Physical Therapy

Texas Institute of Orthopedics and Sport Medicine has on-site Physical Therapy. Our Physical Therapists are highly skilled and trained to help patients recover from injuries, conditions and surgeries and work closely with our Orthopedic Surgeons to return patients to their active lifestyles.

Patients will be connected with a physical therapist who has advanced training in many techniques — the most well-respected therapy methods in the country. The therapists at TiOS have skills and techniques that are specifically oriented at relieving pain and symptoms.

General therapy vs. specialized therapy

The only way to permanently relieve pain involves changing the physiology of the injuried area by using exercise to make it stronger, more flexible and resistant to injury. While a general physical therapist may spend weeks attempting to mask pain using heat, ice or ultrasound, research has shown that using these passive “feel-good” treatments does not provide any lasting benefit. That is why most health insurance companies no longer pay for feel-good, passive treatments involving heat or ice. They believe you can do this on your own at home.

Physical therapists often sees a wide variety of patients each day who suffer problems related to sore elbows, knees or shoulders. While general physical therapists are very strong with many sports medicine ailments, they typically have a very limited understanding of the best ways to treat specific types of problems. At best, they may have taken a couple courses on therapy for a particular injury. Orthopedic care can be complex, and it requires extensive training to address the variety of problems.

A specialized therapist’s primary goal is to enable the patient to perform a customized home exercise program as early as their first visit. The therapist’s second goal is to make the patient independent of therapy within a short period of time.

What does this mean for you?

Instead of receiving a general treatment approach, at TiOS, your therapist specializes in treating your particular condition. These therapists have advanced, hands-on skills that can help relieve your pain and get your injured muscles, tissues and spinal structures moving again. Instead of a single school of thought, patients can access specialists with a variety of skills who can match the best treatments to your particular problem.

Manual therapy

Manual therapy relates to the use of a therapist’s hands to achieve pain relief. By using specific techniques, the therapist can relieve pain through hands-on movements applied to joints and soft tissue areas. This is achieved not passively, with a modality such as ice or heat, but through actively moving the joints and tissues. Spine-specialized therapy can involve techniques taught by schools including McKenzie, Paris, Ola Grimsby, Cyriax and the Maitland therapy school in Australia.

A manual therapist’s background typically begins with physical therapy training, followed by advanced education in specialties that sets them apart from general physical therapists. This specialized education can be within a host of manual therapy philosophies, each involving unique pain-relieving techniques that help patients return to function as quickly as possible. Regardless of the particular school of thought, the best spine therapists avoid the use of passive modalities, which do not provide permanent relief. 


  • Range of Motion
  • Edema Control
  • Joint Mobilization
  • Manual Therapy
  • Graston™ Technique
  • Neuromuscular Re-education
  • Scar Management
  • Wound Care

Exercise Programs

  • General Musculoskeletal Rehabilitation
  • Gait Training
  • Strengthening and Conditioning
  • Home Exercise
  • Posture and Body Mechanics Training
  • Pre-operative Exercises
  • Sports Medicine

Treatment Modalities

  • Ultrasound
  • Cervical and Lumbar Traction
  • Electrical Stimulation
  • Strengthening