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Pain in the hips, knees, feet, and ankles is rarely isolated to those joints alone — it almost always reflects a pelvic or lumbar biomechanical imbalance. At Pura Vida, we treat the whole kinetic chain so your lower extremity pain stays resolved.
The lower extremity joints — hips, knees, feet, and ankles — form a kinetic chain that transmits forces from the ground up to the pelvis and spine. When the pelvis is unlevel or the lumbar spine is misaligned, abnormal forces are distributed unevenly through this chain, overloading specific joints and leading to pain and early degeneration. Hip pain may involve bursitis, labral tears, or impingement. Knee pain commonly involves the patellofemoral joint, meniscus, or ligaments. Foot and ankle issues range from plantar fasciitis to chronic ankle instability. Correcting the root pelvic and spinal imbalance is essential for lasting relief in all these conditions.
Dr. Foss performs a full lower extremity evaluation alongside spinal and pelvic assessment. SOT pelvic leveling is the foundation of lower extremity care — correcting the pelvic imbalance that drives uneven joint loading. Extremity adjustments to the hip, knee, and ankle restore proper joint mechanics and reduce pain. Gait analysis identifies any compensatory patterns that may be perpetuating the problem. Patients with lower extremity conditions often experience rapid improvement once the upstream pelvic cause is addressed.
At Pura Vida Chiropractic, Dr. Foss uses Sacro-Occipital Technique (SOT) — a gentle, category-based system that addresses the spine, pelvis, and craniosacral rhythm as one integrated unit. SOT restores proper biomechanics, reduces nerve interference, and creates the neurological environment your body needs to heal itself.
For many patients, combining spinal correction with regenerative therapies produces faster and more lasting results. Depending on your condition, Dr. Foss may incorporate one or more of the following:
High-energy acoustic waves penetrate deep into tissue to break up calcifications, stimulate collagen production, and accelerate the body's natural repair process — all without surgery or downtime.
Patented unfocused shock waves spread over a broad treatment area to reduce inflammation, increase blood flow, and activate stem cells — promoting cellular regeneration and long-term pain relief.
Photobiomodulation with a 10–15W Class IV laser delivers therapeutic light energy deep into tissue, reducing inflammation, blocking pain signals, and speeding healing at the cellular level.
Pura Vida Chiropractic is a family-friendly, bilingual (English/Spanish) clinic serving San Antonio, TX. Dr. Dan Foss is trained in Sacro-Occipital Technique (SOT), a comprehensive chiropractic system that addresses the whole body — not just the area of pain. We combine hands-on spinal correction with the latest regenerative technology to help patients resolve the root cause of their condition rather than masking symptoms.
We are insurance friendly with most insurance plans including Blue Cross Blue Shield of Texas, UnitedHealthcare, Humana, Aetna, Ambetter, Oscar Health, Community First, and Molina Healthcare. New patient appointments are available promptly.
Schedule your new patient appointment with Dr. Foss at Pura Vida Chiropractic in San Antonio, TX. We'll identify the root cause and build a personalized care plan.
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