This is the most common type of referral we get at Head2Toe Physio. Whether its from your GP, Spinal Consultant or a self referral, we assess and help treat them all. There are so many types of back pain, from the very top, to the very bottom, of your spine! Your back pain might have come on suddenly, with an obvious cause. It could also be one of those slow burners, which comes on over a number of months and seems to be getting worse.