Lower back pain is the #1 reason people miss work and avoid the activities they love. At Solas Physical Therapy, we treat the root cause — not just the symptoms — with one-on-one hands-on care by a doctoral-level therapist.
Lower back pain presents differently for everyone. These are the most common patterns we treat at Solas Physical Therapy in El Paso.
Pain that ranges from a dull ache to sharp stabbing sensations, especially with bending, lifting, or prolonged sitting.
Shooting pain, tingling, or numbness that travels from the lower back into the buttocks, thigh, or below the knee — often a sign of nerve involvement.
Waking up stiff and needing 20–30 minutes to "loosen up" is common with mechanical low back pain and certain inflammatory conditions.
Back pain that worsens during exercise, lifting, CrossFit, or sports — limiting performance and preventing you from training the way you want.
Increased pain after long periods of sitting, driving, or desk work — a hallmark of disc-related or postural lower back pain.
Back pain that keeps coming back every few months despite rest, chiropractic care, or medication — a sign the underlying cause has never been fully addressed.
Dr. Cisneros uses a comprehensive, movement-based approach that combines hands-on manual therapy with exercise prescription tailored to your specific diagnosis and goals.
Every evaluation starts by examining your full kinetic chain — not just your back. Hip mobility, core control, movement patterns, and neurological screening all factor into your diagnosis. This is how we find the real cause, not just the pain site.
Hands-on techniques including spinal joint mobilization, soft tissue work, and neural mobilization to restore normal movement, reduce pain, and reset how your nervous system processes the injured area.
Trigger point dry needling targets the deep paraspinal muscles and gluteal muscles that are often chronically guarded in low back pain. This dramatically reduces muscle tension and accelerates recovery.
Specific exercises designed for your diagnosis — whether that's lumbar stabilization, hip hinge mechanics, or deadlift technique. Dr. Cisneros's strength and conditioning background means your rehab bridges directly into real performance.
It depends on how long you've had the pain and the underlying cause. Acute lower back pain often responds in 4–6 sessions. Chronic or complex cases may take 8–12. Dr. Cisneros will give you a realistic timeline at your first evaluation.
No. Texas allows direct access to physical therapy, meaning you can book an evaluation without a physician referral. This saves you time and an extra office visit.
Insurance-based clinics often limit you to 15-minute appointments shared with an aide. At Solas, every session is 45–60 minutes one-on-one with Dr. Cisneros. Most patients see faster results and need fewer total sessions — which often makes it more cost-effective overall.
Yes. Chronic low back pain responds very well to manual therapy combined with specific exercise. Many patients who have struggled for years see significant improvement because their previous treatment never addressed movement patterns and muscle imbalances.
Not necessarily. Most lower back pain does not require imaging to begin PT effectively. If Dr. Cisneros identifies something during your evaluation that warrants imaging, he will refer you appropriately.
Book a one-on-one evaluation with Dr. Cisneros today. Same-week appointments available. No referral needed.
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