Aleksei Pintšuk

I have been active in physiotherapy since 2012. I use manual therapy, dry needling, and therapeutic exercises to treat the client.

In my spare time, I enjoy hiking and running.

Daria Narõškina (vanemapuhkusel)

I graduated from the University of Tartu in physiotherapy (cum laude) in 2015. I started doing physiotherapy in 2012. I regularly upgrade my qualification with professional training and reading literature. Have a long-term experience with Estonian youth and women’s football teams. It is a pleasure to work with active young people, adults, and sports enthusiasts. I believe that finding the cause of the problem and active cooperation between the physiotherapist and the client is of particular importance in solving problems.

Eva Kram

I graduated from Tartu Health Care College in Physiotherapy in 2012. After graduation, I moved to London where I received my Master’s degree from the University College of London. I am specialized in rehabilitation of performers, especially dancers.

Aleksei Pintšuk

I have been active in physiotherapy since 2012. I use manual therapy, dry needling, and therapeutic exercises to treat the client.

In my spare time, I enjoy hiking and running.

Natalia Šemenjova

Graduated from Tartu Tervishoiu College in 2010 and have more than 10 years of work experience as a physiotherapist. After graduation, I started working for the Center for Development and Rehabilitation of Children and Adolescents at Tartu University Hospital. I currently work mostly with adults. I have completed various trainings in Estonia and abroad to improve my knowledge and practical skills. In collaboration with Fitwithkid, I carry out courses for new and future parents about infant developmental milestones. In my spare time I enjoy quality time with my family and reading.

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Manual therapy

The practitioner will find the cause of a problem (muscle, joint, soft tissues) and manipulate/target anatomical structures manually (“hands-on” treatment) in an attempt to decrease pain. Therapist mainly works with the spine and fascia (connective tissue).
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Manual therapy is performed by a trained physiotherapist. Joint mobility and movement patterns are assessed in all areas of the body to determine the root cause of the problem.

The therapist makes sure that the procedure is safe for the patient. Treatment includes joint manipulations and mobilizations. Recommendations for ergonomics, good posture and exercising are also given for the patient to relieve symptoms.

Is suitable for:

  • Neck or back pain
  • Stiffness of the back and neck 
  • Headache
  • Numbness of the hands
  • Problems with joints (shoulder, hip, knee, ankle, etc.)


  • Patient evaluation
  • Manipulation and mobilization of the spine and other joints
  • Manipulation of the fascia and soft tissue
  • Stretches
  • Ergonomic advice and recommendations to reduce the problem


  • Acute heart, kidney or liver failure
  • Acute traumas (first 72h)
  • Skin infection, other infectious disease or thyroid disease 
  • Malignancies or suspected tumour
  • High or low blood pressure 
  • The third trimester of pregnancy

Frequently asked questions

Is manual therapy safe?

  • The therapist makes sure the treatment is safe for the patient and there are no contraindications for the procedure.

What is the difference between manual therapy and physiotherapy?

  • In manual therapy, the therapist manipulates the joints manually (“hands-on”) to reduce pain. Physiotherapy is a more active intervention where the patient exercises to relieve the symptoms and improve strength and mobility. In physiotherapy, exercises can be combined with manual therapy techniques.

I felt pain after therapy. What could be the reason for this?

  • Following manual therapy, local pain or hypersensitivity may occur for a few days after the procedure. It usually lasts 1-2 days and is due to the fact that the structure (muscle, joint) was manipulated strongly with hands. 

Can I exercise after manual therapy?

  • After manual therapy, intense training should be avoided for the next 72 hours. Recommended are stretching and light aerobic activity (walking). 

What referral can you use?

Dear customer

Please note that in the Profysio clinic paid services are offered. In addition, referrals from your Family Doctor through the Therapy Fund with service code 7050 are valid until 01.07.2024, which partially covers the service costs. More information here.

In our clinic referrals are not valid for the Physical Therapy service, which is 100% covered by the Health Insurance Fund.

Profysio team