Pilates-Based Physical Therapy in San Antonio

Physical therapy in San Antonio, TX delivered on Pilates equipment. Reformer and tower work used as rehab for spine, hip, shoulder and post-surgical recovery, billed through your insurance.

Rehab that happens on a reformer.

Pilates-based physical therapy is physical therapy. The difference is the equipment and the principles: your plan of care runs on the reformer and the tower instead of a mat and a set of bands, and it is billed through your insurance like any other visit.

Dr. Cynthia Mendez, PT, DPT, OCS certified as a Pilates instructor in 2008 through Body Arts and Science International, after two years of watching what happened when Pilates and physical therapy were used together. Spring resistance lets us load a joint without asking it to carry your bodyweight, so control can start being built long before a squat would be tolerable.

An episode of care, not a fitness class
Reformer and tower work in our Pilates studio
Spring tension scaled to what your joint accepts today
Billed to your insurance like any physical therapy visit
Pyramid Physical Therapy & Pilates clinician working with a patient in San Antonio, TX

Best when control has to come before load.

If standing exercise flares you up, or if strength keeps slipping away after every flare, spring resistance gives us somewhere to work that a mat and a resistance band cannot reach.

Low Back Pain & Sciatica
Neck Pain
Scoliosis
Hip & Knee Pain
Shoulder Pain
Weak Trunk Control
Post-Surgical Recovery
Joint Replacement Recovery
Chronic Pain
Arthritis
Postural Strain
Deconditioning

The equipment does not change the process.

Movement Evaluation

Your licensed physical therapist evaluates how you move before you go near a piece of equipment. What we find decides whether the reformer, the tower or the floor is the right place to start.

Scaled Equipment Work

Springs are set for you and changed as you change. Nobody is asked to keep up with a room. If you have never touched a reformer before, that is the normal starting point here.

Carryover Into Real Life

Control built on the equipment gets tested standing, walking and lifting, then written into a home program so it survives past your last visit.

Strength you keep after the pain leaves.

This is the part most rehab skips. Pain settles, discharge happens, and nothing was ever built to stop it coming back.

Deep Core Control

Trunk support that switches on before you move, which is what actually protects a spine during a real day.

Load Without the Flare-Up

Spring resistance lets us build strength at an intensity the joint can accept right now, not in six weeks.

Posture That Holds Under Fatigue

Alignment that survives hour eight of a workday, not just the moments you are thinking about it.

A Bridge Into Ongoing Pilates

When your episode of care ends, the same principles carry straight into studio Pilates if you want to keep going.

Request Your Visit

This is physical therapy, so it runs through your insurance. We are in-network with Aetna, Blue Cross Blue Shield, Humana, Medicare Part B, Tricare and United Healthcare, and Texas direct access means you can start without a referral.

Tell us what is going on. We will call back to confirm a time and check your benefits before you arrive, and we get most people in within 48 business hours.

Prefer to call? (210) 616-0629