Back Pain

Understanding Back Pain

Back pain can range from a dull, constant ache to a sudden sharp sensation that leaves you unable to move. It can result from a specific injury, develop gradually from poor posture, or appear without an obvious cause. The spine is a complex structure of bones, joints, muscles, ligaments, and nerves — and dysfunction in any of these can contribute to pain. The good news is that the vast majority of back pain improves significantly with the right physiotherapy approach, without the need for surgery or long-term medication.

How Physiotherapy Helps

As a chartered MSK physiotherapist, I use a thorough assessment to identify the source and contributing factors of your back pain. Treatment typically involves a combination of manual therapy to reduce pain and stiffness, targeted exercises to strengthen the muscles supporting your spine, and education on posture, movement, and lifestyle modifications. Every treatment plan is personalised — I consider your daily activities, work demands, and goals to ensure you get back to doing what matters to you.

Common Symptoms

• Aching or stiffness along the spine
• Sharp localised pain in the lower or upper back
• Pain that radiates into the buttocks or legs
• Difficulty standing up straight after sitting
• Muscle spasms around the back
• Reduced range of movement in the spine

How I Treat It

• Spinal joint mobilisation and manipulation
• Soft tissue release and massage
• Core stability and strengthening exercises
• Postural correction and ergonomic advice
• McKenzie Method directional preference exercises
• Gradual return to activity programme

What to Expect

• Detailed assessment of spinal movement and posture
• Clear diagnosis and explanation of your condition
• Hands-on manual therapy in your first session
• Personalised exercise programme to do at home
• Education on self-management and prevention
• Progress reviews and programme adjustments