Back pain & sciatica
Back pain is one of the most common reasons people come to see us, and one of the most treatable.
Most back pain is not caused by serious damage, even when it is very painful. It often builds up from long days at a desk, a sudden lift, poor sleep or simply doing less than your body is used to. Sciatica is pain, tingling or numbness that travels from the lower back into the buttock and leg, usually because a nerve is irritated. In both cases the right assessment and a clear, active plan make a real difference.
You might notice
- An ache or sharp pain in the lower back, sometimes on one side
- Stiffness first thing in the morning or after sitting
- Pain, tingling or numbness travelling into the buttock or leg
- Pain when bending, lifting, coughing or getting out of the car
- Muscle spasm or feeling "locked" and unable to stand straight
Common causes
- Long periods of sitting and low daily movement
- Lifting or twisting when tired or unprepared
- Irritated discs or joints in the lower back
- Weak or deconditioned muscles around the hips and trunk
- Stress and poor sleep, which make pain more sensitive
How we work on back pain & sciatica.
- 01
Settle the pain
Hands-on treatment and clear advice on moving, sleeping and working so you can get through the day with less pain.
- 02
Find the driver
We look at how you sit, lift and move, and at your hips, trunk and workload, to find what is really keeping your back sore.
- 03
Rebuild strength
A progressive strength plan for your back, hips and trunk, built around your week rather than the other way round.
- 04
Keep it away
Simple daily habits and a short routine so the pain is far less likely to come back.
- A thorough assessment to rule out anything serious and find what is driving your pain
- Hands-on treatment to ease pain and help you move more freely
- Acupuncture or spinal manipulation if required
- A simple exercise plan that fits around work and family life
- Practical advice on sitting, sleeping, lifting and staying active
- A gradual strength programme so the pain is less likely to come back
Many people with a new episode of back pain feel much better within a few weeks, especially when they stay gently active. Pain that has been around for months usually needs a more structured plan, and we will be honest with you about what to expect from the first appointment.
Elite-level care, on your case.
The people who have looked after Premier League footballers and Premiership rugby players will look after you. Same standards, same attention to detail, whatever brings you in.
Your first appointment.
01
We listen
Your first appointment lasts an hour with a senior physiotherapist. We start by understanding your symptoms, your history, your work and what you want to get back to.
02
We find the cause
A thorough hands-on assessment of how you move, so we treat the cause and not just where it hurts.
03
You leave with a plan
You will understand what is wrong, how long it should take, and exactly what to do next, including treatment and exercises to start straight away.
Good questions.
Should I rest my back?
Short rest can help in the first day or two, but long bed rest usually slows recovery. Gentle movement and staying as active as you can is normally the best approach. We will show you what is safe for you.
Do I need a scan?
Most people with back pain do not need a scan. If your assessment shows a scan would change your treatment, we will explain why and arrange or recommend one.
When should I get help urgently?
Seek urgent medical help if back pain comes with numbness around the groin or bottom, new problems controlling your bladder or bowels, or weakness in both legs.
