Texas Physical Therapy Just Got Easier: Your Direct Access Guide

Texas just made it simpler for you to get the physical therapy care you need. Starting September 1st, 2025, new legislation allows patients to see a physical therapist directly for up to 30 days without needing a referral from another healthcare provider. This groundbreaking change puts you in control of your recovery and can save you both time and money.

If you're dealing with pain from a sports injury, chronic back issues, or that nagging shoulder problem from your desk job, you no longer have to jump through hoops to get expert care. Let's explore what this means for you and how to make the most of your new healthcare freedom.

What Direct Access Means for Texas Patients

Direct access to physical therapy eliminates the traditional barrier of needing a doctor's referral before seeking treatment. Under the new Texas law, you can walk into a physical therapy clinic and receive care for up to 30 days without any referral paperwork.

This change addresses a major frustration many Texans have faced. Previously, even minor injuries required scheduling a doctor's appointment, waiting for availability, paying for that visit, and then getting a referral to see a physical therapist. This process could take weeks while your condition potentially worsened.

Now, you can bypass that lengthy process entirely. When you wake up with severe back pain or twist your ankle during your weekend tennis match, you can call a physical therapy clinic directly and start treatment right away.

Why This Matters for Your Wallet

Healthcare costs continue to rise, and every unnecessary step in your treatment adds to your medical bills. Direct access can significantly reduce your out-of-pocket expenses in several ways.

First, you eliminate the cost of that initial doctor's visit, which can be expensive, depending on your insurance coverage or if paying out of pocket. Many insurance plans require copays for specialist visits, and some patients face high deductibles before their insurance kicks in.

Second, early intervention through physical therapy often prevents the need for more expensive treatments down the road. When you address musculoskeletal problems quickly, you're less likely to need costly imaging studies, injections, or surgical procedures.

Research consistently shows that patients who receive physical therapy early in their care journey have better outcomes and lower total healthcare costs. A study published in the journal Health Affairs found that immediate access to physical therapy reduced healthcare spending by an average of +/-$3,500  per episode of care.

The Advantages of Seeing a PT Without a Referral

Beyond cost savings, direct access offers several practical benefits that can improve your overall treatment experience.

Faster Treatment Start Times: At Curnyn Physical Therapy, we prioritize getting you started on your recovery as quickly as possible. Unlike many clinics with long waiting periods, we aim to schedule your appointments within 24-48 hours. No need to wait weeks for a doctor’s appointment followed by even more delays for physical therapy—get the care you need, fast.

Specialized Expertise from Day One: Physical therapists are movement specialists with extensive training in musculoskeletal conditions. Physical therapists undergo extensive training, typically spending 7 years preparing for their careers. This includes 4 years of undergraduate study followed by a 3-year Doctor of Physical Therapy (DPT) program, even before pursuing any additional specialization certifications. Their advanced training equips them to quickly identify and treat your specific issue, often more efficiently than a general practitioner who may first need to rule out other potential conditions.

Comprehensive Initial Assessment: Without the pressure of a brief doctor's visit, physical therapists can spend 45-60 minutes conducting a thorough evaluation. This includes assessing your movement patterns, strength, flexibility, and functional limitations.

Immediate Pain Relief: Many PT techniques can provide immediate relief. Manual therapy, therapeutic movement, and other interventions can reduce pain and improve mobility from your very first visit.

Common Conditions Physical Therapists Can Treat

Physical therapists are qualified to evaluate and treat a wide range of conditions. Here are some of the most common issues that bring patients to Curnyn PT:

Sports and Exercise Injuries: Whether you're dealing with a rotator cuff injury from your weekend softball game or knee pain from running, PTs specialize in getting athletes back to their activities safely.

Work-Related Injuries: Repetitive strain injuries, back pain from prolonged sitting, and neck problems from computer work are all within a physical therapist's expertise.

Chronic Pain Conditions: Conditions like sciatica, herniated discs, and arthritis-related joint pain respond well to physical therapy interventions.

Post-Surgical Recovery: While you'll still need your surgeon's clearance, PTs are essential for regaining strength and mobility after procedures like knee replacements or rotator cuff repairs.

Balance and Fall Prevention: For older adults or anyone with balance concerns, physical therapists can assess fall risk and provide targeted interventions.

The comprehensive list of conditions treated at Curnyn Physical Therapy includes everything from ACL tears and tennis elbow to plantar fasciitis and TMJ disorders. This breadth of expertise means you're likely to find help for whatever musculoskeletal issue you're facing.

Choosing the Right Physical Therapist

While the new law makes PT more accessible, not all physical therapy practices are created equal. The legislation requires only one year of experience for therapists providing direct access care, but you deserve more than the bare minimum.

Look for clinics with therapists who have advanced training and specialized certifications. Manual therapy certifications, fellowship training, and years of experience make a significant difference in treatment outcomes.

Curnyn Physical Therapy sets the standard for expertise in the Fort Worth area. Our therapists possess years of extensive training beyond the basic requirements, with many holding advanced certifications in manual therapy and specialized techniques. This level of expertise matters when you're trusting someone with your recovery.

Consider these factors when choosing a PT clinic:

Treatment Philosophy: Look for practices that emphasize hands-on, manual therapy approaches rather than just exercise prescription. Manual therapy addresses the root cause of many movement problems.

Scheduling Flexibility: Choose a clinic that can accommodate your schedule and offer quick appointment availability.

Comprehensive Services: Ensure the practice offers a full range of treatments, from basic therapeutic exercise to advanced techniques like dry needling.

Patient-Centered Approach: The best physical therapy practices focus on your individual needs and goals, not a one-size-fits-all treatment protocol.

Curnyn Physical Therapy: Leading the Way in Fort Worth

For over 30 years, Curnyn Physical Therapy has been serving the Fort Worth community with exceptional care. As a physical therapist-owned practice, we are committed to maintaining the highest standards of treatment.

What sets us apart? our commitment to expertise. The team includes some of the most skilled physical therapists in the DFW area, with credentials that go far beyond the new legislation's minimum requirements. Many of our therapists have fellowship training and advanced certifications in manual therapy.

At our clinics we take a comprehensive approach to care. Instead of just assigning exercises for you to do at home, we focus on hands-on treatments that target the root cause of your issue. This manual therapy approach often results in faster recovery and better long-term outcomes. For at-home follow-ups, we provide a convenient app to easily access your personalized treatment plan.

Curnyn PT also understands the importance of quick access to care. We typically schedule appointments within 24-48 hours, ensuring you can start your recovery journey without delay.

Comprehensive Services for Every Need

Curnyn Physical Therapy offers a full spectrum of services designed to address diverse patient needs.

Pain Management: Our low-impact pain management techniques help reduce discomfort while promoting healing. This includes manual therapy, therapeutic movement, and lifestyle wellness programs.

Spine Care: With specialized training in spine revitalization and relief, we offer manual spine alignment, nerve pain reduction, and comprehensive care for upper, mid, and lower back conditions.

Sports Injury Recovery: From weekend warriors to competitive athletes, we understand the unique demands of sports-related injuries. Our treatment plans focus on not just recovery, but also injury prevention.

Joint Health: Our joint renewal and arthritis support programs help patients maintain mobility and manage pain associated with joint conditions.

Advanced Techniques: The practices offer cutting-edge treatments like dry needling, and complementary decompressive traction table therapy.

These comprehensive services mean you can receive all your physical therapy care in one location, with providers who understand your complete health picture.

A Success Story: From Injury to Empowerment

Sarah, a Fort Worth resident in her 30s, experienced firsthand the power of expert physical therapy care. An active tennis and pickleball player, she had been managing increasing knee pain with anti-inflammatory shots and braces. When her ACL finally tore, she faced the daunting prospect of surgery and a long recovery.

After her surgical repair, Sarah began physical therapy at Curnyn PT. Within 6-8 weeks, she was amazed at her progress. The personalized therapeutic movement plan designed specifically for her needs helped her regain strength and confidence faster than she had imagined possible.

What impressed Sarah most was the individualized attention she received. Her therapists took time to understand her goals and designed a treatment plan that addressed not just her immediate recovery needs, but also long-term injury prevention strategies.

The manual therapy techniques used at Curnyn PT helped restore movement in her knee while managing pain throughout the process. More importantly, the supportive environment helped her regain confidence in her body's ability to heal and perform.

Today, Sarah has returned to an active lifestyle, armed with the knowledge and skills to protect her knee and prevent future injuries. Her story illustrates the transformative power of expert physical therapy care.

Taking Your Next Steps

The new Texas legislation has opened doors to faster, more affordable physical therapy care. But with this freedom comes the responsibility to choose wisely.

Don't settle for the minimum when it comes to your health. Seek out experienced professionals who can provide the comprehensive care you deserve. Early intervention is key to preventing minor problems from becoming major limitations.

If you're dealing with pain or mobility issues, take advantage of your new direct access rights. Contact a qualified physical therapy practice and start your journey toward pain-free living.

Curnyn Physical Therapy stands ready to help you navigate this new healthcare landscape. Their experienced team, comprehensive services, and commitment to patient-centered care make them an ideal choice for your physical therapy needs.

Your Pain-Free Future Starts Now

Texas has given you the power to take control of your physical health. Direct access to physical therapy means faster treatment, lower costs, and better outcomes for musculoskeletal conditions.

The key is choosing the right partner for your recovery journey. Look for expertise that goes beyond the legal minimum, comprehensive services that address your complete needs, and a patient-centered approach that puts your goals first.

Your body deserves expert care, and you now have the freedom to seek it immediately when problems arise. Don't let pain limit your life when effective treatment is just a phone call away.

Ready to experience the difference that expert physical therapy can make? Contact Curnyn Physical Therapy today and discover how their three decades of experience and advanced training can help you achieve your health goals. Your journey to pain-free living starts with taking that first step.

Denny Curnyn
Denny, Dennis J. Curnyn, PT, MA, AT

Born and raised in Omaha, NE, Denny Dennis J. Curnyn has built an impressive career in physical therapy and athletic training. He earned his BS in Biology and an MA in Athletic Training from Western Michigan University, where he also worked as an athletic trainer. Later, he pursued a second BS in Physical Therapy at Grand Valley State University. During his physical therapy training, an internship in Texas sparked a love for the state, leading him to relocate to Fort Worth—a city he quickly embraced as home.

Determined to create a space that prioritized both patient care and therapist satisfaction, Denny founded his clinic in 1991. Formerly known as Sportcare Physical Therapy, Curnyn Physical Therapy has become the longest-running physical therapist-owned clinic in Fort Worth. With two convenient locations, it continues to provide exceptional care to the community. His journey began with a mission to break away from the corporate healthcare model and establish a practice driven by his core belief: a therapist-owned clinic fosters the ideal environment for high-quality care and positive outcomes.

Denny specializes in outpatient orthopedics and is deeply committed to achieving lasting results through a balance of manual therapy, exercise, and modality care. His dedication to continuing education ensures he stays at the forefront of innovative techniques, focusing on optimizing recovery time and patient outcomes.

Outside of his professional life, Denny cherishes time with his wife of 25 years and their three children. An avid golfer (and proud of it!), he spends much of his free time on the course. He’s also a lifelong Nebraska Cornhuskers fan, bringing his passion for sports full circle into every facet of his

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