The Movement Doc of Texas
Knee Pain Treatment in New Braunfels, TX
Most knee pain is not a knee problem. It is a hip, an ankle, or a loading problem that the knee is absorbing — which is why treating only the knee so often fails.
- 90-minute first visit
- No referral to start
- Plan the same day
The knee is a hinge caught between two joints that rotate. When the hip does not control rotation well, or the ankle does not give you the dorsiflexion a squat or a stride needs, the knee ends up managing forces it was never built to manage. Treat the knee alone and the pain comes back as soon as you return to the activity that caused it.
What We See Most
The common patterns, and what each one behaves like.
Pain under or around the kneecap that builds through stairs, squats, and downhill running. Sharp pain at the outside of the knee that arrives at a predictable point in a run and stops when you stop. Pain at the front just below the kneecap that hurts at the start of a session and warms up. Deep, catching pain with twisting. Post-surgical knees that move fine but will not hold load.
These behave differently under testing, and that behaviour is what separates them — not where you point when someone asks where it hurts.
Frequently involved
- Patellofemoral pain and kneecap tracking
- Patellar and quadriceps tendon pain
- IT band-related lateral knee pain
- Meniscus irritation and degenerative change
- Post-ACL and post-meniscectomy rehab
- Knee osteoarthritis
The Assessment
What a 90-minute first visit actually covers
History that matters
When it started, what it responds to, and what you were doing more of in the weeks before. Most overuse knees have a training-load answer hiding in that last question.
Above and below
Hip rotation and abduction strength, ankle dorsiflexion, and how the knee behaves when those change. This is where the driver usually turns up.
Loaded testing
Squat, step-down, single-leg work, and the specific movement that hurts for you. Pain at rest tells us very little; pain under load tells us what to change.
Treatment
Settle it down, then build it back.
The early work is about getting the irritation down enough that you can load again — hands-on joint mobilization for the motion you are missing, dry needling where quadriceps or hip tone is limiting what you can do, and a load adjustment rather than complete rest.
The part that keeps it from coming back is strength, and that is where most knee rehab quits early. If the knee will not tolerate heavy loading yet — common after surgery, and with irritable tendons — blood flow restriction training lets you keep building while the tissue catches up.
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.
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
Do I need an MRI first?
Usually not. Imaging findings in knees are common in people with no pain at all, so a scan often adds a label without changing the plan. If your history and testing suggest something that would change management — a locking knee, a significant injury, pain that is not behaving like a loading problem — we say so and help you get the right referral.
Should I stop running or squatting completely?
Rarely. Complete rest settles pain and costs you the strength you will need to stay out of pain later. The usual answer is a change in volume, depth, surface, or tempo that keeps you training under the irritation threshold.
How long does knee pain take to resolve?
It depends heavily on what is driving it and how long it has been there. Recent, load-related pain often turns around within a few weeks. Tendon pain and post-surgical strength deficits are measured in months, because tissue adaptation takes that long regardless of what any clinic promises.
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.
Been working around it for a while?
Start with a free 15-minute consultation, or book the evaluation and get an answer the same day.