BJJ & Combat Sports Physical Therapy in Greenville, SC
Neck, shoulder, knee, and rib injuries from jiu-jitsu, wrestling, MMA, and striking. Treated by a PT and athletic trainer who keeps you on the mat whenever it's safe.
Neck & Shoulder
Cranks, chokes, stacking, and kimuras. Neck and shoulder injuries treated by someone who knows the positions.
Knees, Elbows & Ribs
Heel hooks, armbars, scrambles, and pressure passing. Rehab that builds you back for the mat.
Keep Training
A modified plan so you keep drilling while you heal, then a step-by-step return to rolling and sparring.
Meet Lou Campasano, PT, ATC
I started as an athletic trainer in 1999 and became a licensed physical therapist in 2002. For more than 20 years I've treated orthopedic and sports injuries, from post-op knees and shoulders to athletes working their way back to the field, the mat, or the court. I opened Bespoke because the insurance-driven model doesn't leave time to do this job right. Here, every session is one-on-one with me. I assess how you move, not just where it hurts, and build the plan around what you need to get back to.
Assess First
SFMA and FMS testing show the movement problem behind the symptom.
Treat Hands-On
Dry needling, manual therapy, and targeted loading, chosen for your case.
Progress with Purpose
Measurable goals at every phase, ending with a full return to your sport or activity.
Physical Therapy for BJJ and Combat Sports in Greenville, SC
Grappling and striking put the body in positions most clinicians never think about: neck cranks from stacking and guillotines, shoulders caught in kimuras, knees twisted in heel hooks and scrambles, ribs crushed under side control. Generic rehab tells you to stop training. At Bespoke, the goal is to keep you on the mat whenever it's safe, and get you back to full rolling and sparring when it isn't.
Care is one-on-one with Lou Campasano, PT, ATC, a licensed physical therapist since 2002 and certified athletic trainer since 1999, with dry needling, SFMA, and FMS certifications. He understands the positions, the training culture, and what "I can still drill, just not roll" actually means.
Common injuries we treat
- Neck: stiffness, pain, and nerve symptoms down the arm from stacking, cranks, chokes, and bridging
- Shoulder: strains and instability from kimuras, americanas, and posting; labrum and rotator cuff issues
- Elbow and wrist: armbar and wristlock strains, grip-related forearm and elbow pain
- Knee: MCL and meniscus injuries from heel hooks, knee reaps, and scrambles; ACL recovery
- Low back and hips: pain from guard play, bridging, and takedowns
- Ribs: rib and chest-wall strains from pressure passing and side control
- Head injuries: concussion management and graded return to sparring for strikers and wrestlers
Who we work with
Brazilian jiu-jitsu (gi and no-gi), wrestling, judo, MMA, boxing, kickboxing, and Muay Thai athletes, from hobbyists training a few nights a week to competitors with a tournament on the calendar.
How we get you back
Assess the movement, not just the pain. SFMA and FMS testing show what's driving the problem and what you can safely keep doing.
Keep you training. Most athletes get a modified plan: positions to avoid, what to drill, and when to start rolling again, instead of a blanket "take six weeks off."
Treat hands-on. Dry needling, manual therapy, and targeted loading to calm pain and restore motion.
Build it back for the mat. Strength and control in the positions your sport demands, then a step-by-step return to live rolling, sparring, and competition.
Initial evaluation: $250 · Follow-up visits: $200 (about 1 hour, one-on-one)
Dry needling: $50 · Manual therapy + dry needling (45 min): $125
Packages: 6 weeks $1,175 · 8 weeks $1,450 · 12 weeks $2,050
Ask about partner gym discounts. Superbills provided for possible out-of-network reimbursement.
BJJ and combat sports PT FAQs
Do I have to stop training BJJ while I'm in physical therapy?
Usually not completely. Most athletes keep training with modifications, like drilling instead of live rolling or avoiding certain positions, while we treat the injury. You'll get a clear plan for what's safe.
How long before I can roll again after a neck injury?
It depends on the injury and your symptoms. Many neck strains allow a return to light rolling within a few weeks, while injuries with arm numbness or weakness need a slower, more careful progression. Arm weakness or numbness should be checked promptly.
Can you help with a knee injury from a heel hook?
Yes. We assess the knee, work with your physician if imaging or surgery is needed, and guide rehab through to a tested return to grappling.
Do you work with MMA fighters and strikers?
Yes, including fighters preparing for competition and athletes recovering from concussion who need a graded return to sparring.
Do you offer discounts for gym members?
Partner gym discounts are available. Ask on your free discovery call.
Hurt on the mat? Talk it through with Lou before you take time off.
Book a Free 15-Min Discovery CallPricing & Packages
Transparent, cash-based pricing. Superbills provided for possible out-of-network reimbursement.
New Client Offer
Initial evaluation and treatment, a 6-week online exercise program updated weekly, and a 15-minute check-in call each week: $800
6 Weeks
- Initial evaluation and treatment
- 5 one-hour visits
- Online exercise program upgrades
8 Weeks
- Initial evaluation and treatment
- 7 one-hour visits
- Online exercise program upgrades
12 Weeks
- Initial evaluation and treatment
- 11 one-hour visits
- Online exercise program upgrades
Individual Services
| Initial Evaluation | $250 |
| Follow-up Treatment | $200 |
| Functional Movement Screen | $90 |
| FMS with initial corrective exercises | $125 |
| Manual Treatment + Dry Needling (45 min) | $125 |
| Dry Needling (without e-stim) | $50 |
| Dry Needling with e-stim (30 min) | $75 |
| Online Exercise Programming (weekly updates) | $200/month |
Discounts available for partner gym members.
Book a Free 15-Min Discovery CallVisit Us
Email: [email protected]
Address: X-Zen Sports, 2435 E North St, Unit 1101, Greenville, SC 29615
Get In Touch
Hours: Mon–Thu 7:30am–6pm, Fri 8am–4pm
Phone: (864) 920-0696
