CRB clinic
Orthopedic consultation
Identifying the cause of the disease and prescribing treatment
License of the Ministry of Health of Ukraine AD No. 063321 dated 06.09.12.
Our specialization:
orthopedics-vertebrology
We professionally treat all orthopedic conditions and also specialize in recovery after spine and joint surgery.
- Spinal diseasesHernia, protrusion, osteochondrosis, scoliosis, kyphosis, spinal curvature, listhesis, instability, pain, lumbago, limited mobility1
- Joint diseasesArthrosis, arthritis, bursitis, enthesopathy, tendinitis, joint pain, limited mobility, joint crunching2
- Muscle and ligament diseasesMuscle spasms, enthesopathy, muscle weakness, inflammation, muscle pain, limited mobility3
- Deformation of body architectureSpinal curvature, scoliosis, kyphosis, poor posture, pelvic tilt, shoulder tilt, flat feet, valgus, varus deformity, ankle tilt, knee tilt4
Consultations by phone:
044 580 40 04
044 580 40 04
CRB clinic
We've been treating patients without surgery for over 12 years.
We effectively restore the spine and joints without surgery,
treat bunions, hernias, protrusions, and arthrosis. We relieve pain and deformities, restoring mobility – safely and permanently!
treat bunions, hernias, protrusions, and arthrosis. We relieve pain and deformities, restoring mobility – safely and permanently!
How we achieve success without surgery
People don't come to us for procedures, they come to us only for results!
- -1-Determining the cause of the disease
Often, the location of the pain and its cause are not the same. For example, arm pain may be caused by a herniated disc. A person also often has a complex of interrelated problems. Treating only the symptoms will either have no effect at all or only a short-term one. Identifying and eliminating the cause makes it possible to completely eliminate the condition.
- -2-The right
focus of influenceTargeting a specific problem muscle, ligament, or blocked nerve is a method that allows us to achieve rapid results. We don't just give a "back massage" or "exercise all over the place," but rather identify the cause and address it directly.
- -3-Modern
treatment methodsWe work with treatment protocols, tailored to each patient's individual needs. We utilize the following methods: kinesitherapy, myostimulation, shock wave therapy, post-isometric relaxation, and others.
Consultations by phone:
044 580 40 04
044 580 40 04
CRB clinic
The consultation includes functional diagnostics
Successful treatment depends on a thorough investigation of the problem. Diagnostics help identify the cause and cause of pain and deformity, and, accordingly, what needs to be done to address them.
We conduct diagnostics based on the principles of classical orthopedics and modern research by orthopedic kinesiologists.
Muscle function testing
Muscle testing can detect asymmetries or abnormalities in muscle function.
The testing is conducted using the method of American kinesiologist Janet G. Travell. This method was developed for the US White House approximately 60 years ago and has since been extensively studied, improved, and described in numerous scientific papers. Today, it is a modern method of functional diagnostics that helps identify malfunctioning muscles that may be causing spasms, pain, and deformities.
Testing the nerves that control muscle function
Absolutely everything in our body (muscles, ligaments, joints) works thanks to signals from the brain - nerve impulses.
An orthopedic condition can be caused by a blocked nerve, which interrupts signal transmission to a specific area of the body. Weak innervation can cause muscles and joints to function improperly.
A pinched nerve can cause pain, often far from the pinched area itself. Identifying and eliminating such areas is important for treatment.
Nerve conduction tests are used to check innervation.
A pinched nerve can cause pain, often far from the pinched area itself. Identifying and eliminating such areas is important for treatment.
Nerve conduction tests are used to check innervation.
Joint testing, body architecture assessment
Insufficient range of motion, pain, crunching, and incorrect joint position are frequent companions of orthopedic diseases.
In addition to problems within the joint itself, the position of the joints affects the architecture of the entire body. For example, flat feet and ankle collapse inevitably lead to knee deformities, pelvic tilt, and spinal curvature. Conversely, when the problem starts from above, due to incorrect head and neck positioning, it leads to shoulder misalignment and asymmetry in the back and pelvic muscles.
Here are a few examples from our practice: how identifying the true cause of a disease influences the success of treatment.
This is a fairly common condition in orthopedics, almost always occurring when nerve endings are pinched (compressed). The pain radiates along the nerve's course and can manifest far from the site of compression. For example, with sciatica, the sciatic nerve is pinched in the buttocks, but pain may also affect the foot or lower leg. Treating the foot is obviously ineffective. With epicondylitis in the elbow, pain often occurs in the hand and fingers, while a herniated disc can cause pain in the heart, extremities, and so on. In all cases, it's important to find the underlying cause of the pain and address it.
A striking example (and also quite common) is pain from a herniated disc. The patient complains of "pain," and an MRI clearly shows the herniation. The patient is logically referred for surgery. However, the pain persists after surgery.
It's important to understand that only 5% of herniated disc pain is due to pressure from the disc on a spinal nerve root. This is because nerve roots are naturally located in a location difficult for a herniated disc to protrude.
Most often, the pain is myofascial in nature—muscle and ligament pain. In rare cases, the nerve root is pressed by a muscle that has become enlarged due to spasm. In this case, pain relief requires not only removing the herniated disc but also treating the affected muscles and ligaments.
It's important to understand that only 5% of herniated disc pain is due to pressure from the disc on a spinal nerve root. This is because nerve roots are naturally located in a location difficult for a herniated disc to protrude.
Most often, the pain is myofascial in nature—muscle and ligament pain. In rare cases, the nerve root is pressed by a muscle that has become enlarged due to spasm. In this case, pain relief requires not only removing the herniated disc but also treating the affected muscles and ligaments.
Let's take a case where a spinal disc herniation is being removed. For example, the herniation developed due to severe muscle spasms that were compressing the intervertebral disc. During the surgery, the protruding portion of the nucleus pulposus is removed.
The spasmed back muscles and disc compression remain after the surgery. Naturally, the herniation will recur after a while.
Similarly, bunions reappear after surgery if the underlying cause—weakness in the foot muscles—is not addressed.
In the cases described, successful treatment required identifying the underlying cause—the malfunctioning muscles.
The spasmed back muscles and disc compression remain after the surgery. Naturally, the herniation will recur after a while.
Similarly, bunions reappear after surgery if the underlying cause—weakness in the foot muscles—is not addressed.
In the cases described, successful treatment required identifying the underlying cause—the malfunctioning muscles.
Let's take a spinal disc herniation as an example. A herniation often occurs due to pelvic or shoulder misalignment. This misalignment greatly increases the load on the spine, compressing the intervertebral disc on one side, causing it to collapse, resulting in a herniation.
By eliminating the misalignment and the abnormal load, we achieve a "straightening" effect on the intervertebral disc. This causes part of the nucleus pulposus to return to the disc (similar to squeezing and releasing a toothpaste tube). The herniation then decreases or disappears completely.
A similar situation occurs with a bunion (Hallux valgus). We begin treatment by addressing weak foot muscles and correcting the hallux valgus. This raises the arches of the foot, straightens the big toe, and automatically reduces the size of the bunion, even without direct pressure.
By eliminating the misalignment and the abnormal load, we achieve a "straightening" effect on the intervertebral disc. This causes part of the nucleus pulposus to return to the disc (similar to squeezing and releasing a toothpaste tube). The herniation then decreases or disappears completely.
A similar situation occurs with a bunion (Hallux valgus). We begin treatment by addressing weak foot muscles and correcting the hallux valgus. This raises the arches of the foot, straightens the big toe, and automatically reduces the size of the bunion, even without direct pressure.
Cost of consultation
Our clinic's chief physician, K.Yu. Kolomiets,
provides consultations and functional diagnostics.
Orthopedic traumatologist, vertebroneurologist,
and top-category physician.
Over 35 years of experience
provides consultations and functional diagnostics.
Orthopedic traumatologist, vertebroneurologist,
and top-category physician.
Over 35 years of experience
950 UAH
Consultation and functional diagnostics
650 UAH
Follow-up consultation (control)
Treatment results
-
Back pain, neck pain, headachesIn just three months, my spinal curvature, hunched shoulders, and asymmetrical back and neck muscles were eliminated. Muscle spasms were eliminated, and range of motion in the neck and lower back was increased. Pain was completely eliminated, and my posture improved. -
BunionsThe bunions on my feet have shrunk, and the bunion on my right foot has completely disappeared. My flatfoot has been corrected. The problem with finding shoes has disappeared. -
Spinal hernia, back painAfter three months of treatment, the pain completely disappeared, my posture improved, and I regained my range of motion (bending and turning). MRI images showed the hernia had more than halved in size. -
Valgus ankle joint rotationIn just three months, the hallux valgus was completely eliminated, and the muscles were trained to maintain proper foot alignment. Pain in my feet and knees disappeared. -
Hallux valgus, fatigue when walkingThe degree of flat feet has decreased, and the big toe deformity has been virtually eliminated. Foot alignment has improved significantly, and ankle joint tilt has almost completely disappeared. Long walks cause no discomfort. -
Bunions on feet, painFlat feet and bunions have been eliminated. The pain has gone away, foot placement has improved, and hallux valgus has been significantly reduced. -
Flat feet, leg painIn one month, my flat feet, both transverse and longitudinal, have improved. My arches have become more elevated. The pain has gone away, and the weight on my feet is distributed more evenly.
Patients often ask similar questions.
We've collected the most popular ones and answered them below.
Diagnostics are included in the consultation price (950 UAH). These include muscle, nerve, and joint testing, body architecture assessment, and analysis of any MRI/X-ray images you bring with you.
If you have a recent X-ray, bring it with you. The doctor will take a look. If you don't have one, it's best to first consult with the doctor and get their instructions on what kind of X-ray they need, and if they need it. This will save you time and money.
Avoid painkillers so that the pain level can be assessed during palpation and testing. Avoid alcohol and overeating for 24 hours. Avoid exercising for 3 days to avoid further cramping, strains, and muscle soreness.
For your consultation, wear comfortable clothing, preferably athletic wear. Be prepared to undress and remove shoes for the examination.
For your consultation, wear comfortable clothing, preferably athletic wear. Be prepared to undress and remove shoes for the examination.
If you live in another city, you can come for a one-day consultation. We will determine the cause of your illness and provide treatment recommendations. Treatment may involve periodic visits of 1-2 weeks, with home exercises included.
Of course it does. Orthopedic conditions can be treated at any age, including spinal curvature, flat feet, and bunions. It's a myth that these conditions are incurable in adulthood. Treatment will result in pain relief, correction of deformities, and an improved quality of life.
We specialize in non-surgical treatment. However, everything depends on the specific case and stage of the disease. We treat bunions, herniated discs up to 1 cm, spinal curvatures, and joint arthrosis without surgery. If you decide to consult at our clinic, you will receive a second expert opinion (whether surgery is necessary or not) from a doctor with over 35 years of experience.
Orthopedic traumatologist
Consultation conducted by
Konstantin Yuryevich Kolomiets
At our clinic, consultations and functional diagnostics are provided by our chief physician, K.Yu. Kolomiets. He is an orthopedic traumatologist, vertebroneurologist, and a top-category physician with over 35 years of experience.
He specializes in non-surgical treatment methods. He continually improves his skills and enjoys studying scientific works in kinesiology and neurology.
He specializes in non-surgical treatment methods. He continually improves his skills and enjoys studying scientific works in kinesiology and neurology.
