Treatment

Back pain — physiotherapy and treatment in central Warsaw

Getting out of bed in the morning is hard, at work you keep shifting to find a position that doesn't hurt, and in the evening your back reminds you it is there the moment you bend down for the shopping. Back pain rarely appears overnight — it usually builds over weeks, until it starts deciding what you can and can't do.

Most episodes of back pain are mechanical in origin: overloaded muscles and joints, restricted mobility, weak trunk stability. That is good news, because these are exactly the factors physiotherapy can genuinely change.

We start with an assessment, not a treatment. Only once we know which structures are overloaded and why do we choose the therapy — and show you what to do between visits so the result lasts.

Typical symptoms

  • Dull, spread-out pain in the lower back that builds towards the end of the day
  • Morning stiffness that eases after fifteen minutes or so of moving about
  • Pain when bending, getting up from a chair and lifting something heavy
  • Reduced forward bending and trunk rotation
  • Tension in the muscles alongside the spine that feels like a hard band
  • Pain radiating into the buttock or the back of the thigh
  • Symptoms that flare up after long periods of sitting or driving

Most common causes

  • Long hours spent sitting and little movement during the day
  • Overload: lifting, physical work, a sudden return to intensive training
  • Weak trunk stability and weak gluteal muscles
  • Restricted mobility in the hips and thoracic spine, which the lower back compensates for
  • Overload-related changes in the intervertebral discs and the facet joints
  • Chronic stress and persistent muscle tension
  • An earlier injury you never fully recovered from

How we reach a diagnosis

  1. History: how long it has hurt, what makes it worse and what eases it, what your working day looks like
  2. A review of your records — if you have MRI, X-ray or ultrasound results, bring them with you
  3. Assessment of posture and movement patterns: bending, twisting, getting up from a chair, walking
  4. Functional tests of the lumbar spine, the hips and the thoracic spine
  5. Palpation of muscles and fascia — we look for the spots that reproduce your pain
  6. A screening check for warning signs that need a doctor's assessment

How we run your therapy

We match the methods to what the assessment shows — usually combining several of the following.

Manual therapy

Techniques for the joints and soft tissues of the lower back and hips — they reduce pain and restore movement.

Kinesiotherapy

Exercises matched to what the assessment shows: movement control and unloading first, then strengthening trunk stability.

Deep tissue massage and myofascial techniques

Work on chronic tension in the muscles alongside the spine and in the glutes.

Electrotherapy and therapeutic ultrasound

Pain relief support while symptoms are at their worst — as an addition to exercise-based therapy, not a replacement for it.

Kinesiology taping and cupping

Local unloading and work on tension in the tissues around the spine between visits.

Medical training therapy

The final stage — preparing you for the loads you actually meet in your work and your activities.

Who will run your therapy

Licensed physiotherapists with a PWZFz licence number.

  • Oleksandr

    Oleksandr

    MSc Physiotherapy

    PWZFz no. 70983

  • Anita

    Anita

    MSc Physiotherapy

    PWZFz no. 86026

When to see a doctor urgently instead of a physiotherapist

The symptoms below are not an indication for physiotherapy. If you have any of them, contact a doctor urgently or go to the emergency department (SOR).

  • Loss of bladder or bowel control, together with numbness around the groin and the inner thighs
  • Progressive weakness in the leg, or foot drop
  • Pain after a fall from height, a road accident or another serious injury
  • Fever, chills, or severe night pain that does not change when you change position
  • Unexplained weight loss, or a history of cancer
  • Back pain in someone with osteoporosis or after long-term steroid treatment
  • Back pain with abdominal pain, a pulsating mass in the abdomen or fainting

If your condition suddenly gets worse, call 112. If we notice any of these signs during your assessment, we will not start therapy and will refer you to a doctor.

Prices for the treatments used with this condition

The items from our price list we use most often here. We discuss the final plan and the cost of therapy after your consultation — before you decide to start.

Konsultacja45 min
180
Terapia indywidualna45 min
180
Terapia indywidualna60 min
230
Masaż tkanek głębokich45 min
140
Bańki wybranej części ciała40 min
110
Elektrostymulacja30 min
100
See the full price list

Frequently asked questions

With acute back pain, is it better to rest or keep moving?

A short rest in a comfortable position can help in the first few hours, but staying in bed for long usually makes recovery slower. We advise keeping up as much movement as the pain allows — and we agree exactly how much after the assessment.

Do I need an MRI before my first visit?

No. You need neither a referral nor imaging to come for a consultation. If you already have results, bring them with you. If the assessment shows anything that needs medical investigation, we will tell you straight away.

How many visits does back pain take?

It depends on how long the pain has been there and what is causing it. We give you the expected number of visits after the consultation and assessment — before you decide to start therapy.

Is massage on its own enough to stop the pain coming back?

Massage reduces tension and pain well, but it rarely changes the cause. A more lasting result comes from combining manual therapy with exercise and with changes to how you load your body during the day.

Can I train at the gym while my back hurts?

Often yes, but with the exercises and the loads modified. After the assessment we will tell you what is best avoided for now and what you can do without provoking symptoms.

Book an appointment

Start with a consultation

At your first visit we examine you, look for the cause and set out a therapy plan together with the expected cost. We see patients in central Warsaw, a few minutes from Rondo ONZ metro station.

Address
ul. Pańska 96 / lokal 207A, 00-837 Warszawa
Getting here
5 minutes' walk from Rondo ONZ metro (M2)
Languages
Consultation and therapy in English, Polish and Ukrainian
Phone
+48 573 323 068

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Leave your details — during opening hours we call back within 5 minutes, answer your questions and offer a consultation time.

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+48 573 323 068

Contact

Find us in central Warsaw

We're here to help you get back to full health.

Address
ul. Pańska 96 / lokal 207A, 00-837 Warszawa
Get directions
Opening hours
Mon–Sat: 8:00–20:00 · Sunday: closed

This page is for information only and does not replace a medical consultation or an individual physiotherapy assessment.