Common Conditions

Spine Problems We Treat

Our physiotherapists are experienced in managing a wide range of spinal conditions, from acute disc injuries to chronic non-specific low back pain.

Lumbar Disc Bulge & Radiculopathy (Sciatica)

Disc herniation at L4/5 or L5/S1 compressing nerve roots, causing buttock and leg pain, numbness or tingling in a dermatomal distribution. Over 90% resolve with conservative management.

Neck Pain & Cervicogenic Headache

Upper cervical joint dysfunction and cervical muscle dysfunction producing neck stiffness, restricted rotation and referred headache patterns into the occiput, temples or behind the eyes.

Cervical Radiculopathy (Arm Pain)

Nerve root compression in the cervical spine causing pain, weakness or altered sensation radiating into the shoulder, arm or hand in a specific dermatomal pattern.

Lumbar Spondylosis & Facet Joint Pain

Degenerative changes in the lumbar facet joints causing localised low back pain and morning stiffness, often worsened by extension and rotation. Responds well to manual therapy and exercise.

Sacroiliac Joint Dysfunction

Pain arising from the SIJ causing unilateral low back, buttock or posterior thigh pain. Often confused with lumbar spine or hip pathology — accurate clinical diagnosis is essential.

Non-specific Chronic Low Back Pain

Persistent low back pain lasting more than 12 weeks without a clearly identifiable structural cause. Central sensitisation and psychosocial factors are addressed alongside physical rehabilitation.

How We Assess & Treat

Our Spinal Rehabilitation Approach

1

Comprehensive Spine Screen

Full neurological assessment, directional preference testing and postural and movement analysis to accurately classify the presentation and guide treatment selection.

2

Pain Neuroscience Education

Explaining why the brain amplifies pain signals and how to retrain the response — reducing fear-avoidance and empowering active participation in recovery.

3

Manual Therapy & Mobilisation

Targeted joint mobilisation and soft-tissue techniques to restore segmental movement, reduce pain and prepare the spine for active exercise.

4

Active Exercise Programme

Motor control retraining, deep spinal stabilisation and progressive loading in all directions to restore strength, endurance and movement confidence.

5

Lifestyle & Ergonomic Integration

Workstation assessment, sleep posture guidance and activity pacing strategies to reinforce gains from treatment and prevent recurrence in daily life.

Physiotherapist treating a patient's spine

FAQs

Common Questions About Spine Treatment

No. Early, gentle movement is one of the most effective treatments for acute back pain. Bed rest delays recovery and can increase fear-avoidance behaviour. Our physiotherapists guide you in staying active safely from day one.

Over 90% of lumbar disc bulges resolve with conservative management including physiotherapy. Surgery is a last resort for most cases, reserved for progressive neurological deficit or intractable pain unresponsive to thorough conservative care.

Degenerative changes on scans are extremely common and often not the source of pain. Studies show similar findings in pain-free individuals. We focus on restoring function, not scan findings, and help you understand what your imaging actually means.

Yes. Cervicogenic headaches respond very well to manual therapy directed at the upper cervical spine, combined with postural correction and deep neck flexor retraining. Many patients experience significant improvement within 4–6 sessions.

Spine Conditions & Treatment