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OUR STORY

Built On Over 12 Years Of Clinical Experience

From building a Queen’s Award-winning clinic in Central London to helping thousands of members worldwide, discover how over 12 years of clinical evolution led to the most effective spinal rehabilitation program available today.

PHASE ONE

The Mayfair Clinic & The Queen's Award

After graduating with our Masters in Osteopathy over 12 years ago, we immersed ourselves in high-volume, advanced clinical environments. In 2017, we founded The Mayfair Clinic in Central London, investing heavily in cutting-edge spinal technologies like IDD decompression therapy and Class 4 Lasers.

We treated the most severe cases imaginable—from everyday desk workers to celebrities and royalty. Our objective, tech-driven approach to spinal analysis earned us national press and, by early 2020, the prestigious Queen’s Award for Enterprise.

Phase One_ Lara & The Queen's Award
Phase One_ Mike In The Clinic
Phase One_ Decompression Table
Phase One_ Telegraph Article

PHASE TWO

The Lockdown Pivot & The Unfiltered Story

When the 2020 lockdowns shut down our booming clinic, we started broadcasting daily Live Q&As to help people trapped at home with severe back pain. We did this for 150 days straight.

During this time, we had an eye-opening realization: Members using our online program were getting better, faster, than some of our high-paying clinic patients. It proved that active daily rehabilitation is the true foundation of recovery.

If you want the full, unfiltered deep dive into how we built The Mayfair Clinic, survived the 2020 lockdowns, and completely revolutionized how we treat back pain, we recently sat down to record the complete founder’s journey up to 2023.

Watch The Episode

PHASE THREE​

Back In Shape HQ & The Ultimate Proof​

By 2023, the Back In Shape program had grown so much that we needed a dedicated production space. We secured a new 2,000-square-foot facility designed primarily as a filming studio to continue expanding the program’s content. Because of the sheer size of the space, we were also able to build out a brand-new, state-of-the-art physical clinic to start seeing patients in person again.

Treating patients in this new hybrid space taught us our most valuable clinical lesson yet. The patients who saw the most miraculous, rapid recoveries were the ones who had already been doing the online program. They had built the mechanical foundation. We realized that while hands-on treatment and the amazing technology we have are fantastic accelerators, they are secondary. The daily rehab framework provided in the program is what permanently changes lives.

Back In Shape Clinic Hallway
Back In Shape Gym Area
Back In Shape Decompression Room

PHASE FOUR

Maximizing Our Global Impact

As the Back In Shape program exploded globally, we made the difficult decision to pivot our clinical resources to help the most people possible.

The Support Engine

Daily Clinical Support
We didn't just upload a course and walk away. We integrated daily live streams, interactive Q&As, and community support directly into the platform, ensuring you have expert clinical guidance every single step of your recovery.

The Curriculum

The 2025 Rebuild
Armed with massive amounts of real-world clinical & member data, we completely rebuilt the program from the ground up, filming hundreds of new videos to create the ultimate rehabilitation program for low back injuries.

The Mission

Global Focus
To scale our impact, we now strictly limit our in-person & virtual clinic hours. Our primary mission is ensuring anyone, anywhere in the world, can access this world-class framework and take back control of their spine health.

Our Clinical Philosophy

Too many practitioners guess at your pain without understanding your spinal mechanics. They tell you to “just rest” or hand you generic stretches that often make nerve irritation worse.
“Trying to treat back pain without understanding the mechanics of how the spine fails under load is like staring at a leaking cup and wondering why it’s wet. You have to fill the cup with water to see where the structure fails. We don’t guess. We rebuild the structure.”

Meet The Founders

Over the last 12 years, we haven’t just handed out generic stretches. Our expertise is built on conducting tens of thousands of in-person patient visits and analyzing the spinal imaging—including X-rays and MRIs—for the exact patients we personally treated. This massive volume of hands-on experience gave us a deep, mechanical understanding of exactly how the spine fails and how to fix it. Today, we bring that proven clinical foundation to thousands of members across the globe.

Michael Fatica M.Ost

With a Masters in Osteopathy Michael has spent over 12 years helping those struggling with spine injuries, chronic lower back pain & severe sciatica. His early career in high-volume & high tech clinics, including his own, provided an unparalleled education in reading spinal imaging and understanding how the spine fails & more importantly discovering why so many struggle to find relief.

He now works passionately to hone his skills of breaking down complex medical jargon into actionable, real-world frameworks that empower patients to stop chasing symptoms and start rebuilding their physical resilience.

Lara Fatica M.Ost

Lara combines her Masters in Osteopathy with early career experience in scaling fast-paced startups. For years, she was the beloved on-camera face of the program, co-hosted the live streams with Michael helping members from all over the world.

Today, a mother of two beautiful girls, she has stepped behind the camera to continue to drive the business operations and shape the overarching vision for the brand. She focuses on scaling the company and working to enhance the, member experience ensuring our global community has exactly what they need to succeed.

A Note to Parents with Back Pain

As husband and wife—and parents to two young daughters born in 2022 and 2025—we know firsthand what it takes to juggle a family and a business. But more importantly, we know that the hardest job in the world to have with a lower back injury is being a parent to a young child. If you are feeling guilty that your back isn’t healing because you aren’t “resting” enough, please give yourself some grace. You are doing a physically demanding job every single day. We built this program to fit into real, chaotic lives—to help you build the strength required to pick up your kids without fear.

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