What patients come to us with
- Acute lumbago: suddenly locked up, every movement hurts
- Chronic back pain for months or years
- Radiating leg pain, tingling or numbness (sciatica)
- Diagnosed disc herniation – with or without surgery
- SI joint pain, one-sided low back pain
- Back pain after long sitting at the desk or in the car
- Pain during sport, lifting or after pregnancy
Background
What really keeps back pain going
Load without capacity
Lifting is not the problem – too little capacity for what daily life demands is. We raise capacity instead of avoiding load forever.
Fear and avoidance
Avoiding movement out of fear costs strength, mobility and confidence – and the pain stays. Education is part of treatment.
Imaging without meaning
Disc bulges are found in many completely pain-free people. An MRI report alone rarely explains symptoms.
Sleep, stress & daily life
Poor sleep and sustained stress measurably lower the pain threshold, so we also look at workplace, sleep and recovery.
Our approach
How we work with your back
First safety and pain relief, then strength. Without the second half the pain returns.
Session 1 · assessment
Clarity & safety
Detailed examination including red-flag screening, basic neurological tests and review of existing imaging.
Phase 1 · relief
Reduce pain
Manual therapy, mobilisation, offloading positions, guidance for low-pain movement instead of bed rest.
Phase 2 · build-up
Increase capacity
Progressive equipment-based training, trunk and hip strength, lifting technique, movement variety.
Phase 3 · everyday proof
Prevent relapse
Load management for work and sport, workplace advice, home programme and a clear plan for flare-ups.
Building blocks
What we work with
Physiotherapy Landshut
Classic physiotherapy on prescription (KG, MT, KGG) – statutory & private.
Manual Therapy
Joint and tissue techniques to quickly restore mobility and modulate pain.
Medical Equipment Training
Progressive strength work on medical devices – the lever for lasting capacity.
Acute Consultation
Appointment within 24–48 h for acute complaints – no waiting for weeks.
Shockwave Therapy
Radial – activates tissue regeneration in stubborn tendon problems.
Training
Supervised athletic and build-up training after rehab.
What we base this on
- German national guidelines recommend movement and activity as first-line care for low back pain; bed rest is explicitly not recommended.
- Active exercise therapy shows the most consistent effect in chronic low back pain (Hayden et al., Cochrane 2021).
- Manual therapy works best as a door opener combined with active exercise.
FAQ
