Back and neck injuries and spinal conditions

Whether you are an athlete or an amateur sport person and whether your back pain and neck pain occurred recently or you have history of back pain and neck pain as a result of sport injuries, work related injuries, whiplash, disc problems, sciatica, posture abnormality, bending, lifting, stress or headaches, then London physiotherapy practice with chartered physios can provide a full assessment and appropriate treatment plan which not only deal with the root cause of your problems but also prevent reoccurrence of these injury with an appropriate long term plan.

Back pain can be acute or chronic, acute back pain can last from a few days to a few weeks. Most acute back pain is the result of overuse, muscle tension or trauma to the lower back or a disorder such as arthritis, disc problems, sciatica, posture abnormality, bending and lifting. Pain from trauma may be caused by a sports injury, work related injuries or gardening. A sudden jolt such as a car accident or other stress on spinal vertebrae and muscle tissues can cause acute back pain. Symptoms of acute back pain can range from pain in lower back, muscle ache, shooting or stabbing pain, limited flexibility and range of motion, or an inability to walk, sit and stand straight. Chronic back pain is pain that persists for more than 3 months. It is often progressive and the cause of chronic back pain can be difficult to determine. The symptoms of chronic back pain include stiffness, pain or ache in lower back, muscle tenderness, shooting pain to legs, limited flexibility and range of motion.
  • Aging, older patients have a higher prevalence of back pain. Physiological changes associated with aging cause weakness and illness. This puts older patients at a higher risk of suffering from acute and chronic low back pain. Aging means having week bones and muscles therefore aging increases the risk of falls and backaches injury.
  • Physical strength and fitness, people who do regular exercise are less likely to develop backaches injury. Back pain is more common in people who are not fit.
  • Posture abnormality and inherited diseases or conditions, sometimes backaches can be inherited by disc disease, scoliosis, exaggerated lumbar lordosis, Leg length discrepancy, pes planus (flat feet),pes cavus (high arch feet).
  • Overweight, too much weight can stress the lower back and cause backaches injury and severe pain. A diet high in calories and fat can make you gain weight; while regular exercise keeps, you fit and reduce the weight.
  • Pregnancy backaches, during pregnancy women are at high risk of   backaches because of the exaggerated lumbar lordosis and tension on lower back muscles and discs. Back pain during pregnancy is very common and can be prevented by physio program and regular exercise.
  • Other diseases, some conditions like arthritis and cancer can cause back pain.
  • Job related backache; backaches, RSI and many other job related injuries can be caused or aggravated by over use.  Activities such as lifting, vibration, repetitive motion, and awkward posture can cause RSI, backaches and other job-related injuries. Applying ergonomic principles designing furniture and tools to protect the body from injury at home and in the workplace can greatly reduce the risk of back injury and help maintain a healthy back. Try to keep your back straight, while you have to lift, push, or pull something. Do not bend and twist your back (spine) at the same time to prevent lower back pain. If you work at a desk all day and do not sit up straight, you may also get back pain.
  • Smoking, your body may not be able to get enough nutrients to the discs in your back if you smoke. Smoker's cough may also cause back pain. People who smoke are slow to heal, so back pain may last longer.
For Emergency & Weekend appointments contact us on:

020 7937 6444
0794 016 5305

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Anatomy of Lower Back
The spinal column is made up of 33 bones called vertebrae with discs that act as shock absorbers in between. The lower back muscles and spinal column are important to spinal cord protection, stability, balance, weight distribution and static postures. Lower back muscles and other soft tissues enable and limit movements such as flexion, extension, side bending, rotation, or a combination.

The lower back spinal column consists of small bones vertebrae that surround and protect the spinal cord, discs, nerve roots and internal organs. Lower back muscles and ligaments are responsible for connecting and protecting the vertebrae and discs.  Between each vertebra is a 'disc'. The disc is made of strong spongy, rubber-like tissue, which allows the spinal column to be flexible. Strong ligaments also attach to adjacent vertebrae and disc to give extra support and strength to the spine and spinal cord. The various muscles that are attached to the spine enable the spine to bend and move in various ways.

Nerves from the spinal cord come out from between the vertebrae disc and go to various parts of the body e.g. Sciatic nerve to legs.

During your visit to London physical therapy clinic, our chartered physical therapist explains anatomy of human body especially the lower back to you, which makes it easy to understand the cause of your disease. Throughout treatment process, your physical therapist also evaluates the progress of your back pain regularly. In London physical therapy clinic, we aim to educate our patients so far that they can manage their back pain injury adequately. Our chartered physical therapist teach patients the right exercises and encourage them to set up a long term plan to prevent back pain in future. In London physical therapy clinic, all interventions are evidence-based practice and we are proud of our reputation in treatment of all types of low back pain.
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Back pain risk factors
What is low back pain? "Back pain Backache, Lumbago"
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Low back pain (backache) is an ache or discomfort in the lower back and lower spinal column. Low back pain is very common, affecting 8 out of 10 people at some point in their lives.

Symptoms of backache may range from a dull, constant ache to a sudden, sharp pain. Backache limits the flexibility, reduce range of motion and decrease functional abilities like sitting, standing and walking. Back pain is associated with stiffness and tension of lower back muscles. Backache is eider acute or chronic. Acute back pain occurs suddenly and usually lasts from a few days to a few weeks.

Pregnancy backache
is an example of acute back pain and can occurs with sudden or wrong movement. Chronic back pain is pain that persists for more than three months. Chronic back pain is often progressive and the cause of chronic back pain can be difficult to determine. The risk of acute back pain and chronic back pain can be reduced, by doing regular exercise and correct handling of daily activities.
Our skilled physiotherapists in London physiotherapy walk in clinic are treating many patients with low back pain. In London walk in clinic the physiotherapist performs manual therapy and explains how you can manage your back pain to prevent the problem from recurring. Research clearly shows that physical activity and exercise prevent back pain, and in London walk in clinic the physiotherapist can prescribe an exercise programme specific to your condition and social life.

The physiotherapist of London walk in clinic will assess your back pain injury and find out how this is affecting your social activities and job. In London walk in clinic your movements and walking patron will be analysed to find out if posture abnormalities are causing your back pain. They also explain how to manage your pain and prevent the problem recurring.

Your consultation in London walk in clinic includes:
  • Assessment and diagnosis
  • Information and advice on your injury
  • Home exercise and physical activities
  • Posture and gait analyses
  • Manual therapy such as manipulation, mobilisation and massage for short-term pain relief
  • Applying heat or cold, ultrasound, electrotherapy to the affected area
Non specific low back pain
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This is the most common type of mechanical low back pains. More than 95% of cases of acute low back pain (sudden onset) are non-specific low back pain. The root cause of non-specific low back pain is not due to any underlying disease that can be found. The causes may be a sprain (an over-stretch) of a muscle or ligament of spinal vertebrae, a minor problem with a disc between two vertebrae or a minor problem with a small 'facet' joint between two vertebrae.

Non-specific low back pain may develop immediately after lifting something heavy, twisting movement or you just wake up with low back pain.

Typically, the low back pain is in one area of the back, but sometimes it spreads to the buttocks or thighs. The low back pain is usually eases by lying down flat, and is often get worse if you move your back, cough, or sneeze.

Non-specific low back pain is also called: mechanical back pain, Simple backache, Lumbago, Chronic back pain, Muscular back pain.

All physical therapist in our Notting Hill Gate physiotherapy clinic are highly skilled at supporting people with low back pain. Notting Hill Gate physiotherapy clinic have only experienced and chartered physical therapist. Our physical therapist in Notting Hill Gate physiotherapy clinic performs manual therapy and will give verbal explanation on how you can manage your back pain and contribute to your own recovery and prevent the problem from recurring. Research shows that physical activity and exercise prevent back pain, and our physical therapist can prescribe an exercise programme based on your fitness ability, health and injury.

The physical therapist of Notting Hill Gate physiotherapy clinic will find out how your back pain is affecting your social activities and job. In Notting Hill Gate physiotherapy clinic we analyses your movements and walking patron to find out if your back pain is associated with posture abnormalities. We also explain how to manage the pain, contribute to your own recovery and prevent the problem recurring.

Your consultation in Notting Hill Gate physiotherapy clinic includes:
  • Assessment and diagnoses
  • Information and advice on your injury
  • Home exercise and physical activities
  • Posture and gait analyses
  • Manual therapy such as manipulation, mobilisation and massage for short-term pain relief
  • Applying heat or cold, ultrasound, electrotherapy to the affected area
  • Notting Hill Gate physiotherapy clinic offers onsite and home visit treatment to our patients and clients within W11, W10, W8, W6, areas. Please contact Notting Hill Gate physiotherapy clinic for any advice or to book your emergency appointment.
Sciatic Nerve Trapped
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A trapped nerve means that a nerve coming from the spinal cord is irritated or pressed on.  Patients  who have a sciatic nerve trapped feel pain along the course of the nerve. Therefore, you may feel pain down a leg to the calf or foot, and the pain in the leg or foot is often worse than the pain in the back. A common example of trapped nerve is 'sciatica nerve trapped '. This is where a main nerve to the leg, the sciatic nerve is trapped.

The sciatica nerve trapped may also cause pins and needles, numbness or weakness in part of a buttock, leg or foot.

The cause of sciatica nerve trapped may be due to inflammation caused by a ligament or muscle sprain or slipped disc (disc prolapsed).

The sciatic nerve is the largest and longest nerve in the body. It runs from the lower back region through the buttock and continues down the back of the leg. The sciatic nerve controls the movement of many muscles in the thigh and leg as well as provides a means of sensory input to the brain. When the sciatic nerve becomes irritated and inflamed, it results in sciatica.

Causes of Sciatica nerve trapped
  • Herniated disc, sciatica can occur if the prolapsed discs of the lower back compress the sciatic nerve. This compression irritates the nerve and causes swelling and pain along the sciatic nerve. Herniated discs are the most common cause of sciatica.
  • Lumbar spinal stenosis, lumbar spinal stenosis refers to a narrowing of the spinal canal in the lower back region. When the spinal canal becomes narrow in this area, it can compress the sciatic nerve.
  • Piriformis syndrome, the piriformis is a small muscle located deep in the buttock region. It does abduction (lifting out) and external rotation of hip joint. The sciatic nerve runs extremely close to the piriformis muscle, and occasionally runs through it. As a result, when the piriformis muscle becomes tight, it often puts pressure on the sciatic nerve causing irritation and inflammation.
Physiotherapy for Sciatica nerve trapped
  • Assessment and diagnoses
  • Information and advice on your injury
  • Home exercise and physical activities
  • Posture and gait analyses
  • Manual therapy such as manipulation, mobilisation and massage for short-term pain relief
  • Applying heat or cold, ultrasound, electrotherapy to the affected area
Physiotherapy exercise programme for sciatica nerve trapped

Stretching and strengthening exercises that target the muscles of the lower back, abdomen, and thighs can help reduce the symptoms of sciatica.

Piriformis muscle stretching, low back muscle stretching, hamstring stretching, core strengthening exercise.


Disc Prolapsed
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Slipped disc or also called disc prolapsed or herniated disc is another known cause of sciatica nerve trapped. A disc does not actually 'slip'. What happens is that part of the inner softer gel-like material (nucleus pulposus) of the disc bulges out (disc prolapsed) or herniated disc, through a weakness in the outer harder part (annulus fibrosus) of the disc. Disc prolapsed can press on a sciatic nerve nearby and causes the sciatic nerve trapped. A prolapsed disc is sometimes called a herniated disc.

Symptoms of back pain caused by slipped disc are severe pain that usually comes on suddenly. The pain is usually eased by lying down flat, and is often made worse if you move your back, cough, or sneeze. Patient feels sharp pain that makes it hard to move. It can start quickly if you fall or lift something too heavy, or it can get worse slowly.

Physiotherapy exercise programme

Stretching and strengthening exercises that target the muscles of the lower back, abdomen, and thighs can help reduce the symptoms of disc injury.
  • Low back mobilisation exercise
  • low back muscle stretching
  • core strengthening exercise
  • Piriformis muscle stretching
  • hamstring stretching
Our Notting Hill physios are highly experienced in treatment of disc prolapsed and other type of back pains. Creativity is one of differences between Notting Hill physio clinic and other physio clinics in this region (W11, W8). Our physios aim to gain an adequate training and courses in Notting Hill physio clinic to provide our patients with evidence based practice.

Tips to prevent disc prolapsed "by Notting Hill physio clinic"
  • Maintain a healthy weight
  • Increase lower back muscle's strength
  • Increase core stability
  • Correct your posture
  • Prevent heavy lifting
  • Use the support available and be creative
  • Don't ignore minor injuries and muscle stiffness 
  • Know when to seek help preserve general health
  • Stay positive
Notting Hill physio clinic will teach you adequate exercises and also advice you on handling of daily activities. In Notting Hill physio clinic we have back care classes with goals to prevent disc prolapsed and other type of backaches. In addition Notting Hill physio offers other specific programmes like pregnancy classes and relaxation methods to individuals who cares about their healthy life style.

Inflammatory backaches
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Arthritis (inflammation of the joints) of the spinal column causes back pain. Osteoarthritis (OA) is an age related form of arthritis that also causes severe backaches by inflammation and degeneration of vertebra joint and disc.  Ankylosing spondylitis is another form of arthritis that can occur in young adults and causes pain and stiffness in the lower back. Rheumatoid arthritis may affect the spine, but you are likely to have other joints affected with inflammation too.

Causes of Back Pain

There are many causes of back pain. Mechanical problems with the back itself can cause pain. Examples are disc breakdown, spasms, tense muscles and ruptured discs. Injuries from sprains, fractures, accidents, and falls can result in back pain. Back pain can also occur with some conditions and diseases, such as:
  • Scoliosis
  • Spondylolisthesis
  • Arthritis
  • Spinal stenosis
  • Pregnancy
  • Kidney stones
  • Infections
  • Endometriosis
  • Fibromyalgia
Other possible causes of back pain are infections, tumors, or stress.
Back pain prognosis
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Most patients with low back pain recover without further treatment and residual functional loss, however patient should contact a chartered physios, doctor or GP, if there is not a noticeable reduction in pain and inflammation after few days.  Recurring low back pain resulting from postural abnormality and improper body mechanics or other non-traumatic causes is often preventable by seeking the adequate advice and exercise from chartered physios. Engaging in exercises that don't jolt or strain the back, maintaining correct posture and lifting objects properly can help prevent injuries. Low back pain is common work related injury. Many work related injuries are caused or aggravated by overuse and stress such as heavy lifting, vibration, repetitive motion, and uncomfortable posture. In London physiotherapy practice our chartered physios can treat work related back pain and educate you regarding our prevention methods which include applying ergonomic principles, having regular break and doing some mobilising and stretching exercises to protect the body from injury at home and in the workplace. Adequate exercise and training program by our chartered physios can greatly reduce the risk of back pain and help maintain a healthy back.

Back pain, neck pain and spinal conditions in particular need to be treated by physios or other professionals without delay if long term disability and long-lasting treatment are to be prevented. In London physiotherapy practice our chartered physios  treat all type of back pain and neck pain, whether acute or chronic pain.

Low back pain can be caused by many different reasons like postural abnormality, leg discrepancy, disc prolapsed, short muscle (muscle contracture), muscle imbalance, intense training, running, weight training, football, rugby and wrestling in athlete or other people. Long hours at a computer with poor sitting posture can contribute to neck pain, shoulder pain, RSI and lower back pain. Depending on diagnosis, treatment may be combination of mobilisation and manipulation techniques, posture correction, electrotherapy, ultrasound, exercise, core stabilising exercises and advices.

In London physiotherapy practice we treat all type of back pain and our physios have extensive experiences in management of back pain.  Preventing the back pain is our main objective and in London physiotherapy practice you will receive all relevant information and advice to prevent back pain in future. The physios in London physiotherapy practice are applying evidence based methods and new evidence to treat your back pain and all other injuries.
Musculoskeletal conditions that our chartered physiotherapists treat: Low Back Pain, Disc degeneration, Pregnancy backaches, Arthritis, Whiplash, Sciatica Nerve Trapped, Headache, Pain, Stiffness, Tennis Elbow, Repetitive Strain Injury (RSI), Tendonitis, Osteoarthritis, Postural abnormality, Pre/Post Operation Rehabilitation, ACL Rupture, Hip/Knee Replacements, Ligament Cartilage Tear, Shin Splints, Ankle Sprain, Muscular Tear, job related injuries, aging
London physiotherapy now covering Kensington W8, Chelsea SW3, SW10, Notting Hill Gate W11, Hammersmith W6, Shepherds Bush W12, South Kensington SW7, Cromwell road, Knightsbridge SW1, SW3, SW 10, W2 in association with Fitness First gym club for all physiotherapy services.
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