Dr Pervushkin · Nizhny Novgorod

Back and joint pain

We explore possible causes of back or joint pain, exclude conditions needing specialist treatment and create a safe plan for restoring movement.

Understanding the concern

What to know before booking

Pain in the lower back, neck, thoracic spine or joints may follow overload, injury, age-related change, inflammation or an internal condition. The same symptom can have different causes, so the consultation begins with clinical assessment rather than a technique.

The physician reviews the pattern of pain, its relationship to movement and load, available reports and imaging, and any neurological symptoms. When appropriate, gentle osteopathic care may form part of a broader plan to improve mobility and reduce functional tension.

The aim is not to promise a universal cure, but to agree realistic goals: easier movement, return to daily activity, sensible load management and timely referral to neurology, orthopaedics or rheumatology.

Reasons to consult

Common concerns

This list helps orientation but does not establish a diagnosis or confirm an indication for osteopathic care.

pain or stiffness after sleep or prolonged sitting
discomfort during bending, turning or exercise
restricted movement in the neck, lower back, shoulder, hip or another joint
muscle tension after an injury
recurrent pain without signs of an acute condition

Initial consultation

How assessment works

Assessment and next steps depend on history, existing investigations and the condition on the day.

01
Discussion of onset, progression, injuries, physical load and associated conditions.
02
Assessment of movement, posture, muscle tone and relevant neurological signs within the physician’s scope.
03
Review of available MRI, CT, X-ray and laboratory results; further investigations only when indicated.
04
A care plan with clear outcome criteria and a review point.

Team approach

Practitioners who may help

Roles are kept distinct: medical diagnosis and treatment are not replaced by wellbeing or consultation practices.

Clinic practitioner

Eduard Pervushkin

As an osteopathic physician, performs clinical assessment, checks contraindications and uses gentle osteopathic techniques when indicated.

Qualifications and credentials

Clinic practitioner

Evgeny Averin

Works with movement and myofascial chains using the Busquet method after acute injury and medical contraindications have been excluded.

Qualifications and credentials

Clinic practitioner

Elena Pavlova

Supports gentle body-awareness, relaxation and efficient movement habits as an adjunct to the primary plan.

Qualifications and credentials

Clinic practitioner

Elena Sharonova

After medical assessment, may support work with pain-related stress, fear of movement and persistent protective tension; psychokinesiology does not replace diagnosis or treatment of spinal or joint disease.

Qualifications and credentials

Urgent care

Do not wait for a routine visit

Seek urgent medical care or call emergency services for:

!limb weakness or numbness, bladder disturbance or saddle-area sensory loss
!pain after major trauma, deformity or inability to bear weight
!fever, severe night pain or unexplained weight loss

Patient questions

Key questions

Should I bring scans?+

Yes, if already available. Bring reports, discs or links and a medication list. New imaging is not required without a clinical indication.

Can I attend with a disc herniation?+

An MRI finding alone does not determine care. The physician will correlate it with symptoms; progressive weakness, sensory change or bladder/bowel dysfunction requires urgent specialist assessment.

How many sessions are needed?+

This is decided after assessment and review of the first consultation. The clinic does not promise a fixed number of sessions or a guaranteed outcome.

Have a question?

We will help you choose the right practitioner

Call the administrator or open Telegram or MAX. Please do not send medical records through public channels.

+7 (910) 395-29-70