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‘For chronic back pain, we want to eliminate the causes’

Musculoskeletal disorders are the biggest cause of disability. Despite the billions spent, the problem is just getting worse. Latest medical guidelines strongly recommend exercise therapy as the first-line-treatment for musculoskeletal disorders instead of much more expensive surgeries.

By Kamila Votrubová, Director and Co-owner of CRIMED Physiotherapy Clinic.

The CRIMED physiotherapy clinic in the Czech Republic takes a holistic approach to treating patients with musculoskeletal pain. Director and Co-owner Kamila Votrubová shares the clinic’s philosophy and how they utilise David spine devices (the same devices used by getback) to treat back and neck pain patients.

A holistic approach to pain treatment

CRIMED is an orthopaedic rehabilitation clinic treating musculoskeletal disorders, mostly specialising in chronic back pain. The majority of our patients come to our clinic with back problems. That is why we rely on the David spine solution.

Our philosophy is to look at the client as a whole. We don’t want to simply eliminate the symptoms, we want to eliminate the causes as well. We integrate all the necessary methods including classic allopathic medicine, modern instrumental diagnostics, laboratory tests and everything else that modern medicine offers. 

We have a long-term systematic approach and our goal is to significantly increase the quality of life of our patients.

Medical exercise therapy is beneficial for chronic back pain patients

As I mentioned, most of our incoming patients have back problems, some with severe and chronic back pain. The majority of our patients come via doctor referrals from hospitals or word of mouth.

First, patients have a consultation to see if they are suitable for training with the David spine devices. When they are cleared for training, every patient completes testing on the six spine devices to measure the mobility and isometric strength values of their spine.

After the initial evaluation and testing, the therapist goes through the EVE patient report results with them. The therapist and patient can both observe and discuss any specific functional problems that the therapist notices from the testing, including deficiencies in spinal isometric strength and mobility. 

The EVE report shows how the patient compares to reference values based on results for a healthy spine in the patient’s age, gender, height and weight grouping.

Together, the therapist and patient discuss treatment goals for decreasing pain and increasing strength and mobility. The treatment program lasts for 12 weeks with two visits per week.

Device testing simplifies the pain treatment process

With the EVE software platform, it’s easy for therapists to prescribe the appropriate amount of weight and range of motion for the patient, based on their initial test results. Each patient’s workload is individualised and specific. The EVE platform also makes it easy to adjust the parameters as the patient’s treatment program progresses.

After the pain treatment program is over, many of our clients continue exercise therapy with a preventative treatment program to embed the progress they have made. This prevention medicine provides patients who are healthy and injury free with a safe and effective way to train their back and neck, and take charge of their fitness and health journey.

Preventative treatment is important as it also helps reduce many of the injury risk factors from arising in the future.

The David solution supports the clinic with data driven clinical information which can be followed up with the patients through initial and post testing. This allows us to follow up any problems that arise throughout the exercise phase. We can look back and pinpoint specific pain areas using the pain questionnaire, then adapt the program by either increasing or decreasing the workload.

Successful patient stories show the benefits of exercise therapy

I enjoy seeing how our holistic approach to treating chronic back pain helps people every day. The EVE report (at right) shows one of my favorite patient success stories. Here, the patient’s initial testing results are in black. The final testing results after the 12-week program are in blue.

With the David Spine treatment program, this patient was able to significantly increase spinal mobility and isometric strength. As it shows in the patient’s EVE report, the biggest improvement has come from the Lumbar & Thoracic spine region. There was nearly a 50 per cent increase in Rotation and Lateral Flexion (Left & Right).

It’s this kind of success story which drives our commitment to treating back pain with a holistic approach.

This article was first published on the David Health website –