Manual therapy and myofascial techniques
Taking load off the overloaded segments and working on tension in the muscles alongside the spine.
Treatment
Disc problems and disc herniation — conservative treatment in Warsaw
An MRI report that mentions a herniation sounds alarming, and it is easy to conclude that surgery is the only way out. In practice most of these situations are managed conservatively — provided the therapy responds to your symptoms, and not only to the wording of the report.
Changes in the intervertebral discs also show up on imaging in people who have no symptoms at all. That is why we treat the MRI report as one piece of information among several, and build the therapy plan on the assessment: on what reproduces your pain and what reduces it.
We also check for neurological signs that would need urgent medical assessment. If we find any, we will tell you immediately and refer you to a doctor.
Typical symptoms
- Pain in the lower back or the neck that gets worse with certain movements
- Pain radiating into the leg (sciatica) or into the shoulder and arm
- Numbness, pins and needles, or an electric-shock sensation in the limb
- Loss of strength in the foot, the toes or the hand
- Pain that intensifies when you cough, sneeze or strain
- Difficulty sitting for more than about a quarter of an hour
- Standing tilted to one side, in the position where the pain is least
Most common causes
- Years of overload and work in a bent-forward position
- Natural degenerative changes in the intervertebral disc that progress with age
- Lifting something heavy suddenly while twisting the trunk
- Weak trunk stability and restricted hip mobility
- Sitting for hours without breaks to move
- A spinal injury in the past
How we reach a diagnosis
- Comparing the MRI or X-ray report with what we find on examination — the scan alone is not enough
- Neurological tests: sensation, muscle strength, reflexes
- Nerve tension tests, including the straight leg raise (Lasègue) test
- Finding the direction of movement that reduces the symptoms in your limb
- Assessment of hip and thoracic spine mobility, which take load off the lower back
- A screening check for warning signs that need urgent medical assessment
How we run your therapy
We match the methods to what the assessment shows — usually combining several of the following.
Direction-specific exercise therapy
Exercises in the direction that eases the symptoms in your limb, plus learning to bend and lift safely.
Electrotherapy and therapeutic ultrasound
Pain relief support when symptoms are severe, as an addition to exercise-based therapy.
Kinesiology taping
Unloading and supporting the affected part of the spine while the pain is at its worst.
Medical training therapy
Building tolerance to load so the symptoms do not return when you go back to work and to sport.
Who will run your therapy
Licensed physiotherapists with a PWZFz licence number.
Oleksandr
MSc Physiotherapy
PWZFz no. 70983
Yulia
MSc Physiotherapy
PWZFz no. 83011
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 and numbness around the groin — this is an emergency and needs immediate help
- Rapidly increasing weakness in the leg or arm, or foot drop
- Symptoms appearing in both legs at once, with altered sensation
- Pain after a fall, an accident or another serious injury
- Fever, chills, severe night pain
- Unexplained weight loss, or a history of cancer
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 zł
- Terapia indywidualna45 min
- 180 zł
- Terapia indywidualna60 min
- 230 zł
- Elektrostymulacja30 min
- 100 zł
- Ultradźwięki30 min
- 100 zł
- Kinesiotaśmy30 min
- 60–180 zł
Frequently asked questions
Does a disc herniation always need surgery?
No. For most patients, management starts with conservative treatment. The decision about surgery is made by a doctor — usually when neurological deficits are increasing, or when symptoms do not settle despite the treatment given.
Can a herniation shrink back?
In some patients the bulge does reduce on its own over time, although this cannot be predicted in advance. Either way, the aim of therapy is to reduce your symptoms and restore function — and that is possible even when the change on the MRI remains.
My MRI shows major changes but I have very little pain. What does that mean?
This is a common situation. Disc changes are also seen in people with no symptoms at all. That is why we set up therapy according to your symptoms and the assessment, and treat the MRI report as one piece of information rather than a verdict.
Can I exercise with a disc problem?
Usually yes, but the choice of exercises matters a great deal. After the assessment we will show you which movements are safe for you now and how to build back up to heavier loads.
Related conditions
Symptoms often overlap — these pages may help too.
Sciatica
Shooting pain from the buttock down to the foot, numbness, pain when sitting — we work out where the nerve is being irritated.
See detailsBack pain
Low back pain, morning stiffness, pain when you bend — we look for the cause, not just quieten the symptom.
See detailsRehabilitation after surgery and injury
After ACL surgery, arthroscopy, a fracture or a joint replacement — regaining range of motion, strength and confidence in loading the limb.
See detailsBook 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
Request
Take the first step today
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 068Contact
Find us in central Warsaw
We're here to help you get back to full health.
- kontakt@crpomoc.pl
- Phone
- +48 573 323 068
- 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.