Pain doesn't
get to win.
Physical therapy for runners, lifters, cyclists, golfers, and anyone who flat-out refuses to sit on the sidelines. We use real numbers to find what's actually wrong and get you back to training. No rushing. No guessing. No cookie-cutter printout.
Active adults who got back to it
Runners, lifters, and everyday athletes who were ready to give up — until they weren't.
"If you want to do better than just recover — and come back an upgraded version of yourself — you need Dr. Zack. I came to him as a last resort after nine months of hobbling out of the car, unable to sleep on my side or run. Five months later I didn't just meet my goals, I surpassed them. I can't recommend him enough!"
"I've had some lackluster PT experiences in the past, but Primal completely changed how I view what PT can be. Spencer spent real time identifying and explaining exactly where my pain was coming from. I never got a generic plan — every session targeted my specific injury as my strength improved. 10/10 would recommend."
"Zack is the real deal — kind and super motivating. He helped me recover from a pulled hamstring and gave me the tools to keep strengthening my legs, hips, and glutes to prevent future injuries. 10/10 recommend!"
"Zack is an amazing PT for return to sport! He practices what he preaches and stays up to date on the latest research to give his athletes the best support possible. Exactly the high-quality care active people need to get back to what they love."
"Working with Spencer has been a great experience! He's knowledgeable and has helped me get back to better health — and pain free."
A few band exercises on a sheet won't get you back
You've seen this movie: rushed visits, a generic printout, "let's ice it and see." Meanwhile that nagging knee, tight hip, or hamstring that won't quit keeps pulling you out of the gym, off the road, off the course.
We don't guess and we don't stall. We find the real cause and fix it.
- 01 More time away from the training you love
- 02 Lost fitness, lost progress, lost PRs
- 03 Money poured into care that never moved the needle
- 04 A higher chance of re-injury — or pain that quietly drags on for years
Train hard. Refuse to slow down.
If your training matters to you — and it does — you're in the right place. You don't need a pro contract. You just need to care about getting back.
From pain to confidence to performance
Four simple steps, backed by real numbers, built for the demands of your sport.
Reset
Calm the pain, get you moving freely again, and lay a solid base to train from.
Rebuild
Make your knees, hips, and ankles strong again — with training that matches how you actually move.
React
Build speed, balance, and control. This is the work that keeps you from landing right back here.
Return
Get your body ready for the running, lifting, cutting, and grinding your sport actually demands.
Pro-level care, not clinic basics
The usual clinic rushes you, shares you, and clears you on a guess. We built Primal to do the exact opposite.
Care built around you
One-on-one and semi-private options that fit your goals and budget. Never rushed, never shared, never handed off to an aide.
We answer fast
Tweak in the gym? Question between sessions? Your therapist answers within 24 hours — guaranteed.
We fix the cause, not the symptom
We don't just chase the pain around. We find why it's happening and fix it for good — so it stops coming back.
Real numbers, not opinions
We use the same tools the pros get tested on to read your strength and movement. The numbers tell us when you're truly ready.
Built for real training
Your plan reflects how you move — your runs, your lifts, your swing — not generic reps off a sheet.
Simple, honest pricing
No surprise bills, no insurance hoops. HSA/FSA welcome, and most plans pay you back for out-of-network visits.
They've been the athlete
Every therapist here has competed at a high level — so they know exactly what it feels like to lose your training, and exactly how to get it back.
Dr. Zack Atwood
Former college soccer player who specializes in ACL and complex injuries. Also teaches at Wayne State's PT program.
Dr. Spencer Nolff
A Division I soccer captain and national champion. He helps hard-training adults get back to doing what they love.
Dr. Mary Koje
A sports PT who blends her own ACL-surgery experience with research-based rehab. Completed a Sports PT Residency at Detroit Medical Center.
Dr. Evan Waszkiewicz
A certified running coach and distance runner. He specializes in runners, cyclists, and endurance athletes.
Don't leave your comeback to chance
Book a free call. Tell us about your training and what's nagging you — and we'll tell you straight up whether we're the right fit. Even if the answer is no. No pressure, no pitch.
Book Your Free CallAsk us anything
Absolutely. Most of our clients are adults who train hard for themselves — runners chasing PRs, lifters who won't deload over a tweak, cyclists building toward an event, golfers protecting their swing. If you take your training seriously, you'll fit right in.
Because insurance is what forces clinics into quotas, aides, and double-booked hours. Going cash-pay lets us give you our full, focused attention every visit. We hand you an invoice to claim out-of-network money back, and HSA/FSA cards work directly. Most clients spend less than they would on deductibles and copays at a regular clinic — and actually get better.
No. Michigan lets you come straight to a physical therapist — no referral, no waiting. Just book in. If we find something that needs imaging or a specialist, we'll tell you straight and point you the right way.
It depends on the injury — but you'll have a clear, honest answer after your first visit. We don't sell fake timelines, and we won't clear you to load up until the numbers say you're ready. That's exactly the protection you're paying for.
We watch how you actually move, run the strength and movement tests where it makes sense, find the real cause, and start treatment that same visit. You leave with a clear plan in hand — not a follow-up booked just to "talk about it."