If you’ve tried physical therapy before and it didn’t fully work…
If your scans look “normal” but your body doesn’t feel normal…
If you’re tired of managing pain instead of actually solving it…
You’re in the right place.
One-on-one integrative physical therapy in Greenville for chronic and complex pain.
Includes assessment, treatment, and a structured plan forward
You rested.
You stretched.
You strengthened.
Maybe you tried injections. Maybe medication.
Maybe even PT before.
And yet… here you are.
Some days are manageable. Other days, your body feels tight, guarded, unpredictable.
You start thinking: “Is this just how it’s going to be?”
Living with pain is exhausting — physically and mentally.
And when nothing clearly shows up on imaging, it’s even more frustrating.
It means we don’t just chase the painful spot. When pain becomes chronic, it’s rarely just about a joint or muscle.
I look at:
• Movement patterns
• Strength and coordination
• Nervous system sensitivity
• Stress and recovery
• Inflammatory responses in the body
• How your body responds to load
I also use lymphatic-based treatment techniques to support circulation, reduce swelling, and help calm irritated tissues.
Pain is often your body trying to protect you. If the system feels threatened, it turns the volume up.
My job is to lower the threat, restore safety, and help you move with confidence again.
This is where the name comes from. Healing isn’t about pushing harder — it’s about moving forward in the right order.
Reduce irritation, inflammation, and nervous system reactivity so your body feels safe again.
Improve how you move, breathe, and coordinate so compensation patterns stop driving the problem.
Gradually reintroduce strength, endurance, and load tolerance so daily activities feel steady — not threatening.
This isn’t a quick fix. It’s a sustainable change.

I help adults struggling with nagging aches, chronic pain, and unresolved injuries get back to an active, healthy life — without relying on medication, injections, or unnecessary procedures
My approach combines:
• Manual physical therapy
• Corrective movement and strengthening
• Stress reduction techniques
• A deeper look at chronic pain patterns
For nearly two decades, I’ve refined this approach across a variety of orthopedic settings.
What makes my work different is this: I rely less on rigid testing protocols and more on how your body responds to thoughtful intervention. That response tells us more than imaging alone ever could.

• One-on-one, hour-long sessions
• No rushing between patients
• Focused on chronic and complex pain
• Root-cause strategy instead of symptom chasing
• Strength + nervous system approach combined
When care feels personal, healing feels possible.

"Ryan is a hands-on PT."
"That means he uses his hands on his patients. Most PTs assign exercises and never focus on relieving pain so that the exercises result in more benefit. Ryan has helped reduce my pain level, due to scoliosis, considerably."
-Regina Y.

"I highly recommend Dr Ryan Friend!"
He helped me immensely in my 3rd trimester to reduce back and hip pain with my fifth pregnancy. I was able to move nearly pain free between visits. His approach is truly amazing and brought results much sooner than I expected.
-Kelly G.

"Dr. Ryan is the best Physical Therapist that I have ever met"
“He is genius at diagnosing and applying treatment to remove the Root Cause of pain and Heal yourself 100%. Amazing!!"
- Alex C.

"I’ve dealt with chronic lower back pain for a long time"
I’ve continued to see real improvement and decreased pain since my first visit. Dr. Friend is incredibly knowledgeable and took the time to clearly explain what he was doing and how everything in the body is connected
-Sarah F.

If you’re ready for a different approach — one that actually listens — let’s start there.