Manual Therapy in San Antonio

Joint mobilization, myofascial release and manual traction, delivered one-on-one by a Doctor of Physical Therapy who is looking for the cause, not just the sore spot.

Hands that know what they are feeling for.

Manual therapy is skilled hands-on treatment. Joint mobilization to restore glide at a segment that has stopped moving. Myofascial release for tissue that has thickened and quit sliding on the layer beneath it. Manual traction to take load off an irritated joint or nerve root. Every technique gets chosen off what the exam found that day.

Two of our three clinicians are Certified Orthopedic Manual Therapists through the Manual Therapy Institute. That training is the difference between rubbing a sore spot and knowing which joint is not moving and why. Hands-on work opens a window. What we do with you inside that window is what makes the change stick.

Two of our three clinicians are Certified Orthopedic Manual Therapists
Techniques picked off your exam findings, not a standard routine
One-on-one with your Doctor of Physical Therapy, start to finish
Always paired with loading, so the gain does not fade by Friday
A clinician guides a seated patient's arm through an overhead range-of-motion check while a hand rests on his shoulder to feel how the joint moves.

Built for stiffness, guarding, and joint pain that will not let go.

If it hurts to turn, reach or bend, and stretching only buys you an hour, the restriction is usually at the joint or in the tissue wrapped around it. That is what hands-on work is for.

Cervical and Lumbar Stiffness
Arthritis Pain
Frozen Shoulder
Facet Joint Pain
Post-Surgical Stiffness
Cervicogenic Headaches
Thoracic Hypomobility
Hip Mobility Restriction
Rib Dysfunction
Sacroiliac Joint Pain
Ankle Stiffness
Wrist and Elbow Pain

What a hands-on session actually looks like.

We Find The Restriction

Your therapist moves the joint and feels for where it stops, how it stops, and what that does to your symptoms. That is the map. Nothing gets treated before we know what is actually stiff.

We Treat It, Then Retest

Mobilization, soft tissue work or traction, applied to what the exam found. Then we retest the same movement so you feel the difference yourself instead of taking our word for it.

We Load It Before You Leave

New range you do not use is range you lose. Before the session ends you are moving through that motion under load, so your nervous system has a reason to keep it.

Motion back, guarding down, strength work finally possible.

When a joint moves the way it was built to move, the muscles around it stop bracing. Manual therapy is not the finish line. It is what makes the rest of the plan work.

Restored Joint Motion

Segments that had stopped gliding get their range back, so the movement you have been avoiding stops being the one that hurts.

Less Protective Guarding

Muscles that have been bracing around a stiff joint can let go once the joint underneath them is moving again.

A Window For Real Work

Hands-on treatment buys you a stretch of pain-free range. We spend it loading the tissue that failed, not lying on a table.

Better Movement Quality

With the mechanics restored, your body can recruit the right muscles in the right order instead of borrowing from somewhere else.

What our patients say.

"I started seeing Dr. Andrew a couple of years ago when I was having hip pain. He has helped me tremendously, not just with that, but with other issues that have come up."
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Schedule an Appointment

No referral needed. Texas direct access lets us treat you for up to 30 consecutive business days without one.

Your first visit is a full one-on-one evaluation with a Doctor of Physical Therapy. Tell us everything, let us get hands on the problem, and leave with a plan.

Prefer to call? (210) 890-2411