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Yes. It's important to understand that the key to getting rid of chronic low back pain involves eliminating your pain triggers. This means removing the postures, movements and loads that provoke your pain, and learning how to move in a way that doesn't provoke it. I can assess this and coach you online, as I have done with many clients previously (see testimonials). It's true that there are some parts of the assessment that can't be done online (e.g. testing your anterior-posterior shear stability by directly pressing on the spinous processes of your vertebrae), but there are proxys that can be used in combination with your personal history and your symptoms that provide information regarding this. Also, if you can have a family member or friend with you for 10 minutes of the assessment they can assist with certain movements, e.g applying traction to your spine. In my experience (and the experience of my clients), a thorough, personalised online assessment is much more helpful than typical generic treatment in person which usually targets your symptoms.
If you let me know what you think caused the flare-up and how your symptoms have changed, I'll advise you accordingly. I'll also adapt your program if necessary so you can work around the issue.
Not necessarily. Most of my clients have already had one done by the time they get to me. However, if you have no red flags (saddle anaesthesia, loss of control of bladder/bowel, etc.) or radiating symptoms (sciatica) then it may not be necessary. If we discover something during your assessment that doesn't fit the typical pattern then I may advise you to discuss this with your doctor who can decide whether you should get an MRI.
If you can be flexible with timings this isn't an issue. I've had numerous clients on the west coast of the US which has a 12-hour time difference to Dubai.
No, I am not covered by your insurance. I am a trainer, not a physical therapist, and, there is no billing code for a 3-hour McGill Method low back pain assessment. In general, clinics are incentivised to provide treatment for whatever is billable, irrespective of how effective that treatment is.
Some of my clients have been told that their only option is surgery. While this may certainly be true for some people, it is not true for others - even for those who have already tried physical therapy. If you have never undergone a thorough assessment that has clearly identified your pain triggers and taught you how to avoid provoking them, then you still haven't tried a proper conservative recovery plan.
Sure, in fact I often have clients in Dubai who do the assessment with me in person, then do the follow-up sessions online.
Not necessarily. Most of my clients have already had one done by the time they get to me. However, if you have no red flags (saddle anaesthesia, loss of control of bladder/bowel, etc.) or radiating symptoms (sciatica) then it may not be necessary. If we discover something during your assessment that doesn't fit the typical pattern then I may advise you to discuss this with your doctor who can decide whether you should get an MRI.

“I have had a variety of back issues for most of my adult life. At 57, despite exercising regularly, I was taking daily pain medication and physiotherapy wasn’t helping. I tried programs for back pain but suspected they were making things worse.
In the initial 3-hour session, Andy was meticulous about understanding my history and which movements caused or relieved pain. No other health care provider has taken this kind of time and attention.
His training sessions are enjoyable, varied, and effective. The app works very well, and Andy is always responsive to questions. When something isn’t working, he suggests alternatives until we find a solution.
Living in a rural area, I wasn’t sure how effective online training would be. Andy’s unique skills make it feel like we’re working in the same room.
Highly recommended!”

“How lucky to have found Andy! For several years I suffered from lumbar back pain, which worsened after pregnancy despite physiotherapy and exercise. I was starting to despair.
Andy's program saved me—I learned to relieve my pain, move correctly, restabilize my back, and build muscle. Andy’s professional follow-up and involvement, all by video, were simple and effective.
Thank you! I recommend him 100%.”

“I had been struggling with lower back pain (L4-L5) for almost three years. Surgery helped with leg pain but not the back pain itself.
I began Andy’s program four months ago with online sessions every two weeks. I now have days where I don’t notice my back at all and I’ve resumed ordinary activities I had stopped.
He is an extraordinary professional — always kind and willing to help. If he’s helped me this much in a few months, I can’t wait to see what’s next.
Thank you, Andy.”