★ 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
Our Services
Chiropractic Care in Pawleys Island, SC
Restoring normal motion to the joints of your spine, so the nerves running through them stop being irritated.
Care Built Around You
Personalized Chiropractic Care
When a spinal joint loses its normal range of motion, the surrounding muscles tighten and the nerve exiting at that level can become irritated. A chiropractic adjustment is a precise, controlled movement that restores motion to that specific segment.
The skill is in knowing exactly which segment is restricted and in which direction, which is what the examination and digital X-rays establish. Dr. Fico has been doing this on the Grand Strand for nearly 30 years and examines every new patient personally.
- Manual adjusting for patients who prefer it
- Low-force instrument techniques where gentler care is needed
- Drop-table and flexion methods for specific presentations
- Modified approaches for seniors, children and pregnancy
How We Adjust
Techniques Used At Strand Spine Institute
There is no single correct way to adjust a spine. Dr. Fico is trained in several methods and chooses between them based on what your examination shows, your age, your bone density and what you are comfortable with. If one approach is not right for you, another usually is.
Diversified
The most widely used adjusting method. A quick, shallow, precisely directed thrust delivered by hand to restore motion to a specific joint. Often the first approach for a healthy adult spine.
Gonstead
An expanded, more analytical form of Diversified. Digital X-rays and instrument readings are used to pinpoint the exact segment and direction before anything is adjusted, which suits complex or long-standing cases.
Thompson Drop
Uses a table with segments that drop a fraction of an inch as the adjustment is made. The table does much of the work, so far less manual force is needed. Comfortable for patients who dislike traditional adjusting.
ArthroStim Instrument
A handheld instrument that delivers a rapid series of very light impulses instead of one thrust. No twisting and no audible pop, which makes it well suited to seniors, patients with osteoporosis, and children.
Sacro-Occipital Technique (SOT)
Uses padded wedges placed under the pelvis so your own body weight gradually corrects the alignment between the sacrum and the base of the skull. Among the gentlest methods available.
Flexion and Low-Force Methods
Slow, controlled movement used where a disc is involved or where a joint is too irritated for a direct adjustment. Frequently paired with DRX9000 decompression or Summus laser therapy.
Tell Dr. Fico at your report of findings if you have a preference or a technique you would rather avoid. Nothing is done without you knowing what it is and why.
Common Questions
Frequently Asked Questions
Most patients describe it as a quick pressure followed by relief. The audible pop is gas releasing from the joint, not bones “cracking.” If you are anxious about it, tell Dr. Fico. Low-force instrument techniques achieve a similar result without the sensation.
It depends entirely on what is found. Some patients need a handful of visits, while long-standing structural problems take longer. Dr. Fico gives you a specific answer at your report of findings, before you commit to anything.
No. Chiropractors are primary contact providers in South Carolina, so you can book directly. If your condition needs medical co-management we will coordinate with your physician.
Yes, with appropriate technique. Bone density, prior surgeries and medication all influence the approach, which is part of why the examination and X-rays come first.
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)