Back Pain

Back Pain Explained

What to do About Back Pain 

          Red Flag Alert: What Symptoms may be Cause for Concern?



...Visit the NHS web site for more information on treating Cauda Equina Syndrome

There are many misconceptions about back pain, bed rest being the biggest! Read on to for evidence based treatment advice:

  • Limit Bed Rest: Pain might force you to rest but lots of bed rest is not a good treatment for your back pain. Try to limit bed rest to 1-2 days as it can make you stiff, less fit and lower your mood thus making your pain feel worse
  • Get Active: It is best to stay as active as possible and start to return to normal activities including work as quickly as possible as this reduces the likelihood of developing persistent back pain. Avoid staying in one position for long periods and MOVE REGULARLY
  • Managing Discomfort: You may well suffer some discomfort whilst doing these activities but that is not necessarily a sign of damage or harm. Discomfort may lead to inactivity which will in turn exacerbate your condition. where ever possible, keep active
  • Managing your Pain: Before taking medication such as painkillers, discuss your issue with either your GP or local Pharmacist to ensure you are taking the appropriate course of action


If you are unsure of concerned about your back pain then contact one of our Physiotherapists who can help diagnose your condition and put together a recovery plan with a specific exercise regime and personalised advice.​



back pain, lower back pain, online physiotherapy, sports injuries...Visit the NHS Pain Management Web Site


back pain, lower back pain, online physiotherapy, sports injuries...Visit the British Pain Society Web Site

Recovery Strategies by Greg Lehman- Pain Guidebook

Back pain is very common, and is not normally due to anything serious – even if the pain is very bad. Most people will experience back pain during their life and  typically many episodes of back pain will settle within 6 weeks, although it's not uncommon to be longer especially if pain is felt into the leg.


What are the symptoms? Back pain is usually felt in your back and/or your buttock area, sometimes it can refer pain down your leg and you may experience some pins and needles and/or numbness. (See         Red Flag Section for further information on symptoms)


Why do I have back pain? Back pain  can occur due to an obvious injury but sometimes there may be no specific injury but often an underlying cause, routinely sitting at work for a long time without a break for example. 


Our Chartered Physiotherapists can help diagnose your symptoms and have you back on the road to recovery in no time

First of all, don' t worry! For the vast majority of problems there is no special cause for concern other than treating the problem you are experiencing. Typically first stop is to book a session with your PFO physiotherapist who will make an assessment. We are formally trained in diagnosis which can, at times, uncover symptoms that need further investigation by your GP.


For example, you may experience 

  • Unsteadiness on your feet
  • Severe pain which is getting worse rather than better over the course of 1-2 weeks                                         
  • ​You may feel quite unwell due to the back pain


If you have any of these symptoms you should seek an urgent appointment with your GP as soon as possible

Cauda Equina Syndrome is a comparatively rare but very serious condition which occurs when the nerves located at the bottom of the spinal cord – known as the ‘cauda equina’ – become compressed. This compression causes Cauda Equina Syndrome which can manifest in a number of different ways:

  • Loss of feeling/pins and needles between your inner thighs or genitals
  • Numbness in or around your back passage or buttocks
  • Altered feeling when using toilet paper to wipe yourself
  • Increasing difficulty when you try to urinate
  • Increasing difficulty when you try to stop or control your flow of urine
  • Loss of sensation when you pass urine
  • Leaking urine or recent need to use pads
  • Not knowing when your bladder is either full or empty
  • Inability to stop a bowel movement or leaking
  • Loss of sensation when you pass a bowel motion
  • Change in ability to achieve an erection or ejaculate
  • Loss of sensation in genitals during sexual intercourse


Any combination of the above warning signs could be symptoms of Cauda Equina Syndrome.

Seek emergency medical help within 12 to 24 hours either at your GP setting or A&E

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