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Reach Pinnacle Health | Rotator Cuff PT Alamo TX
South Texas Accident & Injury
Physical Therapy

Reach Pinnacle Health | Rotator Cuff PT Alamo TX

Explaining subacromial impingement mechanics and why eccentric tendon loading outperforms passive rest for rotator cuff tendinopathy.

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Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a San Juan TX patient for outside knee pain and ITB Syndrome at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 09, 2026 • 11 min
San Juan Knee Care: Integrated ITB Syndrome & Physical Therapy
Lateral knee friction in ITB syndrome occurs when the iliotibial band compresses highly vascularized fat pad tissue against the lateral femoral epicondyle during foot strike. Foam rolling dense fibrous fascia cannot stretch the band—resolving lateral knee pain requires correcting proximal gluteus medius weakness and pelvic drop during single-leg stance.
South Texas Accident & Injury team celebrating their Grand Opening in Alamo Texas
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Building South Texas Accident & Injury in Alamo is a true homecoming. From PSJA schools and UTRGV to our Alamo Chamber Ribbon Cutting, RGV Women's Chamber events, and South Texas Markets, we are proud to anchor our headquarters in the heart of the Valley.
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.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating foot mechanics, plantar fasciitis, and tarsal tunnel nerve signs at South Texas Accident & Injury in Alamo TX
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Plantar Fasciitis & Foot Pain: Integrated Foot & Ankle Care in Alamo, TX
Sharp morning heel pain stems from repetitive plantar aponeurosis micro-tearing at the calcaneal insertion, whereas forefoot tingling indicates intermetatarsal neuroma or tibial nerve entrapment within the tarsal tunnel. Custom orthotics only cushion impact—lasting recovery requires subtalar joint mobilization to restore rearfoot motion paired with active foot intrinsic strengthening.