Back Pain Physical Therapy in San Antonio, TX
NO BACK PAIN. NO EXCUSES.
This isn't a stretch-and-go appointment. Back pain care at Puckett PT is directed by your Doctor of Physical Therapy from your first evaluation through full return to activity, built around a real movement screen instead of a generic handout. The goal isn't just quieting the pain. It's finding what's actually driving it and fixing that.

What Happens When Low Back Pain Gets Managed, Not Actually Fixed
You Rest It, But It Keeps Coming Back
Ice, rest, and over-the-counter pain relievers can quiet a flare-up, but they don't address why your back keeps tightening up in the first place. Without a plan that targets the movement pattern behind it, the same pain returns the next time you lift, swing, or sit too long.
Your Core Work Isn't Targeting the Real Problem
Generic core exercises pulled from an app or a trainer aren't built around your specific movement compensations. Without a proper movement screen, you can strengthen the wrong muscles entirely and never resolve the mechanical issue driving your pain.
You're Afraid to Lift, Swing, or Run Full Speed
Even after the sharp pain fades, many athletes stay guarded, avoiding heavy lifts, full-speed sprints, or a full golf swing out of fear it will flare again. Without progressive, PT-directed loading, that hesitation can stick around long after the injury should have healed.
The Puckett PT Approach to Back Pain
Puckett PT starts by identifying the movement pattern behind your back pain, not just the location of the pain itself. Manual therapy, dry needling, and a detailed movement screen confirm what's actually driving your symptoms, all directed by your Doctor of Physical Therapy from evaluation to full return to activity.




Who We Help With Back Pain
Back pain doesn't follow one script, and neither does our approach. Whether your pain started in the gym, on a run, or just showed up one morning, your program is built around what's actually driving it, not a generic stretching handout.
Mechanical Low Back Pain
Sciatica & Nerve-Related Leg Pain
Lifting-Related Back Strain
Golfer's Back & Rotational Pain
Running-Related Low Back Pain
SI Joint Pain & Stiffness
Postural & Desk-Related Back Pain
Recurring or Chronic Low Back Tightness
Getting Back to Your Sport Is a 3-Step Process
Book a Free Discovery Call
Tell the team what your injury is and what it's stopping you from doing. They'll identify the right provider for your sport and goals and get your evaluation on the calendar.
Get a Comprehensive Evaluation
Your matched Doctor of PT conducts a full, sport-specific evaluation, not a generic intake. They identify what's causing the problem and build a plan targeted at getting you back to full competition.
Follow Your Athlete-Specific Program
Every session is 60 minutes, one-on-one with your Doctor of PT, with full access to the clinic's gym and sports training equipment. The program progresses with you until you're back in the game, stronger than before.
What Our Patients Are Saying
Verified Google Reviews from back pain patients in San Antonio, TX.



Frequently Asked Questions
Questions about back pain physical therapy at Puckett PT? Here are the answers we hear most.
Do I need a referral to start physical therapy for back pain?
No referral is required to begin. You can start with a free discovery call and your evaluation right away. Texas law requires a physician prescription to continue PT beyond two weeks, and our team can help you get one from a physician of your choice.
How long does it take for back pain to improve with PT?
Most people notice a meaningful change in pain and mobility within the first few visits, though full recovery timelines vary based on how long you've had the pain and what's driving it. Your Doctor of PT will give you a realistic timeline after your evaluation.
Will you just give me stretches, or is there more to it?
Stretching alone rarely resolves back pain long-term. Your program combines hands-on manual therapy, a full movement screen, and progressive strength work to address the actual cause of your pain, not just the tight spot you feel.
Do you accept insurance for back pain treatment?
Puckett PT is a cash-based practice, so no insurance is required and no insurance company limits your care. We accept HSA/FSA cards, Tricare, credit cards, and most payment methods. Superbills are available upon request for possible out-of-network reimbursement.
What makes back pain treatment at Puckett PT different?
Every session is one-on-one with your Doctor of Physical Therapy, not an aide. Your plan starts with a full movement screen to find what's actually driving your pain, then combines manual therapy and progressive strength work to fix it for good.
Still have questions?
Have more questions about back pain or what to expect at your evaluation? We're happy to talk through your situation before you book anything.
Ready to Move Without Holding Back?
Start with a free discovery call. Tell us where your pain started, and we'll build the plan to fix what's actually causing it.

