Physical Therapy Houston TX

Helping You MOVE Better To LIVE Better

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Reduce Pain

Don’t let pain change your lifestyle. Physical therapy can help you to recover quickly and safely from an injury or illness.


Get Stonger

Developing strength can help you you to improve your balance, protect your joints and prevent any further health issues. 


Journey with others

We know that recovering from an injury can be a long journey and we are committed to partnering with you every step of the way.

Why us?

Houston Physical Therapy Clinic

We’re Impact Care Physical Therapy, a 5-star rated physical therapy clinic based in Missouri City, just outside of Houston, Texas.

We understand that pain can be debilitating for individuals and it can be extremely difficult for family members seeing a loved one suffer or lose personal autonomy because of a condition or injury.

At Impact Care Therapy, and we believe in two pillars for treating people’s pain so you can get back to doing what you love – helping you move better so you can live better!

Rehabilitation – We want to help you recover from your pain and get you back to normal life, and all of the activities you enjoy! 
Education – We want you to understand what’s happening with any injury, so you can take care of yourself going forward.

We’re here to help you.

Contact us or schedule an appointment today!

Is this you?

The limits are set by you, not your body

Self-diagnosis is a lonely, inaccurate pursuit, and will very likely lead to poor outcomes and a delayed healing process. 

Often times acute injuries can turn into chronic pain if mismanaged or left untreated.

No insurance?
No problem

We believe that no one who needs help should ever be turned away and we are proud to serve both insured and uninsured patients. Whether you have a health plan or not, schedule an appointment or contact us with any questions you have.

We do accept all major insurance providers, but we welcome everybody to contact us about an appointment.

Why us?

Physical Therapy for Chronic Pain

We treat all sorts of injuries and help people return to their normal lifestyles. Sometimes our patients have had their lives disrupted by an accident or an injury, or a surgery such as a hip replacement. Other times a nagging pain has developed into something more serious and patients are seeking relief.

Impact Care Therapy is owned and operated by team members and expert clinicians Drs. Emanuel and Denise Miano. Impact Care Therapy is the clinic to visit if you’re looking for a physical therapist with nearly two decades of clinical experience, who is also certified by the American Board of Physical Therapy Specialties to treat neurological disorders, and we often find new clients through physician referral.

Physical therapy services conducted at Impact Care Therapy are wide-ranging and they focus on getting you to enjoy your lifestyle without pain, free of pain medication via a personalized treatment plan. Your plan of care would be tailor made for you so you can work through exercises with experienced therapists at our clinic and understand how to take care of your injuries while at home based on your individualized plan.
Give us a call

We offer physical therapy
as treatment of many types of pain

Physical Therapy for Chronic and Acute Injuries

We also offer treatment for impaired physical function and musculoskeletal injuries related to:


Athletic performance

Athletes are always looking to improve their performance. They often turn to physical therapy as a solution for injury prevention and physical rehabilitation, but many people don’t know that it can also be used as a training tool. When athletes come into our clinic, we work with them on areas like flexibility, mobility and strength. This improves athletes’ performance by reducing the risk of injury and improving their overall health.


Bulging Disc

Your spine has cartilage disks between the vertebrae and when your posture is bad or you have a lot of spinal compression, it pushes the discs out of their normal position between the vertebrae. These treatments help people feel better and improve their quality of life by reducing pain. We provide personalized care tailored to each patient’s needs so they can get back on their feet faster!


Acute Work Injuries

We are a physical therapy practice that has experience in acute work injuries. We have helped people get back to their jobs by being more mobile, stronger, and pain free. Our therapists will create an individualized plan for you after your exam is complete. We offer one-on-one sessions with our therapist or group sessions for those who need the social interaction while they recover from injury. Call us today to schedule!



We understand the challenges amputees face after having their limb removed. That’s why we provide physical therapy for amputees to help them get back on their feet and live a normal life with an amputation. We can help you cope and thrive. We work with patients in Houston TX who want to live a healthy and active lifestyle by providing the necessary amputee rehabilitation they need to overcome adversity and regain independence. Contact us today!


Sports injuries

Many athletes in Houston have experienced injuries that affect their athletic performance. This is especially true for those who play sports like soccer, basketball, football, and tennis. It’s important to address these issues as soon as possible so the injury doesn’t worsen or lead to other problems down the line. Physical therapy can help you get back on track with your fitness routine by allowing your body time heal from its current state of pain and discomfort.


Pinched nerve pain

The pain of a pinched nerve can be debilitating and difficult to manage. A pinched nerve can be the result of pressure on a spinal cord, which causes pain in one or both legs that may worsen with activity. When you come to see us, we will conduct a thorough examination and then customize a plan that is personalized for your needs. We offer physical therapy for patients with pinched nerves, helping you get back to your normal, everyday life. Call today!

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“7 Essential Tips to Decrease
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Rehabilitation to get you Back to Work

Have you recently suffered an injury or developed a chronic pain that is making your work day difficult or impossible? Not being able to work and make a living can hurt more than your wallet. Being able to work and provide for your family can tie into your feelings of self-worth and happiness.

Getting back to work should be a top priority. Getting seen by a physical therapist can take months of time off of your recovery, or could even stop pain from getting worse, or reoccurring sometime later in life.

If you make a living by sitting in a desk all day, you have a high probability of having low back, hip and neck pain.

It is not uncommon to have injuries that make simple tasks more difficult. According to the U.S. Bureau of Labor Statistics in 2019, there were roughly 2.8 million nonfatal workplace accidents and injuries in the U.S. private sector.

Out of that number, 84% were associated with musculoskeletal injuries, including overexertion and body reaction, slips trips and falls. These numbers are pretty high, and do not even consider injuries that occur outside of work! Lots of these injuries are preventable through patient education about health conditions that may be causing poor movement habits.
This does not just save the patient time and pain, but also can contribute to massive savings for businesses when it comes to insurance coverage. Taking claims data from insurance companies, the National Safety Council reported that workplace injuries cost companies $171 billion in 2019.
Whether you own a business or not, you could agree that amount could be going toward so many better things. Getting seen early with physical therapy care by a licensed therapist for issues with mobility could significantly impact this number. An integrated approach to solving many types of injuries, from knee pain to soft tissue injuries, will allow for maximum recovery and a return to everyday activities.
If you make a living by sitting in a desk all day,

You have a high probability of having neck, low back and hip pain.

Heal your injuries

Sports Therapy for Athletes and Hobbyists

Did you play sports in high school? If you did, you might remember there being athletic trainers educated in exercise science to help athletes with sports injuries that came from various physical activity. Unfortunately, when we get older and out of school, we participate in sports at our own risk, as we lose direct access to trainers. Luckily physical therapists are here to provide the highest quality care for continuing or adult-onset athletes and weekend warriors.

Both chronic conditions and acute injuries are common in sport participation, and as we age that likelihood of injury increases. If you have had a sport-related injury as an adult and seen a doctor for treatment, you may not have had a positive experience. Doctors do not always view sport as worth the risk, but the team members at ICT are different, as Manny is also involved with the Propel Soccer Academy, helping kids to develop their soccer skills, drawing from his own years as an athlete with a background in sports performance enhancement, making us a trusted source for physician referral. An integrated approach can go a long way to helping athletes with injuries reach maximum recovery.

If you are a concerned parent with an injured child, you can be absolutely sure of the quality of care your child is getting by having them do their treatment plan with Impact Care Therapy.
ICT staff hold sports high in their list of priorities, as they believe they impact more than just the body.
Sports injuries: they impact more than just the body.

ICT staff hold sports high in their list of priorities

Heal your injuries

Physical Treatment for Everybody

Physical therapy programs benefit anyone with an injury/impairment to their musculoskeletal system, from pediatric to elderly patients. 

If you have experienced a movement-limiting orthopedic injury before, you have also experienced the lonely frustration of not being able to do the things you love:

Even the ability to perform basic tasks, like walking up stairs and doing household chores can become an obstacle.
When you have to alter your daily activities due to an injury, you can often feel terrible. The physical therapy experience provided at Impact Care Therapy aims to get you back to your daily activities as quickly as possible through our treatment programs based on exercise physiology and therapeutic exercise.

Our Clients Success Stories​

I injured my hamstring during marathon training. Dr. Denise and Dr. Manny at Impact Care Therapy not only helped me to recover, but they also helped me reach the finish line strong! The service they provide is very high quality, and you feel like a family member from the moment you open their door. Thanks so much for all your support!
Danmar M
I have had the most positive with Dr. Denise and Dr. Manny. I had ankle surgery where I had 8 screws and a plate... They helped me regain my strength and the self confidence that I can do another race again! They are so friendly, extremely caring and funny!! It’s the perfect physical therapy center! Highly recommend ❤️
Jackie M
Want to give a big shoutout to Dr Denise Miano and Impact Care Therapy. I feel like there is hope for me. It has been really hard mentally not being able to be more active and for the first time, I see the light at the end of the tunnel. If anyone needs PT I recommend going here ❤️
Adrienne B
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“7 Essential Tips to Decrease Low Back Pain”​

More Reading about
Our Physical Therapy Services
in Houston

For everything from cancer rehabilitation to neurological conditions, Impact Care Therapy uses patient comprehension, goal setting with effective techniques, and evidence-based treatments to help patients achieve a healthy lifestyle, overcoming chronic and acute injuries in the process.

At Impact Care Therapy, we believe that if you move better, you live better. In order to get you to that point, this physical therapy practice employs techniques that comply with best practice, whether you are suffering from chronic pain or acute. What’s the difference?

What is chronic pain, and how can physical therapy treatment help? Chronic pain is pain that has been present for roughly 3 months or more. Chronic pain is often accumulative as opposed to acute pain, which is often diminutive if healed. Chronic pain can often occur with little to no tissue damage, and can be an issue of behavioral sciences. Which is yours? Having an expert clinician can help you figure it out.

Physical therapy can be the best option for treating chronic pain, as they employ a number of effective manual techniques, treatments, and exercises to improve mobility and strengthen the musculature surrounding the offending structure. Other modalities for chronic pain include ultrasound, TENS, massage, heat and ice. These other modalities may or may not be effective in treating chronic pain. An estimated fifty million people in the U.S. suffer from some form of chronic pain, causing their daily life to be a struggle. You don’t have to struggle alone or forever.

Did your injury happen suddenly, like a broken bone or ligament strain? Then your pain likely falls into the category of acute pain. Acute pain is what you experience when you step on a lego in the middle of the night barefoot. Or more seriously, what you experience if you have ever rolled an ankle or had a shoulder injury like a labrum tear.

You are very clear of what caused the pain, and that when it occurs will likely be the most intense pain experienced, unless it leads to a chronic pain… which it will if mismanaged. There exists a transition period between acute pain and chronic called the subacute stage, during which further aggravation of the structure will cause further pain. Having a knowledgeable physical therapist can keep your acute pain from ever getting to the chronic stage. Acute pain is common, and is often treated at Impact Care Therapy.

Are you scouring through internet articles and forums trying to treat the pain you have been experiencing? You made it here, so you are at least considering getting some help. If you are on the fence about which way to go, consider that Impact Care Therapy’s physical therapists are some of the best, and self-diagnosis/treatment often has poor outcomes.

When you get seen by Dr. Manny, Dr. Denise, or any others of the team members here at Impact Care Therapy, you can trust the process developed with years of experience, extensive clinical education and compassionate care.

Trying to fix your own pain may be very frustrating. The problem is that we are held prisoner by our own biases. We think something is the sure cause of the pain we are experiencing, and will not consider other possibilities. This will often lead to inappropriate measures, such as avoiding certain movements in order to “rest” the structures, which will likely lead to more pain and catastrophizing —thinking that the injury is worse than it is—which repeats the cycle. While there is certainly a biomechanical element to pain, it can often start and end in the brain. Having someone knowledgeable can help you navigate around negative consequences.

No, we currently don’t offer occupational therapy. Occupational therapy is a special interdisciplinary field of health care which differs from physical therapy, which is our primary focus.

Occupational therapy aims to improve a person’s daily skills and quality of life. It uses various approaches to help people with injury or disability do tasks that they cannot easily do themselves, though always with the goal of maximizing independence. That might include fitting a new type of prosthetic so one can become more mobile, providing assistive devices for the elderly who have stopped being able to get around on their own, helping someone overcome a fear so they can return to work or volunteer in some way, etc.

An occupational therapist will often focus on how a task is done, the mechanics involved in the activity, rather than what’s being done (somebody playing golf vs somebody shopping). For example an occupational therapist


Manual therapy is a hands-on treatment of the soft tissues of the body. Massage therapy is one example, but it can also include stretching and mobilization techniques, such as active release technique. All these treatments are designed to both heal the superficial tissues that have been damaged or strained by injury or repetitive use and reduce muscle guarding that can contribute to tightness in another area of the body.

There are some overlaps of manual therapy and physical therapy but they are different disciplines.

No, physical therapy is our primary focus. Speech therapy and physical therapy may have some overlap but they are considered different domains. Our team in Houston TX, not far from Sugar Land, is composed of dedicated therapists with experience in treating conditions and injuries with effective techniques for physical therapy.

Impact Care Therapy is a family-owned physical therapy clinic in Houston TX. Dr. Manny Miano and Dr. Denise Miano share a combined 18 years of experience as licensed physical therapists.

In addition to the standard physical therapy curriculum, Manny has also been through a demanding residency program that provided him the clinical education to treat neurological disorders, and is a Certified Clinical Instructor by the Texas Consortium.

Manny believes that with exception care and care with treatment tailored to a client’s age, injury, and medical history, the proper rehabilitation care can be a journey that guides patients along the proper treatment progression.

Whether you need hand therapy or you need to work on maintaining good posture, our PT’s work can help in various modes will show you why we’re highly recommended in the area of Houston and Sugar Land TX. From your first visit to your last session you’ll appreciate our amazing team and our highly trained staff.

If you live in Houston TX and you need physical therapy, visit the Impact Care Therapy clinic!

About our Location in
Missouri City

Our physical therapy facility is found at a convenient location. 

If you’re looking for expert physiotherapists in Missouri City for treatment in a compassionate environment, reach out to us by calling +1-346-341-7300 to check appointment times or use our online form to schedule an appointment!


3841 Cartwright Rd, Missouri City, TX 77459, USA Our clinic is just 5 minutes from the Stafford High School and 10 minutes from Sugar Land Town Square via Highway 6, which is right where Highway 6 and the I-69 intersect.

Towards the other direction, heading south on highway 6, our clinic is just 20 minutes from the Houston Southwest Airport.

We’ve been proud to serve the residents of SiennaSugar LandMissouri City, and Houston and establish a reputation from our content on Youtube as well as through our in-person and telehealth services.

Are you ready to start moving better?

The first step is to give us a call to discuss what you need treated.

Give us a call

Contact your Local Physical Therapy Clinic Today

We can give you a general idea of what to expect on your first visit, and get the ball rolling with your insurance coverage, as we take all major insurance plans.

From your very first session of your day appointment you’ll be greeted at the front desk and you’ll note the personalized attention from our amazing team.

Appointments are 30 or 60 minutes on average, and we recommend you wear comfortable clothing for an initial evaluation, where we do comprehensive evaluations of mobility, pain assessment and treatment options.

Still not sure? Be sure to check out all the positive client reviews we have received over the years from the great people of Houston TX.
Remember you can schedule an appointment right here on our website or call us with any questions that you may have.

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