★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
★ 5.0 Star Rated, 288+ Reviews on Google ›12465 Ocean Hwy, Pawleys Island, SC
Live Happy, Healthy + Pain FreeIn Pawleys Island
Through effective, gentle, chiropractic care
With nearly 30 years of experience, Dr. Neil Fico and his team are the leaders on the Grand Strand for non-invasive, non-surgical treatment of back & neck pain, disc-related injury, sciatica, neuropathy and other neuromuscular and spinal conditions.
See Our Approach In Action
Real Care. Real Relief.
Take a behind-the-scenes look at Strand Spine Institute. Dr. Neil Fico walks you through our facility, our non-surgical treatment methods and the personalized care that has helped thousands of Lowcountry patients get back to living pain free.
- Non-surgical spinal decompression technology
- Personalized treatment plans for every patient
- Nearly 30 years of trusted chiropractic expertise
▶Welcome to Strand Spine InstituteSee real patients go from pain to relief in 2 minutes★★★★★288+ Google Reviews ›·Trusted by Lowcountry families since 2003
New Patient Special
Start With A $49 First Visit
Before any treatment plan, Dr. Fico sits down with you to find out what is actually causing the pain. That first visit, the consultation, full exam and X-rays if you need them, is $49 instead of $250.
- One-on-one consultation with Dr. Neil Fico
- Complete orthopedic and neurological exam
- Digital X-rays if clinically indicated
- Sit-down report of findings and care plan
No obligation to start treatment. If chiropractic care is not right for your spine, Dr. Fico will tell you and point you where to go next.
Prefer to talk first? Call (843) 979-CARE (2273). Mon and Wed 8am to 12:30pm and 2pm to 6pm, Tue and Thu 9am to 12:30pm and 2pm to 6pm, Fri 8am to 1pm.
LIMITED TIME OFFER
New Patient Special
Initial Consultation, Exam & X-Rays
$250 ValueONLY $49
Receive an initial consultation, chiropractic exam and X-rays, if needed, for only $49.
Comprehensive Pain Care
Advanced Non-Surgical Solutions
We combine advanced medical technology with proven chiropractic techniques to treat the root cause of your pain, without drugs or invasive surgery.
Chiropractic CareExpert spinal realignment to eliminate nerve interference and restore mobility.Learn more
DRX9000 DecompressionNon-surgical treatment for bulging, herniated and degenerated discs.Learn more
Summus Laser TherapyClass IV laser to relieve deep inflammation and speed tissue healing.Learn more
Nutritional SupportPractical guidance on food, hydration and supplements to support your recovery.Learn more Real Patient Results
Trusted By Patients Across The Grand Strand
Mark Bonner
Spinal Decompression
Almost all the pain is gone
“When I first started 18 weeks ago, I could barely walk, was in continual pain and rarely slept through the night. At this point almost all the pain is gone, I can sleep through the night and can walk almost at a normal pace.”
Anne B.
Pawleys Island, SC
Decompression & Chiropractic
The staff was so wonderful
“When I first came to Dr. Fico I could barely walk, let alone sit for long periods. Since my first visit I have been able to do the things I love, walking long distances and golf, with very little discomfort.”
Louie P.
Litchfield Beach, SC
Neck Pain
Strand Spine is the total package
“I walked in with neck pain at a 7 to 8 on the pain scale. Dr. Fico worked me up with scans, X-rays and an examination and developed a treatment plan. I walked out two months later with a pain level of 2 to 3.”
Sondra
Murrells Inlet, SC
Got Questions?
Frequently Asked Questions
Your $49 visit includes a comprehensive consultation with Dr. Neil Fico, a detailed orthopedic and neurological examination, digital X-rays if clinically necessary, and a sit-down report of findings to discuss your treatment options.
Not at all. Most patients find DRX9000 spinal decompression extremely relaxing and some fall asleep during their session. It applies gentle, precise negative traction to relieve disc pressure.
Many patients experience noticeable relief after just a few sessions. During your initial examination and report of findings, Dr. Fico will outline a timeline based on your condition and goals.
Yes. We work with many insurance plans and also offer flexible payment plans so that high quality care remains affordable for everyone in Pawleys Island.
Meet Your Chiropractor
Dr. Neil Fico, D.C.
Dr. Neil Fico has cared for patients on the Grand Strand for nearly 30 years. Pawleys Island is both where he practices and where he lives, and he personally evaluates every new patient who walks through the door.
His approach is integrative: corrective chiropractic adjustments, Summus laser therapy and DRX9000 spinal decompression, chosen to relieve the pain and correct what is causing it. If chiropractic care is not right for your condition, he will tell you.

Skilled. Compassionate. Preferred.
Alternative treatment including chiropractic care for Pawleys Island, Litchfield Beach, Murrells Inlet, Garden City, Georgetown, Surfside Beach, Myrtle Beach and the wider Grand Strand. Dr. Neil Fico specializes in non-surgical, non-invasive pain relief.
Contact Us
12465 Ocean Hwy
Pawleys Island, SC 29585
Mon & Wed: 8am to 12:30pm, 2pm to 6pm
Tue & Thu: 9am to 12:30pm, 2pm to 6pm
Fri: 8am to 1pm
Sat & Sun: Closed
Copyright © 2026 Strand Spine Institute, Chiropractor in Pawleys Island, SC. All Rights Reserved.
This website is for informational purposes only and is not intended as medical advice or a substitute for professional healthcare.
Tap to Call(843) 979-CARE (2273)