What ailments do I treat? How do I work?
An interview with Dr. Paweł Cyrek, manual therapist, physiotherapist, trainer.
Who do you most often work with and what kind of physiotherapy do you specialize in?
Paweł Cyrek: I most often work with pain patients, those who have suffered injuries or undergone surgery, and children with postural problems.
Could you reveal more about the therapy with each of these groups?
PC: In the case of people who have experienced physical overload, are in pain or have suffered an injury, I most commonly use the Stecco Fascial Manipulation method. This method enables precise diagnostics and is very effective in eliminating pain, as well as restoring strength and appropriate movement patterns. I have written about it in detail on this site: https://rehabilitowac.pl/r2018/fm
In addition to patients with musculoskeletal pain, there are physically overloaded people who suffer from headaches, stomach and hormonal disorders, not to mention athletes.
When it comes to headaches, it is essential to examine the vagus nerve, diet and the nervous system. In the case of women with pain, as well as those with hormonal or stomach problems, I take into account the therapy of the viscera and venous angle, and restore the balance between the sympathetic and parasympathetic nervous system. Such patients also need a good endocrinologist and dietician. I pay serious attention to holistic work with the body, so when I see that a patient requires additional diagnostics, I refer them to another specialist.
Athletes commonly engage muscles and joints to their full potential and select exercises which improve coordination, endurance, velocity and strength on the one hand and won’t overload the motor system on the other. Here, I would like to add that working with people who exercise regularly is equally important as it requires checking and controlling their movement patterns due to frequent overload derived from a specific physical activity.
Besides effective therapy, it is equally important for patients to persevere with exercising on their own after therapy ends. That’s why I pay a lot of attention to the selection of individual exercises and instruct my patients how they can weave them into everyday activities. For example: a lorry driver with lower back pain might be given the task of "rolling" the pelvis, an office worker with neck pain is informed of the virtues post-isometric muscle relaxation, while I tend to motivate a child with a spinal disorder to exercise for points. These points can be later exchanged for a reward.
How do you work with children?
Therapy for children is selected according to a child’s specific postural disorder. Many children today have a spine-related disorder. I set out immediately to motivate pupils and parents to implement good posture habits. In this case, it is essential to narrate about therapy to the child in such a way that attending physiotherapy can be fun and rewarding as opposed to being a mundane chore. It is equally important to motivate children through play, graphics and exercises at home as well as the aforementioned rewards.
Thank you for the conversation.
dr Paweł Cyrek - physiotherapist, lecturer, manual therapist. He specializes in the treatment of patients suffering from work-related overload, in injuries and operations, and in working with children with postural disorders. An interview on how I give therapy and videos with Dr. Cyrek are available at: https://rehabilitowac.pl/r2018/gabinet/. Patients' opinions can be found on the website: Znany LekarzHe teaches correct movement patterns and trains physiotherapists and trainers all over Poland. He develops his competencies by taking part in numerous courses conducted by Polish and foreign specialists. Most often he works with the Fascia Manipulation method, about which he writes in more detail on this page: https://rehabilitowac.pl/r2018/fm He completed his PhD on postural defects, quality of life and the level of back pain in 2018 at the University of Physical Education in Kraków. He currently teaches Palpatory Anatomy at the Andrzej Frycz Modrzewski Kraków University. Dr Cyrek devises training courses for physiotherapists in the field of fascia therapy and functional training. He developed an original concept for the diagnosis of postural patterns and functional proprioception training. Founder of the http://goodmood.pl/. initiative.