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Functional PI Documentation | Khit Chiropractic & Wellness Alamo
South Texas Accident & Injury
Personal Injury

Functional PI Documentation | Khit Chiropractic & Wellness Alamo

Subjective 1-to-10 pain scales miss actual physical impairment. Objective functional capacity testing and goniometric range-of-motion verification quantify real crash impact injuries.

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Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a patient for rib dysfunction and costovertebral joint pain at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 09, 2026 • 11 min
Rib Pain & Costovertebral Care: Entering the Alignment Zone
Sharp upper back pain during deep inhalation or torso rotation stems from a restricted costovertebral joint. Mobilizing the rib head restores normal respiratory excursion and calms protective intercostal muscle spasms.
Dr. Paul Sta. Juana, DC performing certified Cox Flexion-Distraction Decompression at South Texas Accident & Injury in Alamo Texas
Personal Injury • Aug 25, 2026 • 10 min
Mid-Valley's Exclusive Cox® Decompression & Personal Injury Center in Alamo, TX
The Mid-Valley's only certified Cox® Flexion-Distraction Decompression & Physical Therapy clinic in Alamo, TX. Combining dual-data clinical profiling, vocational load tracking, and accepted $0 out-of-pocket LOP attorney liens.
Liza Sta. Juana, PT and Dr. Paul Sta. Juana, DC coaching a 1-on-1 progressive physical therapy plan at South Texas Accident & Injury in Alamo TX near Business 83
Physical Therapy • Sep 12, 2026 • 11 min
Generic Exercise Sheets vs. Real Rehab Plans: The Alamo Standard
Handing a patient a static paper exercise sheet ignores movement compensations, uncorrected joint torque, and poor motor unit recruitment. True physical rehabilitation requires real-time biomechanical coaching, precise force loading progression, and joint unloading to retrain dynamic spinal stability under load.
Dr. Paul Sta. Juana, DC mapping a 72-hour post-accident timeline for a Donna TX crash victim at South Texas Accident & Injury
Personal Injury • Sep 02, 2026 • 11 min
Donna Car Accident Care: Delayed Symptom Latency & 72-Hour Timeline Mapping
Adrenaline surges and acute sympathetic activation immediately post-collision mask underlying joint capsule micro-tears and ligamentous sprains. As catecholamine levels drop over 24 to 72 hours, secondary inflammatory cascades release histamine and bradykinin, producing delayed muscle spasms, suboccipital tension, and radicular pain. For Donna commuters and Mid-Valley drivers, early objective 72-hour timeline mapping correlates delayed symptom onset directly with collision biomechanics, establishing defense-grade documentation under $0 LOP liens.