Physiotherapist assesses client’s physical and functional abilities, as well as searches the best way to improve client’s wellbeing, quality of life and make activities of daily living painfree.

Physiotherapy involves evaluating patient’s injury and finding solutions through individual therapeutic exercises, manual techniques, soft tissue massage, mobilisations, kinesiotaping, advice for patients and relatives, and more. Physiotherapy sessions and plan change over time as patient progresses and achieves set goals. Physiotherapy is also beneficial for injury prevention, addressing the problem at the early phase will minimise occurence of chronic and overload injuries in the future.

Issues we deal with:

  • Musculoskeletal problems that do not require surgery: e.g. poor posture (kyphosis, hypo- or hyperlordosis), incorrect work ergonomics, mechanical overload, etc.
  • Preoperative physiotherapy for faster recovery post-op
  • Postoperative physiotherapy to restore function and painfree mobility

The service is chargeable and letter from the doctor cannot be applied.

Before your session:

  • Bring comfortable clothing
  • Think it over and write down the problem you are experiencing
  • When the pain occurred and how the pain changed over time
  • When the change was noticed and what were aggravating or easing factors (eg activities that caused pain or swelling)
  • Have you done anything since the injury occurence
  • What medicines you have taken
  • Back pain, muscle tension (eg disc protrusion-extrusion-prolapse, spondylosis, spondylolisthesis, radiculopathy, etc.)
  • Hip or knee arthroscopy (both preoperative and postoperative)
  • Movement and function restoration after fracture
  • Movement and function rahabilitation after a traffic accident or trauma (including scar and compression treatment after burns)
  • Functional rehabilitation with neurological diseases (eg multiple sclerosis, etc.)

At the physiotherapist’s appointment there are many injuries and restrictions, that limit the client’s daily activities, sport or hobbies can be dealt with. Various injuries can result in pain, decreased range of joint motion, decreased muscle performance, inflammation of tendons or tendon sheaths, and other problems. The main reasons for booking an appointment with us are muscle tensions and tension headaches in the neck-shoulder girdle, pain in the lower back and pelvic-sacral region, as well as pain in other joints: ankle, knee and elbow.

Electrotherapy is part of the rehabilitation process. We use EMS and TENS electrotherapy devices, which work as analgesic, improves blood supply, reduces inflammation and swelling. Used for a wide variety of problems: acute inflammation, muscle and joint problems, post-traumatic conditions, nerve irritation, sensitivity disorders, etc. TENS electrotherapy device provide electrical stimulation through the skin electrodes. TENS electrotherapy is used to treat a variety of injuries, increase peripheral blood flow, and improve physical performance.

Therapeutic exercises refer to the use of active and functional methods to improve client functionality and reduce disability. They affect the client’s physical characteristics and pain. In addition, his awareness of recovery processes is activated. Therapeutic exercises improve a patient’s cardiorespiratory capacity, develop muscle strength, muscle endurance, joint mobility, and motor skills such as walking, physique, or balance. The purpose is to alleviate symptoms and improve patient performance, prevent or avoid injury, alleviate exercise limitations, minimize or avoid the need for external assistance, and prevent and / or alleviate the development of physical injury or mental disability into permanent disability. The therapeutic exercise plan is developed by the physiotherapist according to the patient’s needs and possibilities, instructs orally, assists manually (eg in feeling the correct starting and ending position) or by visually showing himself. Therapeutic exercises are performed one-on-one as an individual service with a physiotherapist.

There are several methods of treating fascia – connective tissue. One of the therapies has been developed by Italian physiotherapist Luigi Stecco to deal with musculoskeletal problems. Therapy focuses on deep connective tissue, or muscle fascia, which is dense connective tissue. Fascia surrounds and wraps muscles, muscle groups, blood vessels and nerves to form a three-dimensional uninterrupted system. The active structure of the fascia works mechanically when the muscles produce work (change postures or under the influence of external forces acting on the body). Forced postures and movements, trauma, surgery, and inflammation can alter the slippage of various fascial layers and cause nerve irritation in their daily activities. This can result in pain, limited range of motion, stiffness and tension – typical symptoms of myofacial pain. Studies have found that about 30% of muscle fibers are attached to bone through the fascia and the remaining 70% through the tendon. In this case, 1/3 of the generated muscle power is transmitted through fascia, which makes it an important structure for human activities and movement. Another interesting finding is the number of receptors in sensory cells. There are many more cells that detect movement and propreoception in the fascia than in the muscles, tendons, or ligaments. This gives it a very important role in controlling movement, whether or not the muscles under the fascia produce movement. In a study of patients with chronic back pain, subjects found 25% thicker fascia structures in the thoracic and lumbar spine transition region and 20% poorer connective tissue layers in the thoracic and lumbar spine. The therapy is based on the restoration of normal sliding of the different fascia layers relative to each other, which is a prerequisite for performing symmetrical and correct therapeutic exercises. The hyaluronic acid molecules between different layers of connective tissue into long chains causes a gel-like state and inhibits slippage. In the treatment of fascia, friction and heat break the chains of hyaluronic acid molecules to restore normal fascia slip. Some of the points that need to be addressed may be quite far from the symptomatic area. For example, in Achilles tendon pain, treatment points may be in the back, buttocks, and / or knees. Based on the patient’s subjective assessment, joint mobility testing and palpation of different fascia points, the points to be treated are selected. Sensitivity and pain may occur at the treated points for a few days after treatment. Although the treatment points are sensitive, do not apply cold or use anti-inflammatory drugs to normalize fascia slip. The patient should avoid, for example, rapid changes of direction on the same and the next day, as proprioception may be impaired for a short time. Contraindications to the treatment of Fascia include the use of corticosteroids, arthritis, diabetes, blood thinners, fear and / or severe tenderness or pain.

Advice and guidance by a physiotherapist are key to imprve the quality of life of a patient with joint wear and tear. For example, in osteoarthritis, physiotherapy is recommended at an early stage before the surgery the only option. Different physiotherapy methods can relieve pain in osteoarthritis, maintain and increase joint mobility and function, and thus improve and maintain quality of life. If e.g. osteoarthritis of the hip or knee joint has reached a certain stage, the patient needs surgery for joint endoprosthesis (replacement). The physiotherapist guides you through the exercise plan: what the patient can do before the operation and what to do immediately after the operation, what are the forbidden movements and positions, clear crutches on flat surfaces and stairs, and, if desired, counseling on continuation of active sex life. Good general condition and the best possible toned muscles speed up the recovery from surgery. This gives the patient the feeling and confidence of performing the exercises without the pain and fear, and it is much easier to repeat them correctly after the operation. You can also assess the need for other aids – for example, a home shower chair, bed raises, etc. Medical compression stockings may also be needed for the postoperative period when the patient has varicose veins and occasional swelling of the legs, as this reduces the risk of thrombosis due to the operation. After the operation, the physiotherapist assesses the muscle activity and joint mobility, leg length and walking gait via walking gait analysis. The physiotherapist provides instructions on how to perform daily activities. Encouraging and motivating the client is important in order for the client to make the most of the opportunities offered by the artificial joints to improve their functionality and quality of life. The overall goal is to get a satisfied customer whose functional abilities are restored so that he or she can live independently.