Our Approach
Exam-Led Care for Spine & Musculoskeletal Pain
Dr. Ciaccia believes the physical exam should drive the diagnosis — not the MRI. Imaging and electrodiagnostic testing have their place, but they follow the exam, not the other way around. That distinction matters because it changes what gets treated and how.
His fellowship in interventional spine management adds procedural depth in fluoroscopic epidural and facet work on top of his PM&R foundation. Patients at the Charlotte, Huntersville, and Fort Mill offices get a treatment plan built around what is actually causing their pain — confirmed by examination, not assumed from a scan.
Education & Training
Professional Experience
PM&R Residency
Residency training in Physical Medicine & Rehabilitation covering rehab medicine, sports and musculoskeletal care, electrodiagnostic studies, and procedural work for neurologic and orthopedic conditions.
Board Certification
American Board of Physical Medicine & Rehabilitation
Credentialed Interventional Neuromusculoskeletal Specialist.
Fellowship — Interventional Spine Management
Charlotte, NC
Subspecialty year focused on fluoroscopic interventional spine procedures, including epidural and facet injections.
Services
What Dr. Ciaccia Treats
Dr. Ciaccia's clinical work spans the spectrum of spine and musculoskeletal disorders — from disc-related back pain and pinched nerves to joint pain and overuse injuries. His preference is always the least invasive intervention that resolves the underlying cause.
EMG & Nerve Conduction Studies
Electrodiagnostic testing to confirm nerve and muscle involvement
Fluoroscopic Spine Procedures
Epidural and facet injections placed under live X-ray guidance
Ultrasound-Guided Joint Care
Real-time imaging for shoulder, hip, knee, and soft-tissue injections
Osteopathic Manipulation (OMT)
Hands-on technique for restoring movement and easing pain
PRP & Regenerative Options
Platelet-rich plasma for tendons, joints, and select spine cases
Advanced Spine Interventions
Higher-complexity procedures when conservative care is not enough