Assessment and Second Opinion
Specialisation
In-depth assessment and a physiotherapy second opinion
Complaints that do not improve despite treatment, unclear or contradictory findings, stalled rehabilitation or an upcoming treatment decision: in situations like these, an independent, structured outside view helps.
At 4 Balance you receive a thorough musculoskeletal assessment at master’s level. We look at your complaints in their full context, critically review previous findings and treatments, and show you clearly which factors influence your complaints and which options make sense.
The service is aimed at patients as well as doctors and therapists who would like an expert assessment or advice on a complex case.

Who it is for
For patients and for professionals
- Independent second opinion on findings, treatment and prognosis
- Clarity for long-standing or recurring complaints
- Help deciding between conservative treatment options
- Clear explanations and concrete next steps
- Thorough clinical examination and clinical reasoning
- Structured written report with recommendations
- Professional exchange and case discussion
- Advice on further physiotherapy treatment planning

Process
How we work
- Preparation: review of existing reports, imaging and previous treatments
- Detailed history: course, loads, expectations and goals – supplemented by validated questionnaires
- Clinical examination: neuromusculoskeletal and neurodynamic testing, plus movement and load analysis
- Clinical reasoning: classification according to the biopsychosocial model (ICF) and screening for red flags that require medical assessment
- Discussion: a clear explanation of the relationships and joint planning of the next steps
- On request: a written summary and consultation with your doctor or therapist
Typical questions
When an assessment or second opinion makes sense

Your contact
Johannes Weitz
MAS Musculoskeletal Physiotherapy, Dipl. Manual Therapist OMT SVOMP®, Dipl. Physiotherapist – Management, 4 Balance
Johannes Weitz combines many years of clinical experience with master’s-level training in musculoskeletal physiotherapy. His focus is on the assessment and treatment of complex musculoskeletal complaints.
- Assessment and treatment of lumbar and cervical spine complaints
- Shoulder, neck and arm rehabilitation
- Whiplash (WAD) and chronic pain
- Cognitive Functional Therapy (CFT) and neurodynamics
A physiotherapy assessment or second opinion does not replace a medical diagnosis. If there are signs of causes that should be investigated medically, we will recommend a medical assessment and, on request, coordinate directly with your doctor.
