KineticFirst Join the waitlist
Post-op recovery & movement monitoring

Start with movement,
not imaging.
Some problems still need surgery.

For many joint and back problems, structured movement is the first step; for some, surgery is the answer. KineticFirst is a movement-first pathway in development: guided home exercise and a movement record a clinician can read. Early access is by waitlist.

The plan: track movement at home and hand a clinician the trail, so the next step is the right one.

For patients recovering from surgery, managing chronic orthopaedic conditions, or trying to avoid an operation they may not need.

For clinicians →

KineticFirst in 15 seconds

Text version:
  1. Start with movement, not imaging. Mild arthritis, back pain, tendinopathy.
  2. Some problems still need surgery. Full tears, unstable joints, emergencies.
  3. The plan: track movement at home. A data trail a clinician can read.
  4. Early access, by waitlist. Recovery tools for patients and surgeons.
  5. KineticFirst. Move. It's the medicine. kineticfirst.com
Movement-first in practice

What gets better with movement.
What still needs surgery.

The distinction is not ideological — it is clinical. These are the evidence-based categories.

Responds well to structured movement
Hip and knee osteoarthritis (mild to moderate)
Strength and range-of-motion work is the usual first step. Surgery comes into the conversation when that stops helping (see the right-hand column).
Chronic low back pain (non-radicular)
The American College of Physicians guideline puts non-drug treatment, including exercise, first-line for chronic low back pain.
Rotator cuff tendinopathy (partial tears)
In a randomized trial of non-traumatic rotator cuff tears, physiotherapy alone did about as well as surgery at one year (Kukkonen et al.).
Post-surgical recovery (after any joint procedure)
Recovery after a joint procedure plays out over months at home, where a clinic visit sees only a moment.
When surgery is the right answer
Full-thickness rotator cuff tears with functional loss
When overhead function is lost and conservative treatment at 3 months shows no improvement — surgical repair followed by rehab is often the right answer.
Severe joint space narrowing with failed 6-month rehab
When bone-on-bone contact produces constant pain and movement therapy no longer provides functional improvement, arthroplasty is appropriate.
Significant neurological deficit (acute)
Cauda equina syndrome, progressive neurologic deficit, or acute myelopathy — these are surgical emergencies where movement-first is the wrong pathway.
Structural instability (ligament rupture)
ACL tears in young athletes with ongoing instability, or complete dislocations with soft-tissue incompetence — structure first, then movement therapy.
When surgery is right, movement still matters: the plan is a home movement record your surgeon can read during recovery. It is in development.
JointCoach — Remote monitoring
CMS RTM codes 98985/98979 · MediaPipe tracking · adherence data
SurgeonValue — When surgery IS the answer
The surgeon-side practice tool
The System

The Kinetic Care Loop

The plan is five connected layers. Most are in development; early access is by waitlist. The panel on the right says what exists today.

directions_walk
Layer 1
Movement Data
Phone camera, wearables and timed walk tests — captured at home, not in a lab.
psychology
Layer 2
AI Analysis
In design: AI drafts gait-change flags, home exercise programs and summaries, for a clinician to review.
stethoscope
Layer 3
Clinical Oversight
In design: a licensed clinician reviews each AI draft and signs or strikes it. Any billing is the practice's own decision.
home_health
Layer 4
Home Care
co-op.care, a worker-owned companion-care cooperative, is forming in Boulder. Its paid care has not started.
savings
Layer 5
Financial Layer
Some care may qualify for HSA/FSA, case by case. A licensed clinician decides whether a Letter of Medical Necessity is warranted, and the plan administrator decides eligibility.
directions_walk
Status
What exists today
Live today, free, on sibling sites: a walking-speed check from Apple Health data at healthgait.com, a 20-second phone walk test and a fall-risk screener at fallrisks.com, and a live camera gait view at motionsole.com/live.

In development: KineticFirst itself — guided home exercise, AI-drafted summaries, and a licensed clinician who signs or strikes them.

Not offered: billing. KineticFirst bills nothing. RTM billing is the practice's own decision under its payer rules, and a surgeon cannot bill RTM inside their own global surgical period.
Waitlist
Early access for patients and surgeons, at the bottom of this page
Why Movement

Gait tells the truth
before symptoms do.

Walking draws on muscles, joints, nerves, balance, heart and lungs at once, which is why a change in how someone walks is worth noticing.

elderly
Fall Risk
TUG > 12s
Timed Up and Go above 12 seconds indicates elevated fall risk in the CDC STEADI program. Above 20 seconds: high risk.
sports_soccer
Injury Prevention
~1/3 fewer
Structured neuromuscular warm-ups (FIFA 11+) cut lower-extremity injuries by roughly a third in pooled analyses, and the Nordic hamstring exercise halves hamstring injuries — primary prevention with the strongest evidence in sport. 2025 review →
monitor_heart
Walking Speed and Survival
34,485 adults
In adults 65+, gait speed tracked survival alongside age, sex and chronic conditions (Studenski et al., JAMA 2011): each 0.1 m/s faster tracked with about 12% lower mortality.
cognition
Know Your Number
Free check
Read your own walking speed and its trend from your phone’s Apple Health data, on your device, at healthgait.com.
healing
Surgical Recovery
Months, not weeks
Walking after a knee replacement keeps changing well after the last clinic visit. A home movement record is the gap KineticFirst plans to fill.
table_chart Gait patterns worth watching
Condition Gait pattern What to watch
Hip/knee OA Antalgic — shortened stance on painful side Asymmetry index, step length delta
Post-hip replacement Trendelenburg — contralateral pelvis drops Hip abductor strength, lateral trunk sway
Parkinson's disease Shuffling — reduced arm swing, festination Step width, freezing episodes, turn time
Spinal stenosis Neurogenic claudication — stops to rest Walking distance before pain, flexion posture
Stroke (hemiplegia) Circumduction — hip hikes to clear foot Velocity, cadence, symmetry ratio
For Clinicians

RTM, plainly.

Remote Therapeutic Monitoring (RTM) codes let clinicians bill Medicare for some home monitoring, under their own rules. KineticFirst bills nothing. RTM billing is the practice's own decision under its payer rules, and a surgeon cannot bill RTM inside their own global surgical period. A clinician-review path, where AI drafts and a licensed clinician signs or strikes, is in development.

SurgeonValue, the surgeon side →

Only one practitioner can bill RTM for a patient in a given 30 days, and payment varies by payer and locality.

Example of the design
Home Exercise Program
Week 3 of 12
Patient
Example patient — post-TKA, right knee
fitness_center
Terminal knee extension
3 × 15 reps · resistance band · 2× daily
Done
directions_walk
10-minute walk
flat surface · note any pain or limp
Done
stairs
Stair step-ups
2 × 10 reps each leg · handrail ok
Next up
Example note: Step symmetry improved 8% since last week. Advance to stair protocol today.
Connected

KineticFirst is the front door.
The ecosystem does the rest.

Every piece of the SolvingHealth ecosystem feeds the Kinetic Care Loop.

medical_services
SurgeonValue
The surgeon-side practice tool. Billing decisions stay with the practice.
surgeonvalue.com →
groups
co-op.care
A worker-owned companion-care cooperative forming in Boulder. Paid care has not started.
co-op.care →
home
fallrisks.com
A free fall-risk screener and a 20-second phone walk test.
fallrisks.com →
directions_walk
healthgait.com
A free, on-device walking-speed check and what the number means.
healthgait.com →
favorite
caregoals.com
Advance care planning. When mobility goals meet life goals, care conversations become care plans.
caregoals.com →
sports_gymnastics
JointCoach
RTM tracking, MediaPipe movement analysis, and home exercise programs for post-op orthopedic patients. CMS 98985/98979.
jointcoach.com →
moving

Start the loop today.

Join the waitlist below.

For clinicians →
Surgical concern
When surgery is the answer: SurgeonValue is the surgeon-side practice tool.
surgeonvalue.com →
PT / Recovery
Post-op RTM tracking and home exercise programs, for practices.
jointcoach.com →
Home care
A worker-owned care cooperative forming in Boulder; paid care has not started. Care may qualify for HSA/FSA case by case; a licensed clinician decides.
co-op.care →

Medical disclaimer. KineticFirst provides general educational information about movement, recovery, and remote therapeutic monitoring. It is not a substitute for professional medical advice, diagnosis, or treatment. Movement data and AI analysis do not constitute clinical diagnoses. Always consult a qualified healthcare provider before beginning any exercise program or making decisions about your care. In an emergency, call 911.

Move first

Your movement is medicine. Get the science.

Join the waitlist for early access to KineticFirst — movement-based recovery tools for orthopedic patients and their surgeons.

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