Osteopractic Physical Therapy of the Carolinas - Fort Mill, South Carolina

Mark Sivak

Comprehensive customized care that is hard to find! When I went in I had severe back pain and was unable to function without the max dose of ibuprofen. Dr. Zacharko isolated the issue through thorough evaluation and addressed each step of recovery with precise technique, involving stretches/exercises, dry needling, cupping, rolling, spinal adjustment, etc. I’m most amazed at the level of care and time spent with me. He also explained the science in a helpful manner so I was able to change habits to promote better flexibility and longevity. Comfortable and relaxing environment.

Griffin Reid

A Game-Changer for My Chronic Pain: Dr. Z and OPTC

After years of dealing with chronic neck and back pain, I had almost given up hope of finding a lasting solution. I had tried everything—long-term chiropractic plans, multiple physical therapists, massage therapy, and more. But no matter how much money I spent or how many professionals I consulted, the results were always the same: temporary relief at best, and the underlying issues were never truly addressed. I was caught in a never-ending cycle of expensive treatments that only scratched the surface.

Then I found Dr. Z at OPTC, and everything changed. I came across his name while researching Graston Therapy and Dry Needling, and something about his approach stood out. I decided to book an appointment, and from the moment I sat down with Dr. Z, I knew this experience would be different. We spent nearly two hours discussing my history, my previous treatments, and what had or hadn’t worked for me. No other practitioner had ever taken that kind of time to truly understand my condition and the frustrations I had been dealing with for so long.

As I continue to work with Dr. Z, it’s become clear that his approach is nothing short of transformative. Unlike the “one-size-fits-all” methods I had encountered before, Dr. Z’s analysis is incredibly comprehensive. He’s not focused on just one aspect of my pain—he looks at the entire picture, identifying the root cause through a process of critical thinking, trial and error, and constant re-assessment. The plan he developed for me is dynamic and evolves as I progress. Whether it involves adjustments, dry needling, cupping, exercises, or a combination of these, Dr. Z tailors everything to what I truly need, not just what’s easy or convenient.

For the first time in years, I feel like I’m on the right path. Dr. Z’s dedication to getting real results is unmatched, and I’ve experienced significant, lasting improvements in my pain and mobility. He’s helped me understand that my issues weren’t just limited to bones, joints, or muscles—there were multiple factors at play, and his holistic approach has finally given me the relief I’ve been searching for.

If you’re tired of the same ineffective treatments and are looking for a professional who genuinely cares about finding a solution to your pain, I can’t recommend Dr. Z and OPTC highly enough. He has been the answer to my long-term struggles, and I only wish I had found him sooner.

Lexi Bennett

I genuinely have never received better care from anywhere else!!! From the first minute I was in the office, I felt like I was receiving VIP treatment. Dr. Z and Smith both not only know what they’re doing, but seem to really care about their patients and what works best for them. I’ve been to many physical therapists and have never received such individualized and careful treatment like I get here. I highly recommend!!! I’d give them more than 5 stars if I could. Yes, the price is high, but health is wealth and you truly do get what you pay for.

Victor Vecchia

I had some pain and discomfort in my body and Noah adjusted everything and the pain of a few weeks disappeared in one day. Great professional.

Les Scott

Dr Z is rock star at our house. Our 17 year old daughter with a back issue walked in using a walker and walked out carrying it. Strongly recommended. Great work and highly recommended.

Steven Cornacchia

I had been to several physical therapists and doctors to treat my carpal tunnel syndrome and rotator cuff tendonitis over six months, but Dr. Z was the first PT who gave me the focus and attention to get to the root of my pain and actually teach me how to resolve it, permanently.

After a one on one consultation, Dr. Z created a plan mixing dry needling, cupping, chiropractic adjustments, and strength training which was extremely effective.

He is incredibly knowledgeable in all of these areas, and you can tell he is a cut above most dry needling practitioners and PT’s.

Within six weeks we had found the root of my muscle and nerve pain, healed it, and I learned how to strengthen those muscles to avoid re-injury.

I couldn’t recommend Dr. Z more!

Mary Barreto

I’ve been to various Physical Therapists over the years but Dr Z is the first and only one where I felt like my issue (which was heel pain) and resolving my issue was a true priority. I was not part of a “quota” he had to reach. I was not splitting time with 4 other patients. I was not just given exercises to do at the office while he saw other clients. He worked on my issue with multiple modalities and explained fully the what’s and the whys. Yes, he gave me exercises to do at home but that did not take up my time in the clinic. I respect his knowledge and skill and would highly recommend him when you need a Physical Therapist!

Elisa Renae Ashley

I was actually scheduled for surgery on my shoulder when I decided to give PT one last shot. I'd been seen by another with no real improvement. My friend recomended Dr. Z. to me, and I'm most grateful. My work with him elimnated the need for surgery and allowed me to have a full recovery. He is professional, knowledgeable, and very effective. I highly recommend him and his office.