キロンサルード・マドリードはスペインおよびヨーロッパトップクラスのクリニックであり、年間診療患者数においてキロンサルードグループ内最大の施設です。
\n\n専門領域 ― 腫瘍科、脳神経外科、心臓外科、形成外科、および体外受精。
\n\nキロン・マドリードの研究チームは、癌および神経変性疾患（アルツハイマー病、パーキンソン病、ハンチントン病）の治療に関する研究を実施しています。所定の条件を満たす場合、臨床試験の参加者として無償での治療を受けられる機会があります。
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":100,"price_to":180,"currency":"USD","id":60330},"operation":{"id":128,"name":"理学療法","alias":"physiotherapy"}},{"prices":{"price_from":110,"price_to":110,"currency":"USD","id":62156},"diagnostic":{"id":457,"name":"治療計画作成相談","alias":"consultation-with-creation-of-treatment-plan"}},{"prices":{"price_from":340,"price_to":560,"currency":"USD","id":64967},"diagnostic":{"id":225,"name":"CT検査","alias":"skull-ct-scan"}}],"reviews":[],"clinic":{"id":278,"alias":"quiron-madrid","name":"Quironsalud Madrid","short_description":"キロンサルード・マドリードはスペインおよびヨーロッパトップクラスのクリニックであり、年間診療患者数においてキロンサルードグループ内最大の施設です。
\n\n専門領域 ― 腫瘍科、脳神経外科、心臓外科、形成外科、および体外受精。
\n\nキロン・マドリードの研究チームは、癌および神経変性疾患（アルツハイマー病、パーキンソン病、ハンチントン病）の治療に関する研究を実施しています。所定の条件を満たす場合、臨床試験の参加者として無償での治療を受けられる機会があります。
","images":[{"base_url":"clinic/5d12201e253f9","title":"Quironsalud Madrid hospital modern exterior in Spain"},{"base_url":"clinic/5d12201e1cd58","title":"Modern waiting room at Quironsalud Madrid clinic with colorful chairs and glass walls"},{"base_url":"clinic/5d12201e0ec16","title":"Spacious reception area at Quironsalud Madrid clinic with modern seating and information desk"},{"base_url":"clinic/5d12201c579de","title":"Patient room at Quironsalud Madrid with hospital bed and comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"ニューズウィーク「世界のベスト病院 2021」","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"フェルナンド・レイエス医師は、レアル・マドリードでの_doctor_9297_years_を含む、_doctor_9297_years_のスポーツ理学療法の経験を持っています。当クリニックでは、AlterGトレッドミルやIce-Labクライオセラピーなどのハイテク機器を使用した10〜12回のセッションをカバーする、約2,940〜3,500ドルの2週間集中プログラムを提供しています。Olympia Quirónsaludの理学療法部門の責任者として、レイエス医師はJCI認証施設にてマニュアルセラピーと高度なリハビリテーション技術を組み合わせています。
オリンピア（Quirónsaludグループの一員）は、スペインにおける独自のプロジェクトであり、Quirónsaludの理念と個人中心のケアを基盤としながら、新たな健康トレンドへの対応と身体的・精神的・感情的健康の維持増進に重点を置いています。
","images":[{"base_url":"clinic/64522c8646b4f","title":"Olympia Quironsalud clinic exterior with modern architecture and landscaped gardens"},{"base_url":"clinic/64522c873dc0d","title":"Fitness area at Olympia Quironsalud clinic with treadmills and hydration station"},{"base_url":"clinic/64522c87ee560","title":"Orthopedic consultation at Olympia Quironsalud Clinic, patient arm examination"},{"base_url":"clinic/64522c88b996f","title":"Reception and waiting area at Olympia Quironsalud Clinic with modern seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"P.º de la Castellana, 259B, 28029 Madrid, Испания"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":30,"year_foundation":2022},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":170,"price_to":390,"currency":"USD","id":62100},"diagnostic":{"id":306,"name":"検査","alias":"lab-tests"}},{"prices":{"price_from":640,"price_to":640,"currency":"USD","id":64497},"diagnostic":{"id":453,"name":"MRI検査結果の見直し","alias":"revision-of-mri-results"}}],"reviews":[],"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"ルベル・インターナショナル病院","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
","images":[{"base_url":"clinic/6756f35ff10ac","title":"Hospital Ruber Internacional exterior view at night in Madrid, Spain"},{"base_url":"clinic/6756f34586526","title":"Medical team at Hospital Ruber Internacional in surgical scrubs, group photo in clinic"},{"base_url":"clinic/6756f34626a12","title":"Patient room at Hospital Ruber Internacional with modern bed and garden view"},{"base_url":"clinic/6756f34b1f0c3","title":"Hospital Ruber Internacional exterior view in Madrid, modern medical facility"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"国際標準化機構","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":3,"total_pages":1}},"clinicsMeta":{"total_count":3,"total_pages":1},"clinicsCount":3,"clinicsCountByEntity":{"clinic_count":151},"doctors":{"doctors":[{"card_text":"小児整形外科で_doctor_8444_years_の経験を持つアルビニャーナ医師は、キロンサルド・マドリードにて股関節形成不全および小児の複雑な骨疾患を専門としています。
ハビエル・アルビニャーナ医師は、キロンサルド・マドリードの小児整形外科医です。股関節形成不全、骨腫瘍、ペルテス病の治療を専門としています。アルビニャーナ医師は、オックスフォード大学とアイオワ大学の両方で整形外科の研究フェローシップを修了しました。
キロンサルード・マドリードはスペインおよびヨーロッパトップクラスのクリニックであり、年間診療患者数においてキロンサルードグループ内最大の施設です。
\n\n専門領域 ― 腫瘍科、脳神経外科、心臓外科、形成外科、および体外受精。
\n\nキロン・マドリードの研究チームは、癌および神経変性疾患（アルツハイマー病、パーキンソン病、ハンチントン病）の治療に関する研究を実施しています。所定の条件を満たす場合、臨床試験の参加者として無償での治療を受けられる機会があります。
","images":[{"base_url":"clinic/5d12201e253f9","title":"Quironsalud Madrid hospital modern exterior in Spain"},{"base_url":"clinic/5d12201e1cd58","title":"Modern waiting room at Quironsalud Madrid clinic with colorful chairs and glass walls"},{"base_url":"clinic/5d12201e0ec16","title":"Spacious reception area at Quironsalud Madrid clinic with modern seating and information desk"},{"base_url":"clinic/5d12201c579de","title":"Patient room at Quironsalud Madrid with hospital bed and comfortable seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"Calle Diego de Velázquez, 1, 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":3.8,"google":3,"percent_of_satisfied_clients":50},"statistics":{"number_of_reviews":6,"doctors_number":0,"year_foundation":2007},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"ニューズウィーク「世界のベスト病院 2021」","country_code":"US"}]},"procedure_prices":[{"prices":{"price_from":100,"price_to":180,"currency":"USD","id":60330},"operation":{"id":128,"name":"理学療法","alias":"physiotherapy"}}]},{"doctor":{"id":9047,"alias":"inmaculada-gomez-arrayas","name":"Inmaculada Gómez Arrayás","clinic_id":6225,"photo":"doctor/6757244eece54","first_year_working":1992,"created_at":"2024-12-09T17:09:34.066+00:00","short_description":"インマクラーダ・ゴメス・アジャス医師は、フォーブス誌によるスペインのトップ100医師の一人に選ばれています。マドリードのルベル・インターナショナル病院で外傷学の責任者を務めています。アジャス医師は、精密な人工関節置換術のためのナビゲーションシステム活用のパイオニアです。股関節および膝関節の低侵襲手術と、早期回復プロトコルを専門としています。
Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
","images":[{"base_url":"clinic/6756f35ff10ac","title":"Hospital Ruber Internacional exterior view at night in Madrid, Spain"},{"base_url":"clinic/6756f34586526","title":"Medical team at Hospital Ruber Internacional in surgical scrubs, group photo in clinic"},{"base_url":"clinic/6756f34626a12","title":"Patient room at Hospital Ruber Internacional with modern bed and garden view"},{"base_url":"clinic/6756f34b1f0c3","title":"Hospital Ruber Internacional exterior view in Madrid, modern medical facility"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"国際標準化機構","country_code":"CH"}]}},{"card_text":"スポーツ外傷学および肩関節外科における25年以上の専門経験 – デ・ラ・クアドラ医師は、ルベル・インターナショナル病院（Hospital Ruber Internacional）にて多職種チームを率いています。
パブロ・デ・ラ・クアドラ医師は、マドリードのルベル・インターナショナル病院（Hospital Ruber Internacional）の整形外科医です。専門のトラウマチームを率い、スポーツ外傷ユニットの責任者を務めています。デ・ラ・クアドラ医師は、複雑な肩関節疾患に対する関節鏡視下手術および再建術を専門としています。マドリード自治大学で医学博士号を取得しています。
Hospital Ruber Internacionalは、スペインのマドリードにある民間の単科専門医療センターであり、脳神経外科、整形外科、および循環器科を専門としています。同病院は成人および小児の両方を対象とし、年間約25,000人の患者に医療を提供しています。患者の大多数はCIS諸国、欧州および英連邦、ならびに米国、カナダ、オーストラリアから来院しています。
","images":[{"base_url":"clinic/6756f35ff10ac","title":"Hospital Ruber Internacional exterior view at night in Madrid, Spain"},{"base_url":"clinic/6756f34586526","title":"Medical team at Hospital Ruber Internacional in surgical scrubs, group photo in clinic"},{"base_url":"clinic/6756f34626a12","title":"Patient room at Hospital Ruber Internacional with modern bed and garden view"},{"base_url":"clinic/6756f34b1f0c3","title":"Hospital Ruber Internacional exterior view in Madrid, modern medical facility"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"40, 416114,-3.714781, Centro, 28013 Madrid, Испания"},"rating":{"rating":5,"google":4.5,"percent_of_satisfied_clients":98},"statistics":{"number_of_reviews":3,"doctors_number":800,"year_foundation":1942},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"国際標準化機構","country_code":"CH"}]}},{"doctor":{"id":9297,"alias":"fernando-reyes","name":"Fernando Reyes","clinic_id":4060,"photo":"doctor/678e4b510ff89","first_year_working":1999,"created_at":"2025-01-20T13:10:40.059+00:00","short_description":"フェルナンド・レイエス医師は、マドリードのオリンピア・キロンサルード（Olympia Quironsalud）における物理医学・リハビリテーション科の責任者です。スポーツ理学療法を専門とし、エリートプロアスリートの治療実績があります。レイエス医師は、スポーツ外傷、神経疾患、関節炎の治療を行っています。彼は、スペイン最大の病院ネットワークの一部であり、JCI認証を受けたオリンピア・キロンサルードで勤務しています。
オリンピア（Quirónsaludグループの一員）は、スペインにおける独自のプロジェクトであり、Quirónsaludの理念と個人中心のケアを基盤としながら、新たな健康トレンドへの対応と身体的・精神的・感情的健康の維持増進に重点を置いています。
","images":[{"base_url":"clinic/64522c8646b4f","title":"Olympia Quironsalud clinic exterior with modern architecture and landscaped gardens"},{"base_url":"clinic/64522c873dc0d","title":"Fitness area at Olympia Quironsalud clinic with treadmills and hydration station"},{"base_url":"clinic/64522c87ee560","title":"Orthopedic consultation at Olympia Quironsalud Clinic, patient arm examination"},{"base_url":"clinic/64522c88b996f","title":"Reception and waiting area at Olympia Quironsalud Clinic with modern seating"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"P.º de la Castellana, 259B, 28029 Madrid, Испания"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":30,"year_foundation":2022},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International","country_code":"US"}]}}],"meta":{"total_count":4,"total_pages":1}},"offers":{"cards":[{"image_count":0,"images":[],"offer":{"id":"678e53ac440e57dd070fc3e2","name":"リハビリテーション（オリンピア）","type":"procedure","tags":[],"for_who":"Dr. Manuel Leyes, former trauma consultant for the Cleveland Cavaliers and Browns, leads intensive programs at the JCI-accredited Olympia Quironsalud. The 2-week plan features 10-12 individual 60-minute sessions utilizing advanced technologies like the AlterG anti-gravity treadmill and Ice-Lab cryochamber for joint-protected training and muscle recovery. For around _offer_price_, treatment includes biomechanics lab 3D analysis, manual therapy, and access to a full suite of medical diathermy and magnetic therapy equipment.
","clinic_entity_text":"フェルナンド・レイエス医師は、レアル・マドリードでの_doctor_9297_years_を含む、_doctor_9297_years_のスポーツ理学療法の経験を持っています。当クリニックでは、AlterGトレッドミルやIce-Labクライオセラピーなどのハイテク機器を使用した10〜12回のセッションをカバーする、約2,940〜3,500ドルの2週間集中プログラムを提供しています。Olympia Quirónsaludの理学療法部門の責任者として、レイエス医師はJCI認証施設にてマニュアルセラピーと高度なリハビリテーション技術を組み合わせています。
マヌエル・レイエス医師は、マドリードのオリンピア・キロンサルド（Olympia Quironsalud）の整形外科医です。スポーツ外傷学において30年近い経験を有しています。スペインで最も優れた履歴書を持つ研修医として表彰されました。レイエス医師は、ロボット支援による人工膝関節置換術および関節鏡手術を行っています。オリンピア・キロンサルドの権利・パートナーシップ担当ディレクターを務めています。
オリンピア（Quirónsaludグループの一員）は、スペインにおける独自のプロジェクトであり、Quirónsaludの理念と個人中心のケアを基盤としながら、新たな健康トレンドへの対応と身体的・精神的・感情的健康の維持増進に重点を置いています。
","images":[{"base_url":"clinic/64522c8646b4f","title":"Olympia Quironsalud clinic exterior with modern architecture and landscaped gardens"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"スペイン","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"マドリード","id":346,"alias":"madrid"},"address":"P.º de la Castellana, 259B, 28029 Madrid, Испания"},"rating":{"rating":0,"google":3.4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission 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"requests_processed":23249}},"responsibleDoctor":{"id":3065,"alias":"kayhan-turan","name":"Kayhan 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Uncomplicated low-back pain."},"complication_rate_pct":{"min":5,"max":25,"unit":"percent","qualifier":"Mostly temporary soreness or symptom flare after sessions; serious adverse events well under 1%."},"contraindications":["Red flags: bladder/bowel problems, saddle numbness, weakness, fracture, infection, cancer","Unexplained fever or acute systemic illness","Severe unremitting night/rest pain or major trauma, until evaluated","Unstable cardiovascular condition (for vigorous exercise)","Electrotherapy/heat: pacemaker, open wounds, skin infection, pregnancy (abdomen)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"No overnight stay; sessions are outpatient or day-case visits."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":6,"unit":"weeks","qualifier":"Light walking and prescribed exercises start at once; strenuous exercise or sport returns gradually, guided by pain and therapist."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"After final session: improvement often plateaus within weeks to months if home program continues; persistent pain may take longer."},"fly_home_after_days":{"min":0,"max":1,"unit":"days","qualifier":"No flight restriction after a session. A 4–6 week course means staying or continuing with a local therapist."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"After First treatment session: Planned mid-course reassessment of pain, function and goals to adjust the program."}},{"purpose":"result_review","requirement":"conditional","after":{"min":28,"max":84,"unit":"days","qualifier":"After Final physiotherapy session: Optional review of function and home exercise plan, if the therapist or patient wants it."}}],"indications":["Uncomplicated nonspecific low-back pain in adults, acute, subacute or persistent","Reduced trunk mobility, strength or activity tolerance","Recurrent back pain episodes where education and exercise support self-management"],"main_risks":["Temporary soreness or flare of back pain after sessions","Fatigue after exercise","Overload if exercise is progressed too quickly","Skin irritation or burn with heat or electrotherapy, if used","Dizziness or blood pressure changes during exercise (uncommon)","Rare missed serious pathology if red flags are not screened"],"pain":"Usually mild. Exercise or manual techniques may cause temporary soreness, typically settling within 1 to 2 days. Pain level is monitored and the program adjusted.","preparation":["Initial assessment with history, red-flag screening and physical examination","Bring any imaging reports or medical notes, if available","Wear comfortable clothing allowing movement of the back and hips","Report pacemaker, pregnancy, skin problems, medications and other health conditions"],"recovery_timeline":[{"phase":"During the course (about 4 to 6 weeks)","description":"Outpatient sessions, no hospital stay. Stay active, keep working as tolerated, do home exercises. 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Low-back pain commonly recurs, so gains can fade if exercise stops.","revision_rate_pct":null,"scars":"No incision and no scars. Brief skin redness may occur from heat, taping or electrotherapy.","sessions_or_stages":{"sessions":{"min":6,"max":12,"unit":"visits","qualifier":"Usually once or twice weekly over 4 to 6 weeks; response may shorten or extend it."},"stages":[{"code":"initial_assessment","label":"Initial assessment, red-flag screening, goal setting and first treatment","after":{"min":0,"max":7,"unit":"days","qualifier":"Starts at first visit; treatment may begin same day if no red flags."}},{"code":"active_treatment","label":"Progressive exercise, manual therapy and education with home program","after":{"min":0,"max":28,"unit":"days","qualifier":"Weekly visits as planned; load progressed as tolerated."}},{"code":"reassessment","label":"Reassessment of pain, function and goals; adjust or conclude program","after":{"min":14,"max":42,"unit":"days","qualifier":"Usually mid-course and at final visit, if the course continues."}},{"code":"self_management","label":"Discharge to independent home exercise and 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alongside exercise","recovery":"No downtime; temporary soreness possible"},{"name":"Heat, electrotherapy or taping as optional adjuncts","suits_whom":"Selected patients needing short-term symptom relief; electrotherapy needs assessment if an implanted device is present.","recovery":"No downtime"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per single outpatient session; the full course spans about 4 to 6 weeks."},"initial_assessment_documents":["Lumbar spine MRI or X-ray report","Referral letter or doctor's diagnosis","Summary of previous back treatments","Medication list and spinal surgery records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Visits are weekly or twice weekly over 4-6 weeks; one trip means staying that long, otherwise continue at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating 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