Booking

In-person consultations are once again available. See further info in the drop-down menu below.

Medical reports: Several patients have been asking me what is included in a medical report. An example report may be viewed here (click text). Purchasing a medical report is optional, but might aid you in explaining your condition to your primary care physician or surgeons or serve as an overview document that explains your relevant musculoskeletal condition(s).

Sessions requested outside of the ordinary hour-schedule can be done, if mutually time-available, at a double fee.

In virtually all cases involving spine, head or neuropathic problems, I will need to review your imaging. It does not matter if they were reported as normal.

To send the images 1., copy all the imaging disc’s content into a folder (use different folder names if multiple discs). 2., compress the main folder using Winzip or similar (file should be at least 30 megabytes, usually more; if the file is tiny then something is usually wrong. Compressing the main folder (the folder that holds all the files) is sufficient). 3., Send the compressed file to [email protected] using wetransfer.com (link valid only 7 days; please note that I do not have time to double-check this prior to session — Please do not email me and ask me to confirm your imaging outside of session), google drive, or similar. If you don’t understand how to do it, please get someone to help you (I do not have time to guide you on how to do this personally; my apologies). If you choose to use Google drive or Dropbox, please make sure that you send me a download link, not a sharing link (Google drive: click “get link”, and configure it so that “anyone with link” can access the files. Send that link). These two are not the same.

You can also review this link: https://www.linkedin.com/pulse/guide-doctors-patients-how-send-medical-cd-via-internet-posavec/

If you want to confirm that the files that you are sending me, work, and this is indeed a good idea, you can download a free DICOM reader (eg. HOROS for mac software or RADIANT for Windows) and check for yourself whether or not the files that you have prepared actually work. Please ensure that you are sending actual professional imaging files (DICOM files) and not JPEG or PNG (picture files).

During a Skype session, we will review your case history, medical imaging or bloodwork. I will ask you very specifically about your symptoms, their locations, triggers, etc. Although I cannot examine you physically, we tackle this by instructing you on how to perform certain tests or provocative movements yourself (eg. Spurling’s test (radiculopathy), Roos’ test (thoracic outlet syndrome), etc) while I watch. Sometimes, I may also instruct your friend or spouse to perform certain tests on you (eg. myotome tests for radiculopathy). The way I conduct my online consults work well and I have helped numerous patients online since 2017. Certain regions are more difficult to evaluate online, especially wrists and knees due to highly specific manual diagnostic techniques that cannot easily be reproduced by the patient nor replicated on guidance. Not impossible, but it tends to take longer to reach conclusive diagnostic certainty.

Once we have narrowed down the diagnosis, or most likely differential diagnoses, you will be given homework that is done weekly / daily depending on what the actual issue is. The treatment can be postural, exercises, pharmacological, or referral for surgery. I may also refer you out for additional testing if necessary.

You do not need to be very computer savvy to have a Skype consultation. If your computer works as it should, just install the Skype software and wait for me to call you at the agreed time (usually within 5 minutes). Get someone you know to help you if you are unsure (NB: due to the large number of patients, I, unfortunately, do not have the capacity to assist with this outside of the session). When booking the consult, it is important that you leave your Skype username and not your name, as there may be several in the Skype database with the same name (click the image below)

NB: You need to make sure that your username is searchable in the Skype catalogue. If I try to call you and you do not answer, I will email you. If I cannot find you in the Skype catalogue, I will email you. Failure to respond within the time of the session’s expiry will result in session loss, regrettably.

Some information regarding in-person consultations in Colombia.

My home is located in the city Bucaramanga, which is in the state Santander. It is about 45 minutes (by air) north of Bogota, which is the capital. The airport (Palonegro International Airport) is about 30 minutes outside of the city by car, and driving into town costs 35.000 pesos which is about 8-9 USD. The neighborhood that you’ll be staying (at least by my recommendation) is called Cabecera, which is a high-class, safe neighborhood.

The consultation itself will include the careful taking of your anamnesis, full examination, examination with ultrasound (if applicable), imaging review (MRI, CT, etc.), customized homework that we carefully review together (and videotape), and/or recommendation for case-specific surgical solutions. There is also access to a simple gym where we can work on technical things (if applicable), such as scapular movements, hip and low back stability, etc. Lunch and refreshments are included.

Since Dec. 2021, the government of Colombia has made it mandatory for foreigners to be vaccinated to be granted entry to Colombia. Either fully vaccinated, or 1 dose + negative PCR test. See this link for updated news: https://colombia.travel/en/covid-19-information. It is also crucial that you investigate about the rules of access to the country before paying your session. (update as of November 1st 2023; to my knowledge the vaccination implementations have been ceased)

If you want to get imaging done in Colombia, you need to be aware of any potential contraindications to MRI (mainly patients with aneurysm clips, pacemakers, defibrillators or other implanted electronic devices, claustrophobia), CT (contraindication to ionizing radiation, such as pregnancy or already having had numerous CTs prior), or contrast medium infusions (mainly kidney illness, metformin use or certain thyroid treatments with radioactive iodine) at the time of ordering any such extra exams. Speak with your primary physician about this if you are not sure.

If you need to get *a lot of imaging done*, we should plan this either the day before, same evening, or day after the consult has been done. Beware that a followup might be needed to get time to review the images together, if they are not ready by time of the scheduled consultation.

Beware that most people in Colombia do not speak English. Getting to the right airport is not difficult, but if you need help getting picked up at the airport and delivered to a hotel, let me know in advance. Bucaramanga is a safe city as long as common sense is used (eg., not flashing money or jewelry/phones on the street) and as long as certain neighborhoods are avoided. I recommend Hotel Holiday which is a part of the Cacique Centro comercical (mall). This hotel is close to my house and is a high-class hotel.

If you want to go on vacations before or after the consultations, I recommend cities and isles such as Cartagena, San Andres (isle), Santa Marta, or Medellin. I recommend going by plane when you need to travel, but bus can also work in some circumstances. Traveling is mainly recommended for spanish speakers.

Safety tips in Colombia:

https://theculturetrip.com/south-america/colombia/articles/10-essential-tips-for-staying-safe-in-colombia/

https://internationalliving.com/5-places-to-live-in-colombia-2-to-avoid/

Tourism tips in Colombia:

https://theculturetrip.com/south-america/colombia/articles/the-safest-spots-to-visit-in-colombia/

https://www.colombia.co/en/colombia-travel/unique-experiences/colombia-best-country-travel-top-10-travel-tourism-questions-answered/

https://www.tripadvisor.com/Tourism-g297474-Bucaramanga_Santander_Department-Vacations.html

From chronic low back pain to completely injury-free training – Fredrik Rydland

Kjetil identified a significant postural problem during our first consultation, and immediately started manual muscle testing and corrections. – Filip Caspersen

Kjetil has extreme control of the human body, and knows what is required to move injury-free. My low-back and shoulders have never been stronger. – Runar