Low back pain, stiff necks, sciatica and the ache that will not shift
Back and neck pain
The most common reason people see an osteopath: low back pain, a stiff or painful neck, pain into the buttock or leg, and the ache that comes back every few months. Hands-on treatment, an explanation, and exercises that help it stay away.
Most back and neck pain is mechanical: joints, muscles and discs that are irritated rather than damaged, and that settle with the right movement, the right load and some time. Our job is to find which, explain it, and help it along.
At the first appointment we ask how it started, what makes it better and worse, how you sleep, what you do all day and what you want to get back to. We examine how you move, test the joints, muscles and nerves, and check for the warning signs that would need a GP or hospital instead. Then we explain what we think is going on, and if treatment is right we start the same day: soft tissue work, joint mobilisation and, if you are happy with it, manipulation, plus two or three exercises to do at home.
Many people feel easier after one or two appointments; most need three to five, spaced a week or two apart, and then nothing unless it comes back. We will not promise to fix anything, and we will say if you are not improving as expected and what should happen next. Sciatica with numbness, weakness or any change in bladder or bowel control is a different matter; see the warning signs on the where it hurts page.
What it includes
- A full history and examination
- Screening for the warning signs
- Soft tissue work and mobilisation
- Manipulation only if you agree
- Two or three home exercises
- A letter to your GP if useful
What it costs
£58 for the first appointment of an hour, then £48. Most people need three to five. The first visit page has every fee and explains cancelling, insurance and what to wear.
Questions about back and neck pain
Should I rest or keep moving?
For most back pain, keep moving gently within what is comfortable; bed rest tends to slow recovery. We will tell you what is sensible for your back at the first visit.
Do I need a scan first?
Usually not. Most back pain does not need imaging, and scans often show changes that are normal for your age. If we think you need one, we will say so and write to your GP.
Book an appointment, or ask first.
The first appointment is an hour and £58: questions and examination before any treatment, an honest view of whether osteopathy is the right thing, and a plan in plain words. Book a slot from the diary or ring the clinic.