
Fixing the 3 Most Common HYROX & Hybrid Training Injuries

Knee Pain from Lunges & Wall Balls
If your knee hurts during lunges, running, or wall balls, the solution isn’t to stop lunging. We focus on improving hip control, ankle mobility, and knee tracking so you can return to training stronger and pain-free.

Low Back Stiffness from Sled Pushes
Back tightness after sled pushes or pulls often comes from pelvic tilt and poor bracing mechanics. We retrain proper core engagement and glute-driven movement so you can generate power without stressing your lower back.

Achilles Tendonitis from Hybrid Training
Switching between heavy strength work and high-volume running can overload the Achilles tendon. We build calf strength, tendon capacity, and smart load management so your body can handle both power and endurance demands.

Why San Antonio Athletes Trust Positive Action for HYROX Training
Video Run Analysis
Spot form breakdown when you're fatigued in Lap 8.
Force Plate Testing
Measure left/right power imbalances for the Sled Push.
Mobility Screen
Ensure you have the ankle ROM for deep, fast Wall Balls.
Custom Roadmap
A plan that integrates with your current Hyrox training blocks.

400+ Hybrid Athletes Running Pain Free
200+ 5-Star Google Reviews
500+ Personal (PR
Records Achieved
Positive Action Rehab & Performance is San Antonio’s premier destination for HYROX and Hybrid athletes who refuse to let injury dictate their training schedule.
Our clinic specializes in advanced biomechanical analysis and performance-driven physical therapy, moving beyond temporary fixes to solve the root cause of pain.
Whether you are prepping for your first race at Hyrox or aiming for a new PR, our mission is to keep you moving faster, lifting heavier, and staying "unbreakable."
Run Longer. Run Faster. Recover Stronger.
You’re 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 Running Rehab Certified Doctor of Physical Therapy no techs, no rushed appointments, and no red tape.
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Sam O.
Started seeing Dr. Massie for a knee injury along with some back pain I’ve been having for over a year. Dr. Massie has been amazing and his bedside manner makes me feel like I am long time friend and not a client. After a few sessions my knee is amazing and my back pain is almost completely healed. The staff is beyond friendly and always smiling. Great place with great people. Get there early to use the massage chair.
Dr. Celeste V.
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 I am. I recommend them hands down!
Blake S.
Troy was excellent in listening to my concerns and adjusting my treatment plan as needed. Came in to address plantar fasciitis and as it resolved over the months and new pains arose, he was able to address those as well! I feel much more capable in taking action for myself and confident in my body to perform and achieve my goals. Thank you to Troy and team so much!!

Get My $107 One-Hour Pro-Level Biomechanical Analysis
You’ve probably tried it all: Rest. Ice. Massage. Theragun. And still…pain lingers.
You’re frustrated. Held back. Unsure what to try next. The good news? You’re not alone and there is a better way.
At Positive Action, we’ve helped thousands of Runners, Hyrox, Hybrid, Weightlifters and CrossFit athletes just like you overcome pain and reclaim their passion with proven, expert care. Now it’s your turn.
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.

WHY CHOOSE POSITIVE ACTION REHAB & PERFORMANCE IN SAN ANTONIO?

1
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.

GET ANSWERS & RELIEF
During your Running Analysis 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, specific to running and your goals. Most of our patients feel up to 70% better after just one visit.
2

BUILD STRENGTH
Once the pain is under control, it’s time to rebuild.
Through the $107 pro-level biomechanical Analysis we’ll 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 messages.
This isn’t just rehab. It’s the long-term fix your body’s been waiting for.
3
HYROX & Hybrid Performance FAQs
What is included in the $107 HYROX Performance Analysis?
You get a full hour of one-on-one time with a Running Rehab Certified Doctor of Physical Therapy. This includes a video run analysis to spot form breakdown, force plate testing to find power imbalances for your sled push, and a mobility screen for wall ball depth. You’ll leave with a clear, personalized roadmap to stay "unbreakable."


I’m not an elite athlete; is this analysis right for me?
Absolutely. Whether you are aiming for the HYROX World Championships or just trying to finish your first local race in San Antonio without pain, our biomechanical analysis is designed to meet you where you are. We help everyone from beginners to seasoned pros move more efficiently.
Why do I get knee pain during lunges and wall balls?
Knee pain in hybrid training often stems from poor ankle mobility or hip instability rather than the knee itself. During your analysis, we look at how your joints stack and track under load. We don’t just tell you to "stop lunging"—we show you how to fix your mechanics so you can train pain-free.


How is this different from regular physical therapy?
Most PT clinics see multiple patients at once or use techs. At Positive Action Rehab & Performance, you get 60 minutes of undivided attention from a specialist who actually understands hybrid sports. We combine clinical expertise with performance data to get you back to 100% faster.

Ale R.
"I have had an incredible experience at Positive Action! The staff is professional, attentive, and truly committed to helping you recover. Each session was personalized to my needs, and the progress I’ve made has been remarkable. The therapists are highly skilled, and they create such a positive, encouraging environment. The facility is clean and well-organized, which made every visit pleasant. I can’t thank the team enough for helping me regain my strength and mobility. Highly recommend Positive Action to anyone looking for quality care!"

Fill out the form and our team will contact you to confirm your $107 one-hour hyrox analysis and answer any questions!
Ready to Get Started?


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).

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.






















