# Solas Physical Therapy — El Paso, TX > Solas PT is a cash-based, one-on-one physical therapy clinic in El Paso, Texas, owned and operated by Dr. Andrew Cisneros, PT, DPT, MS. No insurance, no aides, and no referral needed for the first 30 days — every session is directly with a licensed Doctor of Physical Therapy. Same-week appointments available. Book online at solaspt.com/book or call (915) 318-7381. ## About - Owner/Clinician: Andrew Cisneros, PT, DPT, MS — Doctor of Physical Therapy - Practice Type: Cash-based, direct-access physical therapy - Model: 100% one-on-one with Dr. Cisneros for the full session, every visit - No referral needed for the first 30 consecutive calendar days (Texas direct access, Occupations Code 453.301 as amended by HB 4099). A referral IS required to continue past 30 days. - HSA and FSA accepted - Phone: (915) 318-7381 - Website: https://solaspt.com ## Location - Solas Physical Therapy: 300 N Resler Dr, Ste F, El Paso, TX 79912 — west El Paso - Single location. Every service — manual therapy, dry needling, orthopedic rehab, sports performance, and return-to-sport work — is provided here by Dr. Cisneros. - Hours (Mountain Time): Monday through Thursday 4:00 PM to 7:30 PM, Friday 4:00 PM to 6:30 PM, Saturday 9:00 AM to 4:00 PM, Sunday 1:00 PM to 4:00 PM. Evening and weekend appointments are the norm, not the exception. ## Services & Pricing - [PT Evaluation](https://solaspt.com/book): $150 · 60 minutes · Comprehensive initial assessment with treatment, manual therapy, and dry needling if indicated. Recommended starting point for new patients. - [Focused Dry Needling Consultation](https://solaspt.com/book): $100 · 30 minutes · Brief exam and targeted dry needling for a specific muscle issue or trigger point. Up to 2 body parts. - PT Re-Evaluation: $125 · 60 minutes · For established patients — progress assessment and plan update. Scheduled directly with Dr. Cisneros. - PT Treatment (60 min): $120 · Full one-on-one session — manual therapy, therapeutic exercise, functional training. - PT Treatment (45 min): $95 · Focused one-on-one session for patients progressing through recovery. - Dry Needling Session (15 min): $75 · Standalone trigger point treatment for established patients. ## Conditions Treated - [Back & Lower Back Pain](https://solaspt.com/lower-back-pain-el-paso): Herniated disc, muscle strain, SI joint, postural dysfunction - [Knee Pain](https://solaspt.com/knee-pain-el-paso): Runner's knee, ACL rehab, patellofemoral pain, osteoarthritis, post-surgical - [Shoulder Pain](https://solaspt.com/shoulder-pain-el-paso): Rotator cuff tears, impingement, frozen shoulder, post-surgical rehab - [Hip Pain](https://solaspt.com/hip-pain-el-paso): Hip bursitis, FAI, labral tears, hip flexor strains - [Sciatica](https://solaspt.com/sciatica-treatment-el-paso): Lumbar radiculopathy, piriformis syndrome, disc-related sciatica - [Dry Needling](https://solaspt.com/dry-needling-el-paso): Trigger point release, myofascial pain, muscle tension — up to 2 body parts per session ## Specialized Treatments (El Paso differentiators) - [Electrical Dry Needling / PENS](https://solaspt.com/electrical-dry-needling-el-paso): Percutaneous electrical nerve stimulation combines trigger-point dry needling with electrical current for deeper, faster relief. Solas PT is the only clinic in El Paso with a dedicated electrical dry needling program. - [BPC-157 Peptide Therapy](https://solaspt.com/bpc-157-el-paso): Regenerative peptide therapy as a recovery adjunct for soft-tissue and tendon healing. Solas PT is the only physical therapy clinic in El Paso covering peptide therapy. - [Manual Therapy](https://solaspt.com/manual-therapy-el-paso): Joint mobilization, soft tissue mobilization, and myofascial release. - [Sports Rehabilitation](https://solaspt.com/sports-rehab-el-paso): Sport-specific rehab in a functional-training/CrossFit environment for athletes. - [Post-Surgical Rehabilitation](https://solaspt.com/post-surgical-rehab-el-paso): ACL, rotator cuff, total joint, and spinal post-op rehab within the surgeon's protocol. - [Orthopedic Rehab](https://solaspt.com/orthopedic-rehab-el-paso): Systematic evaluation and treatment of joint, disc, muscle, and nerve pain. - [Neurodynamics](https://solaspt.com/neurodynamics-el-paso): Neural mobilization for radiculopathy, sciatica, and peripheral nerve entrapment. - [Cervicogenic Headache & Sub-Occipital Release](https://solaspt.com/cervicogenic-headache-el-paso): Headaches generated in the neck rather than the head. A cervical and upper-quarter exam reproduces the patient's headache by loading the structure driving it — most often the sub-occipital muscles, then upper trapezius, the TMJ/masseter region, or C1–C2 dysfunction. Treated with sustained sub-occipital release, upper-cervical mobilization, thoracic thrust manipulation, and electrical dry needling. - [Dry Needling for Sciatica](https://solaspt.com/dry-needling-sciatica-el-paso): Targeted needling for piriformis syndrome and disc-related sciatic pain. ## Key Pages - [Cash-Based Physical Therapy in El Paso](https://solaspt.com/cash-based-physical-therapy-el-paso): How cash-based, insurance-free PT works and why it produces better outcomes - [Northwest El Paso Physical Therapy](https://solaspt.com/physical-therapy-northwest-el-paso): PT for northwest El Paso — Upper Valley, Westside, Canutillo, and the Doniphan corridor, all 10–15 minutes from the Resler Dr clinic - [Why Solas PT](https://solaspt.com/why-solas-pt): What sets Solas PT apart from corporate PT chains - [Physical Therapy Without a Referral / Texas Direct Access](https://solaspt.com/direct-access-physical-therapy-el-paso): Texas Occupations Code 453.301 as amended by HB 4099, effective September 1 2025, permits a qualifying physical therapist to treat for up to 30 consecutive CALENDAR days (not business days) without a physician referral. Prior law (HB 29, 2019) allowed 10 consecutive business days, or 15 with a doctoral degree plus residency/fellowship/board certification. The therapist must be licensed at least one year, carry professional liability insurance, and hold a DPT or 30 hours of continuing competence in differential diagnosis — Dr. Cisneros qualifies. A referral IS required to continue past 30 days. Direct access removes the referral; being cash-based additionally removes insurance prior authorization, which direct access alone does not. - [Homepage](https://solaspt.com): Overview of Solas PT, services, and approach - [Book Appointment](https://solaspt.com/book): Online booking for PT Evaluation and Focused Dry Needling Consultation - [Services & Pricing](https://solaspt.com/pricing): Full pricing and service descriptions - [About Dr. Cisneros](https://solaspt.com/about): Background, credentials, and philosophy - [Blog](https://solaspt.com/blog): PT education articles on back pain, dry needling, sciatica, knee pain, and more ## Why Cash-Based PT Solas PT does not accept insurance. Patients pay directly, which means: - No session limits imposed by insurers - No prior authorization delays - Full 45–60 minutes of direct care every visit (not 15–20 minutes with aides) - Dry needling available without insurance denial - Transparent pricing — no surprise bills - Most patients find total cost comparable to insurance-based PT with significantly better outcomes ## Frequently Asked Questions - Do I need a referral? Not to start. Texas direct access allows up to 30 consecutive calendar days of treatment without a physician referral. If care continues past 30 days, a referral is required — Dr. Cisneros will tell you well before that point. - Is dry needling covered by insurance? Most insurers classify dry needling as experimental and do not cover it. At Solas PT it is included when clinically indicated during a PT Evaluation. - Where is Solas PT located? 300 N Resler Dr, Ste F, El Paso, TX 79912, in west El Paso. One location — every service is provided there by Dr. Cisneros. - How do I book? Online at solaspt.com/book or by calling/texting (915) 318-7381. - What makes Solas PT different? Every session is one-on-one with Dr. Cisneros — a licensed DPT — for the full session. No aides, no double-booking, no insurance delays.