Some patients do everything right - multiple practitioners, rehab programs, imaging, rest, medications, even surgery - yet still don’t improve. When conservative care fails, it usually means the driver hasn’t been correctly identified, or rehabilitation hasn’t been progressed safely, consistently, or specifically enough.
This service exists to reset the case, uncover missed mechanisms, and create a clear path forward - whether that remains conservative or requires further specialist escalation.
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Who this service is for:
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Persistent pain or dysfunction despite prior physiotherapy/exercise programs
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Recurrent flare cycles and unpredictable symptom patterns
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Complex presentations with mixed spinal, pelvic, nerve, or systemic symptoms
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People stuck between “keep trying physio” and “consider surgery”
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Patients who want clarity, structure, and a defensible plan
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What makes this different:
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Mechanism re-assessment: what’s been missed, mislabelled, or oversimplified
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Whole-body lens (not treating the painful area in isolation)
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Load management built around true tolerance and control
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Clear differentiation: mechanical vs neural vs sensitisation drivers
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A pathway that includes honest escalation when required
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What to expect:
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Full review of treatment history and response patterns
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Identification of why previous care failed (common failure points)
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Comprehensive assessment and functional testing
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A staged plan with clear milestones and decision points
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Education and pacing strategies to stop boom-bust cycles
Functional outcomes:
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Clear explanation and diagnosis framework you can trust
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Reduced flare frequency and improved predictability
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Improved tolerance to daily life tasks
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Renewed confidence in rehab and movement
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Clear next steps: conservative progression vs specialist escalation
How this integrates with specialist care:
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When appropriate, collaboration with specialists for imaging review, surgical opinion, pain management integration
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Rehab aligned to medical guidance to avoid wasted time and unsafe progression
Who leads your care:
Led by Vincent Fu. Complex presentations may involve coordinated input from other specialists, but your plan remains unified and staged.
Our philosophy:
Failing conservative care doesn’t mean you’re broken - it means the approach needs to be rebuilt. We don’t repeat what failed. We identify what matters, progress it safely, and keep the plan honest.