Lucas Birycki - Physiotherapist

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!

19/03/2025

On sick leave until 01.04 😉

Until then, I am available only on WhatsApp, which you can find in my BIO.

Instagram is not the app that supports my healing, so I prefer not to keep it on my phone. I apologize for all the unanswered messages! I will take care of those in a moment.

It seems that the heart surgery went well. I can’t wait to test my new engine in battle. Unfortunately, it will take a few weeks to see how well it went. I will keep you posted!

10/10/2024

A patient of mine had a hip problem that was caused by those scars. We mobilized them once with manual treatment and cupping.

One month later, he returned to release the rest of the tension from them. He also shared the observation that the scars became less visible and closer to the color of the skin.

We took a photo to compare.

These scars were 3 years old, and they didn’t change their appearance since the healing process finished. Why did they change after a manual treatment? Very often, due to the rigid connective tissue, the circulation in the area is disrupted. This causes the skin to look dark or pink, even years after the injury.

16/09/2024

The last two weeks were definitely among the most intense in my lifetime.

🔹 It started with training in Padua at the institute of , where I studied connective tissue. I deepened my knowledge about chronic pain and how internal disorders, lymphatic restriction, and adipose tissue inflammation play a key role in its presence.

🔹 The statement above seems like a silly shortcut, but it’s impossible to summarise or say more in this post. I will try to share more in the upcoming content. I have mixed feelings after this training. Firstly, I am happy because a lot of my questions found answers. But I am also overwhelmed because those answers bring new questions. It seems like a never-ending cycle, proving it was good training.

🔹 I used this as an opportunity to travel a large portion of northern Italy. The people, the food, and the views were legendary. I will never forget what happened to me there. I am sorry to all the people I didn’t post pictures with. Instagram allows only 10 photos.

🔹 I am thankful for everyone I met throughout the last 2 weeks. This journey would not be the same without you.

Stay tuned!

24/05/2024

🔹 The reason why the forehead on the left side felt completely different was due to the tensions and hypersensitivities that Paulina had there due to the direct injury she suffered. She got hit with a bat during PE classes in school (she didn’t want to tell me why she deserved that).

🔹 These problems were affecting her today in the shape of pulling pain in the shoulder blade and knee pains. Soon, I will upload more videos about the treatment!

🔹 For the purpose of sharing the knowledge, we switched to English 😉

24/05/2024

These are the part of the examination when I look for the root cause of chronic low back pain. Hope it helps someone!

24/05/2024

🔹 There were a few reasons for my patient’s neck pain that started a few days ago. After working out some tension around the neck and getting some improvement, I conducted a more extensive examination. It turned out that the leftover tension around the left knee, where he had surgery few years before, contributed to the problem.

🔹 What is visible in the video is the mechanism of our nervous system, which we often use to our advantage. We can generate more power by tensing our abdomen, neck, or jaw. If the mechanism is used repeatedly as compensation for the certain problem, it can contribute to many issues.

🔹 The final proof that this knee surgery contributed to the neck issue was that the patient got another big chunk of improvement in the neck after releasing 2 tensions around that knee.

🔹 I love this type of case because it brings a little bit of a challenge, provides a straightforward solution to the problem, and almost always amazes the patient when they realize that everything in our body is connected.

24/05/2024

05/04/2024

🔹 More than 90% of people have some degree of asymmetry in the spine. Mild and even medium levels of the curvature were proved to have little to do with a risk of injury, and correlation with pain is negligible.

🔹 However, if you have an asymmetry, and you noticed that it appeared after an injury or surgery that you went through, there is a big chance that these two are related, and there is a big range for improvement.

🔹 In my work, I look at posture as the effect of pain, not cause of it.

01/04/2024

26/03/2024

🔹 “There is no point in mobilizing the scar two years after the surgery.” I am lucky I heard that only after I released the one on my knee.

🔹 One of the first trainings I underwent in the second year of physiotherapy was a deep tissue massage. We were taught to “release the fascia” with our work. We bought that completely without understanding much of it. We were newbies.

🔹 After I graduated, I worked for some time with that model of work. Sometime later, the boom for the fascia slowly faded away. It happened due to the studies proving that no one has the physical capability to change the collagen in the fascia in the treatment room. It requires an enormous amount of strength (only a machine can generate that) or the scalpel.

🔹 It took me by surprise because, at that moment, I already had experience with this kind of work. I felt the release. Patients felt looser and lighter. The scar tissues that I worked on were still movable after months after the mobilization.

🔹 No one on the fascia trainings could explain the situation well. The answer was not satisfying at all, and all pricks who knew only this kind of work were getting offended.

🔹 I withdrew from that since the evidence was proving I was wrong. I started to work with people only through training/movement therapy.

🔹 The first time I got an explanation that cleared everything up came from Stecco, from Italy. The institute that has studied fascia for decades concluded that the hyaluronic acid in fascia, which bonds water and allows for gliding, can densify due to the damage in the area. These densifications may act as adhesions, causing restrictions in gliding, pain, and discomfort.

🔹 The excellent news is that we can release these densifications in our treatment rooms with our hands and other instruments. This is most likely what we release during working with the scar tissue.