Menu Close

Our Pain Management Services

Looking for Back Pain Therapist?

Back pain Physiotherapy aims to alleviate discomfort stemming from musculoskeletal issues in the spine. Skilled physiotherapists utilise specialised techniques like manual therapy, specific exercises, and modalities to alleviate pain and improve mobility. By identifying and addressing the underlying causes, this specialised care aims to enhance strength, flexibility, and overall function in the back. Whether due to injury, poor posture, or chronic conditions like herniated discs, back pain physiotherapy plays a pivotal role in restoring comfort and mobility for individuals experiencing back discomfort.

PhysioComesToYou offers a flexible approach to our physiotherapy appointments. We understand that attending a clinic can be inconvenient so we offer a mobile service. Our expert physiotherapists can attend at your work, care home, school or home at a time to suit you. We also have appointments at the weekend and during the evening so you can be on the road to recovery as soon as possible.


Back Pain


Neck Pain


Shoulder Pain


Groin Pain


Foot & Toes Pain


Ankle Pain

Osteoarthritis In The Spine (Mid or Lower Back Pain)

Osteoarthritis is the process of degeneration of the joints which occurs over time and leads to wearing down of the joint surfaces. The process can start earlier in some people. Common symptoms include stiffness and pain.

Acupuncture for pain relief and manual treatment to improve stiffness and reduce pain can also be helpful. The physiotherapist can all advise you on cushioning footwear and advise on aerobic exercise which will help keep you fit but put minimum stress on your back. Keeping your weight under control will also help reduce stress on your back.

This situation arises when pressure builds up on the sciatic nerve as it emerges from the spine, leading to intense sensations of searing, fiery, pulsating, or pulsing discomfort traveling down the rear of the legs. Additionally, individuals might experience occasional sensations of tingling, loss of strength, or numbness in their lower limbs.

Physiotherapy offers a range of beneficial treatments, including exercises, massage therapy, counseling, manual therapy, and acupuncture. Among these options, clinical Pilates stands out as a safe and effective exercise regimen for addressing this issue.

This issue typically emerges later in life, often associated with a decrease in the height of spinal discs, which can lead to potential degeneration of spinal joints and sporadic pressure on exiting nerves. It commonly manifests as a persistent, dull ache in the lower back that may intermittently radiate to the buttocks, groin, and outer hip regions. Individuals may also experience bouts of leg stiffness or instability, accompanied by sensations of numbness and tingling.

Physiotherapy proves effective in both pain relief and the reduction of tingling sensations. Enhancing lower back muscle flexibility, strength, and posture can be achieved through targeted exercises and manual therapy. In addition to these treatments, acupuncture and taping techniques offer valuable options for alleviating the persistent discomfort. Clinical Pilates is unique in that it is a safe and effective method of exercise for the management of this condition.

This disorder is caused by a flaw or fracture in the vertebra itself, leading to a slight backward shift of the affected vertebra in relation to the one below it. The causes of this condition can include congenital conditions, progressive growth from repetitive sports, ageing-related changes over time, or traumatic events. Common symptoms typically involve soreness in the lower back and buttocks, occasionally extending down the leg. Engaging in activities that require an upright posture or bending backward is likely to worsen the pain, whereas frequent bending forward often provides relief.

Physiotherapy provides a range of techniques aimed at mitigating the discomfort and rigidity linked to this particular ailment. These techniques encompass counselling, manual therapy, massage, targeted exercises, and acupuncture.

The primary focal point of this ailment lies in the lower back, specifically the lumbar vertebrae. Its prevalence is highest among individuals aged 60 and above. Multiple factors contribute to the constriction of the pathway through which the sciatic nerve exits the spinal column. Consequently, the sciatic nerve descends along the posterior aspect of both lower extremities upon its emergence from the spine. It is worth noting that the discomfort experienced in the legs tends to surpass that of the backache. Additionally, potential associated symptoms include sensations of tingling and weakness in the legs, which tend to worsen when assuming a standing or walking position. The symptoms frequently abate when in a seated position, whereas the discomfort experienced while descending a slope is more pronounced than when ascending.

Acupuncture, manual treatment, taping, strengthening exercises for the lower back, and advice are some helpful physiotherapy techniques. Exercises like clinical Pilates are beneficial for this disease.

This situation arises when a meniscus or a fragment of soft tissue becomes trapped within a spinal joint, leading to both pain and a sensation of immobility in the back. Typically, this discomfort remains localised and rarely extends to the thighs or buttocks. In response to this issue, the muscles may contract and cause further discomfort.

To address this condition, various physiotherapy treatments can prove beneficial, including manual therapy, massage, acupuncture, taping, tailored exercise programs, and counselling.

The region surrounding the spinal column houses a complex network of muscles. These muscles, in their efforts to safeguard the spine, can sometimes endure strains, tears, or even spasms. When these muscles go into spasm, they may develop what are known as trigger points—specifically sensitive spots that can lead to discomfort in various parts of the body.

Physiotherapy offers a direct means of addressing these muscles, relieving trigger points and spasms. To prevent future spasms, targeted exercises can be tailored to strengthen weak muscles and enhance the flexibility of tense ones. Physiotherapy treatments can also focus on addressing any stiffness in the underlying spinal joints that may be contributing to the condition.

Additional therapeutic measures, such as taping and acupuncture, can be beneficial as well. One particularly safe and effective form of exercise for managing this condition is clinical pilates.

This situation arises when one of the discs experiences a subtle swelling. It can develop gradually over time or occur suddenly due to a jarring incident. Typically, the pain is sharp and severe. Activities such as coughing, sneezing, or bending forward can exacerbate the discomfort. In cases where a herniated disc applies pressure to a nerve exiting the spine, it can lead to leg pain, pins and needles, or numbness and tingling sensations.

Physiotherapy offers a range of effective treatments, including manual therapy, massage, targeted exercises, guidance, and acupuncture. Strengthening the muscles responsible for maintaining the stability and alignment of your spine is crucial. Clinical pilates, a safe and highly beneficial exercise method, can be particularly helpful in addressing this issue.

Spinal stability relies on the intricate interplay of various components, including the spinal column (comprising discs and ligaments), the interconnected muscles surrounding the spine, and the reflexes governed by the nerves and brain. When these elements are not functioning optimally, individuals may experience sensations like the back giving way or encountering painful catches or locks, indicating a lack of spinal stability.

Physiotherapy has demonstrated the effectiveness of retraining the nervous system and brain to enhance spinal stability through targeted exercises that bolster the muscles surrounding the spine. One particularly safe and advantageous approach for addressing this concern is clinical pilates.

Stress fractures tend to occur on the non-dominant side of the body during physical activities. For instance, if someone is right-handed, they are more likely to experience a stress fracture on their left side. The discomfort associated with such fractures is typically concentrated on one side of the lower back and can intensify when bending forward or backward.

In cases where a stress fracture is diagnosed, the patient will be referred to a leading spinal surgeon in London for further evaluation. This specialist will then recommend the most suitable treatment plan to ensure the complete healing of the fracture. When deemed appropriate, physiotherapy can play a significant role in restoring flexibility and strength around the spine. When performed correctly, Clinical Pilates stands out as a risk-free and highly advantageous form of exercise for this purpose.

Various factors can trigger this condition, including trauma, stenosis, a prolapsed disc, tumors, fractures, and infections. Common symptoms encompass leg weakness, discomfort, and lower back pain. Additionally, individuals might experience numbness or reduced sensation in the vicinity of the anus and genitals, as well as in the bladder and bowels.

If you suspect you are experiencing these symptoms, it is crucial to seek immediate medical attention through the Accident & Emergency (A&E) department.

This condition is typically caused by a blockage in the arteries of the legs, most commonly occurring in the foot and calf. It often leads to sensations of fatigue, burning, and discomfort in the legs. In general, the pain tends to worsen with physical activity and improve with rest. It’s important to note that physiotherapy is not considered a viable treatment option for this particular ailment.

Osteoporosis is characterised by the deterioration of the inner vertebrae within the spinal column, resulting in increased fragility and susceptibility to fractures. This condition predominantly affects women as they age. Unless a fracture has occurred, individuals with osteoporosis typically do not experience noticeable pain. However, a common symptom of a spinal fracture is intense pain that radiates from the back, forming a band-like sensation around the sides. Over time, multiple such fractures can accumulate, leading to chronic and progressive lower back discomfort. Additionally, as the soft tissues surrounding the bones deteriorate, the spine may gradually round out, resulting in a hunched-back appearance.

Here at Physio Comes to You we have developed a specialised program tailored to individuals dealing with osteoporosis. This program is designed to enhance posture and bolster the body’s strength, ultimately mitigating the effects of osteoporosis.

Currently, there is no known remedy for Ankylosing Spondylitis (AS), a condition marked by progressive inflammation of fibrous tissues in the body. Early signs often include relief from back pain through movement or exercise, as well as stiffness in the neck. Individuals frequently report inflammation and soreness in their pelvic joints. As AS advances, persistent lower back discomfort can develop, potentially leading to spinal and pelvic fusion, which limits mobility. Pain in the hips, knees, and shoulders can also manifest. Notably, AS predominantly affects men under the age of 40, with more pronounced symptoms typically occurring in the morning. Interestingly, some AS patients eventually experience rigidity without discomfort.

In addition to pain relief, physiotherapy offers the opportunity to establish an exercise regimen that promotes joint mobility and strengthens any weakened supporting muscles. Moreover, physiotherapists can suggest pain-free aerobic activities to help maintain overall fitness levels. Clinical pilates stands out as a gentle yet effective exercise method that can be beneficial in addressing AS-related issues.

Back pain can sometimes have its roots in various areas beyond the back itself, including the hip, pelvis, abdomen, liver, or gallbladder, or it might even stem from external factors. To discern the true origin of your back discomfort, physiotherapists employ a comprehensive approach during the client assessment phase, which involves gathering detailed medical history. Once the source is identified, they can initiate the appropriate steps to address the issue effectively.

Rheumatoid arthritis triggers inflammation in joint linings and muscle tendons when the immune system malfunctions and mistakenly attacks the body instead of safeguarding it. This condition leads to joint swelling, discomfort, and stiffness, often resulting in morning stiffness upon awakening. Weakened muscles surrounding the joints can transform even simple tasks, like getting out of bed, into formidable challenges.

If you require assistance in managing your rheumatoid arthritis, we can arrange for highly skilled physiotherapists to visit your home and collaborate with you. In your initial session, a physiotherapist will conduct a thorough assessment, examining your mobility, assessing walking aids, evaluating muscle strength, appraising joint movement, scrutinising your posture, and assessing your overall function. After conducting this assessment, your physiotherapist will initiate a conversation with you to delineate potential therapeutic strategies and establish realistic objectives with the aim of enhancing your functionality and mobility in your domestic environment, professional setting, and personal life. These strategies may encompass a range of interventions, such as the application of ice, customised exercise regimens, focused massage, taping, acupuncture, and specialised mobility programs.

Furthermore, we have the capability to dispatch occupational therapists to your residence. These professionals are dedicated to assisting individuals in rediscovering their ability to partake in meaningful activities and in attaining or preserving their utmost level of self-reliance. Some of the services they offer include:

  • Home assessments including modifications such as rearranging furniture, building ramps, widening doorways, grab bars, special toilet seats etc
  • Wheelchair assessments
  • Splinting

This condition impacts various fibrous tissues throughout the body, encompassing tendons, muscles, and connective tissue, while notably lacking inflammation. It often presents with numerous painful points and a pervasive sense of discomfort. One commonly affected area is the inner knee. Additionally, individuals with this condition may experience symptoms like irritable bowel syndrome, feelings of sadness, dryness of the lips and eyes, fatigue, sleep disturbances, heightened sensitivity to warmth, morning stiffness, as well as numbness and tingling.

For those grappling with this ailment, acupuncture emerges as a valuable option. Acupuncture not only offers pain relief but also provides a path to gradually reintroducing physical activities, including sports, work-related tasks, or hobbies that may have been accessible prior to the onset of the condition. Our experienced practitioners can offer guidance on managing episodes of intensified pain and adapting to your individual circumstances.

The pain we encounter immediately after an injury and during the recovery phase is referred to as acute pain. In contrast, chronic pain persists even after the healing process has concluded. Often, there’s no apparent link between the original injury, which may have healed long ago, and the persistent pain. This persistent pain can result from chemical changes within the brain and spinal cord, rerouting pain signals to pain centres. Consequently, pain can be triggered by various sensations, including movement, touch, pressure, and stretching. Additionally, factors such as changes in weather, emotional states, thoughts, or even the absence of any physical stimuli can sometimes activate the pain system.

When it comes to addressing chronic pain, physiotherapy encompasses more than just pain management. In addition to providing relief from pain, physiotherapists assist individuals in managing chronic pain through goal setting, tailored exercise plans, and guidance on handling pain flare-ups and negative attitudes. Their ultimate aim is to facilitate a return to the previous level of engagement in work, sports, and leisure activities that was enjoyed before the onset of chronic pain. If needed, we can also recommend highly regarded pain specialists in London to further assist you.

Before conducting a comprehensive physical assessment, the physiotherapist will first gather a detailed account of your symptoms and past medical history. It’s important to note that your symptoms may have various underlying causes that fall beyond the scope of physiotherapy or may necessitate medical consultation alongside physiotherapy treatment. In such cases, the physiotherapist will refer you to your primary care physician (GP) or an appropriate specialist or consultant. Some of the potential underlying causes include:

  • Cardiovascular Symptoms
  • Respiratory (Breathing) Symptoms
  • Gynaecological Symptoms
  • Urinary Or Genital Symptoms
  • Digestive Symptoms
  • Immune System Symptoms
  • Lymph System Symptoms
  • Hormonal Symptoms
  • Neurological Symptoms
  • Dermatological (Skin) Symptoms
  • Medication Side-Effects
  • Virus
  • Infection
  • Cancer
  • Disease Process
  • Psychological Problem Ie. Depression, Anxiety

Contact Us

Please get in touch for more information on our services.


Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors

Our Therapists

Read more about our therapists and the services they offer.


Real Clients, Real Results


Some of The Conditions We Treat