Our Services

Our mission is helping people move out of pain and dysfunction with expertise, experience and compassion.

Physical Therapy

We begin by listening, taking as much time as needed to understand what’s going on.  We then develop a custom treatment plan that considers your goals, lifestyle, resources and time. Many times a visit or two is all that is needed to get you heading in the right direction.  We welcome the opportunity to help those with complex diagnoses or difficult conditions that have previously been unresponsive to therapy.

Conditions we treat:


Shoulder conditions

Impingement, tendinopathy, bursitis, arthritis, frozen shoulder

Knee conditions

Patellofemoral pain,  tendinitis, chondromalacia, ligament sprain, bursitis

Hip conditions

Bursitis, trigger points, enthesopathy, impingement, labral tear, chronic pain

Back conditions

Lower back pain, lumbar strain/sprain, bulging disc, sciatica, pinched nerve

Neck conditions

Mechanical neck pain, pinched nerve, radiculopathy

Foot and ankle conditions

Ankle sprain, plantar fasciitis, Achilles’ tendinitis tendinopathy

Fracture Care

Humerus and elbow/wrist fractures, ORIF and periprosthetic fracture care

After joint replacement

Knee, hip and shoulder replacement and revisions. Partial knee replacement

After arthroscopy

Rotator cuff repair, ACL repair, meniscectomy, meniscal repair,  lateral release, hip arthroscopy, hip labrum repair

Sports Injuries

Overuse injuries, runner’s knee, shin splints, throwing injuries

Functional Employment Testing

WorkSTEPS, Inc. is the nation’s leading provider of functional employment testing. Our tests are medically-safe, legally compliant, scientific and objective, and they are specifically-designed to match a worker’s functional capabilities with the essential functions of the job. Our trained, licensed, certified and managed network of healthcare clinicians administers WorkSTEPS’ proprietary employment testing in 48 states nationally. Standardized programming, training, exceptionally talented staff and state of the art technology systems make our system the best in the nation!



WorkSTEPS was founded in 1986 by Larry Feeler, PT, CEAS. Mr. Feeler remains the Founder/CEO of WorkSTEPS to this day. WorkSTEPS is a privately held Corporation based in Austin, TX. Our mission is to administer medically safe, legally-compliant, scientific and objective employment tests that address the rising incidence of injury and cost of workers’ compensation claims.

Functional Employment Testing

WorkSTEPS’ content-valid functional employment testing includes pre-employment post-offer testing, post-employment fit-for-duty testing, upper quadrant/carpal tunnel testing, return-to-work fit-for-duty, and functional capacity evaluations (FCE) post-injury. WorkSTEPS has performed millions of functional employment tests since the company was fully-incorporated in 1994. WorkSTEPS testing differs from physician’s physicals because WorkSTEPS testing evaluates and assesses an employee’s functional capabilities, which are then correlated with the physical demands of the job for which a candidate is being considered. Content-valid essential functions testing and medical testing have been a part of the WorkSTEPS process since its inception. Such “individualized assessment” data is invaluable when questions arise about how much of a musculoskeletal injury was work-related.

Proven Results

WorkSTEPS has become a critical part of an organized and systematic business model that is automated, validated, measurable, and offers a predictable return on investment. Companies that begin using WorkSTEPS typically experience significant and immediate results. Historical data indicates that implementing WorkSTEPS testing reduces injury claims and related costs to employers by 40-to-50 percent over the previous years’ claim costs, with continued reductions thereafter. Companies that utilize WorkSTEPS post-offer testing experience these benefits:

  • Decreased turnover
  • Increased worker productivity
  • Safer work environment
  • Reductions in lost time
  • Diminished incidence of fraud and abuse
  • Reduced modifier rates and Workers’ Compensation premiums
  • Reduction in Group Health costs.

Mitigate Costs and Days-Lost

WorkSTEPS’ program also helps mitigate costs and days-lost due to injury throughout the post-injury process, offering the following benefits:

  • Historical pre-injury data from post-offer tests can be used as a “baseline” for claims
  • WorkSTEPS testing data can assist in resolution of claims
  • WorkSTEPS testing helps mitigate the number and cost of claims
  • WorkSTEPS testing helps evaluate physical performance and capabilities post-injury
  • WorkSTEPS data helps facilitate accommodation to reduce employee time-lost due to injury

Easy to Manage

Dedicated Account Manager

WorkSTEPS will dedicate an account manager to act as liaison between the employer, WorkSTEPS, and all of the WorkSTEPS providers participating in the account!

Online Scheduling

WorkSTEPS offers the convenience of online scheduling, which allows employers to track the progression of an appointment in real-time from submittal to completion, including the location, date and time, and result of the test.

Automated Reporting

WorkSTEPS provides employers with automated, standardized reports within 24 hours of a candidate or employee being administered an evaluation. Reports can be communicated via email, fax or through the United States Post Office.

WorkSTEPS Technology Systems

WorkSTEPS data is stored on a secured state-of-the art server, off-site, with a national vendor that manages and provides state-of-the-art disaster recovery protection, and is available to employers at any time.

Statistical Reports

WorkSTEPS can provide employers with monthly, quarterly, or annual reports that detail the locations the employer is testing, the employees tested at each of these locations, their gender, birth dates, positions being tested, and results (capable, not capable, incomplete, medical risk).

ROI Reports

WorkSTEPS is happy to produce limited annual ROI studies for employer clients at no cost to the employer.

Custom Foot Orthotics

Foot Orthoses comprise a specially fitted insert or footbed to a shoe. Also commonly referred to as “Orthotics” these orthoses provide support for the foot by distributing pressure or realigning foot joints while standing, walking or running. Orthotics are often used by athletes to relieve symptoms of a variety of soft tissue inflammatory conditions like plantar fasciitis.


Relieves foot, knee, hip, and lower back pain and dysfunction

Custom orthotics can help address problems from the foot to the lower back. Common foot issues such as plantar fasciitis, heel pain, metatarsalgia, Achilles’ tendonitis, and shin splints are almost always improved by well-made foot orthotics.  Foot orthotics can also be a helpful component in treating certain types of knee, hip, and lower back pain. A thorough evaluation performed in our office will determine if custom orthotics have the potential to help.

For runners and athletes

Orthotics may improve running and athletic performance by helping to control excessive foot motion (pronation) or by providing support for a high, stiff arch or supinated foot, among other structural variations.

Fall prevention/ Improved balance

A recent study demonstrated that orthotics can improve balance performance in older adults.

Our unique system

We fabricate and customize semi-rigid foot orthotics in our office using the Fastec system, a patented, direct mold system used by many professional athletic programs across the country. We believe the Fastec system is the most accurate, efficient, and cost effective available.

Other orthotic fabrication systems make a plaster cast or foam mold of your foot, or use a digital scan or pressure plate to make an “image” of your foot. An off-site lab processes the mold or image (usually a 1-3 week turnaround). There may be little recourse if the final product is not to your liking, and the price for these can be as high as $500/pair.

Our method forms the orthotic blank directly to your foot, using a “floating” system that allows us to place the bones of your foot in a perfectly neutral position. Once this is performed we can customize your foot orthotics to correct for deviations such as prominent metatarsal bones, differences in leg length, forefoot and rearfoot angulation issues, among others. Our system allows up to make necessary changes while you are in the office so you leave with a perfect fit!

What do they cost? Are they covered by insurance?

We sell our custom orthotics for $200/pair, a substantial discount to the majority of other vendors. Order an additional pair at the same time and receive a 25% discount off the second pair.

Most insurance plans do not cover foot orthoses.

For more information or to schedule an appointment please call us at 828-407-5000

Your First Visit

You will receive a thorough evaluation of your problem and a plan to address it. that plan may include manual therapy treatment, strengthening or stretching exercises, and pain-relieving treatments such as electrical stimulation or ultrasound. We will also provide you with information about your condition and what to expect over time.


Biltmore Physical Therapy participates in most major health insurance and worker’s compensation networks. To find out if we are covered by your plan, please call our office. We will happily verify your coverage and benefits prior to your first visit.

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