We treat a range of muscoloskeletal conditions, including back pain, blockages and pain in the cervical, thoracic and lumbar spine

Just imagine…

You wake up in the morning without any pain…

You can just go out and play tennis or go for a run without worrying about your condition…

Life without pain is a realistic possibility…

…however, it is crucial to address muskuloskeletal issues early on to prevent them from becoming chronic.

What is the most effective way to manage back and spine problems?

There is no single answer to this question. The efficacy of the treatment depends on the individual causes of the pain and these areunique to each individual. Successful treatment depends on a comprehensive medical history and a thourough musculoskeletal examination. Above all, it depends on the physiotherapist’s expertise, sensitivity and the range of therapeutic methods employed. The physiotherapist then combines the therapeutic elements to make the therapy as effective as possible.

Pain in one part of the body frequently originates in another part of the body, albeit a distant one. Therefore, it is not usually effective to treat the pain at its source. Physiotherapy must be comprehensive and consider the entire body.

Many of our patients have experienced relief from their symptoms or have avoided surgery altogether.

What are the most common successfully treated back problems of our patients?

· Cervical spine pain and blockage – acute blockages and pain in the cervical spine, feeling of stiffness in the neck, limited range of motion in the cervical spine

· Tingling in the upper limbs and hands

· Herniated discs in the cervical spine – pain in the upper limbs, tingling in the arm, hand, fingers, weakness of the fingers when gripping, are very uncomfortable symptoms that are often caused by a herniated disc in the cervical spine. Herniated discs may be treated conservatively, unless the individual has had them for an extended period.

· Pain and blockages in the thoracic spine and between the shoulder blades – pain between the shoulder blades, stiffness of the thoracic spine, inability to straighten up well, stabbing pain under the shoulder blade up to the front of the chest, can all be caused by blockages in the thoracic spine and issues with straightening of the thoracic spine, but also by other factors, such as improper work of the hips or scars in the abdomen.

· Lumbar spine pain and blockages in – pain in the lower back, particularly when getting up from a seated position, when standing or sitting for extended period, or when lifting heavy objects. This is often caused by poor engagement of the trunk muscles, suboptimal spinal alignment or hip misalignment.

· Lumbar disc protrusions – tingling in the front, outside or back of the thigh, down the shin to the little finger or thumb, inability to bend over, back pain and other difficulties that accompany this very common problem.

· Headaches – headaches can have numerous causes, but are often readily resolved through physiotherapy.

· Chest pain and rib blockage

If you are experiencing acute or chronic back pain, do not hesitate to contact us. We will refer you to a physiotherapist who specialises in these problems.

Medical records and X-ray, CT scan, MRI results: Please bring these with you or send them to us electronically in advance.


What is included in a physiotherapy session

1. Initial consultation

· Please bring all relevant medical documentation, in particular results of imaging tests such as X-ray, MRI and CT scan.

· The therapist will inquire in detail about the history of your problems, including any previous ilnesses, childhood injuries, surgeries , and so forth.

· The therapist will then proceed to examine your musculoskeletal system and the body’s fine coordination.

· The treatment is typically initiatedwith a gentle approäch, with the therapist aiming to influence the body´s coordination .

· Additionally, the therapist will provide the patient with a series of exercises to be performed at home.

2. Further visits

· The frequency of further visits depends on the extent of the patient´s problems – from twice a week to once a week, every 14 days or every month.

· Following the initial consultation, it is possible that changes will be observed in the musculoskeletal system, although these may not be immediately apparent. The intensity of the therapy will increase resulting in observable changes.

3. End of therapy

· The end of therapy is typically gradual, with the frequency of visits decreasing as the problém resolves.

· If the issue has almost disappeared and can be resolved thorugh appropriate excercise, there is no necessity for continued therapy.

How to prepare for the physiotherapy session?

· In order to examine the musculoskeletal system, it is essential that the physiotherapist is able to observe the patient in their underwear, even if the patient somes with, for example, a cervical spine or ankle problem.

· Should you require a shower prior to the commencement of the session, changing rooms and showers are available. If you do not have your own towel with you, we will be happy to lend you one.

The methods that we use and the general course of a physiotherapy session

In the treatment of musculoskeletal pain, the individual causes of the pain, i.e. the reason for its occurrence, are different for each person. The success of treatment depends on a good medical history and a comprehensive musculoskeletal examination. Above all, it depends on the knowledge, sensitivity and range of methods used by the therapist. The physiotherapist then combines the therapeutic elements in order to make the therapy as effective as possible.

Physiotherapeutic methods and techniques we use:

Dynamic Neuromuscular Stabilization according to Professor PeadDr. Pavel Kolář Ph.D., (DNS)

Professor Kolář’s DNS is the basis of our work. DNS is based on the principles of developmental kinesiology. The main assumption is that the most common cause of musculoskeletal disorders is some kind of muscular imbalance. This muscular imbalance leads to increased tension in certain muscles, joint blockages and also to premature joint degeneration, herniated discs and more frequent sport injuries. These problems can therefore be treated very effectively by restoring the correct muscular interplay, even if degenerative changes, herniated discs or vertebral displacement have already occurred.

Myofascial medicine techniques

Joint mobilisation techniques, including those of the spine, ribs, limb joints and soft tissue, are another essential component of effective therapy. These techniques include manual relaxation of the skin, subcutaneous tissue, muscles, ligaments and tendons. The mobilisation techniques employed are those according to professor Lewit and professor PeadDr. Pavel Kolar, Ph. D.

Fascial Manipulation®/ Stecco®

As soon as this world-leading method came to the Czech Republic our therapists were trained in it and use it with great success. The method is focused on the fascial tissue, which is a complex network of connective tissue that can contract or shorten. As it forms a three-dimensional network within the body, a change in one part of the body, even a minor one, can have far-reaching effects throughout the entire body. This method induces structural changes and when combined with functional approaches such as DNS, it creates a very effective healing strategy.

Specific difficulties and their treatment

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