Accurate diagnosis before any treatment

A centre built on experience and research

Years of clinical practice, published work in rehabilitation medicine, and a team that works as one family.

Accurate diagnosis before any treatment
About the doctor

Dr. Ahmed Raffet El Sayed

Clinical Movement Specialist & Professor of Clinical Biomechanics — Department of Biomechanics, Cairo University

My work in rehabilitation medicine began with a question that kept following me: why does pain come back after it disappears? The answer I arrived at, after years of practice and research, is that most back pain is not treated successfully because it was never properly diagnosed — we treat the place that hurts, not the place that produces the hurt.

That question led me to describe Ankle Spine Syndrome — also known as Raffet Syndrome II — a framework linking mechanical dysfunction in the lower limb to the spinal symptoms that arise from it. The concept was first presented in 2016 and formally published in an international scientific journal in August 2024, marking the first formal entry of clinical biomechanics into the field of spinal syndromes.

In 2025 I introduced the MRCAR position, a non-surgical biomechanical concept for releasing compressed nerve roots in disc herniation — its original paper has been translated into roughly eleven languages. In 2026 I was granted Full Membership of the Sigma Xi Scientific Research Honor Society.

But what matters on this page is not the titles. What matters is the principle The Spine was built on: no treatment session before a clear diagnosis. We read your imaging ourselves, examine you clinically, and listen to the details of your day — how you sit, how you sleep, what your work demands — because those details are what create pain and keep it there.

I believe surgery is a choice, not a fate, and that a substantial proportion of patients advised to have an operation can recover with a precise rehabilitation programme they actually follow. I also believe a patient deserves to understand their condition, not merely to be reassured about it. Our aim is not that you leave a session pain-free — it is that you do not need to come back.

The technology inside our centre

SpineMED® spinal decompression

Non-surgical spinal decompression, delivered on an FDA-cleared system built for precision.

We use the SpineMED® decompression system — a computer-controlled table manufactured by Universal Pain Technology Canada for lumbar and cervical disc conditions.

It forms one part of a physiotherapy plan built around your assessment, not a treatment on its own.

FDA 510(k) cleared

For both lumbar and cervical decompression, from an ISO 13485 and CE certified manufacturer.

Less force, same effect

Securing the pelvis directly to the table lets the system reach therapeutic tension at roughly 60% of the force conventional traction tables require — per the manufacturer.

Measured every 2.5 ms

The system samples applied tension every 2.5 milliseconds and adjusts every 20, holding force on target through the whole session.

A report for every session

Your physiotherapist tracks progress against a documented record, not memory — and your third session applies exactly what your first one did.

Decompression is not suitable for every case; whether it suits you is decided after a clinical assessment at the centre. This content is educational and is not a substitute for medical consultation.

Our work in numbers

Our work in numbers

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Our scientific contributions in rehabilitation medicine

Latest research

2024

Ankle Spine Syndrome (Raffet Syndrome II) — the original scientific description

The original description of a syndrome linking mechanical dysfunction at the ankle to altered load distribution ascending to the spine. First presented in 2016 and formally published in August 2024, it marks the first formal entry of clinical biomechanics into spinal syndromology, and the first new medical syndrome described by a physiotherapist in the history of medicine.

Peer-reviewed international journal — August 2024

2025

The MRCAR position — a non-surgical biomechanical concept for nerve root release

A biomechanical concept designed to relieve pressure on nerve roots in disc herniation without surgical intervention. It has received broad international recognition, with the original paper translated into roughly eleven languages including Chinese, Japanese, Spanish, Portuguese and French.

International publication — translated into ~11 languages

2026

Full Membership of the Sigma Xi Scientific Research Honor Society

Full Membership of Sigma Xi is not granted by self-application: it requires formal scientific nomination, specialist review and a vote of the society's members. Founded in 1886, the society counts more than two hundred Nobel laureates among those associated with it.

Sigma Xi — Scientific Research Honor Society, founded 1886

2025

International reach: research translated into roughly 11 languages

The research moved from a local frame to international circulation through translation into roughly eleven languages — an indicator of the concept's clinical impact beyond a single language, and of interest from different therapeutic communities in applying it.

Documented international dissemination

2016

First presentation of the lower-limb mechanics to spinal symptoms link

The starting point of a research programme spanning roughly a decade: the proposition that the body is a single kinetic chain, and that mechanical dysfunction at the ankle can alter load distribution upward until its effect reaches the vertebrae — the idea that later crystallised into Ankle Spine Syndrome.

First conceptual presentation — 2016

A team that works with you, not on you

The Spine Family

Dr. (Team Member Name)

Consultant of Physical Therapy & Rehabilitation

Specialised in spine rehabilitation and manual therapy.

Dr. (Team Member Name)

Senior Physiotherapist — Sports Injuries

Builds safe return-to-play programmes for injured athletes.

Dr. (Team Member Name)

Physiotherapist — Women's Health Rehabilitation

Pre- and post-natal rehabilitation and pregnancy-related back pain.

(Team Member Name)

Functional Rehabilitation Specialist

Designs movement and strength recovery work in the advanced treatment phase.

(Team Member Name)

Patient Care & Scheduling

The first person to greet you, and the one who tracks your appointments and plan.

Finally

We do not sell sessions. We build a plan with you that has a beginning, an end and a clear goal: getting you back to your life as it was, or better.

That means specific commitments on our side: to explain what we see in your case in language you understand, to give you a realistic estimate of session numbers from the start, to tell you plainly if your case warrants a surgical opinion, and to end treatment when the need ends — not when a package runs out.

If you are living with persistent pain, have been advised to have surgery and want a second opinion, or simply want to understand what is happening in your back — book your first assessment, and we will give you an honest picture of your condition and your options.

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