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.
It depends what you mean by "fix." The tear itself doesn't disappear — but tendon and muscle can remodel and strengthen around the tear to restore real functional capacity. Dr. Cisneros tailors shoulder mobility, rotator cuff and scapular strengthening, then functional strengthening. For small-to-moderate tears this often restores function well, and research shows outcomes for many moderate tears can match surgery. Progress is gradual, and a very large tear may genuinely need a surgeon — he'll give you an honest assessment of which path fits your 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.
Yes — completely stopping is almost never the answer; there's always something productive you can train. Dr. Cisneros uses load modification, especially for impingement, to keep you moving while the tissue calms. The exceptions are instability-driven injuries: with a large labral tear, positions that provoke instability (throwing, end-range overhead) should be avoided, and with a posterior labral tear with instability, hanging from a bar isn't advised. You can train around most shoulder injuries — but if the underlying impairments aren't addressed by a PT, the problem compounds, so a comprehensive evaluation guides what's safe to load.
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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