Back & Lower Back Pain: Physiotherapy in Brno

Pain in your lower back, a locked back, or recurring back pain? Most back pain can be treated without surgery. The key is finding the cause and telling apart what type of problem it is.

Back pain is one of the most common complaints and one of the most commonly mishandled. The blanket advice to "lie down and take pills" no longer holds. What matters is first to tell whether there's something that needs a doctor's attention, or a mechanical problem physiotherapy can treat — and then to choose the right approach for the type. That triage is the core of how I work.

How I think about back pain

Step 1: Rule out a neurological cause

First I check whether the pain has a neurological basis — for example a disc herniation pressing on a nerve, or spondylolisthesis. This decides everything that follows.

Step 2: Acute or long-term

Once serious causes are excluded, acute locking and long-term recurring pain are treated differently, with different goals.

A scan finding is not the same as the cause of pain

This is one of the most important insights in modern spine care. According to studies of people with no back pain at all, disc degeneration is found in 37% of 30-year-olds and up to 96% of 80-year-olds — and disc bulges in a large share too. Many of these findings are a normal part of ageing, like grey hair, not the source of pain. So we don't treat the scan, we treat the person.

Disc herniation: when it doesn't need surgery

A herniation diagnosis often triggers fear of surgery. Yet according to studies, for most herniations conservative treatment is comparable to surgery in the medium and long term — surgery gives faster early relief, but after a year or two the outcome is similar. And a fused segment can overload the neighbouring levels over time. So where there are no emergency signs, it makes sense to try the conservative route first.

Why treat your back with me

• Thorough differential diagnosis — I separate neurological from mechanical causes.
• For herniation and nerve pain, I can offer a conservative route as an alternative to surgery.
• Different, targeted approaches for acute versus long-term problems.
• 90 minutes for the initial examination.
• Rated 4.9 / 5 on Google from more than 70 reviews.
• English-speaking therapist in the centre of Brno.

Initial examination & pricing

Treatment starts with an initial diagnostic examination. In 90 minutes I assess the problem, identify the cause, and we set a plan.

Payment in cash or by bank transfer. No cooperation with insurance companies — this lets me devote enough time to each client.

Physiotherapy Chalupa — Křenová 479/71, Brno · +420 602 847 880

This page is for general information and does not replace an individual medical or physiotherapy examination.