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Pharr Family Chiropractic Care | Burnout & Rehab Alamo
South Texas Accident & Injury
Physical Therapy

Pharr Family Chiropractic Care | Burnout & Rehab Alamo

An evaluation of allostatic load and autonomic nerve sensitization, demonstrating how sleep debt and systemic stress amplify spinal pain and why structural realigning requires total load budgeting.

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Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT conducting a functional capacity assessment alongside MRI review at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 16, 2026 • 12 min
Normal Scans vs. Real Function: Beyond MRI Results in Alamo & San Antonio
Being told 'your scan is completely normal' while you still cannot lift a laundry basket, climb stairs, or sit through a work shift is one of the most frustrating breakdowns in modern healthcare. An MRI or X-ray answers what a structure looks like, but it cannot measure how a joint moves under load, how a nerve tolerates tension, or how much force a muscle produces. Advanced South Texas accident and rehabilitation care pairs structural imaging with objective functional capacity checks (including PROMIS Physical Function scoring and dynamic range-of-motion mapping) to bridge the gap between normal scans and real-world recovery across Alamo, the RGV, and the South Texas San Antonio corridor.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a San Juan TX patient for a hip labral tear and joint catching at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 09, 2026 • 11 min
San Juan Hip Care: Integrated Labral Tear & Catching Hip Protocol
Groin pain and deep acetabular catching during hip flexion indicate acetabular labral irritation or femoroacetabular impingement (FAI). Axis-aligned femoral head distraction reduces joint pinching, creating room for gluteal recruitment and hip capsule stabilization.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a patient for Thoracic Outlet Syndrome and arm heaviness at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 09, 2026 • 11 min
Thoracic Outlet Syndrome (TOS): Enter the Alignment Zone for Arm Heaviness
Overhead arm heaviness and driving hand numbness occur when the neurovascular bundle is compressed between the first rib, collarbone, and scalene muscles. Decompressing the thoracic outlet restores brachial plexus nerve gliding and vascular flow.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating hip joint pathology, acetabular impingement, and SI joint dysfunction at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 08, 2026 • 11 min
Hip Pain & SI Dysfunction: Integrated Hip & Pelvic Care in Alamo, TX
Sacroiliac joint asymmetry creates shearing forces across the posterior pelvis, whereas true intra-articular hip impingement produces a sharp anterior groin pinch during deep flexion. Treating SI shear with generic hip stretching inflames hypermobile ligaments; relief demands precise pelvic realigning followed by deep posterior glute activation.