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How Your Spine Works | Bracing & Rehabilitation PT Alamo
South Texas Accident & Injury
Physical Therapy

How Your Spine Works | Bracing & Rehabilitation PT Alamo

A biomechanical breakdown of brace dependency, stabilizer muscle atrophy, and how progressive physical therapy weaning restores internal joint control.

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Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a patient for lumbar disc herniation and sciatica at South Texas Accident & Injury in Alamo TX
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Sciatica & Disc Care: The United Chiropractic and Rehabilitation Standard
Radiating sciatic pain stems from L4-S1 nerve root compression caused by bulging or extruded lumbar discs. Forward flexion stretches pull the nerve across the extrusion, whereas Cox® Flexion-Distraction lowers intradiscal pressure to pull disc material away from the nerve canal.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a patient for rotator cuff tendinopathy and shoulder impingement at South Texas Accident & Injury in Alamo TX
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Subacromial tendon impingement thickens the supraspinatus tendon, narrowing joint clearance during overhead reach. Prolonged rest degrades tendon tensile strength—recovery requires restoring scapulothoracic tracking followed by progressive eccentric loading.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT reviewing total load recovery budgets at South Texas Accident & Injury in Alamo TX
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Burnout Physiology: The Pharr Family Chiropractic Standard for Total Load
Chronic stress, sleep fragmentation, and systemic fatigue drive autonomic sympathetic dominance, significantly lowering central pain thresholds. When allostatic load exceeds recovery capacity, normal spinal joint movement gets reinterpreted by the brain as structural threat. True recovery requires joint mobilization to reset tone paired with systemic load budgeting and active neuromuscular reconditioning.
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
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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.