Evaluation
Dr. Andrew takes a full history and movement screen, then identifies the specific soft-tissue structures driving your symptoms by palpation. You'll know exactly what he's treating and why before a single needle goes in.
AFFILIATED CARE · 6633 N MESA ST · EL PASO, TX
Evidence-based dry needling with Dr. Andrew Cisneros, PT, DPT, Certified Dry Needling Specialist — at Solas Physical Therapy, a sibling practice operating from Suite 508B inside the Solas Health & Wellness building. Same-week appointments. No referral required.
WHAT IS DRY NEEDLING
Dry needling is a Western, evidence-based technique used by trained physical therapists to address the soft-tissue structures driving chronic pain and restricted movement. Using a thin filament needle, Dr. Andrew can reach muscle, tendon, fascia, or motor points directly — well below what massage, stretching, or topical treatments can access.
The technique is precise: each insertion is targeted to a specific anatomical structure identified during the evaluation. Depending on your diagnosis, the goal might be releasing tension in a tight muscle, addressing a chronically irritated tendon, calming a hyperactive motor point, or reducing the soft-tissue tension contributing to joint dysfunction.
Because dry needling addresses the mechanical driver of pain — not just the symptom — it's one of the most effective tools available for chronic musculoskeletal conditions that haven't responded to massage, stretching, or anti-inflammatories alone.
COMMON QUESTION
The needles look similar. The training, philosophy, and clinical goals are different.
CONDITIONS DRY NEEDLING TREATS
Dry needling is effective across a wide range of chronic musculoskeletal conditions. Many patients see results in 2–4 sessions when paired with physical therapy at SolasPT.
Not sure if dry needling fits your situation? Call or text Dr. Andrew at (915) 318-7381 for a quick screening conversation.
YOUR FIRST SESSION
A first dry needling visit at SolasPT is a full 60 minutes — evaluation, treatment, and a personalized plan.
Dr. Andrew takes a full history and movement screen, then identifies the specific soft-tissue structures driving your symptoms by palpation. You'll know exactly what he's treating and why before a single needle goes in.
The treatment area is cleaned with alcohol. Dr. Andrew uses sterile, single-use, thin filament needles — finer than the needles used for blood draws — and follows clean technique throughout the session.
The needle is guided through the skin to the targeted tissue. Most patients feel a brief pinch; in muscle, it may be followed by a quick involuntary twitch — the therapeutic local twitch response signaling the tissue is releasing.
Depending on your condition, Dr. Andrew may hold the needle in place for 10–30 seconds or use a gentle pistoning technique to elicit additional twitch responses. Most muscle groups need 1–4 needle insertions per session.
After needling, Dr. Andrew reassesses your range of motion and pain, then walks you through gentle corrective movement so the treated tissue reintegrates into normal function rather than simply tightening back up.
You'll leave with a hydration plan, gentle stretches, and a clear expectation: mild soreness for 12–24 hours is normal, intense exercise is on hold for 24 hours, and most patients feel meaningful improvement within 48 hours.
WHY DR. ANDREW FOR DRY NEEDLING
Dry needling works best when it's part of a complete physical therapy plan, not a standalone procedure. Dr. Andrew is a Doctor of Physical Therapy with over twelve years of clinical experience treating orthopedic and sports injuries — the dry needling certification is one tool in a much larger toolbox.
In a typical SolasPT session, dry needling is paired with manual therapy, neuromuscular re-education, and specific corrective exercise. The needling releases the targeted tissue; the rest of the visit retrains it so it doesn't simply re-tighten the next day. That's the difference between a quick fix and lasting change — and it's why Dr. Andrew Cisneros, PT, DPT treats every patient himself, for the full session, with no aides or handoffs.
Want the broader context on what Dr. Andrew offers? See the full physical therapy services page or visit SolasPT.com.
SISTER PRACTICES, ONE BUILDING
Solas Physical Therapy and Solas Health & Wellness operate as sibling practices at 6633 N Mesa St in El Paso. For patients dealing with chronic pain, soft-tissue injury, or athletic recovery, the two practices stack well: dry needling and manual therapy from Dr. Andrew at SolasPT, paired with recovery infusions and peptides from Celeste Cisneros, FNP-BC at Solas Health & Wellness.
Common pairings patients choose include BPC-157 and TB-500 recovery peptides, IV drip therapy for hydration and nutrient repletion, and NAD+ infusion for cellular recovery — delivered through Solas Health & Wellness in Suite 508, with dry needling and physical therapy delivered through SolasPT in Suite 508B.
FREQUENTLY ASKED
No. Dry needling is a Western, evidence-based physical therapy technique that targets specific soft-tissue structures — muscle, tendon, motor points, and connective tissue — to release tension and restore movement. Acupuncture is rooted in traditional Chinese medicine and follows meridian theory to balance the body's energy flow. The needles look similar — the philosophy, training, and clinical goals are different.
Most patients feel a brief pinch on insertion. When the needle reaches a tight muscle, you may feel a quick involuntary twitch — the therapeutic local twitch response that signals the muscle is releasing. Some patients report mild soreness for 24 to 48 hours afterward, similar to a workout.
Most patients see meaningful improvement within 2 to 4 sessions. Acute injuries often resolve faster; chronic conditions may need 6 or more visits combined with corrective exercise. Dr. Andrew adjusts your plan after every visit based on your response.
SolasPT is a cash-based clinic and does not bill insurance directly. Many patients submit superbills to their insurance for out-of-network reimbursement under physical therapy benefits. HSA and FSA cards are accepted.
In Texas, dry needling falls within the scope of practice of licensed physical therapists who hold additional dry needling certification. Dr. Andrew Cisneros, PT, DPT is a Certified Dry Needling Specialist with over a decade of clinical experience treating orthopedic and sports injuries.
Hydrate well, move gently through normal range of motion, and avoid intense exercise for 24 hours. Mild soreness in the treated muscles is normal and usually peaks 12 to 24 hours after the session. Heat and gentle stretching help.
Yes. Tight upper trapezius, suboccipital, and cervical muscles are frequent drivers of tension headaches and migraines, and tightness in the piriformis and gluteal muscles can mimic or worsen sciatic nerve pain. Dry needling addresses those soft-tissue drivers directly.
SolasPT operates from Suite 508B inside the Solas Health & Wellness building at 6633 N Mesa St, El Paso, TX 79912. SolasPT and Solas Health & Wellness are sibling practices under one roof, run by two independent licensed clinicians.
BOOK YOUR FIRST SESSION
First visit is a complete evaluation and treatment session. Cash-based · no insurance · no referral.
LOCATION
6633 N Mesa St, Suite 508B
(inside the Solas Health & Wellness building)
El Paso, TX 79912
HOURS
Wed & Fri · 5pm – 8pm
Saturday · 9am – 3pm
Sunday · 1pm – 5pm
DR. ANDREW'S DIRECT LINE