Dr. Cole Cisneros.

It keeps coming back because nothing changed how you move

You rested it. It calmed down. You went back to the same mileage, the same swing, the same lift. Four weeks later it was back.

That is not bad luck. That is a mechanics problem nobody addressed. Cole treats the mechanics.

How he works

Cole is a licensed physical therapist with a foundation in sports rehabilitation, performance training, and biomechanics. He looks at joint mobility and movement mechanics early, because that is usually where a recurring injury has been hiding.

Dry needling through AAMT handles the tissue side. His ISSA training as a Certified Personal Trainer and a Specialist in Exercise Therapy handles the loading side, which is why his plans do not stop at pain-free. They keep going until you can take the volume you actually want.

He treats running injuries, golf-related pain and mechanics issues, lower extremity overuse injuries, joint mobility deficits, shoulder and hip pain, and performance limitations. Golfers and runners are where he lights up.

Credentials and certifications

• PT, DPT, licensed physical therapist
• Doctor of Physical Therapy, University of St. Augustine, 2020
• Dry Needling Certified through AAMT
• ISSA Certified Personal Trainer
• ISSA Specialist in Exercise Therapy
• Golf and running specialist

What to expect if you see Cole

One-on-one with a licensed physical therapist, every visit.

He will watch you move before he treats you, because the story your body tells under load is more useful than the spot you point at.

Then a cause-first evaluation, a correction to the pattern that caused it, and a plan with an endpoint that runs the four phases: Pain, Prime, Perform, Prevent. You will know which phase you are in and what gets you to the next one.

Get back to the sport, not just out of pain

Another season of managing it is another season of running shorter, swinging softer, and hoping it holds. That is a slow way to lose something you love.

Schedule an appointment with Cole and get the mechanics looked at properly.

More on this kind of care: sports rehab in Richardson.