EXPERT PHYSICAL THERAPY FOR PEOPLE WHO REFUSE TO SETTLE FOR PAIN
Serving San Antonio athletes, weekend warriors, and anyone who wants to move better without limits.
You’re active, motivated, and tired of being held back by pain.
You’ve tried rest, stretches, maybe even quick fixes—yet nothing sticks. We get it.
At Positive Action Rehab & Performance, we offer results-driven, one-on-one care that actually works.
All delivered by your Doctor of Physical Therapy—no techs, no rushed appointments, and no red tape.
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Manual Therapy
Dry Needling
Spinal Adjustments
Performance Rehab
100% Focused on YOU
Every Session,
Every Time
THIS IS WHERE RECOVERY MEETS RESULTS
Whether you’re returning from injury, post-surgical, dealing with nagging pain, or striving to perform your best, we're your partner every step of the way.
STEP ONE
WE LISTEN
We get it, you’ve tried everything, and you’re still in pain. You’re frustrated, unsure who to trust, and tired of being rushed through appointments.
We do things differently.
It all starts with a free phone consultation where we answer your questions and take the time to truly listen to what’s hurting, how it’s impacting your life and training, and what you want to get back to.
STEP TWO
GET ANSWERS & RELIEF
In your first one-on-one session we’ll do a detailed, movement assessment to uncover the root cause of your pain. We explain what’s going on and why, and then jump straight into hands-on treatment, dry needling and manual therapy. You’ll leave with a personalized recovery roadmap built for your body, your sport, and your goals. Most of our patients feel up to 70% better after just one visit.
STEP THREE
BUILD STREGNTH & STAY PAIN FREE
Once the pain is under control, it’s time to rebuild. Through one-hour sessions with your performance physical therapist (never a tech or intern), we’ll follow your customized plan to restore mobility, build strength, and prevent future injury. You’ll get full support between visits through our app, and yes, your therapist responds to your message.
This isn’t just rehab. It’s the long-term fix your body’s been waiting for.
OUR TOP SERVICES
ACL Sports Rehab
ACL Rehab in San Antonio Designed for Athletes: Our program helps you regain knee strength, stability, and full mobility—so you can return to your sport, workout routine, or active lifestyle with confidence.
Physical Therapy for CrossFit Athletes
Crush Your WODs, Pain‑Free. Expert Physical Therapy for CrossFit Athletes in San Antonio. Recover faster from snatches, muscle‑ups, and box jumps.
Physical Therapy for Weightlifters and Powerlifters
Get Back to PRs with Barbell-Specific Rehab
Physical Therapy for Runners
Pain-Free Running Starts Here: Whether you're training for your first 5K or chasing down a marathon PR, running with pain can stall your progress—and your motivation. At Positive Action, our Running Rehab Certified team provides performance-based physical therapy designed specifically for runners.
Physical Therapy for Golfers
Add Yards to Your Swing Without Pain: Whether it's your back, shoulder, or elbow, golf-related injuries can keep you off the course or limit your performance. At Positive Action, our specialized physical therapy for golfers is designed to treat injuries, improve mobility, and enhance your swing mechanics so you can get back to the course feeling stronger and more confident.
Sports Rehab Physical Therapy for Athletes
Personalized rehab plans designed specifically for your sport, targeting the agility, strength, and explosive movements unique to your game. Our program focuses on improving your strength and flexibility to prevent future injuries, ensuring you're ready for the field or court.
Manual Therapy by Fellowship-Trained Experts
If you’ve tried physical therapy before and felt like something was missing, this is the difference: Orthopaedic Manual Therapy Fellows, which means they’ve completed elite post-graduate fellowship training in the art and science of hands-on care. We treat pain, stiffness, and movement dysfunction at the source using proven manual therapy techniques that go far beyond what most clinics provide.
Dry Needling Therapy
Dealing with stubborn muscle pain, tightness, or trigger points that won’t go away? Dry needling is a powerful tool we use as part of a comprehensive treatment approach to help you move better and feel stronger faster. We combine dry needling with manual therapy and targeted strengthening to create lasting results not just temporary relief.
Performance Physical Therapy
Get Back to the Life You Love – Pain-Free, Strong, and Confident. A performance-focused, results-driven physical therapy experience helping everyone from athletes to active parents and grandparents reclaim movement, strength, and quality of life.
Vestibular Therapy
Our specialized Vestibular Therapy program is designed to help you retrain your balance system, reduce symptoms, and get your life back on track. Whether you’re dealing with sudden dizziness or chronic unsteadiness, we’re here to help you feel grounded again.
Concussion Therapy: Feel Like Yourself Again After a Concussion
Still feeling “off” after a hit, fall, or head injury? Whether you’re an athlete, a parent, or someone recovering from an accident, concussions are serious. We help you fully recover from symptoms like dizziness, headaches, brain fog, and imbalance—so you can feel like yourself again.
WHY CHOOSE POSITIVE ACTION REHAB & PERFORMANCE IN SAN ANTONIO?
ONE-ON-ONE PHYSICAL THERAPY THAT PUTS YOU FIRST
Enjoy private, full-hour sessions with a Sports Physical Therapist—no assistants, no rushed care, just expert attention focused 100% on you.
SCIENCE-BACKED, PERFORMANCE-DRIVEN TREATMENT PLANS
Whether you're an athlete, runner, CrossFitter, or weekend warrior, our rehab and recovery programs are built on the latest research and tailored to your goals.
EDUCATION THAT EMPOWERS YOUR RECOVERY
We explain the root cause of your pain, how treatment works, and how to prevent it from coming back so you feel confident every step of the way.
SPORTS INJURY DOCTORS YOU CAN TRUST
Our team specializes in athletic rehab, post-surgical recovery, injury prevention, and optimizing performance for active people in San Antonio.
CARE THAT WORKS FOR YOU—NOT INSURANCE LIMITATIONS
We focus on what your body actually needs, not what insurance codes allow. That means faster recovery, fewer setbacks, and better results.
200+ 5-Star Reviews Can’t Be Wrong
Our clients choose us because we deliver results that last. At Positive Action, our expert clinicians combine advanced manual therapy with targeted corrective exercises to quickly reduce pain, improve movement, and keep injuries from coming back. Whether you’re an athlete, weekend warrior, or just want to stay active without pain—we’ve got your back (literally).
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Arlene Rico
We are so thankful a great friend recommended Positive Action Rehab & Performance to us. After a hip injury a surgeon suggested hip surgery for our 14 year old son. Surgery would have significantly impacted his future in basketball. On our first visit Troy assured us surgery was not necessary. After several visits our son doesn't experience any hip pain, is back to doing what he loves and more importantly has learned what to do to decrease the possibility of another injury. Troy and the entire staff are very knowledgeable, professional, and caring. If you have experienced any type of sports injury you owe it to yourself to give this place a try, they will not disappoint!!!
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David Tundel
Edwin has Excellent knowledge and communication skills and the drive and ability to find the underlining causes. His prescription drills are having a positive impact on my lifts and positioning as well overall normal day activities. Mobility at the age of 50 is coming back and I believe his work is a major factor
With taking with him I believe he is a Good man with solid morals values and ethics.
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Sande Rios
I've had this discomfort irritating feeling in my elbow that would cause my thumb, index finger and middle finger tips to be numb for almost 2yrs. I thought I had tennis elbow. My daughter recommended me to go see Dr. Edwin Serrano and it was the most amazing experience l ever had. I had seen Dr. Serrano for almost two months once a week sessions for an hour. Not only did he explain where my elbow pain came from but, release most of the numbness I was experiencing on my finger tips and removed the discomfort I was feeling in my elbow. Dr. Serrano explains everything he is going to do and why. Dr. Serrano gives you exercises for you to do in therapy session and at home to strength your weak area. The most amazing method Dr. Serrano does is dry needling. I sounds crazy but, it's awesome. Please google. Dr. Serrano is easy to talk to and he gets to know you as a patient and a person. I would recommend Dr. Serrano to any age group and anyone that has any type of issue that prevent them to do normal activities. Thank you Dr. Serrano. I still feel good and continue to do my therapy workouts at home.
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Steven Zumaran
1 have known Dr. Serrano for some time but have not needed any therapy, It was not until we had a conversation about injury prevention that l decided to sign up for a session. Wow, a phenomenal experience that shed light on some inefficiencies. I left feeling confident that I can increase strength in my feet and calves. I am looking forward to my next session.
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Celeste Valenzuela
These guys are AMAZING! As a Foot and Ankle Surgeon I depend on physical therapy as adjunct to any treatment. In fact I believe that physical rehabilitation may be more beneficial than anything else.
When I had a running injury I knew who I needed. After sessions with Edwin and Troy I am back to running without pain. I can't describe how thankful l am. I recommend them hands down!
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Roxanne Ramirez
Physical therapy with Dr. Serrano has literally been a game changer. Long story short I had foot issues that sent me to 2 podiatrists and 6 session with an Airrosti. No one got to the root cause of what was going on, nor gave me the right mindset and plan to treat my issue.
Physical therapy, dry needling, and the education Dr. Serrano provides has help tremendously. I have sent my mom and my best friend to see him and they both say great things about their experience at Positive Action. Dr. Serrano is knowledgeable, understanding, humorous, and most of all he believes in you and getting you back to your best self. Go see him now!
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Sarah Kendrick
My son was dealing with nerve tension, significantly limiting his sports performance. Edwin,
PT was able to diagnose the issue and specifically treat the problem with a variety of interventions. My son has made significant improvements in his performance and decreased pain. Edwin is very engaged with my son and cares greatly about his ability to perform at his best and is providing him with all the tools to achieve that goal. Great communication from Edwin and office staff. I highly recommend Edwin and Positive Action PT
Trusted by San Antonio’s Top Gyms, Coaches & Healthcare Providers
At Positive Action Rehab & Performance, we’re proud to partner with local gyms, coaches, workplaces, and healthcare professionals who share our mission of keeping athletes strong, pain-free, and performing at their best. Whether it’s injury prevention, rehab, or performance optimization, our expert team supports the people and places that keep San Antonio moving.
