The shoulder is the most mobile joint in the body — and the most commonly injured. Whether it's a rotator cuff tear, impingement, or frozen shoulder, Dr. Cisneros delivers precise hands-on care to restore full, pain-free function.
Shoulder pain can stem from many different structures. An accurate diagnosis is the foundation of effective treatment.
Pain and weakness with overhead movements, reaching behind the back, or lifting. Many partial tears respond excellently to PT without surgery.
Pinching pain when reaching overhead or across the body. Caused by poor shoulder mechanics and muscle imbalances — highly responsive to targeted rehab.
Progressive stiffness and pain that limits shoulder movement in all directions. Manual therapy and specific mobilization techniques dramatically accelerate recovery.
Pain at the top of the shoulder or deep joint pain with pushing/pressing movements. Common in overhead athletes, CrossFit competitors, and weightlifters.
A feeling of the shoulder slipping or "going out," especially after a dislocation or subluxation. Stability rehab can restore confidence and prevent recurrence.
Recovery after rotator cuff repair, SLAP repair, labrum surgery, or shoulder replacement. One-on-one PT optimizes surgical outcomes and restores full function.
Effective shoulder rehab requires restoring the relationship between the shoulder blade, rotator cuff, and thoracic spine. Dr. Cisneros's approach addresses the whole system, not just the pain site.
Most shoulder problems involve stiffness in the thoracic spine and scapular dyskinesis — poor shoulder blade movement. Every evaluation assesses both to ensure nothing is missed.
Hands-on techniques targeting the glenohumeral joint, AC joint, and thoracic spine to restore mobility and reduce pain. Particularly effective for frozen shoulder and post-surgical stiffness.
Targeted dry needling of the infraspinatus, supraspinatus, and subscapularis muscles to reduce chronic tension and trigger points that contribute to impingement and rotator cuff pain.
For athletes who press, snatch, or do overhead work — Dr. Cisneros's background in Olympic weightlifting means your technique and shoulder mechanics are corrected alongside your injury rehab.
For partial thickness tears and many full thickness tears in non-overhead athletes, PT alone produces outcomes equivalent to surgery. Dr. Cisneros will give you an honest assessment of whether conservative PT is appropriate for your specific tear.
Most patients with shoulder impingement see significant improvement within 6–8 sessions over 4–6 weeks. Full resolution typically takes 8–12 sessions depending on how long the problem has been present.
Often yes, with modifications. Dr. Cisneros will identify which movements aggravate the injury and help you work around them while the shoulder heals — rather than just telling you to stop training entirely.
No. Texas allows direct access to physical therapy. You can schedule your evaluation without a physician referral, saving you time and a co-pay.
Same-week appointments available. No referral needed. One-on-one with Dr. Cisneros every session.
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