What I look for
At your first appointment I take a full history: how it started, what makes it better or worse, your work, sleep, sport and general health. Then I examine how your spine, pelvis and hips move, test the nerves to your legs and look at how you stand and bend.
That tells me whether we are dealing with a simple mechanical back, an irritated nerve, a joint problem or something that needs a scan or a GP. If it is the last of these, I will tell you and write to your GP.
How treatment works
Treatment is hands-on. I use soft tissue work to ease muscle spasm, gentle articulation and mobilisation to free stiff joints, and stretching. It is practical, physical work, and I explain what I am doing as I go.
You will leave with a few exercises chosen for your back. Getting moving again is the part that stops the pain coming back, and it is the part most quick fixes leave out.
How many sessions
A recent, straightforward back often improves within two to four sessions. A back that has been sore for months usually needs longer, with more emphasis on strength and habits. I will give you an honest idea at the first appointment and won’t book you in for sessions you don’t need.
What you can do at home
- Keep moving gently. Bed rest slows recovery.
- Walk little and often, even if it is only around the house.
- Heat on the sore area for 15 minutes can ease spasm.
- Change position every 30 minutes if you sit for work.
See your GP or get urgent help if you have
- Numbness around the bottom or genitals, or changes in bladder or bowel control (call 999 or go to A&E)
- Weakness in a leg that is getting worse
- Back pain with fever, unexplained weight loss or a history of cancer
- Pain after a significant fall or accident
If you are not sure, call NHS 111. Clare will always tell you if she thinks you need to see a doctor rather than an osteopath.