Via Panzeri, 6 — Milano Lun–Ven · 09:00–20:00
Curare, non trattare

To heal—
not merely
to treat.

A quiet physiotherapy and nutrition practice in the heart of Milan. Honest assessments, considered hands, and the patience to work with the body rather than against it. No shortcuts, no formulas.

Established
Milano, 2015
Founder
Gianluca Italiano
Approach
One patient at a time
Accepting patients
First consultation typically within 5 days
Philosophy

Three things we refuse
to compromise on.

We chose early on to be a small practice with clear principles, rather than a clinic that sees everyone. That choice shapes everything — the hour you're given, the questions we ask, the treatments we recommend.

— i.

Honesty over haste.

If we don't think a course of treatment is the right fit, we'll say so. Sometimes the most useful hour is the one spent redirecting you to the right specialist — or simply saying, rest.

— ii.

Listening before touching.

Every first visit begins seated, not on the table. We want to understand how the problem behaves through your day, what you've already tried, and what you're working toward. Hands come after.

— iii.

Quality over volume.

We are not the cheapest studio in Milan, and it isn't our ambition to be. We'd rather see fewer patients well than many in a rush. Each session is a full hour, held by one therapist, start to finish.

The body knows how to heal. Our work is to listen carefully enough to understand what's getting in its way — and then, gently, to remove it. Curare, non trattare.

Gianluca Italiano — Founder, Almaphysio
Therapies

Six disciplines,
one continuous pathway.

We don't treat symptoms in isolation. Whether you arrive with a herniated disc, lingering tendonitis, or a body that simply feels out of rhythm — you'll be met with the full toolkit, drawn on selectively.

Fibrolysis

Fibrolisi diacutanea

Fine-hook palpation that releases the connective tissue enveloping muscle — particularly effective for tennis elbow, chronic strains, and stubborn tendinopathies that have outlasted rest.

Sports injury Tendinopathy

Neurodynamics

Neurodinamica

A graded series of movements that restore glide to nerves entrapped by surrounding tissue. Often the missing piece for sciatica, thoracic outlet, and post-surgical nerve tension.

Sciatica Nerve pain

Postural rehabilitation

Ginnastica posturale

Structured sessions to retrain how the body organises itself under gravity. The single most cost-effective thing most patients can do — and the easiest to overlook.

Prevention Chronic back pain

Hypopressive abdominals

Addominali ipopressivi

A quieter, more precise approach to core work — lowering intra-abdominal pressure while activating the pelvic floor. Particularly valued post-partum and post-surgical.

Postpartum Core

General physiotherapy

Fisioterapia

The everyday work: disc protrusions and hernias, sprains, post-surgical stiffness, osteoarthritis, back pain, and the dozen small injuries that quietly accumulate in a lifetime.

Rehabilitation Post-op

Nutrition

Nutrizione

Personalised nutritional consultation, working alongside physical treatment when useful. Inflammation, recovery, body composition — addressed from the inside rather than bolted on.

Inflammation Recovery
A 19th-century building,
a 21st-century practice.
The Studio

A quiet room on
Via Panzeri.

The studio sits inside a nineteenth-century building a few minutes from Porta Genova and Sant'Agostino — high ceilings, mouldings kept intact, soft northern light through tall windows. We preserved what was beautiful and added only what treatment actually needs.

No open-plan gym floor, no overlapping appointments. You arrive, you're the only patient in your therapist's day for that hour, and the space reflects that.

1:1
Ratio, always
60'
Minutes per session
11yr
In this building
gi
Gianluca Italiano
Founder · Physiotherapist · Osteopath
  • MSc Physiotherapy, Università degli Studi di Milano
  • DO — Diploma in Osteopathy
  • OMT — Orthopaedic Manipulative Therapy
  • Certified in fibrolysis & neurodynamics
  • Lectures at SIMFER Lombardia
Founder

Not everyone needs the same
pair of hands.

Gianluca founded Alma in 2015 after a decade in larger clinics, where he felt the economics of volume were quietly pulling treatment away from what actually works. He wanted the time to sit with a case before diagnosing it, and the freedom to send a patient elsewhere when that was the right call.

His approach is concrete: evaluation first, honest conversation, then a plan you understand and agree with. He works particularly well with patients who've been told there's nothing more to do — and with athletes looking to stay ahead of injury rather than chase it.

Outside the studio, he runs in the Parco Sempione, reads more Borges than he should, and makes the coffee that his patients argue about.

— Gianluca
In their words

Small practice,
long memories.

Most of our patients arrive through a recommendation from another. Here are a few of the notes they've sent back — edited for length, used with permission.

After eighteen months of sciatica and three other clinics, I walked out of my first visit with a plan that actually made sense. Six weeks later I was running again. Gianluca is the rare practitioner who listens longer than he talks.

F
Francesca M.
Architect, Milano

I came in for a shoulder, we ended up fixing my gait. That's what I value most — the willingness to zoom out when the obvious answer isn't the real one. Every session has felt like progress, not just activity.

A
Andrea B.
Marathon runner

Post-partum, nothing had worked for the diastasis until I tried hypopressives here. What I didn't expect was how carefully the sessions were paced — never pushed, never rushed. I feel stronger than I did before the pregnancy.

C
Chiara L.
Patient since 2024
Visit

Find us in the quiet
folds of Sant'Agostino.

Five minutes from the Porta Genova metro, ten from the Navigli. If you're driving, there's metered parking on Via Panzeri itself — bring enough for an hour.

Address

Via Pietro Panzeri, 6
20123 Milano MI
Ground floor, inner courtyard · Interphone “Alma”

Getting here

M2 Sant'Agostino · 4 min walk
M2 Porta Genova · 6 min walk
Trams 2, 9, 14 · bikes rack outside

Hours

Monday – Friday09:00 — 20:00 Saturday10:00 — 14:00 Sunday
By appointment only. Early and late slots available on request.
SANT'AGOSTINO NAVIGLIO GRANDE Alma · Via Panzeri, 6
Book a first visit

Bring us the problem
you've stopped expecting to solve.

A first visit lasts a full hour and ends with either a clear plan or, sometimes, a referral to someone better suited. No packages to sign, no pressure to return.