Information for Clinicians

Nobody owns the distance between no longer broken and actually capable.

This page is for physiotherapists, physicians and practice owners. It sets out exactly what we do, what we do not do, and where our work begins in relation to yours. It is not a programme pitch — it is the information you would need before sending someone in our direction.

11+years in structured physical development
10,000+one-to-one sessions delivered
Non-clinicalwe assess and build capability; we do not diagnose or treat

The Gap

Every remit ends somewhere. Most end below capability.

Physiotherapy
Ends at discharge.
Discharge closes the episode that was referred, and closes it correctly. It is not always the point at which someone is back to full capacity.
Surgery
Ends at healed.
Structural repair achieved. The capacity that was lost around it is a separate piece of work.
Diagnostics
Ends at diagnosed.
The picture is clear and correct. What to physically do about it sits outside the report.

None of that is a criticism. It is a description of where each remit correctly stops — and what the patient is left holding.

That distance is the whole of our work. We are not an earlier, cheaper or alternative version of what you do. We are what can follow it, once your remit is complete.

Scope

Stated plainly, in both directions.

Our scope is narrow on purpose. It is the reason a referral is safe to make, so it belongs at the top of this page rather than in a footnote.

What we do

  • Structured assessment of physical capability across five scored domains
  • Restoration and progressive development of strength, mobility, stability and movement quality
  • Programming built in a fixed order — foundation before load
  • Behavioural and lifestyle coaching that supports the training
  • Re-assessment at Day 90, with a written record the client can share

What we do not do

  • Diagnose any condition
  • Treat, manage or promise to fix any condition
  • Advise on medication, hormones or supplementation
  • Interpret bloodwork or imaging — that reading belongs to a physician
  • Take referrals in place of clinical care, or accept clients who are in an active treatment or rehabilitation pathway

Our Commitment

We refer to you first.

This is the part most worth reading, because it is the opposite of what a practitioner is usually approached with.

Where a client presents with pain, a suspected injury, or a question we are not licensed to answer, our standing policy is to route them out to an appropriate licensed professional before we go any further. That applies whether or not it costs us the engagement.

It is a policy rather than a courtesy. Our scope has a hard edge, and the only way that edge is meaningful is if we act on it in the moment it matters — which is usually the moment somebody would prefer we didn't.

We are building a vetted list of practitioners we would genuinely send someone to. That is the reason for this page, and it is the direction we expect the relationship to run in first.

Pain or suspected injury → physiotherapy GLP-1 & weight-management medication → prescribing physician HRT / TRT → treating physician NAD & IV therapy → licensed clinic Clinical nutrition → registered dietitian Bloodwork interpretation → physician

An honest note on volume. This is a standing commitment, not a promised number. We are a small practice and we will not pretend to a referral volume we cannot evidence. What we can commit to is direction: the routing above happens every time it applies.

The Pathway

What a referred client actually receives.

And, because it is the part that matters to you, what comes back.

01

A structured capability assessment

A single session establishing a measured baseline across five scored domains. Objective measures — dynamometry, single-leg stance, range of motion, gait via markerless capture — rather than impressions.

Body Composition & Metabolic BaselinePosture & Structural AlignmentMobility & ROMStability, Balance & ProprioceptionStrength & Physical Capability
02

An ordered progression, not a programme template

Assess, then build the foundation, then load. Where the assessment flags a limitation, that limitation is addressed before load is added to it. The order is fixed; the content is individual.

03

Re-assessment at Day 90

The same domains, the same measures, the same scoring. We do not claim a change we have not measured twice.

04

A written record the client can bring back to you

Baseline, progression and re-assessment in a form the client owns and can share with whoever they choose. If that is you, you will see precisely what was measured and what changed — in capability terms, with no clinical interpretation attached, because that reading is yours to make and not ours.

Method & Evidence

One method, applied the same way every time.

Every assessment and progression is built on the NASM Optimum Performance Training model — assess, foundation, load, re-test. Nothing is programmed because it is popular; everything follows the same order.

Two of the measures we score have a substantial epidemiological literature behind them. We use that literature as the rationale for measuring, not as a prediction about any individual — the associations below are population-level findings and we are careful not to present them as prognosis.

Strength & Physical Capability

Grip strength is associated with all-cause and cardiovascular mortality across large international cohorts. It is objective, quick, and difficult to argue with — which is why we measure it.

Leong DP, Teo KK, Rangarajan S, et al. Prognostic value of grip strength: findings from the PURE study. Lancet 2015;386(9990):266–273. n = 142,861 across 17 countries.
Corroborated: Celis-Morales CA, et al. BMJ 2018;361:k1651. UK Biobank, n = 502,293.
Stability, Balance & Proprioception

Performance on the ten-second single-leg stance is associated with survival in middle-aged and older adults. It takes ten seconds, requires no equipment, and cannot be talked around.

Araujo CG, de Souza e Silva CG, Laukkanen JA, et al. Successful 10-second one-legged stance performance predicts survival in middle-aged and older individuals. Br J Sports Med 2022;56(17):975–980. n = 1,702, aged 51–75.

The remaining three domains are scored because we consider them structurally prior to load, not because we are claiming an outcome association for them. We would rather be explicit about which of our measures carry a literature and which carry a rationale.

The practice behind it. 11+ years and more than 10,000 one-to-one sessions. Around 78% of clients are executives or business owners; average client tenure across the practice is 1.8 years. That practice is one-to-one — it is a practitioner's record, not an organisation's.

Practically

How a referral works.

How to refer

An email or a message with the person’s name and a line on what you have been treating. No form, no portal, no account. If it is easier, give them our details and we will take it from there.

What happens first

A short conversation before anything is booked, to confirm we are the right fit and that your remit is genuinely complete. If we are not the right fit, we will say so and, where we can, point them somewhere better.

What comes back to you

The written record, if the client chooses to share it. And a direct line to us — if something in the assessment sits closer to your expertise than ours, you will hear from us about it.

What it costs

The assessment and any programme are privately paid by the client; figures are straightforward and we will share them on a call rather than lead with them here. It costs you nothing.

We are describing a working pathway here, not proposing a contracted arrangement. Anything formal would need proper review on both sides before it existed.

Data & Confidentiality

The client owns their record.

Assessment data belongs to the client. It is shared with you, or with anyone else, only if they ask us to share it — a referral is not consent, and we will not treat it as one.

We hold what is needed to run the programme and nothing beyond it. Where we ever report at group level — for an organisational engagement, for instance — it is aggregate only, and never in a form that identifies an individual.

Next Step

A conversation, not a pitch.

If any of the above is useful, the sensible next step is a short call — most usefully about who you would want us to refer to you, before anything else.

Dubai, United Arab Emirates · concierge@renolongevity.com