★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
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Take A Look Around
Office Tour, Pawleys Island SC
Our office sits on Ocean Highway with free parking at the door and a step-free entrance.
See Our Space
A Closer Look Inside Our Office
These are real photos from inside our Pawleys Island office, not stock photography. Walk through what a visit actually looks like, from the moment you check in at the front desk to the treatment room where Dr. Fico works.

Strand Spine Institute, Ocean HighwayFree parking right at the door and a step-free entrance.
Reception
A Warm Welcome
Our front desk team handles paperwork, insurance questions and scheduling before you even sit down, so your visit starts smoothly instead of with a clipboard in a waiting room.


Exam & Consultation
Your Exam, Explained
New patients sit down with Dr. Fico for a real conversation, not a rushed once-over. When X-rays are needed, they are taken and reviewed together, right on the screen, before any care plan is discussed.


Chiropractic Care
Hands-On Adjustments
Corrective chiropractic adjustments are the foundation of care here, precise and hands-on, tailored to what your exam and X-rays actually show rather than a one-size-fits-all routine.


Spinal Decompression
DRX9000 Non-Surgical Decompression
For disc-related pain, our dedicated DRX9000 suite gently decompresses the spine without surgery, one of the more advanced tools in Dr. Fico’s non-surgical toolkit.


Laser Therapy
Summus Laser Therapy
Summus laser therapy is used alongside adjustments to calm inflammation and speed healing, with no medication and no downtime.

Movement & Rehab
Movement & Rehab Space
A bright, dedicated room for the exercises and rehab work that help results last.

What To Expect On Your First Visit
A first visit at Strand Spine Institute isn’t about jumping straight into treatment. It’s about finding out exactly what’s going on with a thorough history, a hands-on exam, and, when it’s called for, a look at your X-rays, so any care that follows is based on what we actually find rather than a one-size-fits-all routine. Here’s what to expect, step by step.
- Complete New-Patient PaperworkPlan to arrive about ten minutes early so you can fill out your history and get settled before we call you back.
- Exam & Consultation FirstYour first visit is entirely about assessment, not treatment. We listen to your history and examine you thoroughly before deciding on anything.
- Digital X-Rays, If NeededWhen it’s clinically indicated, we take digital X-rays right on site so Dr. Fico can see exactly what your spine is doing.
- One-on-One Report of FindingsYou’ll sit down with Dr. Fico himself to go over what he found and what, if anything, he recommends for your care.
- Plan for About 45 MinutesThe initial visit typically runs about 45 minutes, enough time to be examined thoroughly without feeling rushed.
There’s no pressure to start care on day one. If we can help, we’ll tell you exactly how, and if we’re not the right fit, we’ll tell you that too.

Meet Your Chiropractor
Dr. Neil Fico, D.C.
Dr. Neil Fico has cared for patients on the Grand Strand for nearly 30 years. Pawleys Island is both where he practices and where he lives, and he personally evaluates every new patient who walks through the door.
His approach is integrative: corrective chiropractic adjustments, Summus laser therapy and DRX9000 spinal decompression, chosen to relieve the pain and correct what is causing it. If chiropractic care is not right for your condition, he will tell you.
New Patient Special
Start With A $49 First Visit
Before any treatment plan, Dr. Fico sits down with you to find out what is actually causing the pain. That first visit, the consultation, full exam and X-rays if you need them, is $49 instead of $250.
- One-on-one consultation with Dr. Neil Fico
- Complete orthopedic and neurological exam
- Digital X-rays if clinically indicated
- Sit-down report of findings and care plan
No obligation to start treatment. If chiropractic care is not right for your spine, Dr. Fico will tell you and point you where to go next.
Prefer to talk first? Call (843) 979-CARE (2273). Mon and Wed 8am to 12:30pm and 2pm to 6pm, Tue and Thu 9am to 12:30pm and 2pm to 6pm, Fri 8am to 1pm.
LIMITED TIME OFFER
New Patient Special
Initial Consultation, Exam & X-Rays
$250 ValueONLY $49
Receive an initial consultation, chiropractic exam and X-rays, if needed, for only $49.

Skilled. Compassionate. Preferred.
Alternative treatment including chiropractic care for Pawleys Island, Litchfield Beach, Murrells Inlet, Garden City, Georgetown, Surfside Beach, Myrtle Beach and the wider Grand Strand. Dr. Neil Fico specializes in non-surgical, non-invasive pain relief.
Contact Us
12465 Ocean Hwy
Pawleys Island, SC 29585
Mon & Wed: 8am to 12:30pm, 2pm to 6pm
Tue & Thu: 9am to 12:30pm, 2pm to 6pm
Fri: 8am to 1pm
Sat & Sun: Closed
Copyright © 2026 Strand Spine Institute, Chiropractor in Pawleys Island, SC. All Rights Reserved.
This website is for informational purposes only and is not intended as medical advice or a substitute for professional healthcare.
Tap to Call(843) 979-CARE (2273)