Lucas Birycki - Physiotherapist

Lucas Birycki - Physiotherapist I am a physiotherapist specializing in chronic pain, sports injuries and post-surgery conditions

27/03/2026

TMJ problems are almost always followed with the dental interventions or surgeries. Each of these have a potential to tighten up the head region, causing pain and teeth grinding.

24/03/2026

Can wrong glasses contribute to the chronic shoulder pain?

In this case, we found that long lasting shoulder issues was partially caused by the vision that was not corrected.

If any of my patients comes with the glasses I always consider testing them against the problem that the patient comes with. It can be surprising!

19/03/2026

Can an old injection in the glute cause leg weakness years later? Yes — and here is why.

Many people are surprised to learn that an injection received in the gluteal (buttock) region years ago can still influence how the muscles of the leg work today.

This happens because the gluteal area is not just a large muscles, there is a nerve that can be irritated.

When an injection is performed, especially if it’s injected quickly, without massaging that afterwards, or it ends up with a bruise, it can lead to long-term changes in how the body activates muscles. Even a small disturbance in this region may affect:
• Gluteus maximus and medius activation
• Sciatic nerve mobility and sensitivity
• Motor control patterns during walking, running, or standing

Over time, the body may develop compensatory movement strategies. This means other muscles start working harder to make up for the reduced efficiency of the gluteal muscles.

Common long-term symptoms may include:
• Leg weakness or fatigue
• Poor muscle activation or delayed firing
• Knee, hip, or ankle pain
• Balance problems
• Reduced athletic performance
• Feeling of instability when walking or exercising

From a modern physiotherapy perspective, old injection sites can act as “silent disruptors” in the movement system. Scar tissue or altered tissue glide can disturb normal neuromuscular communication, leading to persistent dysfunction even many years after the original injection.

The good news is that with assessment, manual therapy, re-education, it is possible to restore proper muscle activation and improve movement efficiency.

If you have unexplained leg weakness or chronic lower limb pain — especially with a history of injections in the glute — a detailed functional evaluation may reveal an overlooked root cause.

12/03/2026

Chronic neck issues? Check the old injuries!

10/03/2026

Painful and clicking hip? Time to be more holistic and look at the body as a whole.

22/02/2026

🔹 Pain started shortly after the first dose.
🔹 Pain was not related to movement or position.
🔹 I could not recreate the pain with palpation or muscle testing.
🔹 No injury or strain in the history.
🔹 I could not soothe the pain with any technique, position, or exercise that we tried.

If you take any meds, you should always be aware of side effects. So many times I have seen people taking a lot of medications when some of them were just „treating” the side effects of previous ones. Take care of yourself!

During my recent trip to Italy, I passed the certification exam to become a licensed Fascial Manipulation practitioner —...
19/06/2025

During my recent trip to Italy, I passed the certification exam to become a licensed Fascial Manipulation practitioner — the first in the GCC!

For those who don’t know, Fascial Manipulation is the main model I use in my practice. It’s an evidence-based approach that has proven highly effective in treating both chronic and acute pain through manual therapy — specifically, the manipulation of the fascia. This method connects past injuries, surgeries, and overuse to current symptoms in a logical and traceable way.

I realized the significance of this approach when I saw how many therapists — even those with osteopathy degrees and multiple manual therapy certifications — eventually adopted Fascial Manipulation as the core of their work after being exposed to it.

The same happened to me. Although I hold several other certifications, I can confidently say that FM makes up about 70% of what I do. From now on, I’ll do my best to represent the institute as well as I can.

It’s been a long journey — I began my training in 2022. And it’s not over yet! There are still several workshops I’m eager to complete with them. I can’t wait!

Address

Adria Medical Center
Dubai

Opening Hours

Monday 08:00 - 19:00
Tuesday 08:00 - 19:00
Wednesday 08:00 - 19:00
Thursday 08:00 - 19:00
Friday 08:00 - 19:00

Telephone

+971585876994

Website

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