- Duration
- Acute Diagnostic Triage (Hours 0-72) | Active Rehabilitation (Weeks 2-8)
- Frequency
- Care combines doctor-guided Cox® Flexion-Distraction with immediate targeted physical therapy stabilization.
- Equipment
- Specialized Cox® Flexion-Distraction Table, Inclinometric Lumbar Target, Dermatomal Conduction Station, Core Balance Floor.
- 1.1. Neurological & Sciatic Nerve Root TriageWe test straight-leg raise mechanical limits, dermatomal numbness down the calf/foot, and myotomal weakness across Donna, Weslaco, and Alamo patients.
- 2.2. Disc Unloading ('Opening the Window')Dr. Paul Sta. Juana, DC applies hands-on Cox® Flexion-Distraction to drop intradiscal pressure (-192 mmHg) and widen the nerve canal outlet by 28%.
- 3.3. Immediate Targeted Physical TherapyWhile the disc is decompressed and nerve pressure is relieved, Liza Sta. Juana, PT leads 1-on-1 core stabilizer retraining and neuromuscular re-education.
- 4.4. Defense-Grade LOP DocumentationWe build connected, rationale-driven medical charts for personal injury attorneys under $0 out-of-pocket Letter of Protection liens.
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Struggling with Sciatica or a Bulging Disc in Donna, Weslaco, or Alamo?
Experience true united chiropractic and rehabilitation. Certified Cox® Decompression under $0 out-of-pocket Attorney LOP Liens in Alamo, TX.
Call (956) 591-8589 For Immediate IntakeEducational Disclaimer: This publication is for health education purposes only and does not constitute formal legal or medical advice. Motor vehicle collision recovery, integrated physical therapy, and Letter of Protection (LOP) legal agreements require direct clinical evaluation. If experiencing a medical emergency, call 911 immediately.
True United Chiropractic and Rehabilitation for Sciatica
When a herniated disc compresses your sciatic nerve, creating burning pain, tingling, or numbness that shoots down your thigh and into your foot, you need a facility that delivers united chiropractic and rehabilitation under one roof.
Many patients in Donna, Weslaco, and Alamo waste months shuffling between separate providers—getting an adjustment at one office and being referred elsewhere for physical therapy weeks later. This fragmented approach allows the herniated disc to re-collapse every time you walk out the door.
At South Texas Accident & Injury (located at 505 W Business Hwy 83 Ste 7 in Alamo, TX), we embody the unified standard of care. By co-managing every case with Chiropractic Physician Dr. Paul Sta. Juana, DC and Licensed Physical Therapist Liza Sta. Juana, PT in the same facility, we deliver seamless united chiropractic care that fixes the spinal source of your leg pain.
"That Pain Running Down Your Leg May Not Be a Leg Problem"
Sciatica is deceptive. You feel a burning pain in your calf, tightness in your hamstrings, or numbness in your toes—so your natural instinct is to stretch your leg or massage your glutes. But the leg is simply the warning signal interface; the actual mechanical fault is located in your lower lumbar spine.
"That pain running down your leg may not be a leg problem. We see this often with patients who stretch their hamstring, massage their glutes, take medication, and describe a burning sensation. The pain shows up in the leg, but the source is coming from the lumbar spine. When a nerve gets irritated, the message travels. Do not keep forcing stretches into an inflamed nerve."
Why Forcing Hamstring Stretches Makes Sciatica Worse
When a lumbar disc bulges, the gel-like nucleus presses directly against the L4, L5, or S1 nerve roots. Pulling into a deep forward bend or hamstring stretch puts severe mechanical tension on an already compressed, inflamed nerve:
- Tractioning Inflamed Tissue: Stretching the hamstring pulls the sciatic nerve taut, dragging it directly against the sharp edge of the herniated disc.
- Increased Intradiscal Pressure: Bending forward at the waist increases pressure inside the disc, pushing more gel outward into the spinal canal.
- Protective Muscle Guarding: In response to nerve traction, your deep spinal muscles contract tightly, increasing stiffness and lower back locking.
The Open Window Method: Decompression + Immediate Physical Therapy
At South Texas Accident & Injury, our united chiropractic and rehabilitation model solves disc herniations through The Open Window Method:
"Certified Cox® Flexion-Distraction decompression drops intradiscal pressure to -192 mmHg, pulling the disc gel away from the nerve and creating an 'open window.' Performing physical therapy immediately afterward retrains your transverse abdominis and deep core muscles to hold that decompression permanently."
CHIROPRACTIC DECOMPRESSION → OPENS MOVEMENT WINDOW → IMMEDIATE PHYSICAL THERAPY STABILIZATION
One Unified Clinic for Donna, Weslaco & Alamo
Whether your sciatica was triggered by lifting at work or a rear-end collision on Business 83, our facility delivers true united chiropractic and rehabilitation to protect your spine.
Chasing Isolated Leg Symptoms
- ✕ Forcing hamstring stretches on an inflamed sciatic nerve
- ✕ Adjusting the back without immediate core physical therapy
- ✕ Leaving medical charts open to insurance challenges
The Open Window Method
- ✓ Certified Cox® Decompression lowers intradiscal pressure
- ✓ Immediate 1-on-1 core stabilizer physical therapy
- ✓ Co-managed DC + PT care under $0 out-of-pocket LOP liens
Personal Injury Attorney Coordination: $0 Out-of-Pocket LOP Liens
If your sciatica or herniated disc was caused by a motor vehicle collision, we partner with personal injury attorneys representing accident victims across Donna, Weslaco, Alamo, and Hidalgo County. We accept cases under a **Letter of Protection (LOP)**:
- $0 Upfront Cost: Complete diagnostic evaluation, certified Cox® decompression, and physical therapy with zero out-of-pocket fees for your client.
- Defense-Grade Medical Records: Connected clinical charts that document exact functional capacity, dermatomal sensory changes, and clinical rationale.
- Direct Specialist Coordination: Seamless referral loops with regional neurologists, orthopedic spine surgeons, and MRI imaging centers.
Frequently Asked Questions
Where is your clinic located relative to Donna and Weslaco, TX?
Our facility is located at 505 W Business Hwy 83 Ste 7 in Alamo, TX 78516—a direct 5-to-8 minute drive West straight down Business Highway 83 or I-2 from Donna and Weslaco.
How do I know if my leg pain is Sciatica or a muscle strain?
Sciatica typically produces a sharp, burning, or electric-shock pain that travels down the back of your thigh, calf, or foot, often accompanied by numbness or tingling. A simple muscle strain causes localized soreness that stays confined to the leg muscle itself.
Why is physical therapy performed immediately after chiropractic decompression?
Timing is everything. Cox® Flexion-Distraction decompression opens space inside the spinal canal and relieves nerve pressure, creating an "open window." Performing physical therapy immediately afterward retrains your deep core muscles to maintain that decompression when standing or walking.




