Our Philosophy

Your first visit

1-on-1 assessment

At your first session, we start with a thorough, one-on-one assessment to understand not just your injury but also your personal goals. Through detailed tests and measures, we pinpoint the root cause of your pain—whether it’s a muscle, tendon, ligament, joint, or nerve issue. This precise diagnosis allows us to create a customized plan that addresses the unique demands of your body and lifestyle. Our goal is to ensure you fully understand what's causing your pain and how we will work together to overcome it.

What to expect during your initial assessment

In-depth evaluation of movement and biomechanics

Identification of the primary pain generator
(muscle, tendon, ligament, etc.)

Explanation of the injury and the upcoming treatment process

Your performance therapy plan

Once the assessment is complete, we craft a personalized Pure performance plan. This plan is designed to not only address the current injury but also to enhance your overall performance. We take into account your specific goals, whether that’s returning to an active lifestyle or optimizing athletic performance. You'll leave the first session with a clear understanding of the plan, which includes treatment sessions and at-home exercises to accelerate recovery. Our evidence-based approach ensures that your treatment is not just about pain relief but about improving your long-term physical health and performance.

Pure's performance physical therapy plans include:

A tailored therapy schedule based on your condition and goals

Corrective exercises for home to promote healing between sessions

A roadmap for recovery and long-term performance enhancement

Integrative treatment sessions

Our treatment approach is integrative and multi-faceted, combining advanced therapeutic techniques with hands-on care to deliver results. Every session is designed to decrease pain, restore function, and improve your overall physical performance. Whether it's manual therapy, targeted exercises, or cutting-edge treatments like dry needling, we use the most effective methods to ensure a holistic recovery. We adapt our care based on your progress, making adjustments as needed to keep you moving forward.

What is integrative treatment?

A mix of hands-on therapy and advanced treatments customized to your needs

Continual assessment and adjustment of your plan based on progress

A focus on enhancing mobility, strength, and overall performance

Meet your performance physical therapist

Zack Fedorka

DPT, FAAOMPT, CSCS, Cert DN

Zack Fedorka brings over a decade of clinical experience in physical therapy, specializing in personalized, one-on-one care designed to optimize performance and recovery. He earned his Doctorate of Physical Therapy (DPT) from the University of Toledo in 2014 and pursued advanced education through an ABPTRFE-accredited residency at the Manual Therapy Institute, completing it in 2017. In 2018, Zack became a Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT), solidifying his expertise in advanced manual therapy techniques.

In addition to his physical therapy credentials, Zack is a Certified Strength and Conditioning Specialist (CSCS) and is certified in Personalized Blood Flow Restriction (BFR) Therapy through Owens Recovery Science. His commitment to staying at the forefront of innovative care led him to gain certification in Dry Needling through the American Academy of Manipulative Therapy. He also had the opportunity to serve as part of the athletic training staff for the Tennessee Titans during the 2019-2020 season, providing him with unique insights into high-performance sports therapy.

Certifications & Specialities

Doctor of Physical Therapy (DPT)

Fellow of the American Academy of Orthopaedic Manual Physical Therapists (FAAOMPT)

Certified Strength and Conditioning Specialist (CSCS)

Certified in Personalized Blood Flow Restriction Therapy (BFR)

Certified Dry Needling Specialist (DN)

My commitment to individualized care

After years of working in various healthcare environments, Zack recognized a need for a more personalized approach to physical therapy. Too often, PT is commercialized, with group sessions and divided attention. Zack is passionate about breaking away from that model and providing high-quality, focused care to each patient. His approach emphasizes empathy, accurate diagnosis, and individualized treatment, allowing him to fully understand his patients’ unique conditions and deliver optimal results. He believes in dedicating undivided attention to every client to enhance healing and performance outcomes.

Outside the clinic

When Zack isn’t helping patients achieve their recovery and performance goals, you can find him grilling or smoking up delicious meats, pushing himself in the gym, or enjoying time on the lake. His active lifestyle and love for wellness drive his passion for physical therapy and inspire him to help others reach their full potential.

We trust Pure wholeheartedly with our family’s physical therapy needs. Zack is extremely knowledgeable and very kind. He listens and comes up with exceptional strength, healing and recovery plans. He helped me avoid ankle surgery by putting together exercises to strengthen supporting muscles and has been wonderful in healing problem areas for my wife and daughters. Highly recommend Dr. Zack!

Lucas D.

Pure is one of the best PTs in Nashville. Zack rescued my postpartum journey with my second son after having severe nerve pain for 6 weeks. He worked with me 3-4 times a week until the pain subsided and I could hold my baby again without pain. He is extremely knowledgeable of the musculoskeletal system - he helped me identify exactly which muscles needed strengthening and stretching. The knowledge gave me more information about my body and helped me understand what was going on with my nerve pain. Zack used spinal manipulation (with my approval), cupping, dry needling with e-stim, and a lot of TLC to help me recover and find strength & health again. I am so grateful for his compassionate and informative care. As long as you’re willing to put in the homework he gives you, I think you’ll find a great PT in Zack.

Jessica O.

As an athlete, Pure has helped me in many ways such as treating my elbow, shoulder, and back. He is extremely knowledgeable about the body and is very trustworthy. Zack understands the best way to treat injury and there is no one else I trust in the recovery process.

Will G.

I can't thank Zack enough for the incredible care he provided after I sprained my ankle playing basketball. I not only saw a significant improvement after every session, but I also understood how to properly care for and strengthen my ankle. Zack was always patient, knowledgeable, and attentive, informing me of exactly what I needed to do to properly recover. Now, my ankle never bothers me, it feels good as new! I highly recommend Zack for anyone, athlete or not, that needs care!

Tucker J.