Dr Johnson’s practice represents a vital paradigm shift model for the future direction of effective preventative medicine and healthcare. City To Coast Neurosurgery and the co-located Functional Movement Training Centre is an integral part of patient care at St Andrew’s Hospital, whether rehabilitating to avoid spine surgery, recovering from surgery that was unavoidable, or being referred for persisting Spine Region pain. Clinical neurosurgical expertise delivered in close collaboration with Functional Movement Therapy can provide a unique and imperative service that no arm of modern medicine or the rehabilitation industry currently offers.