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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 reviewing defense-grade personal injury documentation at a true chiropractic & wellness center in Alamo TX
Personal Injury • Sep 11, 2026 • 11 min
The True Chiropractic & Wellness Center Standard: Clinical Documentation
Defense-grade personal injury documentation requires quantifying functional deficits, tracking daily dynamic range-of-motion changes, and objective orthopedic testing. Vague SOAP notes fail under insurance adjuster scrutiny, whereas detailed biomechanical records prove injury causation and medical necessity.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating radiating arm pain and cervical radiculopathy for a patient at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 06, 2026 • 11 min
Cervical Radiculopathy: Integrated Neck & Arm Care in Alamo, TX
Scapular knots and burning upper arm pain are frequently misdiagnosed as local muscular strain when they are actually neuroforaminal nerve root impingements at C5-C7. Rubbing the shoulder blade provides temporary relief because it ignores the inflamed cervical disc or osteophyte compressing the nerve. Complete recovery requires Cox® cervical decompression to open the intervertebral foramina paired immediately with progressive neural mobilization to restore nerve sliding without triggering motor deficits.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a patient for lumbar facet syndrome and low back pain at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 09, 2026 • 11 min
Lumbar Facet Care: Why You Need More Than Just a Quick Pop
Lumbar facet arthropathy occurs when extension forces overload the posterior Z-joints, causing localized lower back pain that worsens during prolonged standing. Joint mobilization relieves immediate compression, but durable correction demands anterior pelvic tilt reduction and deep core bracing.
Dr. Paul Sta. Juana, DC and Liza Sta. Juana, PT evaluating a patient for quadriceps tightness and rectus femoris pain at South Texas Accident & Injury in Alamo TX
Physical Therapy • Sep 09, 2026 • 11 min
Quadriceps Tightness: Why Stretching Makes Front-Thigh Pain Worse
Persistent front-thigh tightness often stems from protective neurological muscle guarding or anterior pelvic tilting rather than short rectus femoris fibers. Aggressive stretching pulls on an irritated femoral nerve, increasing muscle tension instead of relaxing it.