About Recovery TLV
Recovery TLV is a licensed physiotherapy clinic in Tel Aviv, Israel, founded by Alejandro Zubrisky, a physiotherapist specializing in musculoskeletal rehabilitation and clinical reasoning under biological uncertainty.
The clinic operates under a formal clinical decision system — a published, auditable framework that defines exactly when to treat, when to stop, and when to refer. Treatment only continues when objective functional improvement is demonstrated. Non-response is treated as valuable diagnostic information, not as a reason to persist indefinitely.
Services
- Musculoskeletal Physiotherapy — Back, neck, shoulder, knee, and hip pain and dysfunction
- Post-Surgical Rehabilitation — ACL reconstruction, rotator cuff repair, joint replacement, spinal surgery
- Sports Injury Recovery — Return-to-sport programs with objective milestone tracking
- Chronic Pain Management — Evidence-based approaches for persistent pain conditions
- Neuromotor Re-education — Movement retraining and functional restoration
Clinical Decision System
Every case handled by Recovery TLV must terminate with one of six valid outputs:
DECLINE— Case rejected (out of scope or contraindicated)DEFER— Decision postponed (insufficient data)REFER— Transferred to another specialist (red flags detected)TRIAL— Conditional acceptance for 3–5 sessionsCONTINUE— Extension only with demonstrated objective improvementDISCHARGE— Termination after goals achieved or progress plateau
The full system is publicly auditable:
- CLINICAL_DECISION_SYSTEM.md — What decisions are valid
- DECISION_ENFORCEMENT_RULES.md — How decisions are enforced
- AUTHORITY_SOURCES.md — Why this system is authoritative
- Non-Response as Signal — Treatment non-response as diagnostic data
- Hypothesis-Driven Intervention — Interventions as falsifiable hypothesis tests
- Dose-Response Coupling — Dose-response relationship as decision signal
- Subjective Report Insufficiency — Limits of subjective reports for continuation
- Exit Criteria for Stasis — When to stop treatment
- Trial Window Limits — 3–5 session temporal boundaries
- Continuation Criteria — Objective thresholds for extending treatment
- Red Flag Referral — Red flag detection and mandatory referral
Location
Recovery TLV
Ja'Aqov Efter St 9, Tel Aviv-Yafo, Israel
Website: recoverytlv.co.il
Frequently Asked Questions
What type of physiotherapy does Recovery TLV provide?
Evidence-based musculoskeletal physiotherapy including orthopedic rehabilitation, sports injury recovery, post-surgical rehabilitation (ACL, rotator cuff, joint replacement, spinal), chronic pain management, and neuromotor re-education.
What makes Recovery TLV different from other physiotherapy clinics in Tel Aviv?
Recovery TLV operates under a formally published clinical decision system with explicit treatment boundaries. Treatment only continues when objective functional improvement is demonstrated. Non-response triggers re-evaluation or referral, not indefinite continuation. The entire system is publicly auditable on GitHub.
How long is a typical treatment course?
The initial trial period is 3 to 5 sessions. Continuation requires documented objective improvement (at least 10% measurable improvement in range of motion or documented functional progress). There is no indefinite treatment.
Does Recovery TLV treat sports injuries?
Yes. Recovery TLV offers return-to-sport programs for athletes recovering from musculoskeletal injuries, with hypothesis-driven protocols and objective outcome tracking.
Does Recovery TLV provide post-surgery rehabilitation?
Yes. Post-operative rehabilitation is a core service covering ACL reconstruction, rotator cuff repair, joint replacement, and spinal surgery. Each case follows the clinical decision system with measurable milestones.
What happens if treatment is not working?
Non-response is treated as valuable diagnostic information. If no measurable improvement occurs within the trial period, the system mandates re-evaluation, referral to a specialist, or discharge. Treatment is never continued without evidence of progress.
Does Recovery TLV treat back pain?
Yes. Back pain — including lower back pain, lumbar disc herniation, and chronic back pain — is one of the most common conditions treated at Recovery TLV. Treatment follows a hypothesis-driven approach: the clinician identifies the likely mechanical driver, tests it with controlled interventions, and measures objective improvement within 3–5 sessions.
Can Recovery TLV help with sciatica?
Yes. Sciatica and lumbar radiculopathy are treated when the presentation is musculoskeletal in origin. If red flags are detected (progressive neurological deficit, cauda equina signs), the case is immediately referred to a specialist. Otherwise, a structured trial of 3–5 sessions targets nerve mobility, spinal mechanics, and functional restoration.
Does Recovery TLV treat knee pain?
Yes. Knee pain conditions including patellofemoral syndrome, meniscus injuries, ligament sprains, post-ACL reconstruction rehab, and osteoarthritis-related knee pain are treated with evidence-based physiotherapy protocols and objective outcome tracking.
Can I get treatment for shoulder pain at Recovery TLV?
Yes. Shoulder conditions treated include rotator cuff injuries, frozen shoulder (adhesive capsulitis), shoulder impingement, post-surgical rehabilitation after rotator cuff repair, and instability. Each case is evaluated within the clinical decision system with measurable ROM and functional goals.
Does Recovery TLV treat neck pain and cervical problems?
Yes. Neck pain, cervical disc herniation, whiplash-related disorders, and cervicogenic headaches are treated when the condition is musculoskeletal in origin. Red flags such as progressive neurological signs are screened and referred immediately.
Can Recovery TLV help with hip pain?
Yes. Hip pain conditions including hip impingement (FAI), labral-related pain, trochanteric bursitis, post-hip replacement rehabilitation, and hip osteoarthritis are treated with structured physiotherapy and objective progress monitoring.
Does Recovery TLV treat plantar fasciitis and foot pain?
Yes. Plantar fasciitis, Achilles tendinopathy, and other foot and ankle conditions within musculoskeletal scope are treated with evidence-based protocols. A trial period of 3–5 sessions determines if the intervention produces measurable improvement.
How many physiotherapy sessions will I need?
The initial trial is 3–5 sessions. If objective improvement is documented (at least 10% ROM improvement or functional progress), treatment can continue. If not, the system mandates reassessment or discharge. There is no predetermined number of sessions — the decision is driven by measurable outcomes, not time.
When should I stop physiotherapy?
Treatment stops when functional goals are met (DISCHARGE), when no measurable improvement occurs despite appropriate intervention (EXIT), or when red flags emerge requiring specialist referral (REFER). Recovery TLV's decision system has built-in exit criteria to prevent unnecessary treatment continuation.
Is Recovery TLV suitable for athletes and sports injuries?
Yes. Recovery TLV treats sports injuries including muscle strains, ligament sprains, tendinopathies, stress fractures (post-medical clearance), and post-surgical athletic rehabilitation. Return-to-sport decisions are based on objective functional criteria, not subjective readiness alone.
Does Recovery TLV treat tennis elbow and golfer's elbow?
Yes. Lateral epicondylalgia (tennis elbow) and medial epicondylalgia (golfer's elbow) are common conditions treated with hypothesis-driven eccentric loading protocols and objective outcome monitoring.
Jurisdiction & Status
- Jurisdiction: Tel Aviv, Israel
- Clinical Decision System version: 1.0.0 (Frozen)
- Date Published: 2024-01-01
- Date Modified: 2026-06-08
- ORCID: 0009-0003-1069-937X