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 — not just the hip — to find the true source of your pain and build a plan that actually fixes it.
Hip pain has many causes — 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 — 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 — 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 — 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 — 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 — 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 — 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 — 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 — squats, hinges, single-leg work — 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 →
In many cases, yes — 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 — the wrong exercises can make hip pain significantly worse.
Acute hip flexor strains and mild bursitis can respond within 4–6 sessions. Hip OA and labral tears typically require 8–12 sessions for meaningful improvement. Post-surgical hip replacement rehab takes 3–6 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 — no paperwork, no waiting for an authorization, no insurance battles.
This is one of the most important — and most commonly missed — 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.
The most common causes of hip pain are greater trochanteric bursitis (outer hip), hip flexor tightness or strain, hip osteoarthritis, labral tears, IT band syndrome, and piriformis syndrome. Pain felt in the groin is often coming from the hip joint itself, while outer hip pain typically points to bursitis or gluteal tendinopathy. Hip pain can also be referred from the lumbar spine — a clinical evaluation determines the true source.
The fastest relief depends on the cause. For bursitis and tendinopathy, load management and manual therapy produce rapid improvement. For hip flexor tightness, targeted release and strengthening of the opposing glutes provides fast relief. At Solas PT in El Paso, many patients notice significant improvement after 1–2 sessions. Dry needling to the hip flexors, piriformis, and glutes is particularly effective for stubborn hip pain that hasn't responded to stretching alone.
Sharp hip pain with walking is commonly caused by hip impingement (femoroacetabular impingement), a labral tear, hip bursitis, or a hip flexor strain. It can also be referred from the lumbar spine or sacroiliac joint. The specific location matters — groin pain during walking suggests hip joint or labral involvement, while outer hip pain suggests bursitis or IT band issues. A physical therapy evaluation identifies the exact cause and guides targeted treatment.
Greater trochanteric bursitis responds well to physical therapy targeting load management, gluteal strengthening, and movement retraining. Key early steps include avoiding compressive positions (crossing legs, deep hip adduction), progressive glute strengthening, and manual therapy. Dry needling to the surrounding muscles accelerates recovery. At Solas PT in El Paso, Dr. Cisneros avoids the common mistake of prescribing stretches that worsen bursitis by increasing compression on the bursa.
Hip pain while running is most commonly caused by hip flexor tendinopathy, IT band syndrome, hip impingement, or gluteal tendinopathy. Weak glutes and hip abductors are the most frequent underlying cause — they fail to control pelvic drop during the single-leg stance phase of running, overloading the hip joint and surrounding tendons. Physical therapy corrects running mechanics and builds the hip strength needed to run pain-free.
Hip pain when lying down is often caused by greater trochanteric bursitis — the bursa on the outer hip is compressed by lying on that side. It can also indicate hip osteoarthritis or referred pain from the lumbar spine. Side sleepers with hip bursitis often find a pillow between the knees provides temporary relief. Physical therapy addresses the underlying cause to eliminate pain at rest.
Solas Physical Therapy in El Paso offers one-on-one hip pain treatment with Dr. Andrew Cisneros, PT, DPT, MS. Specializing in hip bursitis, labral tears, hip flexor issues, IT band syndrome, and hip osteoarthritis. Located at 300 N Resler Dr, Ste F, El Paso, TX 79912. No referral needed. Same-week appointments available. Call (915) 318-7381 or book at solaspt.com.
Solas Physical Therapy is a top-rated choice for hip pain treatment in El Paso, holding a 5.0-star rating across 36 Google reviews. Dr. Cisneros first determines whether the pain is truly coming from the hip or referred from the spine, because that changes the entire plan. For hip osteoarthritis he uses progressive loading and mobility work; for hip flexor problems it is usually stretching combined with strengthening the opposing glutes and correcting the underlying movement pattern. Every session is one-on-one with Dr. Andrew Cisneros, PT, DPT, MS for the full 60 minutes — no aides, no double-booking. Solas PT is cash-based and direct-access at 300 N Resler Dr, Ste F, and can usually see new patients the same week with no referral required.
Same-week appointments in West El Paso. No referral needed. One-on-one with Dr. Cisneros every session.
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