NEXT Physio & Training, PLLC was founded in 2023 to help people prepare physically for the next step in their lives. Built on a passion for both rehabilitation and performance, NEXT exists to provide everyone - from elite athletes to those new to training - with the knowledge, tools, and support to move confidently, safely, and effectively.

We intentionally use the term “Physio” in our name to reflect a holistic approach to movement and wellness. While “physical therapy” often focuses primarily on injury recovery, physiotherapy encompasses both rehabilitation and proactive performance training. This perspective allows us to not only help clients recover from injuries but also to prevent future injuries, optimize athletic performance, and improve overall physical function.

At NEXT, our goal is to bridge the gap between rehabilitation and performance. We believe that everyone deserves access to high-quality, evidence-based care and training - whether your goal is to return to sport after an injury, enhance athletic performance, or simply feel stronger and more capable in everyday life.

Meet Preston

Preston Droessler, PT, DPT, CSCS, USAW-1 is the owner of NEXT Physio & Training. He is a licensed physical therapist at B|WELL Company and serves as the director of 4A Performance in Brookings, SD. His specialties include orthopedics, sports medicine, performance training, and dry needling (certified through AAMT).

Preston grew up in southwest Wisconsin with a strong background in athletics. He went on to play collegiate football at NCAA Division II Northern State University, where he earned a degree in Human Performance and a minor in Psychology. He later received his Doctorate of Physical Therapy from the University of Montana, where he discovered his passion for exercise programming and its role in both injury prevention and recovery.

Throughout his career, Preston has worked with hundreds of athletes, from elementary students to professionals, as well as retired and recreational athletes. His experience in both rehabilitation and performance has helped him bridge the gap between injury and peak performance.

In a fitness world full of expensive programs and conflicting advice, and a healthcare industry geared more towards profits than improvement, Preston knows how overwhelming it can be to find the right path forward. That’s why he founded NEXT Physio & Training - to create a space where people could access affordable, trustworthy, and effective care rooted in both science and experience.

Whether you’re recovering from an injury, preparing for competition, or simply trying to feel better in everyday life, Preston’s mission is to help you be ready for what’s NEXT.

What is NEXT?

Preston is now accepting patients for in-person, cash-based physical therapy and dry needling sessions. Whether you are located in Sioux Falls or Brookings, SD, or prefer care virtually, appointments can be easily scheduled using the links below.

Interested in being treated by Preston?

  • Doctor of Physical Therapy

    • University of Montana

    • Member of American Physical Therapy Association

  • Certified Strength & Conditioning Specialist

    • National Strength & Conditioning Association (NSCA)

    • Member of NSCA

  • Level 1 USA Weightlifting Coach

    • USA Weightlifting

    • SafeSport Certified

  • Level 1 & 2 Dry Needling

    • American Academy of Manipulative Therapy

  • Clinical Athlete Provider

    • First & only CA Provider in the state of SD!

Preston’s Certifications & Credentials