Conditions
Conditions Dr. Maks Birikov Treats at Physica Medica
Most patients who arrive here have already tried something else. A standard clinic, a chiropractor, rest. The pain returned, or never fully left. That pattern usually means the symptom was treated without identifying what produced it. Every condition listed below is approached the same way: find the structural or neuromuscular source, treat it directly, and build enough capacity to keep it from recurring.
Spinal Conditions
Back Pain, Sciatica & Spinal Conditions
Back pain is rarely just a back problem. The lumbar spine absorbs load from the hips, pelvis, and thorax — and when any of those structures are restricted or poorly coordinated, the lower back pays for it. The same logic applies to sciatica: the nerve irritation has a source, and that source is identifiable on assessment.
Conditions in this category
Low back pain (acute and chronic), sciatica and referred leg pain, disc-related pain, SI joint dysfunction, lumbar stiffness, and neck pain including cervicogenic headaches and tension headaches that originate from the upper cervical spine.
Professional and pleasant. Listens to what’s going on and takes into account your lifestyle. Pinpoints the problems and attacks. Always move better after a session with him.Postural Conditions
Postural & Structural Conditions
Forward head posture, a hunched back, and rounded shoulders are not just aesthetic concerns. They change the mechanical load on every structure downstream: the cervical discs, the shoulder girdle, the diaphragm, the lumbar spine. Correcting posture requires more than stretching. It requires identifying which fascial chains are shortened, which muscles have stopped firing, and what the body has adapted around.
Conditions in this category
Forward head posture, thoracic kyphosis, rounded shoulders, postural-related neck and back pain, muscle imbalances driving recurring injury, and chronic stiffness that does not resolve with standard stretching or exercise.
ViewWhat treatment looks like
Pancafit global postural realignment — the only program of its kind in the United States — combined with neuromuscular re-education, fascial release, and structured movement work. The goal is not a corrected posture during the session. It is a nervous system that holds the correction afterward.
ViewTherapy for Singers
Treatment for voice strain, breathing mechanics, and the postural load of performance.
ViewPregnancy Physical Therapy
Hands-on treatment for pregnancy pain. Adapted positioning, no guesswork.
ViewDiaphragmatic Rehabilitation
Breathing retraining that restores the diaphragm’s role in spinal stability.
ViewSports Injuries
Sports Injuries & Movement Dysfunction
Recurring injuries are a movement problem as much as a tissue problem. A rotator cuff that keeps flaring up, an IT band that tightens every training cycle, an ankle sprain that never fully resolved — these patterns have a mechanical explanation. Finding it requires assessment of the full kinetic chain, not just the painful structure.
Conditions in this category
Rotator cuff injuries, shoulder impingement, IT band syndrome, patellar tendinopathy, hamstring strains, ankle instability, hip flexor tightness, numbness and tingling from neural tension, and post-surgical recovery for athletes returning to sport.
ViewWhat treatment looks like
Manual therapy and dry needling to address the tissue directly, followed by biomechanics-based movement training to correct the pattern that produced the injury. Strength work is programmed around your actual restrictions — not a generic protocol.
ViewBiomechanics Personal Training
Movement analysis and training for athletes with recurring injuries.
ViewNeural Tension Release
Techniques for numbness, tingling, and referred pain along irritated nerve pathways.
ViewPosture Correction
Treatment for forward head posture, hunched back, and the loading patterns behind chronic pain.
ViewSpecialty Conditions
Specialty Conditions: Scoliosis, Pregnancy & Vocal Health
These conditions require training and clinical experience that most PT practices do not have. Scoliosis correction without surgery or bracing. Hands-on treatment for pregnancy-related pain with adapted positioning. Physical therapy for singers and performers addressing voice strain, breathing mechanics, and the postural load of performance. These are not add-on services. Each has a dedicated clinical approach.
- Scoliosis — postural correction without surgery, bracing, or medication. Structural curves assessed and treated through fascial and neuromuscular work.
- Pregnancy pain — back pain, pelvic girdle pain, and rib discomfort during pregnancy, treated hands-on with positioning adapted for each trimester.
- Vocal health for singers and performers — treatment for voice strain, breath support dysfunction, and the cervical and thoracic loading patterns that compromise performance.
- Diaphragmatic dysfunction — breathing retraining that restores the diaphragm's role in spinal stability and pressure management, not just respiratory volume.
- Fibromyalgia and widespread pain — dry needling and manual therapy adapted for sensitized nervous systems, with a conservative and calibrated approach to dosing.
- Post-surgical recovery — scar tissue mobilization, joint mobilization, and progressive loading following orthopedic surgery.
The Model
Every Session Is One-on-One with Dr. Birikov
There is no rotation to an aide, no handoff mid-session, no intake with one provider and treatment with another. I perform the assessment, I apply the treatment, and I progress the plan. That continuity is not a selling point — it is what makes accurate diagnosis and consistent results possible.
Physica Medica does not bill insurance. That means the full session is yours, without the time constraints or documentation pressures that shape care in insurance-based practices. If you have questions about what that means for your situation, call 443-228-8029 before booking.
Before You Book
Common Questions About Conditions Treated Here
What conditions does a physical therapist treat?
Physical therapists treat musculoskeletal and neuromuscular conditions — pain, restricted movement, weakness, and dysfunction in the muscles, joints, fascia, and nerves. At Physica Medica, that includes back and neck pain, sciatica, sports injuries, postural dysfunction, scoliosis, post-surgical recovery, pregnancy-related pain, and specialty conditions like vocal health and diaphragmatic dysfunction. The scope is defined by assessment, not by a condition list.