, and reduce pain so you can move more comfortably.

How We Use These Techniques

Hands-on techniques are never the entire treatment plan. We combine ASTYM®, dry needling, and manual therapy with movement assessment, progressive strengthening, mobility work, and sport-specific rehabilitation, addressing both your current symptoms and the demands of the activities you want to return to.

Strength & Performance Training

Mountain Wellness provides individualized strength and performance programming built around your current ability, injury history, sport, lifestyle, and goals.

Strength is an important part of both injury recovery and long-term health. Programming may focus on strength, mobility, balance, stability, power, endurance, and building the physical capacity needed for running, cycling, mountain biking, hiking, climbing, paddling, and everyday life.

For clients returning from injury, we help bridge the gap between traditional rehabilitation and getting back to the level of activity you actually want to reach.

Women's Health, Pelvic Floor & Perimenopause Wellness

Mountain Wellness provides physical therapy and wellness coaching for active women navigating perimenopause, menopause, and midlife.

We take a whole-person approach that may include strength training, recovery, sleep, stress and nervous system regulation, nutrition, metabolic health, pelvic health, and strategies for maintaining muscle, bone health, energy, and physical performance as the body changes.

Rather than chasing individual symptoms, we help women look at the bigger picture and understand how changes in physiology may affect recovery, strength, energy, sleep, body composition, and performance.

Our goal is to help women develop realistic, individualized strategies that allow them to continue feeling strong and doing the sports, outdoor activities, and adventures they love.

Appointments & Pricing

  • Physical Therapy Evaluation (new patients) — 90 minutes, $200, In Person
    An assessment built specifically for you. We dig into the history of your injury or pain, set a plan for reaching your goals, and perform a movement assessment to get to the root of the problem so treatment can start right away.
  • Physical Therapy Treatment Visit (established clients) — 60 minutes, $190, In Person
    A returning treatment session for established clients.
  • Dry Needling Session (established clients) — 30 minutes, $100, In Person
    A 30-minute dry needling session, available after your initial evaluation.
  • Women's Perimenopause/Menopause Coaching — 60 minutes, $185, In-Person/Online
    Available in person or by video, after the initial coaching consult is completed.
  • Women's Strong Thru the Shift Monthly Strength Programming — $75 per month
    Twelve sessions a month, programmed twice weekly and delivered through the Everfit app, with monthly check-ins included.