top of page
All Posts
Hip pain - resolution
Straight to the bottom: how to resolve hip pain? Let's jump to the most common root causes. Stretch marks If you have any stretch marks around your gluteus, the front of the hip or behind the knee, that's the first thing to start with. Use a gua sha or the thin part of a fork handle. Lubricate it with oil or cream. Rub the stretch marks until they become not painful at all. Injection sites Through your life you must have been injected multiple times in your gluteus and the
Łukasz Birycki
Jul 52 min read
Being stuck in pain
Did you just spend a few hours with ChatGPT and YouTube trying to figure out where your chronic pain is coming from? Let me tell you something that the search engine can't, but 10 years of experience proves easily. Chronic pain is related to damage, but very often not the damage in the place where you feel pain. That is not the root cause. That's why those orthopaedic doctors and physios couldn't help you. They didn't look further. Like every other human, you most likely expe
Łukasz Birycki
Jul 52 min read
Simple way out of chronic pain
Getting out of the chronic pain conditions is simple. There is only one direction: Change you can change. Let go and forget about anything you can’t. The most common chronic pain condition – low back pain. The Doctor tells you that you have a serious disc degeneration on few levels, and this is most likely the reason for your pain. Can you do something about it? These changes are age related. You can’t get any younger. Then, let it go. You had the injection in your gluteus m
Łukasz Birycki
Jul 51 min read
Low back pain
Living with low back pain is no joke. The uncomfortable feeling of walking in a stiff manner, “like an old person.” Constantly worrying about the mattress in the hotel you are going to. Being afraid to sign up for BJJ training even though you want it so much. After consulting orthopaedic doctors, you may learn that there are surgical options to address certain structural issues in your spine — such as a disc protrusion, spinal stenosis, or facet joint arthropathy. However, if
Łukasz Birycki
Mar 202 min read
Chronic shoulder pain
Life after a shoulder injury is not an easy one. After a few months, when the pain is still present, you may already feel tired — tired of being unable to do daily activities without pain, tired of worrying whether the pain will flare up during work, and tired because the pain does not allow you to participate in sports. The real struggle often begins when two years have passed and the end of this suffering still seems nowhere in sight. After consulting orthopaedic doctors, y
Łukasz Birycki
Mar 202 min read
Why chronic pain gets worse?
People suffering from chronic pain often notice that the longer it lasts, the heavier the burden becomes. Limitations increase. Fear of movement grows stronger. Favorite sports and even daily activities slowly become impossible. The natural reaction is to repeat imaging tests — to get another MRI and check whether the structural damage has worsened. It should look worse if the symptoms are worse… right? Here comes the confusing part. Very often, the scans look exactly the sam
Łukasz Birycki
Mar 72 min read
Why you shouldn’t see the Doctor
Seeing an Orthopaedic Doctor, Neurosurgeon, or General Surgeon can sometimes lead to unnecessary procedures in a specific group of patients. In this article, I will explain who should think twice before choosing surgery as the first step. For many people, the worst nightmare is waking up after surgery, taking the first steps toward “normal life” — and realizing the pain is exactly the same. Here are three real examples. ⸻ Patient 1 – Neck Pain Radiating to the Arm A man had p
Łukasz Birycki
Mar 73 min read
Humeral Shaft Fracture (Upper Arm Fracture). A serious injury of the upper arm that requires proper diagnosis, treatment, and rehabilitation
What Is a Humeral Shaft Fracture? The humerus is the long bone of the upper arm. It has three main parts: The upper part , which forms the shoulder joint The shaft , which is the long and narrow middle section The lower part , which connects to the forearm bones at the elbow A humeral shaft fracture means the bone has broken in its middle section . How Does a Humeral Shaft Fracture Happen? This type of fracture usually occurs due to strong force applied directly to the arm
Łukasz Birycki
Dec 19, 20253 min read
Colles’ Fracture (Distal Radius Fracture). The most common wrist fracture after a fall
What Is a Colles’ Fracture? A Colles’ fracture is the most common fracture of the distal radius , the forearm bone close to the wrist. In this type of fracture: The broken end of the radius shifts towards the back of the wrist This creates a characteristic wrist deformity, often visible from the side How Does a Colles’ Fracture Happen? The most common causes include: Falling onto an outstretched hand Sports injuries Road traffic accidents Falls from height This injury is esp
Łukasz Birycki
Dec 19, 20253 min read
Barton Fracture of the Radius. A serious wrist fracture that requires proper treatment and rehabilitation
What Is a Barton Fracture? A Barton fracture is a specific type of distal radius fracture (a fracture of the forearm bone near the wrist). In this injury: A fragment of the joint surface of the radius breaks off The fracture extends into the wrist joint It can occur on the palm side (volar) or the back side (dorsal) of the wrist Because the fracture goes through the joint, it is considered an intra-articular fracture , which makes it more complex than a simple wrist frac
Łukasz Birycki
Dec 19, 20253 min read
Sinus Tarsi Syndrome (STS). A common but often overlooked cause of pain and instability on the outside of the ankle
What Is the Sinus Tarsi? The sinus tarsi is a small tunnel-like space located on the outer front side of the ankle , between the ankle bone ( talus ) and the heel bone ( calcaneus ). You can usually feel this area by sliding your fingers slightly forward from the outer ankle bone . Inside the sinus tarsi are important structures that help control ankle stability, including: Key ankle ligaments Joint capsule tissue Fat tissue that absorbs stress Small blood vessels Sensory ne
Łukasz Birycki
Dec 19, 20253 min read
Biceps Intermuscular Septum Syndrome (Fascial Restriction Between the Two Heads of the Biceps). A hidden cause of pulling pain in the arm and shoulder stiffness
What Is the Biceps Muscle? The biceps muscle is a large muscle at the front of the upper arm. It has two parts (heads) : Long head – attaches inside the shoulder joint Short head – attaches to the front of the shoulder blade Both heads join together near the elbow and attach to the forearm bone, with an additional connective tissue sheet that helps stabilise the tendon. Together, the two heads: Bend the shoulder Bend the elbow Rotate the forearm outward (palm up) Because t
Łukasz Birycki
Dec 19, 20253 min read
Pronator Syndrome (Pronator Teres Syndrome). A lesser-known cause of forearm pain, hand numbness, and weakness often mistaken for carpal tunnel syndrome
What Is Pronator Syndrome? Pronator syndrome occurs when the median nerve becomes compressed in the forearm , most commonly by the pronator teres muscle . The median nerve starts in the neck, travels through the shoulder and upper arm, passes the elbow, and continues into the hand—supplying sensation and movement to the thumb, index, middle, and part of the ring finger. As it passes through the forearm, the nerve runs: Under the biceps tendon Between the two parts of the pr
Łukasz Birycki
Dec 19, 20253 min read
Anterior Interosseous Nerve Syndrome (AINS, Kiloh–Nevin Syndrome). A rare nerve condition that causes weakness of the thumb, index finger, and hand
What Is the Anterior Interosseous Nerve? The median nerve is one of the main nerves of the arm. It starts in the neck, travels through the shoulder and upper arm, passes the elbow, and continues into the hand. The anterior interosseous nerve (AIN) is a motor (movement) branch of the median nerve. It separates near the elbow and controls muscles responsible for: Bending the thumb Bending the index and middle fingers Rotating the forearm inward (pronation) Unlike many other
Łukasz Birycki
Dec 19, 20253 min read
Forearm Compartment Syndrome. A serious cause of forearm pain, tightness, and loss of strength during activity
What Is Forearm Compartment Syndrome? Forearm compartment syndrome is a condition where pressure builds up inside the fascial compartments of the forearm . Fascia is a strong but flexible tissue that: Surrounds muscles Connects muscles to bones and skin Allows muscles, nerves, and blood vessels to move freely Thanks to healthy fascia: You can move your fingers independently from your wrist Blood and nerve signals reach muscles regardless of arm position Forces are efficientl
Łukasz Birycki
Dec 19, 20253 min read
Tibiofibular Syndesmosis Tear (High Ankle Sprain). A serious ankle injury that is often missed and slows down recovery
What Is the Tibiofibular Syndesmosis? The tibiofibular syndesmosis is a strong connection between the two lower-leg bones: Tibia (shin bone) Fibula (outer lower-leg bone) It is formed mainly by two ligaments (front and back) that hold these bones together just above the ankle.This connection creates a stable socket for the ankle bone (talus). Although the syndesmosis is very stiff, it still allows small movements , which are essential for normal walking and running. Why I
Łukasz Birycki
Dec 19, 20253 min read
Triceps Muscle Tear. A rare but serious cause of elbow weakness and upper-arm pain
What Is the Triceps Muscle? The triceps brachii , commonly called the triceps , is the large muscle on the back of the upper arm. It consists of three heads : The lateral head The medial head The long head , which attaches to the shoulder blade The lateral and medial heads straighten (extend) the elbow, while the long head also helps with: Shoulder extension Shoulder adduction All three heads join into one strong tendon that attaches to the olecranon — the bony tip of the el
Łukasz Birycki
Dec 19, 20253 min read
Biceps Tendon Rupture. A complete guide for understanding symptoms, causes, diagnosis, treatment, and physiotherapy
What Is the Biceps Muscle? The biceps muscle is located at the front of the upper arm. It has two parts (heads) and is responsible mainly for: Bending the elbow Rotating the forearm (turning the palm up) Assisting with lifting and stabilising the shoulder The biceps also helps stabilise the shoulder joint , especially during lifting and pulling movements. In over 90% of cases , the injury affects the long head of the biceps near the shoulder . Less commonly, the tear happe
Łukasz Birycki
Dec 19, 20254 min read
Medial Calcaneal Nerve Entrapment. A common but often missed cause of heel and inner ankle pain
What Is the Medial Calcaneal Nerve? The medial calcaneal nerve is a small sensory nerve that branches from the tibial nerve . It passes behind the inner ankle, under a thick band of tissue (the flexor retinaculum), and supplies sensation to the inner heel and the sole of the foot . Because of its location, this nerve is vulnerable to compression, especially around the inner ankle. Why Does the Medial Calcaneal Nerve Get Trapped? The most common cause of medial calcaneal nerv
Łukasz Birycki
Dec 19, 20252 min read
Posterior Tibial Muscle Tendinopathy
The posterior tibial muscle is a deep muscle located on the back of the lower leg. It turns into a tendon in the lower third of the calf and runs behind the inner ankle bone , continuing to attach to the navicular bone on the inside of the foot. This muscle and tendon are essential for: Turning the foot inward Supporting and lifting the arch of the foot Controlling foot stability during walking, running, and standing When the posterior tibial tendon is not working properly,
Łukasz Birycki
Dec 19, 20253 min read
bottom of page