Schedule an appointment directly with me for in home or in office in Wake Forest, North Carolina and surrounding region
Call 919-728-0035


In Home/Office Services

The physical therapy services that I provide may not be what you would expect from a past physical therapy experience.  The following is how my treatment is different than your typical outpatient clinic:

  • Firstly, I come to your home.  I provide the treatment table and tools necessarily to get you out of pain as quickly as possible.  I just expect you to be there too!
  • You will not be treated by ancillary personnel (such as technicians) but from the same physical therapist each visit.
  • Each treatment session is one on one for an hour.
  • An individualizedpersonal treatment from a clinician who simply wants to get you better so you can live a more healthy life.  I look for the root of the problem from a mechanical perspective and utilize manual therapy, movement strategies and therapeutic exercises to address limitations and get you back on your feet.
  • Most physical therapy treatments put you on machines and get you to do exercises while in the clinic.  I do not believe machines get people better and do not want you to just do your exercises that you have at home in front of me.  Yet, the treatments do consistent of manual therapy, education and and I utilize our time together to progress exercises that meet your needs.
  • This is a very unique service and one not offered anywhere in the surrounding region.



As a physical therapist, my first and foremost specialty is examining and assessing your movement patterns.  I inspect your local painful area, but also surrounding areas in your body too, which could be the cause of your symptoms.



No treatment is the same. 
Because no individual pain is the same.


Osteopractic Specialty

An OSTEOPRACTOR is a physical therapist or medical doctor that has completed an evidence-based post-graduate training program in the use of high-velocity low-amplitude thrust manipulation and dry needling for the diagnosis and treatment of neuromusculoskeletal conditions of the spine and extremities.simply represents “physical therapists or medical doctors that have completed an evidence-based post-graduate training program in the use of high-velocity low-amplitude thrust manipulation and dry needling for the diagnosis and treatment of neuromusculoskeletal conditions of the spine and extremities”.

The term osteopractor has nothing to do with the chiropractic or osteopathic professions; that is, the osteopractor concept is firmly focused on the management of neuromusculoskeletal disorders in an evidence-based fashion, not the treatment of other organ systems as the profession of chiropractic has traditionally engaged. More specifically, the osteopractic concept does not subscribe to the theory of the “Vertebral Subluxation Complex” as the primary cause of “dis-ease”. In short, osteopractors do not diagnose or treat all 10-organ systems as chiropractic physicians are trained and licensed to do, and they do not utilize medicine or surgery as osteopathic physicians are trained and licensed to do. See the 2012 ruling Of Supreme Court   Alabama Board of Chiropractors vs Dunn

Osteo- orginates from the Greek osteon (“bone”) and –practor orginates from the Greek praktikos (“to practice, do, or perform”). Although the term osteopractor literally translates to “bone practitioner”, the most recent evidence-based practice guidelines for musculoskeletal disorders clearly supports a “multi-modal” approach; therefore, in addition to the joints (i.e. the bones), the direct treatment of myofascial trigger points, tendons, ligaments and fascia (all connected to the bones…) is certainly recognized  for optimal patient management.

The use of this procedure is based on the scientific principles AND the specific hands-on-skills necessary to achieve safe and effective thrust manipulation of the cervical, thoracic, lumbar, sacroiliac, and rib articulations.


Dr. Vaughan has currently completed extensive training to obtain a Diploma in Osteopractic and Fellowship in Orthopaedic Manual Physical Therapy.  This is a very rare specialization and treatment approach that is brought to you.  The following numbers help to understand how uncommon these degrees are within the field of physical therapy (as of January 2015).

Total USA PTs: 204,200
Total USA Specialists: 16,138
Total FAAOMPTs = 976
Total Dip. Osteopractic = 31

7.9% of USA PTs are Specialists
5.3% of USA PTs have OCS/SCS specialization
0.48% of USA PTs are Fellows
0.015% of PTs have Dip. Osteopractic



Distinctively Designed.
Expertly Crafted.



Therapeutic Exercise Prescription

“Teaching you to treat yourself”

With all of the skills and advances in manual therapy prescription in physical therapy, my philosophy still stands of “teaching you how to treat yourself”.  This means that I want to show you ways to give yourself relief if you’re in pain and more importantly, ways to make you stronger so you will not have pain.  Bottom line, I want to put the ball in your court as much as possible so you will not have to rely on me!



For the most part, you are seeking care in order to MOVE better.  This could be simply to get out of the bed or chair without pain, or to run or bike without symptoms.  In some instances, the manual therapy techniques provided can get you moving better in itself.  However, I do specialize in individual exercise prescription to further the relieving effects that are encountered during the treatment.  This also allows you to become be able to manage your own symptoms better and need less healthcare professional assistance.
The exercises are:

  • Specific: I do not provide just general exercises for a home program, but ones that should give you relief of your symptoms if they arise again.
  • Non-painful: There is an old saying, “no pain no gain”.  However, this typically doesn’t work and if it did, you may not be seeking care as your symptoms would have resolved on its own!  The exercises I prescribe are non-painful, non-threatening and the intention is to provide yourself relief as well.
  • Less time-consuming: Everyone has busy lives and should not have to do specific home exercises are prescribed by clinicians that take a LONG time.  If the exercise prescription is correct, then you should be able to perform in very little time.  This should get you back to doing things you enjoy most, such as with family.
  • No equipment necessary: For the most part, I prescribe movements that do not require additional equipment or tools.  I believe that you can abate pain, improve function and decrease disability without the need for machines. With that said, I do want you to get back to the gym or other general workouts as you would like.  We can coordinate a time to meet at your gym.



Therapeutic Pain Education

There is an epidemic in the United States that affects over 35% of the population.  It is chronic pain!  I utilize our time together to educate you on the science of pain and the new advances in our understanding of this condition.  Evidence indicates adding a cognitive behavioral approach to your treatments are most efficacious.

The more you know and understand, the better outcomes you will have.