Physical Therapy in San Antonio.
You have rested it. You have stretched it. You have started planning your week around it. One evaluation with a licensed therapist finds what is actually driving the pain, and Texas direct access means you can book that evaluation today without a referral. One on one, every visit, for over 30 years.

Top rated physical therapy in San Antonio. Three clinics, one standard.
Most clinics see three or four patients at once, hand you to an aide, and send you home with the same printout as everyone else. That is scheduling, not treatment. At Liberty Rehabilitation Specialists your session runs 30 to 60 minutes with your own therapist, start to finish, evaluation to discharge. Founded by Dr. Mary Lou Lugo, DPT, FAAOMPT, and running in San Antonio for over 30 years.


Real outcomes.
Real people.
430+ five-star Google reviews across our three San Antonio clinics. These are the real ones, in the patients own words. Read what actually happened.
Treatment built around what is actually hurting.

Back Pain & Sciatica
The reason most people walk through our door. We find the cause, not just the symptom.

Rotator Cuff Tears
Post-operative and conservative programs that rebuild the shoulder you actually use.

Sports Injuries
Return-to-play programs built around your sport, your position, your timeline.

Arthritis
Joint pain does not mean less movement. It means the right movement, loaded correctly.
A clear path from your worst day to your best.
Pain
Calm it down. Hands-on care and targeted movement get the pain out of the driver's seat, quickly and safely.
Prime
Restore full range of motion and correct the movement patterns that caused the problem in the first place.
Perform
Rebuild strength and function for your sport, your job, your life. This is where you start feeling like you again.
Prevent
Leave with the tools, the education, and the home program to stay out of the clinic. The best outcome is one that lasts.

Our commitment: exceptional care, every single visit.
No handoffs. No shared attention. No wasted visits. Your therapist knows your case because they are the only one who treats it. Progress compounds visit to visit and nothing gets lost in translation. Physical therapy and occupational therapy under one roof, so a shoulder that needs both does not need two clinics.
A plan with your name on it, not a printout.
Your evaluation maps how your body actually moves, where it is compensating, and why the pain keeps coming back. Then we build the plan around your life: the truck you climb into, the grandchild you lift, the trail you miss running. Two to three visits a week, four to six weeks, and a home programme you will actually do.


Four physical therapists. Three occupational therapists. Same face every visit.
Services we offer in San Antonio.
A comprehensive approach to relieving pain, delivered one on one by our experienced team. Tap a point on the model, or a card, and see exactly what we treat there.
Shoulder
Rotator cuff tears, frozen shoulder, shoulder bursitis, post-operative shoulder repair
Learn More →Elbow, Hand & Wrist
Carpal tunnel, tennis elbow, hand and wrist arthritis, trigger finger, certified hand therapy
Learn More →
Back Pain & Sciatica
Sciatica, herniated discs, lower back pain, spinal degeneration, chronic back pain
Learn More →Hip & Knee
Knee and hip osteoarthritis, joint replacement recovery, ligament injuries, runner's knee
Learn More →Balance & Walking
Dizziness and vertigo, unsteady gait, fall risk, Parkinson's-related balance loss
Learn More →Patient paperwork, done before you arrive.
Download your intake form and fill it in at home, so your first visit starts with treatment instead of a clipboard.

No referral needed. Start this week.
Texas direct access lets you begin physical therapy without a physician referral, for up to 30 days of treatment. No waiting on a doctor’s appointment first. Call, or send the form, and start getting answers this week.
Complete care for movement health.

Programs, not guesswork.
Every plan runs the same four phases, Pain, Prime, Perform, Prevent, and every phase gets re-tested against the measurements we took on day one. You do not have to wonder whether it is working. We show you what changed.
Live pain free in San Antonio.
Answers before you even ask.
In Texas, no. Direct access lets you begin physical therapy without a physician referral for up to 30 days of treatment. Call any of our three San Antonio clinics and we will get you evaluated. If your plan or your condition needs a referral, we will tell you before your first visit, not after.
Almost certainly. We are in network with roughly 45 plans, including Blue Cross Blue Shield, Aetna, Cigna, Humana, UnitedHealthcare, Medicare, TRICARE and USAA, plus about 24 workers compensation carriers. We verify your benefits before your first visit so you know your copay and your coverage in writing, and transparent self-pay rates are available if you prefer.
Most people notice a change within the first two to three weeks. A typical course of care is two to three visits a week for four to six weeks, and your therapist will tell you at your evaluation what to expect for your specific condition rather than giving you a generic timeline.


