Joint Replacement Therapy in San Antonio

One-on-one physical therapy in San Antonio after hip and knee replacement, restoring range of motion, quadriceps and gluteal strength, and a normal walking pattern.

The new joint is the easy part. Rehab decides how it feels.

A replacement changes the surface of the joint. It does not change the muscles around it, and those muscles have usually spent years learning to avoid the exact movements you now need back. That is the work. The window for some of it, knee extension above all, does not stay open indefinitely.

Your therapist coordinates with your surgeon’s protocol and precautions, then treats you one-on-one through every phase. The Pilates studio is what makes this look different here: reformer and tower springs let us load the operated leg while you are lying down, at a resistance we can dial to exactly what the joint will accept, weeks before standing on it would be reasonable.

Coordinated with your surgeon’s protocol and precautions
Range of motion pursued early, knee extension first
Reformer springs load the leg before standing can
Your walk retrained, so the limp does not outlast the surgery
Pyramid Physical Therapy & Pilates clinician working with a patient in San Antonio, TX

Built around hip and knee replacement recovery.

Most people on this page have had a hip or a knee done. The same phased approach applies to a shoulder replacement, and to the second joint when its turn comes.

Total Knee Replacement
Total Hip Replacement
Partial Knee Replacement
Hip Resurfacing
Anterior Hip Approach
Posterior Hip Approach
Shoulder Replacement
Stiffness After a Knee Replacement
A Limp That Has Not Gone
Swelling That Will Not Settle
Weakness in the Operated Leg
A Second Joint Coming Up

From the first weeks to the last mile.

Protect, Then Move

Early on the priorities are swelling, range and safe weight bearing inside your surgeon’s precautions. We start scar mobility as soon as the incision allows, and make sure the walker or crutches are the right height and being used properly.

Wake the Muscle Back Up

The quadriceps and gluteals switch off after surgery and do not come back on their own. Reformer springs give us graded, controlled resistance for them lying down, then we take it upright: sit to stand, step ups, weight shifted honestly onto the new joint.

Walk, Climb, Return

The last phase is the one most people never get. An even walk without an aid, stairs one foot per step in both directions, and whatever it was you agreed to the surgery in order to do again.

A joint you stop thinking about.

The real measure is not the range recorded at your surgical follow-up. It is whether you notice the joint on an ordinary Tuesday.

Range You Do Not Fight For

Bending and straightening that turn up on their own instead of needing a warm-up every morning.

Weight Through Both Legs

The operated side takes its share, which is what stops the other hip and knee paying for it a few years later.

Stairs Without the Rail

Up and down one foot per step, in your own house and out where the handrails are unreliable.

The Reason You Had It Done

Walking the dog, the garden, a round of golf, the flight of stairs at your daughter’s place.

Three surgeries, one clinic.

“Pyramid Physical Therapy has been so beneficial to me! Hate to say, but in the last 2 yrs, I have had 3 surgeries. The therapists there have seen me through rehab for all!”
Bobbi B. · Post-Surgical Rehab

Start the part that decides the outcome.

Bring your operative report and any precautions your surgeon gave you. If the surgery has not happened yet, come in beforehand and go into it stronger.

In-network carriers here include Aetna, Blue Cross Blue Shield, Humana, Medicare Part B, Tricare and United Healthcare. No referral is required to start, and we aim to get you in within 48 business hours.

Prefer to call? (210) 616-0629