Back Pain2023-04-27T21:57:41+00:00

Back Pain

We’ll get you back on track.

The back is an incredibly strong and stable structure consisting of muscles, ligaments, bones, blood vessels and nerves. It supports our body with strength and flexibility, as well as protecting the spinal cord and nerve roots.

60-80% of the population will experience back pain at some point in their lifetime and it’s one of the most common reasons people take time off work or stop exercising. It can be very worrying and we understand that many people can be unsure of how to manage the pain and get back to fitness. Everyone is different and so is your back pain. How we help you, depends on loads of different things. How you move, how you can’t move, how fit you were before and how fit you want to be after injury. We’ll help you get back on track and achieve your goals

What type of back pain do you have?

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.

Low Back Pain

Low Back Pain

There are many factors that can contribute to back pain such as structural damage (disc injuries, facet joint irritation, arthritis), posture, obesity, trauma or lifestyle factors. It can have an effect on everything we do by having a big impact on our mobility.

Disc Injury Back Pain

Disc Injury

Our discs have an important role in our spine acting as shock absorbers and allowing for mobility throughout our spine. Damage to our discs can be very painful and long-lasting without specific, structured rehabilitation.

Sciatica Back Pain


The sciatic nerve is the largest and long nerve in our body and when pinched or irritated, a variety of symptoms can occur such as tingling, numbness or weakness anywhere from our lower back to our feet. This can be caused by many factors such as disc or facet joint injuries, spinal stenosis/degeneration, tightness in the piriformis or inflammation.

Treatments we recommend for back pain

Your Head2Toe Physio will carry out a thorough assessment, looking at what you can do, what you can’t do and whether there’s anything that should be of greater concern. Most pains resolve if dealt with sensibly. A combination of exercise therapy and manual therapy often proves helpful. Combined with a little education on what’s happening and why, things can often improve pretty quickly.

Our frequently asked questions about back pain?

What is back pain?2023-04-27T15:24:00+00:00

Back pain is all pain that occurs in the back. It is one of the most common medical problems in the world, and definitely one of the most common conditions we see at Head2Toe Physio. It can affect people of all ages, although different types of back pain are more common in different groups of people. A number of factors can be involved, including but not limited to, injury, prolonged postures, continued repetitive movements and obesity.

What are the symptoms of back pain?2023-04-21T12:40:41+00:00

Symptoms can vary depending on the cause of the pain. However, some common symptoms include:

  • Pain in the lower back
  • Pain that radiates down the leg
  • Numbness or tingling in the leg
  • Weakness in the leg
  • Stiffness in the back
  • Difficulty moving the back
When should I see a doctor about back pain?2023-04-21T12:32:40+00:00

You should see a doctor if:

  • The pain is severe and does not improve with rest and home treatment
  • The pain is accompanied by other symptoms, such as fever, chills, or loss of bladder or bowel control
  • The pain is getting worse over time
  • You have a history of cancer or other serious medical conditions
What are the treatments for back pain?2023-04-27T15:31:06+00:00

There are a variety of treatments, including:

  • Rest, Ice or heat, Over-the-counter pain medication
  • Physiotherapy
  • GP prescribed medications, such as muscle relaxants or anti-inflammatory drugs
  • Surgery

The best treatment for you will depend on the cause of your pain, and the severity of your symptoms. At Head2Toe Physio we specialise in the assessment and treatment of musculoskeletal back pain. We will work with you, to help you understand your back pain a little better. We may use soft tissue and joint manual therapy techniques, acupuncture and exercise based therapy to try and help you as quickly and efficiently as possible.

How can I prevent back pain?2023-04-21T12:34:44+00:00

There are a number of things you can do to help prevent your pain, including:

  • Maintaining a healthy weight
  • Exercising regularly
  • Maintain good posture and change position regularly
  • Lifting objects properly
  • Avoiding activities that cause pain
  • Wearing supportive shoes
Which clinics do you treat back pain at?2023-04-27T22:06:30+00:00

You’ll be pleased to hear that you can get your back pain treated at any of our 3 clinics in Surrey and West Sussex.

At Dorking and Leatherhead, our clinics are based in sports centres with fantastic access to gym facilities and ample room to get you back up to full fitness. At Crawley, we have a modern physio clinic with our own rehab studio, all set to return you back to what you want to do, as quickly and effectively as possible.

What is the outlook for people with pain?2023-04-21T12:39:57+00:00

The outlook is generally good. Most people with pain will recover within a few weeks or months. However, some people may experience chronic back pain that lasts for more than 12 weeks.

Get help from Head2Toe Physio

Back pain, whether it is mild or severe, acute or chronic, can have a major impact on your life. At Head2Toe Physio, our team is committed to helping you find relief and prevent further issues. To find out how we can help you, contact us today!

Steve Wells

I have known and worked with Sam Bowden for almost 20 years and I have the utmost respect for his and his colleagues’ knowledge and expertise.

Steve Wells, Director, Epsom Footcare

John Kelting

I have seen a number of physio’s and other medical professionals for sports injuries over many years, and have found Sam to be at the very top in terms of quality. Accurate diagnosis, excellent treatment, and a clear path back to fitness which has enabled me to resume activity quickly without causing any setback in recovery time. Given my positive experience, I have referred my daughter and sister at different times to Sam for different problems, and they have been delighted with how they have been treated. I would strongly recommend him as a leading professional in his field.

John Kelting, Managing Director Barclays Bank

Dawn H

I would like everyone to know how amazing Mel’s treatment at Head2Toe Physio has been for me.  I suffer from really bad migraines and doctors were unable to help.  With Mel’s treatment I’ve gone from having them every week, to one in every two months. When I had one before it could last a week, they were unbearable. Hopefully this will get less as time goes on with the exercises and treatments.

Dawn H

Sophia Warner

I have been working with Sam and the clinic for a number of years. As a Paralympic athlete with high expectations and lots of complications, it has always been critical that I find someone who is knowledgeable and trustworthy. I introduced Sam to British Athletics who then approved him to work with me in the lead up to 2012. It was great to have such expertise on my doorstep and they were so flexible, always fitting me in when I had an ache or a pain.

Sophia Warner, Commercial Director, UK Athletics and T35 100, 200m Paralympian

Jean-Pierre Blazek

When referring my clients, I want to make sure they’re getting the best service possible and with Head2Toe Physio I know they’re in very good hands. I have referred to Sam Bowden and his team in Dorking since 2009 and I find them to be extremely knowledgeable, approachable and professional. They are an extremely valuable resource for me and we work well together in improving clients throughout the rehabilitation phase, helping them to get back to being injury and pain free

Jean-Pierre Blazek, Personal Trainer, Fitness by JP

Sophie Roberts

I have worked with Head2Toe Physio for many years now and I have been impressed with the excellent clinical skills and professional way they manage my patients

Sophie Roberts, Director The Gaitlab

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