The art of healing – why there is no single universal solution?
You're probably familiar with this feeling: something hurts, you go to the doctor, and you expect to be given a pill that will make everything right. Then you walk out disappointed because it turns out the matter is much more complicated.
You're not alone in this. Most people imagine improvement exactly like that – and that's precisely why they don't understand why it doesn't always work the way they hope.
In this article I'll explain what is worth knowing about the true nature of healing. Because if you understand this, it will be much easier to cooperate with your doctor and your therapist — and you'll have a much better chance of lasting improvement.
Key idea
Healing is not the administration of a single pill. It's a four-step process: an accurate diagnosis → therapy matched to the disease → combining multiple methods (multimodality) → and your active participation in daily execution. If any of these elements is missing, the outcome will be incomplete.
First step: the diagnosis
Healing doesn't begin with taking a pill; it starts much earlier. The first step of healing is establishing the diagnosis — that is, determining exactly what is causing your complaints.
This may seem trivial, but it isn't. Think about it: lower back pain can be traced to a hundred different causes. It could be a muscle problem, a herniated disc, vertebral slippage, inflammation, a pinched nerve — and I could go on. Each of these requires a different treatment.
If there's no precise diagnosis, treatment is like shooting with a blindfold on: you might hit the target, but most likely you won't — and you can easily cause harm in the process.
Therapy is not random
Once the diagnosis is made, the next step follows: selecting the therapy. And here's the point: the therapy is always determined by the diagnosis.
Every disease has its own mechanisms — the processes that trigger, amplify, or worsen it. A good treatment acts on these mechanisms. It does not merely suppress symptoms temporarily, but intervenes where the problem originates.
That's why there is no "universal drug" that works for everything. What is excellent for one condition may be ineffective — or even harmful — for another. The art of healing lies precisely in this precise matching: the right method for the right problem at the right moment.
Multimodality: several methods together
Here comes the next common misunderstanding. Many people think that treatment is a single thing: one pill, one operation, one therapy. Reality is more complex.
Most conditions — especially chronic ones — cannot be treated effectively with a single method. Professionals call the approach of combining several therapeutic methods "multimodal treatment," where different therapies reinforce each other:
- Medication – to reduce symptoms and influence the underlying processes
- Physiotherapy and therapeutic exercise – to restore function and strengthen muscles
- Home medical devices – to continue in-clinic treatment on a daily basis
- Lifestyle changes – to lessen the triggers (exercise, nutrition, sleep, stress management)
- Manual therapy, massage, breathing therapy – where indicated
- Psychological support – crucial in chronic conditions and long-term rehabilitation
There is no single exclusive method. Effective treatment is almost always a combination of several elements, and their strength lies in that combination. Recent research shows, for example, that among people with chronic pain, a multimodal (medication + exercise + psychological + other) approach consistently produces better outcomes than any single method alone.1
It's no coincidence that the world's leading clinics use this approach — because it works.
"We don't shoot a sparrow with a cannon"
There is an old medical principle that is, unfortunately, often forgotten in practice: always start with the simpler, less burdensome method.
If you have back pain, we don't start by sending you straight to surgery. We first try conservative methods: therapeutic exercise, physiotherapy, pain relief, lifestyle changes. If these don't bring adequate improvement, only then do more serious interventions follow.
This is not only a medical consideration but common sense. Major interventions always carry risks — side effects, complications, long recovery. There's no point in taking unnecessary risks if a simpler method might solve the problem.
What does this mean in practice?
If your doctor first recommends conservative treatment — a physiotherapist, physiotherapy, home device use, lifestyle change — that doesn't mean they are "not taking you seriously." Quite the opposite: responsible medicine prescribes exactly this. Give these methods time and energy before considering stronger interventions.
The doctor, the therapist — and you
Establishing the diagnosis and selecting the therapy requires expertise. That's why a doctor is needed. Not because "they know better," but because they have the knowledge necessary for the right decision — and they can recognize potentially dangerous conditions that you might not.
But here's the turning point that's most important in chronic conditions: the doctor always recommends the treatment, but the ongoing execution is largely done by you — under the guidance of your therapist.
Let's clarify the roles:
Diagnoses, rules out dangerous conditions, determines indications and contraindications, and sets the therapeutic direction. He or she decides whether a given treatment is even an option. However, the continuous daily work is not performed by the doctor.
The physiotherapist, physiotherapy specialist, movement therapist or manual therapist is the one who designs the individual treatment protocol, teaches the correct movements and device use, and adjusts the program weekly or biweekly according to your progress. In chronic conditions, they are the ones who develop the actual individualized therapy — the doctor doesn't tell you exactly which exercise to perform or which settings to use on a physiotherapy device.
Neither the doctor nor the therapist can move for you or eat for you. They cannot change your lifestyle for you. They give a plan — but you must execute that plan daily. The good news: you have the right to this. You have the right to learn the options, the right to ask questions, the right to get informed. An informed patient consistently achieves better outcomes for their own health.2
Why doesn't the "wait and hope" strategy work?
Many people think it's enough to go to the doctor, get a pill, and everything will be solved. This rarely works — especially for chronic diseases.
Chronic conditions didn't develop in one day, and they won't improve in one day either. They require continuous, regular treatment. And here's the key question: who will perform this ongoing treatment in everyday life?
The answer is simple and tough: you. Your therapist teaches you, your doctor sets the direction, your home device is at hand — but the daily 30–60 minutes of attention, the diet, the conscious movement, and regular rest are your responsibility.
This is not a burden — it's empowerment. This is how you truly gain influence over your own health.
But what can we do if the hospital doesn't help with chronic conditions? →
Frequently asked questions
Because every "stronger" intervention (surgery, long-term medication, intensive therapy) also brings risks and side effects. Responsible medicine first tries the simpler, less burdensome methods — and if those prove sufficient, you avoid the risks of more serious interventions. This is done not out of stinginess but to protect you.
Most chronic diseases arise from the interplay of multiple causes. If you attack only one aspect, you cover one slice while the others keep working in the background. The multimodal approach intervenes at several points simultaneously — which is why it leads to more lasting and comprehensive results.
Ask specific questions. Prepare for the visit: write down your questions in advance, bring copies of your test results, and clearly state what you want to decide or learn. If you still don't find the answers, ask for a second opinion or consult your therapist — patients have the right to information so they understand what is happening to them.
It means you actively participate in regaining your health: taking medication, doing the exercises, following the diet, and using home devices — only then do these measures help. It means you track your progress and report to your therapist or doctor. It means you ask questions when something is unclear. It means you don't wait passively but act within the framework set by professionals.
Chronic conditions did not develop overnight, and improvement is gradual. Many people feel relief after a few weeks of regular treatment, but lasting, measurable results typically appear after 8–12 weeks of consistent work. Patience and regularity are at least as important as the method itself.
Summary – Quick overview
Sources
- Kress HG et al. (2015). A holistic approach to chronic pain management that involves all stakeholders: change is needed. Current Medical Research and Opinion. PubMed: 26172982
- Hibbard JH, Greene J (2013). What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Affairs. PubMed: 23381511
- Geneen LJ et al. (2017). Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews. PMC: 6494298