Lucas Birycki - Physiotherapist

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

26/08/2026

Chronic pain starts in the scar.

The scar tissue doesn’t provide good information for your nervous system. It starts to be treated as a threat, and thus compensations appear.

Solution? Taking care of the tissue gliding and integration of the scar by exposing the receptors to a lot of stimuli.

The scar can cause a lot of local pain, but its compensations can also affect areas far away. This scar was mobilised as part of the treatment of chronic plantar fasciitis (foot pain).

24/08/2026

Clear scans? Recurring pain that no orthopaedic can explain? Medications help only for a bit?

Time to look into the nervous system!

21/08/2026

The small scars in front of the calves are very common. Something so small and easy to miss can be something significant for the nervous system. Why? It’s enough to ask a few questions to understand its origin.

What do we hear?

“I trained kickboxing and had that area reinjured multiple times.”

“I landed on a wooden box during CrossFit class and needed stitches.”

“I fell from a bike. I could actually see my bone.”

Every time a scar like this is loaded, stretched or touched, it triggers the nervous system. Because of that stress, the joints around it can give out in random moments, leading to small injuries that stack up over time. This is what was happening in this case.

12/08/2026

This patient visited me with a hip muscle strain. The pectineus muscle was “weak” and sore on palpation and it was recreating this patient’s pain, but it was not surrendering to manual work.

After palpating the surrounding area, it turned out that the belly button piercing was not gliding in a few directions and it was highly uncomfortable to touch. While compressing that spot, the test for the pectineus was performing much better.

We focused on clearing the scar tissue around the belly button piercing. After coming back to the pectineus, the soreness there was already gone.

04/08/2026

The patient cancelled last minute. I guess it’s time to take care of myself.

During this session I worked on my forearms. I focused on:

1. Elbow pits — rigid due to multiple injections there
2. Both elbows. One was injured seriously in childhood. The other one recently — I fell off a scooter in India 😬
3. Overuse due to constantly using my arms as a physiotherapist

Does it have to bruise? Preferably it doesn’t, but that’s a side effect of using cupping and IASTM. These tools help me achieve results that I wouldn’t be able to get with my hands alone.

The bruise isn’t that big of a deal. Using arnica three times a day, the bruises are gone in 3–4 days.

The results? It feels way lighter to move my arms.

03/08/2026

After 5 years, 50 physiotherapy sessions and 2 steroid injections.

Working on the adhesions is one of the quickest and most satisfying ways to help the most chronic pain patients.

Not many patients allow me to share their testimonies, so I’m so happy I could share this one!

30/07/2026

Throughout early life we receive between 5-10 injections to the side of each thigh. If you look closely you may find these marks on your legs.

Some of them heal well, some of them don’t, leaving a sensitive adhesion.

A lot of times people are surprised that pressing on them creates radiating pain, recreating their mysterious low back, hip or knee pains.

Checking and treating these is part of my treatment of the most chronic and stubborn conditions.

26/07/2026

Even a small scar can be a major trigger for your nervous system if it’s in an area with rich innervation.

In this case, the scar on the scalp was causing pain on the left side of the neck.

Check your scars. If they are sensitive and uncomfortable to touch, they may be responsible for your “unidentified” pain.

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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