The Movement Doc of Texas
Foot & Ankle Pain Treatment in New Braunfels, TX
Heel pain on the first steps out of bed, an ankle that keeps rolling, an Achilles that complains every run. Foot and ankle problems are common, and most respond well to the right loading.
- 90-minute first visit
- No referral to start
- Plan the same day
Your feet and ankles take every step, jump and landing, and they adapt to load slowly. Most foot and ankle pain appears after a change: more running, new shoes, a new sport, longer hours standing at work. Finding that change, and rebuilding the capacity to handle it, is what gets you back on your feet for good.
What We See Most
The common patterns, and what each one behaves like.
Sharp heel pain with the first steps in the morning that eases as you warm up. Pain and stiffness at the back of the ankle that is worst at the start of a run. An ankle that has been sprained more than once and never quite feels stable. Pain across the top of the foot or at the ball of the foot with running or jumping. Stiffness after an ankle fracture or surgery.
Tendon pain, joint stiffness and a bone stress reaction can feel alike early on, and they are managed very differently, so we test before we treat.
Frequently involved
- Plantar heel pain (plantar fasciitis)
- Achilles tendon pain
- Ankle sprains and an ankle that keeps giving way
- Posterior tibial and peroneal tendon pain
- Rehab after ankle fracture or surgery
- Running and jumping-related foot pain
The Assessment
What a 90-minute first visit actually covers
History that matters
What changed in the weeks before it started: training volume, footwear, surface, work hours. The answer is almost always in there.
Balance and control
Single-leg balance and hopping control, which often stay reduced for months after an ankle sprain, even when the ankle feels normal walking around.
Movement testing
Ankle mobility, how the foot and knee move when you squat and land, and where it matters, a running gait analysis on video.
Hands-on the same day
Soft tissue work through the calf and the sole of the foot, and joint mobilization where a stiff ankle is limiting motion. You get treated at the first visit, not booked in for it.
A program you leave with
A loading plan for the calf and foot, guidance on footwear and training volume, and a clear picture of what you can keep doing while it settles.
Treatment
Settle it down, then rebuild the capacity.
Early treatment reduces irritation while you keep moving: joint mobilization for an ankle that stiffened after a sprain or fracture, dry needling for calf tension that is limiting motion, and short-term changes to training volume and footwear rather than complete rest.
Heel, Achilles and ankle problems are resolved with progressive loading, and that takes more than a resistance band. With a full training facility, calf and foot strength are loaded properly in the clinic. Blood flow restriction training keeps strength building when a tendon will not tolerate heavy loads yet, and optional VALD testing shows when hop and landing strength are back where they should be before you return to sport.
Getting started
A 90-minute evaluation is $185. You leave with a plan the same day, not a follow-up appointment to hear the results.
Optional add-on: lower body VALD testing measures calf and ankle strength, hop and landing forces, left against right, for a separate $200 fee. It is not part of the evaluation. It is most useful for runners and anyone heading back to sport.
In-network with Blue Cross Blue Shield, out-of-network with superbills for other plans, HSA and FSA accepted. Details on the pricing page.
FAQs
Common questions
Will I need orthotics or special shoes?
Sometimes a change in footwear or a temporary insert helps settle symptoms, but most people do not need custom orthotics long term. Strength and load management usually do more, and we explain when a footwear change is worth making.
How long does plantar fasciitis take to go away?
Heel pain often improves over several weeks to a few months with the right loading and changes to daily activity, and longer-standing cases take more patience. A clear plan with measurable targets makes that time much less frustrating.
I have sprained my ankle several times. Can physical therapy help?
Yes. Repeated sprains are usually linked to balance, strength and control that were never fully restored after the first injury. Those can be tested and trained, and addressing them lowers the risk of the next sprain.
Do you take my insurance?
We are in-network with Blue Cross Blue Shield. For all other insurers we are out-of-network: you pay at the time of service and we provide a CMS-1500 superbill to submit for possible reimbursement. HSA and FSA cards are accepted.
Do I need a referral for physical therapy in Texas?
Not to get started. Texas Direct Access lets you begin physical therapy without a physician referral for the first month of care. After that month a referral is required to continue, and we coordinate with your provider to get one.
Ready to get back on your feet?
Start with a free 15-minute consultation, or book the evaluation and get an answer the same day.
“Alisha helped me get back to running and lifting weights without pain after an old ankle injury resurfaced. The hands on care helped relieve my pain and the exercises she gave me were challenging and fun.”
— Jessica H., Google review
- Doctors of Physical Therapy
- Board-certified orthopedic specialists
- Fellowship-trained in manual therapy
- $185 evaluation · every price published