5 Underrated Physiotherapy Clinics in Downtown, Roanoke VA Worth Trying
Updated 11 October 2026 · 19 physiotherapy clinics in Downtown, Roanoke VA considered · Ranked from Google ratings
This list covers physiotherapy and rehab clinics in and around Downtown Roanoke, VA. It highlights lesser-known practices rated 4.4 or higher on Google with fewer than 400 reviews. Of the 19 qualifying businesses considered, these five are ordered by Google rating, weighted by how many people left a review. Several listings are chiropractic or sports-focused practices, and the category on each entry shows which. Each blurb draws only on that business's listed hours, address, accessibility details and review excerpts. Check the hours before booking, since they vary by location.
#1
Highland Spine + Sport
★ 5 (137 Google reviews)Chiropractor
Representative photo, not of this business.
Highland Spine + Sport is a chiropractic practice at 2705 Brambleton Ave SW in Roanoke, rated 5 from 137 reviews. The office is open Monday to Friday, 8 am to 5 pm, and closed on weekends. Reviewers say each visit combines hands-on work with exercises assigned for home, and describe measurable gains in mobility. One patient says sciatica pain resolved after the team explained the underlying causes. A short-term visitor was seen several times before leaving the area. Appointments are required, and card and mobile payments are listed.
Best for: Sports and mobility chiropractic care
- Address
- 2705 Brambleton Ave SW, Roanoke, VA 24015, United States
- Hours
- Fri 8 am–5 pm; Mon 8 am–5 pm; Sat Closed; Sun Closed; Thu 8 am–5 pm; Tue 8 am–5 pm; Wed 8 am–5 pm
#2
Lucas Therapies
★ 5 (102 Google reviews)Physiotherapy Center
Representative photo, not of this business.
Lucas Therapies, at 7226 B Williamson Rd in Roanoke, is a physiotherapy center rated 5 from 102 reviews. It is open Monday to Friday, with weekday hours between about 7 am and 5 pm, and closed on weekends. Reviewers mention care after a stable compression fracture, with home exercises to continue between sessions. Others describe therapists as professional and efficient, and say the sessions led to visible improvement. One reviewer says the therapists were encouraging in a firm but gentle way. Appointments are required, and wheelchair-accessible seating is listed.
Best for: Recovery with home exercise plans
- Address
- 7226 B Williamson Rd, Roanoke, VA 24019, United States
- Hours
- Fri 7 am–5 pm; Mon 7 am–5 pm; Sat Closed; Sun Closed; Thu 7:30 am–5 pm; Tue 7:30 am–5 pm; Wed 7 am–5 pm
#3
Lucas Therapies
★ 5 (101 Google reviews)Physiotherapy Center
Representative photo, not of this business.
This Lucas Therapies location, at 3960 Valley Gateway Blvd in Roanoke, is rated 5 from 101 reviews. Hours are on weekdays only, from about 7 am to 5 pm, and it is closed on weekends. Reviewers mention recovery after a hip replacement, with a full evaluation at the start and end of care. Others say the therapists adapt treatment to changing needs and build a home exercise plan. One reviewer mentions massage and additional treatments that were appreciated. The entrance, car park, seating and toilet are listed as wheelchair accessible.
Best for: Hip and knee rehab with massage
- Address
- 3960 Valley Gateway Blvd Ste A-3, Roanoke, VA 24012, United States
- Hours
- Fri 7 am–5 pm; Mon 7 am–5 pm; Sat Closed; Sun Closed; Thu 7:30 am–5 pm; Tue 7:30 am–5 pm; Wed 7 am–5 pm
#4
Spine & Orthopedic Rehab
★ 5 (60 Google reviews)Physiotherapy Center
Representative photo, not of this business.
Spine & Orthopedic Rehab, at 2155 Electric Rd in Roanoke, is a physiotherapy center rated 5 from 60 reviews. It is open Monday, Wednesday and Friday from 9 am to 1 pm, and closed on the other days. Reviewers mention a clinician who works as a physical therapist, chiropractor and acupuncturist, and who gives stretching and strengthening programs. One patient says back pain that had affected sleep for years eased with consistent exercises. Another describes neck and shoulder pain that was traced to its cause. Appointments are required.
Best for: Neck and back pain rehab
- Address
- 2155 Electric Rd, Roanoke, VA 24018, United States
- Hours
- Fri 9 am–1 pm; Mon 9 am–1 pm; Sat Closed; Sun Closed; Thu Closed; Tue Closed; Wed 9 am–1 pm
#5
Redefine Physical Therapy
★ 5 (54 Google reviews)Physiotherapy Center
Representative photo, not of this business.
Redefine Physical Therapy is a physiotherapy center at 1948 Franklin Rd SW in Roanoke, rated 5 from 54 reviews. Hours vary by day, with Thursday open until 7 pm, and the office is closed on weekends. Reviewers describe customized fitness plans that combine gym training with physical therapy. One runner says the team corrected form in walking and running and worked well with other doctors. Another patient says the coaching helped them rebuild after a period of injury and low energy. Reviewers mention a focus on the whole person. Wheelchair access is listed.
Best for: Custom fitness and running rehab
- Address
- 1948 Franklin Rd SW, Roanoke, VA 24014, United States
- Hours
- Fri 9 am–4 pm; Mon 12–5 pm; Sat Closed; Sun Closed; Thu 8 am–7 pm; Tue 8 am–5 pm; Wed 10:30 am–5 pm
How we made this list
We looked at 19 physiotherapy clinics in Downtown, Roanoke VA with a Google rating of 4.0 or higher and at least 20 reviews, then rated 4.4 or higher on Google but with fewer than 400 reviews. A rating from thousands of reviews counts for more than the same rating from a handful, so a new place with a few perfect scores does not jump the queue. Ratings and hours are from public Google listings on 11 October 2026 and can change. Nobody paid to be on this list.
Tips before you go
- For an early start, Lucas Therapies opens at 7 am.
- Hours and prices come from Google listings and change, so check the listing before a long trip.
Frequently asked questions
Which is the highest-rated physiotherapy clinic on this list?
Highland Spine + Sport ranks first, with a Google rating of 5 from 137 reviews. Lucas Therapies is second at 5 from 102 reviews.
Which physiotherapy clinics in Downtown, Roanoke VA are open late?
None of these stays open past midnight. The latest to close is Redefine Physical Therapy, at 7 pm.
Which of these have free parking?
Google lists free parking for Highland Spine + Sport and Lucas Therapies.
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