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Trusted Physical Therapy Services in North Texas
Orthopedic Manual & Physical has been a trusted provider of physical therapy services in North Texas since 2007. Our mission is to relieve pain, restore function, and return patients to their active lifestyles through individualized care. We combine advanced clinical expertise with personalized treatment plans tailored to each patient's unique needs. Our team of specialized clinicians brings decades of experience in manual therapy, sports medicine, and spine rehabilitation. We maintain partnerships with leading healthcare institutions like Methodist Hospital for Surgery to ensure comprehensive care. Our commitment to ongoing education and evidence-based practices positions us as a leader in outpatient rehabilitation. We operate seven clinics across Richardson, Plano, and Dallas, offering convenient access to high-quality therapy services.

Our patient-centered approach prioritizes one-on-one treatment sessions to optimize outcomes. We specialize in treating complex musculoskeletal conditions that haven't responded to other interventions. Our clinicians hold advanced certifications in manual therapy and sports rehabilitation. We integrate cutting-edge techniques like dry needling, blood flow restriction therapy, and vestibular rehabilitation. Our facilities feature state-of-the-art equipment including an aquatic therapy pool in Plano. We serve patients of all ages, from elite athletes to individuals seeking pain relief. Our collaborative approach with referring physicians ensures continuity of care. We remain dedicated to advancing physical therapy practices while maintaining a focus on patient satisfaction and functional recovery.
Services
Physical Therapy Sports Medicine Spine Rehabilitation Vestibular Therapy Aquatic Therapy Dry Needling Blood Flow Restriction Therapy
Highlights and features
  • We provide one-on-one treatment sessions with board-certified physical therapists
  • Our clinicians have over 30 years combined experience in manual therapy techniques
  • We offer specialized programs for sports medicine and complex spine conditions
  • Seven convenient locations across North Texas with advanced therapy equipment
  • We maintain partnerships with leading hospitals like Methodist Hospital for Surgery
Associations and certifications
  • Texas State Board of Physical Therapy Examiners
Services
Physical Therapy
Our physical therapy programs address musculoskeletal conditions through manual techniques and customized exercise plans. Treatments focus on pain reduction, mobility improvement, and functional restoration without surgery. Our therapists use evidence-based approaches to create personalized recovery paths for each patient.
Sports Medicine
Specialized care for athletes at all levels combines injury treatment with performance optimization. Our sports-certified therapists develop sport-specific rehabilitation programs to prevent injuries and enhance athletic capabilities while maintaining competitive readiness.
Spine Rehabilitation
Advanced spine care integrates manual therapy with neuroscience education to treat neck/back pain and radiating nerve symptoms. Our clinicians have 30+ years of experience implementing evidence-based protocols for spinal disorders and postural imbalances.
Vestibular Therapy
Vestibular rehabilitation programs reduce dizziness and improve balance through customized exercise regimens. Our certified therapists conduct comprehensive assessments to create clinic and home-based treatment plans for inner ear disorders.
Aquatic Therapy
Aquatic therapy utilizes water's buoyancy to facilitate low-impact exercise for injured or weakened patients. Our Plano facility's therapy pool provides resistance training while minimizing joint stress during rehabilitation sessions.
People
Rich Silliman
Founder
With over two decades of experience, Rich established the oldest private practice in DFW after completing advanced training at Washington University and Michigan State University's osteopathic program.
Tom Domino
Co-Founder
As one of DFW's top physical therapists, Tom co-founded the Institute for Sports & Spine Rehab in 2003, combining clinical expertise with patient-centered care principles.
Dave Zeigler
Co-Founder
Dave brings extensive sports medicine experience from working with national outpatient providers, helping establish high-quality rehabilitation standards at Orthopedic Manual & Physical.
Kris Stevens
Co-Founder
As former national office manager for a major outpatient provider, Kris contributes operational expertise to maintain our focus on patient satisfaction and clinical excellence.
Dr. Shirley Sahrmann
Educational Influencer
Renowned physical therapy educator whose Movement System Impairment Syndrome curriculum at Washington University significantly shaped our clinical approach to musculoskeletal treatment.
Questions
What physical therapy services do you offer?
We provide comprehensive services including sports medicine, spine rehabilitation, vestibular therapy, aquatic therapy, dry needling, and blood flow restriction therapy at seven North Texas locations.
How do I schedule an appointment?
New patients can request appointments online through our website. Current patients should contact their preferred clinic location directly by phone.
Do you accept insurance?
We work with most major insurance providers. Contact your clinic location for specific verification of your coverage and benefits.
What should I wear to therapy sessions?
Wear comfortable, loose-fitting clothing that allows access to the treatment area. Athletic shoes are recommended for mobility assessments.
How long are treatment sessions?
Sessions typically last 45-60 minutes, with sufficient time allocated for personalized treatment progression and patient education.
Are your therapists specially trained?
Our clinicians hold advanced certifications in manual therapy, sports rehabilitation, and specialized techniques like dry needling and blood flow restriction therapy.