Spinal Manipulation in San Antonio

A controlled, specific thrust at a spinal segment that has stopped moving, delivered by a Doctor of Physical Therapy and followed by the work that keeps it moving.

An adjustment is a tool, not a treatment plan.

Spinal manipulation is a high-velocity, low-amplitude thrust applied to one spinal segment at the end of its available range. The pop you hear is cavitation, gas coming out of solution inside the joint. It is not a bone going back into place, and the sound is not the point.

What the thrust actually does is neurological. It sends a burst of input from the joint and the tissue around it that turns pain down and drops the muscle guarding, which opens a window where you can move and load in ways you could not five minutes earlier. Physical therapists in Texas are trained and licensed to perform it, and two of our three clinicians are Certified Orthopedic Manual Therapists through the Manual Therapy Institute.

Screened first, thrust second, never the other way around
Two of our three clinicians are Certified Orthopedic Manual Therapists
Paired with strengthening, not booked as a standing adjustment
If you are not a candidate, we say so and use something else
A physical therapist places both hands on a standing patient's upper back to assess spinal segment mobility before treatment.

For a segment that is stuck, not for everyone with a sore back.

Manipulation is most useful when a specific level of your spine has lost its motion and the muscles around it have locked down to protect it. It is one option among several, and it is not right for every back or every person.

Acute Low Back Stiffness
Limited Rotation
Neck Stiffness
Facet Joint Pain
Rib Restriction
Cervicogenic Headaches
Thoracic Hypomobility
Mid-Back Tightness
Postural Stiffness
Sacroiliac Joint Pain
Sciatica Symptoms
Reduced Extension

What happens before, during and after the thrust.

We Screen You First

History, a neurological screen and segment-by-segment testing. Manipulation is not appropriate for every spine or every presentation, and finding that out is part of the evaluation, not an afterthought.

One Segment, One Thrust

You get positioned so the force lands where it is needed and nowhere else. The thrust itself is short and fast. Most people say it was less dramatic than they had braced for.

Move While The Window Is Open

The relief after a manipulation is real, and on its own it is temporary. We use that window straight away for range of motion and loading, so the segment learns to hold its own motion.

Motion back, guarding down, and a reason it stays.

Manipulation earns its place when it makes the rest of the session possible. If it is not doing that, we change the plan rather than repeat the adjustment.

Immediate Motion Change

A segment that would not rotate or extend usually moves further right after the thrust, and you feel it before you get off the table.

Less Muscle Guarding

The reflex bracing around a painful segment drops off, which is why breathing and turning tend to get easier straight away.

A Window To Work In

Lower pain and better range for a stretch of time. We spend it on the exercise that changes the problem instead of sending you home on it.

Not A Standing Appointment

Because the adjustment is paired with strengthening, the aim is a spine that maintains its own motion instead of needing you back every week.

What our patients say.

"After dealing with severe lower back pain and reduced mobility for over a month, I went to The Complete Athlete Performance Therapy, and it was one of the best decisions I could have made."
Luis R. · Google Review

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. We screen you properly, and you will get a straight answer on whether manipulation belongs in your plan.

Prefer to call? (210) 890-2411