In this follow-up conversation, Steve Small reconnects with Michael Fatica to explore one of the biggest challenges in spine care: the disconnect between Consultant-led interventions and the rehab patients desperately need before and afterwards.

Michael shares his honest thoughts on why so many patients fall through the cracks after procedures, injections, or imaging — and offers simple, practical solutions to help bridge that gap.

One standout idea: using a patient’s own phone to record them performing their exercises correctly in clinic, giving them a personal, on-demand reference to stay on track at home.

• Why interventions without structured rehab often fail patients

• The communication gap between Consultants and rehab professionals

• How small changes in clinic practice can improve patient outcomes

• Michael’s tip for using a patient’s smartphone as a rehab tool

• The need for proactive, progressive rehab plans alongside spinal interventions

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