Hip joint pain, hip flexor tightness, bursitis, and labral injuries respond exceptionally well to one-on-one physical therapy. Dr. Cisneros assesses the full kinetic chain â not just the hip â to find the true source of your pain and build a plan that actually fixes it.
Hip pain has many causes â the joint itself, the surrounding muscles, the lumbar spine, or even the knee. A thorough movement assessment is the only way to pinpoint the source and choose the right treatment.
Deep groin or lateral hip pain that worsens with walking, standing, or getting out of a chair. Physical therapy improves joint mobility, builds surrounding muscle support, and often delays or prevents the need for surgery.
Sharp or aching pain on the outer hip that's tender to the touch and worsens lying on that side. Often misdiagnosed â most "hip bursitis" is actually gluteal tendinopathy, which requires a completely different treatment approach.
Pain or pulling sensation in the front of the hip, especially with running, kicking, or prolonged sitting. Common in runners, cyclists, and desk workers. Hip flexor exercises alone rarely fix this â it requires addressing the whole movement pattern.
Clicking, catching, or sharp pain deep in the hip joint during rotation or end-range movements. Many labral tears respond well to physical therapy â surgery isn't always necessary, especially with targeted hip joint exercises and manual therapy.
Lateral hip and knee pain in runners and cyclists caused by TFL and glute trigger points. Foam rolling provides temporary relief at best â the real fix requires strengthening the hip abductors and correcting running mechanics.
Recovery after total hip replacement or hip arthroscopy. One-on-one PT with Dr. Cisneros ensures you progress through each stage safely and return to full function faster than with group or aide-based clinic care.
Effective hip rehab looks at the entire lower extremity. Dr. Cisneros's background in strength and conditioning means your program is built around real movement â not generic exercises from a handout sheet.
Hip pain is rarely just a hip problem. Dr. Cisneros assesses your lumbar spine, pelvis, hip, knee, and ankle together â because weakness or restriction anywhere in that chain can drive hip symptoms. This is why patients who've failed generic PT elsewhere often get results here.
Hands-on hip joint mobilization to restore range of motion, reduce joint stiffness, and decrease pain. Combined with soft tissue work targeting the hip flexors, glutes, piriformis, and TFL â the muscles most commonly involved in hip dysfunction.
Progressive loading of the glutes, hip abductors, and external rotators using evidence-based protocols. Dr. Cisneros's Olympic weightlifting and CrossFit background means your hip strengthening program is built around functional movement â squats, hinges, single-leg work â not just band exercises on a table.
TFL, piriformis, and gluteal trigger points are major drivers of hip pain and IT band syndrome. Dry needling these muscles provides faster relief than stretching alone and makes the subsequent strengthening exercises far more effective. Learn more about dry needling â
In many cases, yes â especially for hip osteoarthritis and labral tears. Research shows that high-quality PT significantly reduces pain and improves function in hip OA, often delaying or eliminating the need for replacement. Dr. Cisneros will give you an honest assessment of your situation after your evaluation.
It depends entirely on the cause. For hip OA, progressive loading and mobility work is key. For bursitis/gluteal tendinopathy, compressive exercises like deep squats should be avoided early. For hip flexor issues, it's usually a combination of stretching, strengthening the opposing glutes, and correcting movement patterns. This is why a proper assessment matters â the wrong exercises can make hip pain significantly worse.
Acute hip flexor strains and mild bursitis can respond within 4â6 sessions. Hip OA and labral tears typically require 8â12 sessions for meaningful improvement. Post-surgical hip replacement rehab takes 3â6 months for full recovery. Dr. Cisneros sets clear milestones so you always know what progress to expect.
No. Texas direct access law allows you to see a licensed physical therapist without a physician referral. You can book directly with Dr. Cisneros and start treatment this week â no paperwork, no waiting for an authorization, no insurance battles.
This is one of the most important â and most commonly missed â distinctions in musculoskeletal care. Lumbar spine issues frequently refer pain into the hip and groin. Dr. Cisneros uses specific clinical tests to differentiate spinal from hip pathology during your evaluation, ensuring your treatment targets the actual source.
Same-week appointments in West El Paso. No referral needed. One-on-one with Dr. Cisneros every session.
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