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5-Star Chiropractic Collaboration | Spine Care PT Alamo TX
South Texas Accident & Injury
Physical Therapy

5-Star Chiropractic Collaboration | Spine Care PT Alamo TX

An evaluation of interprofessional co-management showing how shared care between DCs, PTs, and medical specialists optimizes complex trauma outcomes.

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South Texas Accident & Injury clinical team providing integrated physical therapy and chiropractic care in Alamo Texas
Physical Therapy • Jul 25, 2026 • 9 min
The Open Window Method: Chiropractic + Immediate PT
Spinal adjustments temporarily relieve joint compression and muscle guarding, but gravity quickly reverses this if core stabilizers remain weak. Immediate neuromuscular physical therapy trains the nervous system to actively hold the newly corrected alignment.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating radiating arm pain and cervical radiculopathy for a patient at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 06, 2026 • 11 min
Cervical Radiculopathy: Integrated Neck & Arm Care in Alamo, TX
Scapular knots and burning upper arm pain are frequently misdiagnosed as local muscular strain when they are actually neuroforaminal nerve root impingements at C5-C7. Rubbing the shoulder blade provides temporary relief because it ignores the inflamed cervical disc or osteophyte compressing the nerve. Complete recovery requires Cox® cervical decompression to open the intervertebral foramina paired immediately with progressive neural mobilization to restore nerve sliding without triggering motor deficits.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a patient for runner's knee and patellofemoral pain syndrome at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 09, 2026 • 11 min
Runner’s Knee & PFPS: Reaching Pinnacle Health Through Kinetic Load Care
Patellofemoral pain syndrome develops when abnormal femoral tracking creates focal cartilage friction behind the kneecap. Long-term correction requires addressing gluteus medius weakness and subtalar mechanics rather than passive rest.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT reviewing physical capacity loading and recovery protocols at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 12, 2026 • 11 min
Cold Plunges vs. Physical Capacity: The Injury & Accident Clinic Standard
Cold immersion induces vasoconstriction and dampens acute systemic inflammation, but it imparts zero mechanical stimulus to remodel injured tendons, rebuild lost motor unit recruitment, or increase spinal load capacity. Relying on cryotherapy alone creates temporary analgesic relief while leaving underlying structural deficits and tissue vulnerabilities completely uncorrected.