What to Expect During Your Performance Physical Therapy Evaluation in Cary
- Dr. Michael Tancini
- Mar 30
- 3 min read
Walking into a clinic when you are sidelined by injury can feel overwhelming. Whether it is a nagging shoulder during overhead presses or a sharp knee pain that hits at mile three of your run, you just want to get back to what you love. At Ground to Overhead Physical Therapy in Cary, NC, we understand that frustration. You are not just looking for a temporary fix; you want to understand why this happened and how to stop it from coming back.
When you arrive for your evaluation, you will meet directly with Dr. Tancini, a Board-Certified Orthopedic Specialist and competitive athlete who speaks your language. Unlike traditional clinics where you might be passed off to an assistant, your entire 60-minute session is one-on-one. This dedicated time allows us to focus entirely on your recovery and performance goals from the very first minute.

The Ground to Overhead Detailed Movement Assessment
We do not just look at where it hurts; we look at how you move as a whole. Our evaluation begins with a comprehensive Functional Movement Assessment. This involves analyzing essential patterns such as squatting, hinging, pressing, and pulling to see how your joints and muscles work together. We want to see the mechanics behind your movement to identify any compensations that might be contributing to your discomfort.
For our runners, we provide an in-depth Running Gait Analysis to pinpoint biomechanical breakdowns that could lead to IT band syndrome or Achilles tendinopathy. If you are a CrossFit athlete, we might look at your Olympic lifting technique or gymnastics movements. By using this granular approach, we uncover the subtle imbalances that often hinder progress or cause repetitive use injuries in high-demand sports.
Determining the Root Cause: Moving Beyond Symptoms
Many people have spent weeks icing a sore spot only for the pain to return as soon as they pick up a barbell. This happens because the symptom is rarely the actual problem. At Ground to Overhead Physical Therapy, we use our orthopedic expertise to connect the dots across your entire kinetic chain. That hip pain you feel during squats might actually be stemming from a lack of ankle mobility or poor core stability.
We take a holistic perspective, reviewing your training history, lifestyle factors, and specific performance goals. Understanding the why behind your injury is the only way to ensure long-term success. By identifying the true root cause, we can move past basic pain management and start building a foundation for sustained high performance.
Creating Your Personalized Road Map: The 3-Step Process
Once we have a clear picture of your movement, we develop a customized plan using our proven 3-step process. This road map is designed to integrate seamlessly into your active lifestyle in Cary, NC, ensuring you know exactly what to expect at every stage of your recovery.
Step 1: Fix Your Pain Fast. We utilize immediate strategies and manual therapy techniques to alleviate your current discomfort so you can start moving more comfortably right away.
Step 2: Fix the Root Cause. We implement targeted exercises and interventions, such as neuromuscular re-education, to correct the underlying issues we identified during your movement screen.
Step 3: Teach You How To Keep It From Coming Back. This is where we build resilience. We provide you with the tools, strength work, and mobility strategies to prevent future injuries and keep you performing at your peak.
Starting Treatment From Day One
Your first visit is more than just a conversation and a series of tests; it is the start of your active recovery. We believe in providing value from the very first session. Depending on your specific needs, we may begin treatments such as dry needling, joint mobilization, or myofascial release to jumpstart the healing process.
Because every appointment is a full 60 minutes of one-on-one care, we have ample time for
hands-on treatment and detailed instruction. You will leave your evaluation with a clear understanding of your condition and specific therapeutic exercises you can confidently perform at home. We empower you with self-management techniques so that you are an active participant in your recovery journey.

Invest in Your Performance Future in Cary, NC
A performance physical therapy evaluation is an investment in your long-term health and athletic potential. At Ground to Overhead Physical Therapy, we combine the expertise of a Board-Certified Orthopedic Specialist with a deep understanding of CrossFit, running, and weightlifting. We are here to help you stop guessing about your injuries and start making measurable progress.
Ready to move better, feel stronger, and perform at your peak? Schedule your Performance Physical Therapy Evaluation at Ground to Overhead Physical Therapy in Cary, NC today and take the first step towards a pain-free, higher-performing future. We are ready to help you be a little bit better, every single day.




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