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Spine

Lower back pain physiotherapy in south London, Kent and Essex

Most lower back pain is not caused by serious damage, and most people improve with the right movement, load and reassurance. The hard part is knowing what to do and what to avoid. I assess what is driving your pain and give you a plan you can follow at home and in the gym.

Common problems I see

  • Pain after lifting, bending or a sudden twist
  • Sciatica and pain that travels into the buttock or leg
  • Stiffness after long spells sitting or driving
  • Recurring flare ups that never fully settle
  • Back pain that stops you training or running

How I help

  • A full assessment of your movement, strength and nerve function
  • A clear explanation of what is going on, without scary labels
  • Hands on treatment where it helps you move more freely
  • A progressive exercise plan that builds back strength and confidence
  • A plan to get you back to lifting, sport or work

When to get urgent help

Call 999 or go to A&E if you have new numbness around your genitals or bottom, difficulty passing urine, loss of bladder or bowel control, or weakness in both legs. These can be signs of cauda equina syndrome and need same day hospital care.

Questions about lower back pain

Should I rest my back?

Short rest is fine on a bad day, but long periods of rest usually slow recovery. Staying gently active is one of the best things you can do.

Do I need a scan?

Most back pain does not need a scan, and scans often show changes that are normal for your age. I will refer you on if your assessment suggests one is needed.

Can I keep lifting weights?

Often yes, with changes to load, range or exercise choice. Part of your plan is working out what you can keep doing while you recover.

Reviewed by Jeremiah Adegoke, Chartered Physiotherapist, HCPC PH146029. October 2026.

Ready to move better?

Send a short message with the area that is bothering you and your postcode. I reply with available times.

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