Physiotherapy is the foundation of every effective pain therapy. At Neurolocus Centre we work with experienced physiotherapists specialising in manual therapy, osteopathy, craniosacral therapy, temporomandibular joint dysfunction treatment and dry needling. Every treatment plan is individually tailored to the patient’s needs and coordinated with the attending physician.

  • Physiotherapy consultation with treatment plan
  • Manual therapy / osteopathic session
  • Craniosacral therapy session
  • Temporomandibular joint therapy
  • Dry needling – pain package

Manual Therapy

Manual therapy is a set of specialised diagnostic and therapeutic techniques for working with the musculoskeletal system. The physiotherapist uses precise hand movements to mobilise and manipulate joints, muscles, fascia and nerves. Effective in spinal pain, peripheral joint dysfunction, compressive neuralgias and many other conditions.

  • Joint mobilisation – gentle, oscillatory movements within the physiological range
  • Joint manipulation – a fast, brief impulse beyond the physiological range
  • Muscle energy techniques (MET)
  • Soft tissue techniques (fascia, muscles)
  • Neural mobilisation (neurodynamics)

Osteopathy

Osteopathy is a holistic therapy based on the principle of the interdependence of the body’s structure and function. The osteopath diagnoses and treats musculoskeletal, visceral and craniosacral dysfunctions – not only at the site of pain but throughout the body. It often reveals hidden causes of chronic pain that are not visible on imaging studies.

  • Structural osteopathy – working with joints and muscles
  • Visceral osteopathy – working with internal organs and their attachments
  • Craniosacral osteopathy – working with the meningeal system

Craniosacral Therapy

A subtle osteopathic technique involving gentle work within the cranial bones, spine and sacrum, to improve cerebrospinal fluid circulation and release tensions within the central nervous system. Effective in migraines, tension headaches, post-head/neck injury syndromes, sleep disorders and TMJ problems.

Temporomandibular Joint Therapy

Specialist techniques dedicated to temporomandibular joint dysfunction (TMJD) – a condition affecting 10–15% of the population. Therapy includes intra-oral (working inside the oral cavity) and extra-oral techniques, articular disc mobilisation, relaxation techniques for the masseter, temporalis and neck muscles. Often combined with TMJ joint blocks and bruxism therapy.

Dry Needling

A technique involving precise insertion of thin acupuncture needles into trigger points (trigger points) in muscles. Unlike acupuncture (which is based on meridians), dry needling uses anatomical knowledge of trigger point locations. It produces a local twitch response, leading to muscle relaxation.

Indications: muscle trigger points (the most common source of musculoskeletal pain), neck and low back pain, entrapment syndromes, tension headaches, shoulder pain, tennis elbow, gluteal and piriformis pain.

Main Indications for Physiotherapy at Neurolocus Centre

  • Support after interventional procedures (RFA, PRF, nucleolysis, neuroplasty) – significantly increases durability of the effect
  • Chronic low back and neck pain
  • Peripheral joint pain (knee, hip, shoulder)
  • Migraine, tension headaches, occipital neuralgia
  • Temporomandibular joint dysfunction, bruxism
  • Post-traumatic pain syndromes
  • Chronic pain not responding to pharmacotherapy alone
  • Rehabilitation after sports injuries and surgery

FAQ

How many physiotherapy sessions do I need?

This depends on the problem. For acute conditions, 3–5 sessions are often sufficient. For chronic problems we plan a cycle of 6–10 sessions, then maintenance sessions every 4–8 weeks.

Can physiotherapy replace interventional procedures?

In some patients yes – physiotherapy should always be the first line of treatment. In patients with advanced structural changes, a combination of physiotherapy and interventional procedures (blocks, PRP, RFA) is necessary, which provides the best long-term results.