Myofascial release and soft-tissue technique
Soft-tissue and massage technique, myofascial release, and Jones strain/counterstrain. Slow, gentle, positional work — no sudden movements.
Osteopathic manual treatment
Back and neck pain, treated by hand.
Gentle, hands-on treatment from a family physician — as often as your flare actually needs it.
- Treated two or three times a week while it’s bad
- 30- and 60-minute appointments
- No per-visit fees for members
- Gentle technique — nothing that pops or cracks
- Treated by a family physician
What this actually is
Myofascial release and hands-on treatment for back and neck pain
I use my hands to find where tissue is restricted, tender, or guarding, and work it until it releases. That takes time and repetition, which is why most medical practices don't offer it.
What I don’t use
No high-velocity thrusting — nothing that pops or cracks. No cranial or facial techniques.
Who’s doing it
A board-certified family physician. I can examine you, order imaging when the exam warrants it, treat what responds to hand, and refer you onward when you need someone else.
What I treat this way: low back pain, neck pain, radiating pain of the sciatica type, tension-type headache, and muscular or postural strain.
If you were looking for a chiropractor
Manual treatment for back pain, without the adjustment
Chiropractic and osteopathic manual treatment overlap more than most people realize. Both use hands to treat restriction in muscle and joint. The difference that matters to you is which techniques get used.
What chiropractic and OMM share
Both are hands-on treatment for the spine, muscles and joints, taught as a primary way to treat pain rather than a last resort. And both include high-velocity, low-amplitude technique — HVLA, the quick thrust that makes the pop.
What HVLA is, and why I don’t use it
HVLA is the adjustment: a fast, short thrust at a joint. It is part of osteopathic training and it is the main tool in most chiropractic practices. I learned it in medical school and haven’t used it since — a chiropractor does it every day and is practiced at it, and I’m not. What I do instead is slower: holding, positioning and releasing tissue, with no sudden movements.
Who this suits
People who want hands-on treatment for a back or neck and either would rather not be thrust on, or have had the adjustment and want something different. If a quick adjustment is specifically what you are after, a chiropractor is the right call, and I would rather say so here than after you have paid.
One practical difference: I am also your family physician. I can examine you, order imaging when the exam calls for it, treat what responds to hand, and refer you onward when you need someone else — in the same appointment, with nothing charged per visit.
DO or MD
What the letters after my name mean
I’m a Doctor of Osteopathic Medicine (DO). In the US, we have two degrees for fully-licensed physicians, MD and DO.
What’s the same
The license to practice unrestricted medicine, the residency programs, the diagnosing of conditions and prescribing of medications. Osteopathic and allopathic (MD) residency programs have run under a single accreditation system since 2020 — we train in the same places, alongside each other. There is nothing an MD is permitted to do that a DO can't do.
What’s different
One thing from medical school, and it’s the reason this page exists. Osteopathic training adds manual medicine that began in the 1800s before science knew much about medicine. Those techniques use a doctor's hands to find and treat restriction in muscle and joint. The range runs from the quick thrust a chiropractor uses to slow, gentle positional work, and I use the gentle end of it. It’s training many DOs don't have the time to use once they’re in practice. I have the time and use mine. It doesn't fix everything, but it can be very useful for muscle or skeletal pain. Also a potential difference is that board certification comes through a number of different boards. Mine is through the American Board of Family Medicine — the same one that certifies MD family physicians, but there is one specifically for DO doctors as well.
What people tell me
Patients who sought me out because I’m a DO often say they expect a more whole-person approach. I can’t speak for the profession and I don’t know whether that reputation is deserved. What I can tell you is how I practice.
Which is this: thirty-minute appointments, most of that time spent listening, and treatment options that include what my hands can do — not only what I can prescribe. If that’s what you were hoping the letters meant, that part is true here whatever it means anywhere else.
Why this works here and not elsewhere
A flare takes two or three visits a week for a few weeks.
That’s the honest shape of this treatment. It isn’t one appointment — and it isn’t forever either. You come in often while it’s bad, then not at all until the next time.
Why most DOs don’t
It’s possible — DOs mostly don’t do it because it doesn’t pay well enough for the time spent. Insurance reimburses manual treatment poorly and schedules it in fifteen-minute slots, so two or three visits a week for a few weeks doesn’t work inside that.
Why I can
Members pay one monthly fee with no per-visit charges at all. Having low patient numbers makes this possible, and memberships make low patient numbers possible.
And when it flares again
You come back. No new referral, no new deductible, no six-week wait for an opening. You already have a doctor who knows your back.
Being straight with you
What I don’t do
If one of these is what you think you need, you’ll save time knowing now.
No opioids for chronic pain
If daily opioid pain medication is what you need, and some people do, you need a pain management specialist, not a primary care doctor.
No injections
No trigger point injections, no joint or epidural injections. Knee and shoulder injections may join the list in future if the demand warrants it.
No surgery
If your exam or imaging points that way, I’ll tell you and help get you to the right person.
No imaging on request
I will usually order an xray for spine pain. I'll order an MRI when the history, examination, and treatment progress (or lack thereof) justifies one.
No disability or workers’ comp evaluations
Those are their own specialty with their own paperwork and I am not the right person to do them. I can point you in the right direction.
Not a substitute for a pain specialist
Some pain needs interventional treatment or a neurosurgeon. I will do what I can to improve your symptoms and help you get to a specialist if it's needed.
Keep your insurance. I tell everyone this, and it matters for spine problems — imaging, specialists, and anything surgical get expensive quickly. A membership with me covers the care in front of all that, not instead of it.
A note for Medicare patients: We accept traditional Medicare and bill Medicare directly, with the ordinary Part B deductible and coinsurance — a separate arrangement from membership, not an addition to it. We do not accept Medicare Advantage. If you are on traditional Medicare, call and we’ll get you scheduled.
What it costs
$90 a month. Every visit included.
One flat monthly fee — no copays, no coinsurance, no deductible, and nothing per appointment, however many your flare needs.
Unlimited visits — no per-visit fees
30-minute visits — 60 for annuals and first visits
Open at 7 a.m., Monday to Friday
Same- or next-day appointments
Seen on a weekend if you’re acutely hurting
All your other primary care, included
That is Standard membership at $90 a month for an adult, billed $270 every three months. You’re not buying a pain plan — you’re a primary care patient who happens to have pain right now, and the rest of your care comes with it.
Everything above is membership pricing. If you have traditional Medicare, none of it applies to you — we bill Medicare for each visit with the ordinary Part B deductible and coinsurance, and there is no membership fee. How Medicare works here.
No commitment
Not sure yet? Come meet me first.
Before you pay for anything, I’ll set aside a free half hour to talk about the practice, because it is different from what most people are used to. It can't be a medical appointment without filling out legal forms — no exam, no discussion of medical concerns. Just a conversation about whether we’re a good fit.
Ask for a callGet in touch
Leave your number and I’ll call you
During clinic hours — 7 a.m.–1 p.m., Monday–Friday — a call is usually fastest: (512) 363-9043. Outside those hours the phone’s off, so leave a message or your number below and I’ll ring you back when we open. For anything non-medical, email is where I give my best answers: brentwoodfp@proton.me. Please keep medical details out of email — it isn’t secure. We’ll take those on the call.
Rather just leave your number?
Tell us who you are and what it’s about, and we’ll call you back during clinic hours — including for anything that came to mind at 9 p.m., when the phone’s off. There’s deliberately no message box: email isn’t secure enough for medical details, so we’ll take those on the call.