Same‑week appointments in Derby & Long Eaton.

Back pain — causes, fixes & when to see a physio

Back pain is common — and can often be resolved. Whether it’s a sharp twinge after lifting, a dull desk‑ache, sciatica down one leg, or stiffness first thing, we’ll help you understand what’s going on and get you moving again.

Reviewed by Rachel Royer, HCPC-registered physiotherapist and CSP member

Woman bending to lift a cardboard box with one hand on her lower back

Quick answers

  • Should I rest completely?

    Not usually. Relative rest + gentle movement is better than bed rest for most back pain.

  • Do I need an MRI straight away?

    Often no. Most back pain improves with time and rehab. Scans are considered if red flags are present or symptoms persist.

  • How long until it improves?

    Many flare‑ups settle within 2–6 weeks with the right plan; sciatica may take longer but still improves in most people.

Common symptoms and patterns

  • Pain after lifting, twisting or prolonged sitting.
  • Sciatica: back pain with leg pain, pins & needles or numbness down one leg.
  • Morning stiffness easing with movement; desk‑related ache building through the day.
  • Clicking/creaking without pain is often normal; new constant night pain or progressive weakness needs assessment.

Try this now: safe self-care

Do

  • Short bouts of movement every 30–60 min; gentle walking or cycling.
  • Start calf/hamstring/hip mobility and gradual trunk‑strength work.
  • Use simple analgesia if appropriate and keep active within comfort.

Avoid (for now)

  • Prolonged bed rest.
  • Repeatedly testing painful movements.
  • Heavy lifting or high‑impact work until symptoms start to settle.

If you’re unsure, book an assessment — we’ll tailor this to your goals.

Book an assessment

When to see us

  • Pain that isn’t improving after 7–10 days of sensible changes.
  • Leg pain/numbness/weakness suggesting nerve irritation (sciatica).
  • Recurrent flare‑ups affecting work, sleep or sport.

Ready to get moving?

Same-week appointments at Long Eaton, Pride Park, and Kedleston Road. Prefer to be seen at home? We also offer home visits across Nottingham & Derby. Book an appointment online or call 0115 972 1319.

What our Back patients say

What our patients say

  • Dominic M.

    1 month ago on Google

    I have been to Impact a number of the times over the years and the team are excellent. I recently seen Peter regarding my disc herniation and he was professional and really support offering excellent advice that has massively helped my recovery. Would recommend to anyone who needs support with their recovery journey

    Google review of Long Eaton

    Read Dominic M.’s review on Google (opens in a new tab)
  • Al B.

    7 months ago on Google

    I was referred by my GP after a MRI showed a bulging disk in my back causing extreme sciatic pain. I could hardly walk or sit for any length of time. I have had a number of sessions with Fiona and she has been fantastic. She has provided a series of therapeutic and strength exercises with lots of advice about dos and don'ts. I am almost pain free now for the first time in almost two years.

    Google review of Long Eaton

    Read Al B.’s review on Google (opens in a new tab)
  • Mark D.

    9 months ago on Google

    I had a great experience at Impact Physio (University of Derby). I saw Julie for back pain and couldn’t recommend her more highly. She is extremely knowledgeable, professional, and took the time to explain everything clearly. The treatment I received was excellent and made a real difference. I felt listened to and confident in her care throughout. Thank you Julie!

    Google review of Kedleston Road

    Read Mark D.’s review on Google (opens in a new tab)
  • Doug R.

    1 year ago on Google

    I saw Chris regarding my bad Sciatica down wy left leg, l had been suffering and struggling for months and months. I couldn't play golf with out using a buggy and even then it was painful to walk and play. He gave me a series of exercises to do and almost immediately l could feel benefit . I undertook the exercise regime religiously and at follow up appointments we tweeked the routine slightly, all to great benefit. After 4 months now l am now completely Sciatica pain free! I am back walking the golf course twice a week, enjoying my game and my handicap is coming back down. Well done Chris, great job, many thanks.

    Google review of Long Eaton

    Read Doug R.’s review on Google (opens in a new tab)
  • Hannah H.

    2 years ago on Google

    I was referred to Impact and was lucky to get an appointment with Julie Lee, I had already researched online prior and saw reviews saying how brilliant she was. She was very knowledgeable and was able to diagnose the issue with my back quickly and gave me exercises. After just three appointments with Julie my back felt much better.

    Google review of Kedleston Road

    Read Hannah H.’s review on Google (opens in a new tab)
  • LH

    Patient review

    From the minute I met my physio Chris Davenport I knew I had made the right decision to finally get my back pain sorted. He put my mind at ease and explained everything to me in great detail. My back felt so much better after just one session , it was a huge relief! Chris has also supported me in getting Occupational Health involved to help my back whilst at work . He was very friendly and supportive, I have already recommended him to other people! I was also very impressed with the covid precautions put in place at the venue.

  • Barbara O.

    Patient review

    Impact physiotherapy (Long Eaton Chris Davenport) is excellent and lives up to its superb reputation. The exercises have been excellent in helping me manage my sciatica and arthritis and I will continue to do them in the future. I still have some pain but nothing like the intense spasms I was previously experiencing. Thank you Impact and Chris Davenport.

  • DW

    Patient review

    I cannot thank Sally and the staff at Impact enough for what they did to help me with my chronic back pain. Genuinely changed my life and I'm so grateful for the time and effort Sally took to help me and I hope others in pain do the same. I'm back at work, i'm playing sports and I even have pain free days which is something I never thought I would say again! I had tried many other treatments and also had other physiotherapy which didn't work out for me but the difference was immediately evident in the way I was treated here. If you are in pain, don't give up and give Impact a try. I wish I could leave more than 5 stars, thank you for helping me.

  • Adi C.

    Patient review

    Referred by GP for some physio sessions on my lower back. Saw Fiona who was great. No nonsense explanations of what was needed, only had a few sessions but was helped so much with certain strength and stretching exercises to do and reassured it would improve which thankfully it did. Highly recommended to anyone who may be struggling and needs help….it helped me for sure!

  • Jeff H.

    2 years ago on Google

    Unfortunately I have been referred to Impact Physio many times over the years. Each time I have had very professional support and for me, really good explanation of why I need to do what is recommended etc. I need this to engage with the exercises and recently seeing Sally re my shoulder issues has actually been fun too. A sense of humour is useful when you’re in pain. Last time I saw Sally she CURED my sciatica after years of problems. I don’t know where better you could go.

    Google review of Long Eaton

    Read Jeff H.’s review on Google (opens in a new tab)
  • John S.

    3 years ago on Google

    My First experience was with Chris Davenport on referral for hip and spine problems by my GP. Two courses done and he recommended Hatha yoga to supplement his treatment and help me long term. However before I could implement it lockdown came in so it was delayed until Autumn this year. I signed (with Mariangela)not fully knowing or expecting much in the way of personal tailoring or yoga exercise to be relevant to my situation. I needn’t have worried as the class of six is like minded and Mariangela caters (and cares) for us all. Bonus is it seems to be working; thanks Mariangela. The covid care from all at LE clinic is first class and not uncomfortable allowing for windows open. Reception staff always friendly with a smile. All in all just the tonic Update following treatment again in 2023 Not the first time I’ve used this service, same location, same Physiotherapist (Chris Davenport) and yes the same receptionist’s. As before they provided me with the ( in my view) the best treatment they could given my arthritis coupled with a set treatment time scale provided by the NHS. Thanks to all the staff.

    Google review of Long Eaton

    Read John S.’s review on Google (opens in a new tab)
  • Muhammad K.

    3 years ago on Google

    I had Physio session with Julie Lee, she is very professional and great physiotherapist. I would highly recommend Julie Lee if you are having lower back problems. Many Thanks

    Google review of Long Eaton

    Read Muhammad K.’s review on Google (opens in a new tab)
  • Tim G.

    4 years ago on Google

    Chris Davenport was brilliant. Correctly diagnosed and treated mt persistent back pain in one session. I can't thank him enough. Thanks Chris

    Google review of Long Eaton

    Read Tim G.’s review on Google (opens in a new tab)
  • Reggie T.

    4 years ago on Google

    Came here for the first time a few months ago looking for help with my lower back. I had a god sit down chat with Jack and then a number of physio sessions thereafter. Jack was incredibly helpful, informative and very passionate about his work and getting me better. Jack gave me a clear timeline and a structured plan of physio which has helped me incredibly. I would highly recommend Impact Physio to anyone that needs physio and if I ever do need to go back it will be Jack I go back to see.

    Google review of Long Eaton

    Read Reggie T.’s review on Google (opens in a new tab)
  • Nick D.

    5 years ago on Google

    Required Impact physio again to help me with my back and knee discomfort / pain, over several sessions. Ali was a superstar, listening and providing a program to get me feeling a lot better, can't recommend enough.

    Google review of Long Eaton

    Read Nick D.’s review on Google (opens in a new tab)
  • breastoncc

    5 years ago on Google

    Had treatment for a very painful back problem & the physiotherapy given by Impact gradually alleviated the problem. My therapist listened to me, answered my questions & the treatment recommended worked, hence 5 stars in this review.

    Google review of Long Eaton

    Read breastoncc’s review on Google (opens in a new tab)
  • Gary M.

    5 years ago on Google

    I attended the Pride Park clinic to get treatment on my lower back. Tom was great, he really made the exercise and treatment plan feel bespoke and tailored to me and my recovery. Really impressed, would recommend to anyone.

    Google review of Pride Park

    Read Gary M.’s review on Google (opens in a new tab)
  • michael H.

    5 years ago on Google

    Having pulled a hamstring at work and being unable to walk for a few days,my wife booked me in with impact Physio.I was looking at being off work for about 2-3 months.On the day of my appointment,I was met by a pretty young lady who got me to walk away from her then back again a few times.I was then asked to lie on my back on the couch where a pair of expert hands gently massaged the delicate hamstring area.A bit of manipulation got me a bit of pain,causing me to jolt slightly, but I was expecting worse anyway.I was then asked to lie face down on the couch.My lower back was then massaged and manipulated.The whole session took probably 30 minutes.The physiotherapist was always talking to me,saying what she was going to do, and wether or not I would experience any pain or discomfort.She was very good at her job, and did it professionally.Within 2 weeks, I was back at work.If you need a physiotherapist, look no further than Impact Physio.They don't come cheap, but you pay for what you get,rather than get what you pay for.Mine was worth every penny.I will definitely use Impact Physio again if i need to.

    Google review of Long Eaton

    Read michael H.’s review on Google (opens in a new tab)
  • A P.

    5 years ago on Google

    Having long term back pain is  not easy and same goes for three discectomies. Initially my physiotherapist was chosen for me by a spinal surgeon and I went with his choice but after meeting Louise and going through her 1:1 sessions I ended up attending the Long Eaton clinic for the last six years. Louise has an impressive  knowledge base and will always find a way to keep you mobile even when you feel you won't ever be able to move normal . During the years we worked together on  my back  she attended many courses and conferences and her skills make it so that , somehow, we still rarely repeat an exercise and I am sure there are many more to discover.She worked her "magic" on me so many times that I now only trust her with my recovery from yet another discectomy. Due to her skills I  managed to lead a normal life, I was able to keep my job which can be quite strenuous , I travelled long distances by plane or car , basically kept active. My admiration for  Louise is endless. Not only she is an excellent physiotherapist and Pillates instructor, but she is  also a wonderful human being ,who in this day and age  has maintained empathy and compassion for the suffering of those around her. I wouldn't want to miss Laura and Sandy and the whole reception  team from this review . Thank you for your help and support over the years ladies! It is much appreciated.

    Google review of Long Eaton

    Read A P.’s review on Google (opens in a new tab)
  • Jane H.

    6 years ago on Google

    I was reffered by my G.P following an M.R.I of my back. Feeling so stiff and in considerable pain I was prepared to try anything. I have a complex household and committing to any appointments reguarly would normally be tricky. A positive from the pandemic meant I was to access my physio through telephone calls (don't answer "capital give me the cash") and a skype video call. I am extremely grateful to Sally for the totally professional support I received. This along with Sally's sense of humour and genuine compassion I have achieved more than I thought possible. Sally may now picture a monkey bone instead of coccyx and my past rising from a chair like the ape to man to evolution image. I am much better now! This lovely lady is so reassuring and good at keeping focus on her patients. The app that I was encouraged to download meant I could obtain my physio plan when I wanted, the helpful videos and tick charts helped me with motivation at first. If I needed to communicate inbetween sessions emailing or phoning the office was easy and always responded to quickly. I wouldn't ever hesitate to recommend Impact Physio or take up further sessions should my condition worsen. Am honestly so grateful for the whole approach!

    Google review of Long Eaton

    Read Jane H.’s review on Google (opens in a new tab)
  • Amanda S.

    7 years ago on Google

    Very welcoming staff😊 I had bad back pain and physio help me get back on track fast, definitely recommend!

    Google review of Long Eaton

    Read Amanda S.’s review on Google (opens in a new tab)
  • I B.

    7 years ago on Google

    Fiona, my physio, was very knowledgeable and explained issues she found with my back very clearly. From week to week she provided me with stretches and exercises which slowly but surely eased the pain and helped to start to strengthen my core. Thanks. It’s up to me now to follow the excellent advice!

    Google review of Pride Park

    Read I B.’s review on Google (opens in a new tab)
  • Viv S.

    8 years ago on Google

    I have suffered with a niggling and sometimes exceptionally painful lower back and neck for years but just thought it was 'one of those things' I had to endure. On speaking with Rachel Royer I decided to request an appointment. After just 2 sessions and armed with simple exercises it has made a world of dfference already! Why didn't I go earlier? My lower back is stronger with a less pronounced curve and I can use my neck without suffering excruciating stabbing pains. Amazing! At IP they have excellent expertise, professionalism and courtesy, plus their plain speaking makes it clear instantly what the issue is and how to address it – ideal. I have also had Craniosacral sessions with Chris and I come away feeling peaceful, empowered, with improved movement and increased self-esteem. My headaches have gone and I am positive it is having a beneficial effect on my digestion. I can't recommend the team enough. Many thanks all. Viv Smith

    Google review of Long Eaton

    Read Viv S.’s review on Google (opens in a new tab)
  • Michaela S.

    8 years ago on Google

    Having a cervical/thoracic spine injury, I couldn't praise Chris D. more for his help & guidance through my recovery. There is still a long way to go, but thanks to his knowledge & experience, I am on the right track to heal being able to move again!

    Google review of Pride Park

    Read Michaela S.’s review on Google (opens in a new tab)
  • Michael M.

    2 weeks ago on Google

    Very pleased with my progress since i started physio.Easy to talk to and very benificial

    Google review of Pride Park

    Read Michael M.’s review on Google (opens in a new tab)
  • Benjamin D.

    1 month ago on Google

    I wanted to give a bit of a longer review. I saw Jo about 3 weeks ago about knee pain i'd been having. After a conversation and some diagnostics Jo was able to tell me, accurately, the inury I had and provide me loads of helpful information on treatment. I returned to see Jo today and although my knee is still painful (I have a meniscus tear which will take time to heal), lots of progress has been made and its certainly headed in the right direction. I really could not recommend Jo highly enough, she's friendly, knowledgable and has really helped me. If you're in pain or stuggling with an injuriy that won't go away – get yourself booked in you won't regret it!

    Google review of Long Eaton

    Read Benjamin D.’s review on Google (opens in a new tab)
  • Dominic M.

    1 month ago on Google

    I have been to Impact a number of the times over the years and the team are excellent. I recently seen Peter regarding my disc herniation and he was professional and really support offering excellent advice that has massively helped my recovery. Would recommend to anyone who needs support with their recovery journey

    Google review of Long Eaton

    Read Dominic M.’s review on Google (opens in a new tab)
  • Kirsty B.

    2 months ago on Google

    Great and friendly service. Alan Beers massively helped me with my frozen shoulder. Would highly recommend.

    Google review of Pride Park

    Read Kirsty B.’s review on Google (opens in a new tab)
  • Maryse W.

    2 months ago on Google

    The review below was prepared 7 years ago…..My views about Impact Physiotherapy haven't changed….I am still very pleased with both the Pilates classes and the physiotherapists…..almost 20 years after starting……. My husband and myself have attended Pilates classes at Impact Physiotherapy in Long Eaton for well over 10 years. We highly recommend the classes run by their physiotherapists (small groups and individual attention when it's necessary to adjust exercises because of physical injury etc). When we suffered from back and knee problems respectively, we had no hesitation in contacting Impact physiotherapists for private treatment. We were both very satisfied with the outcome: following a first meeting for medical assessment, the sessions helped us get better, offering professional treatment, plenty of advice and a programme of exercises to do at home. Although sessions are quite pricey, you don't have to wait for an appointment for very long and staff don't try to book you in for more sessions than necessary. We liked their very active approach of getting patients involved in their own recovery!

    Google review of Long Eaton

    Read Maryse W.’s review on Google (opens in a new tab)
  • Pamela H.

    2 months ago on Google

    After having a hip replacement I was left weak and still struggling to drive after 3 months. I went to Impact and saw Krishna. He has helped me enormously giving me strengthening and stretching exercises. Very professional service and I would highly recommend.

    Google review of Long Eaton

    Read Pamela H.’s review on Google (opens in a new tab)
  • Helen D.

    3 months ago on Google

    I highly recommend the Strength & Conditioning classes at Impact Long Eaton. I have suffered with Menopause aches and pains for a few years now and was beginning to struggle with moving around without moans and groans as a young 54 year old! I thought exercise was now a no go! Another menopause gift! Combined with some weight loss the Strength & Conditioning classes really helped with building my strength back up and my confidence around weights and to push myself out of my comfort zone. Our instructor Maya takes onboard any issues you may have and the session can be tailored to individual needs. There is always variety between each session and support on how to correctly perform each type of movement. Studio is always clean, tidy and welcoming with all the right equipment provided. I recently saw Julie at Derby Uni for some physio treatment and she could see immediately the difference in my body from the classes. Thank you Team Impact x

    Google review of Long Eaton

    Read Helen D.’s review on Google (opens in a new tab)
  • Mark D.

    3 months ago on Google

    I highly recommend the Strength & Conditioning class with Maya at Impact Physio (Long Eaton). As a physiotherapist, Maya brings expert guidance to every movement, providing complete peace of mind that you are training safely. What I Loved: Physio-Led Safety: Maya offers real-time form corrections and expert coaching. Structured Sessions: The layout flows perfectly from warm-ups to technique work and core strength. Tailored for Everyone: Exercises are easily scaled for fitness levels or injury recovery. Confidence Boosting: The supportive, clinical environment eliminates any gym intimidation. It is a fantastic, welcoming class for anyone looking to build a stronger body safely. I will definitely be back!

    Google review of Long Eaton

    Read Mark D.’s review on Google (opens in a new tab)
  • Karen S.

    3 months ago on Google

    Very good and friendly staff, very clean and very quick in seeiing patients to help their recovery

    Google review of Long Eaton

    Read Karen S.’s review on Google (opens in a new tab)
  • Peter G.

    3 months ago on Google

    I went to Chris at impact physio following hip resurfacing surgery with an aim to get running again. couldn't recommend Impact highly enough, all physio sessions, advice and exercises have really helped me get back to full fitness

    Google review of Long Eaton

    Read Peter G.’s review on Google (opens in a new tab)
  • Mandy S.

    4 months ago on Google

    Fantastic friendly service. Very professional and would highly recommend. Finally has really helped me not only with an exercise plan but with her explanations so I can understand my position without technical words!! I feel much more confident going forwards and can't express my gratitude enough.

    Google review of Long Eaton

    Read Mandy S.’s review on Google (opens in a new tab)
  • andrew S.

    4 months ago on Google

    I’ve been experiencing knee pain while running so I visited Pete Grey. He examined me thoroughly and offered some valuable tips on improving my running technique. His helpfulness, knowledge and friendly demeanour made the entire visit enjoyable. I highly recommend him and I’ll definitely return if I ever need his expertise again.

    Google review of Long Eaton

    Read andrew S.’s review on Google (opens in a new tab)
  • Phil B.

    5 months ago on Google

    I’ve been seeing Alan Beers for an issue I’ve had with my shoulder. He’s a great guy and extremely knowledgeable. I left the session with a good understanding of what had been going wrong and a realistic plan to manage my recovery. The results have been excellent

    Google review of Pride Park

    Read Phil B.’s review on Google (opens in a new tab)
  • Jo C.

    5 months ago on Google

    Jo is a very approachable, knowledgeable and experienced Physiotherapist. I learnt alot about my issue (and Physiotherapy research in general) during my visits which helped me to understand the problems I was experiencing. Jo was able to give me a physio programme that I could implement in the home very easily. I have confidence that with the continued prescribed strengthening exercises, my issues will be more manageable. Thankyou Jo for your advice, knowledge and humour! I wouldn't hesitate to recommend Jo to anyone needing evidence-based advice from a friendly and experienced Physio.

    Google review of Kedleston Road

    Read Jo C.’s review on Google (opens in a new tab)
  • Caroline

    5 months ago on Google

    I went to Impact with ongoing shoulder and knee pain that were hindering both gym practice and sleep. After only two sessions and some very helpful exercises (complete with videos), I was ready to be signed off. The support from Julie was warm, friendly, non-judgmental and totally encouraging from start to finish. Explanations and demonstrations were clear and gave me all I needed to know to carry out the exercises at home. Julie was very effective in helping me get back on track and I would highly recommend if considering whether it is right for you.

    Google review of Long Eaton

    Read Caroline’s review on Google (opens in a new tab)
  • Bob H.

    5 months ago on Google

    Had a couple of consultations with Sheridan who has helped me no end with gentle exercises to my arthritic knee No pushing or pulling just really caring support and advice Highly recommended

    Google review of Long Eaton

    Read Bob H.’s review on Google (opens in a new tab)
  • Simon H.

    6 months ago on Google

    Excellent care and assistance. Has made and injured should many times better. Highly recommend.

    Google review of Pride Park

    Read Simon H.’s review on Google (opens in a new tab)
  • Jane

    6 months ago on Google

    Great experience this pm with Jo. She was kind helpful and empathetic and happy to do hands on physio to ease my symptoms. Felt so much better after even one session.

    Google review of Kedleston Road

    Read Jane’s review on Google (opens in a new tab)
  • C L.

    6 months ago on Google

    After bouncing around NHS GP & Walk In Centre, finally got the expertise and care I needed here. Very knowledgable physios with the best rehab gym I’ve seen.

    Google review of Kedleston Road

    Read C L.’s review on Google (opens in a new tab)
  • Susannah

    6 months ago on Google

    Cannot thank Pete enough for literally getting me back up and running. Also excellent knowledge and insight into injury, arthritis, bone and muscle conditions – dispelled a number of 'myths' surrounding certain conditions.

    Google review of Long Eaton

    Read Susannah’s review on Google (opens in a new tab)
  • Rob A.

    6 months ago on Google

    Alan is excellent, friendly and a pleasure to visit. He has given me the exercises I need to help my knee get better. After just over a month and two sessions doing the exercises, I am getting far less pain than I was before.

    Google review of Pride Park

    Read Rob A.’s review on Google (opens in a new tab)
  • Adrian S.

    6 months ago on Google

    I have struggled for years with swimming related shoulder pains, despite seeing many physios. 1 appointment with Pete Gray was enough to clearly diagnose the issues and develop a rehab programme that has worked. Highly recommended.

    Google review of Long Eaton

    Read Adrian S.’s review on Google (opens in a new tab)
  • amelia

    6 months ago on Google

    Would 100% recommend, I've had 3 sessions with Pete, he's great at what he does, really knowledgeable and helpful, lovely guy

    Google review of Long Eaton

    Read amelia’s review on Google (opens in a new tab)
  • Claire H.

    6 months ago on Google

    I recently had a couple of sessions with the physio Julie Lee to help with my low bone density. I have osteoporosis and need to do weight bearing exercises. Julie was excellent she was knowledgeable, extremely helpful and gave me advice and the exercises to help with my condition. I came away feeling more reassured that with time and guidance I can hopefully reverse and improve my bone decline. Thank you Julie couldn’t have done this without your help and support. Xx

    Google review of Long Eaton

    Read Claire H.’s review on Google (opens in a new tab)

How we help

  1. Step 1: Assess

    Movement, nerve and strength tests; review of triggers (lifting, desk, sport); screen for red flags.

  2. Step 2: Plan

    Progressive loading (mobility → strength → capacity), pacing and flare‑up strategies; work and sport modifications. We may also use passive modalities such as manual therapy alongside this.

  3. Step 3: Return

    Criteria‑based progress back to normal life and sport; clear home programme.

Physiotherapist coaching a patient through a back exercise on a mat

We also offer PhysiotherapyAcupunctureMassage as part of your plan — always alongside active rehab.

Did you know? We also run Pilates, Yoga and Strength & Conditioning classes at our Long Eaton clinic, and Tai Chi in Toton.

Back conditions and symptoms

  • Likely causes

    A sudden overload of back tissues — often a muscle strain, facet joint irritation, or annular (disc) strain. These are usually not serious and improve with time, movement and a graded return to lifting. (If you notice numbness/weakness in the leg, bladder/bowel changes or severe night pain, seek urgent advice.)

    What helps

    • Keep moving, little and often: 2–5 minute walks every 30–60 minutes. Avoid long periods in one position.
    • Positions of ease: Side‑lying with a pillow between knees, or on your back with a pillow under knees. Use cushions to find comfort.
    • Gentle mobility (2–3×/day): pelvic tilts, supported knee rolls, hip hinge to a chair, short pain‑free cat‑camel arcs.
    • Short walks on flat ground; build up gradually.
    • Heat or ice for comfort (10–15 min, protect skin). Heat can relax spasm; ice can calm a flare.
    • Simple analgesia if appropriate (ask your pharmacist/GP). Aim to keep you moving rather than to mask pain for heavy lifting.
    • Hold off heavy lifting, deep bending under load and high‑impact work for a short period while symptoms settle.

    How physio helps

    • Screen & reassure: Rule out red flags; identify aggravating patterns (e.g., repeated loaded flexion, rapid lifting cadence).
    • Calm & restore: Options like breathing strategies, pacing, and manual therapy alongside active rehab to settle spasm and regain motion.
    • Graded exposure to bend & lift: Re‑train the hip hinge and brace; then progress load, depth and tempo with clear “stop/go” rules.
    • Return‑to‑lift example (guide only):
      • Phase 1 (days 1–7): Sit‑to‑stands, counter‑supported hip hinges, light carry (e.g., shopping bag), short walks.
      • Phase 2 (weeks 2–3): Goblet/suitcase holds, elevated deadlifts, split‑squat to a box; 8–12 reps, low–moderate effort.
      • Phase 3 (weeks 3–5+): Floor deadlifts/squats as tolerated; gradually increase load, reduce elevation, and re‑introduce usual tasks.
    • Work & life tweaks: Break up static work, rotate tasks, and plan lifting with team/help while you rebuild capacity.

    Quick questions

    Do I need an X‑ray or MRI?
    Generally no for a simple lifting strain without red flags. X‑rays don’t show muscles/discs; MRIs often find normal, age‑related changes that aren’t the pain source. Consider imaging if pain/function aren’t improving with physiotherapy, there’s significant trauma, or neurological signs (progressive weakness, numbness, bladder/bowel change).
    Should I stop all activity?
    No. Relative rest (backing off aggravating tasks) plus gentle movement speeds recovery. Aim for several short walks per day and light mobility instead of bed rest.
    Best sleeping positions?
    The one that’s most comfortable. Many prefer side‑lying with a pillow between knees or back‑lying with a pillow under knees. To get out of bed: roll to your side, use your arms, and swing legs together (the “log‑roll”).
    Can a back belt help?
    It can give short‑term confidence during a flare or specific tasks. Don’t rely on it long‑term; building strength and movement tolerance is more effective.
    When can I lift again?
    Start with light, pain‑tolerant tasks within days. Progress load week by week if symptoms allow. Mild, short‑lived soreness is okay; sharp or escalating pain is your cue to step back and reassess.

    Ready to get moving?

    Book onlineCall 0115 972 1319
  • Likely causes

    Nerve irritation related to disc or joint changes; often settles with time plus a progressive mobility/strength plan.

    What helps

    • Short‑interval walking; avoid long static sits; gentle nerve‑friendly movement (e.g., supported knee rocks, hip mobility).

    How physio helps

    • Symptom‑based progressions, nerve mobility, and strength to restore confidence. Most people improve without scans or surgery.

    Quick questions

    Do I need an MRI?
    Not routinely. We consider MRI if there are red flags (new bladder/bowel issues, saddle numbness, severe/progressive weakness) or if pain/function haven’t improved after a structured period of rehab. Imaging supports decisions; it doesn’t replace them.
    Should I avoid bending?
    At first you may limit movements that cause sharp flares, but long‑term re‑introducing bending is important. We’ll use graded exposure and technique tweaks so everyday tasks (tying shoes, picking up items) feel safe again.
    How long does it take to improve?
    Many cases improve over 6–12 weeks. Leg symptoms can linger even as the back improves; that doesn’t mean you’re getting worse. We track function (walking distance, sit tolerance, sleep) as well as pain.
    What about medication?
    Simple analgesia may help you stay active; your GP/pharmacist can advise. Medicines work best alongside the active plan (mobility, strength, pacing) rather than instead of it.
    Can I work or exercise?
    Usually yes with modifications: more frequent breaks from sitting, shorter sessions, lower impact initially. We’ll plan a staged return and give clear stop/go rules.

    Ready to get moving?

    Book onlineCall 0115 972 1319
  • Likely causes

    Disc irritation sensitising nearby tissues and sometimes the nerve root. Inflammation usually settles while tissue capacity is rebuilt with progressive loading. Most people improve without injections or surgery.

    What helps

    • Posture variety > perfect posture: Change positions often; micro‑moves every 30–45 min.
    • Gentle mobility (2–3×/day): pelvic tilts, supported knee rocks, short pain‑free flexion/extension arcs; add hip mobility.
    • Walk little & often: Flat, short walks to tolerance; build duration gradually.
    • Trunk strength (when calmer): supported hinges, partial squats to a box, anti‑rotation holds; slow tempo.
    • Sleep tips: Side‑lying with a pillow between knees or on your back with a pillow under knees; log‑roll out of bed.

    How physio helps

    • Stage the plan: calm → build → return. We’ll choose exercises that respect irritability and progress range, load and tempo.
    • Confidence with bending: graded exposure to flexion so daily tasks (shoes, picking up items) feel safe again.
    • Work/sport tweaks: sit‑stand breaks, movement snacks, modify lifts/volume; clear flare‑up strategies.

    Quick questions

    Will a scan change treatment?
    Often not early on. MRI findings like bulges are common in pain‑free people. We base care on symptoms and function first; imaging is reserved for persistent or complex cases or when surgery is being considered.
    Are injections needed?
    Sometimes for severe, persistent pain that limits rehab. They’re an adjunct to help you progress active recovery — not a standalone fix.
    How long does recovery take?
    Many improve within 6–12 weeks; irritable cases can take longer. Consistency with loading, sleep and pacing matters more than any single exercise.
    Can I lift/gym again?
    Yes. We’ll reintroduce lifting with range first (hip hinge), then load, using slow tempo and submax sets before returning to heavier work.
    Desk job tips?
    Alternate sit/stand, feet supported, screen at eye level, forearms roughly level; set a 45–60‑minute move reminder.

    Ready to get moving?

    Book onlineCall 0115 972 1319
  • Likely causes

    An irritable facet joint and nearby soft tissues. Responds well to movement, strength and pacing.

    What helps

    • Gentle mobility: hip flexor/quadriceps stretch to tolerance, pelvic tilts, supported trunk rotations.
    • Strength basics: hip hinge to a chair, bridges, bird‑dog with short holds (pain‑free range).
    • Move often: Short walks; vary standing posture (staggered stance, foot on a small step).

    How physio helps

    • Soothe + move: Manual therapy if helpful alongside active exercises.
    • Capacity build: progress range → reps → load → tempo; restore extension tolerance.
    • Task tweaks: pacing for standing jobs, lifting strategy, graded return to hobbies.

    Quick questions

    Is clicking harmful?
    Usually not if painless and not associated with locking/giving way. We focus on comfort and function rather than chasing noises.
    Should I stop sport?
    Usually no. We’ll temporarily tweak volume or movements, then rebuild to previous levels with strength and control.
    Do belts/braces help?
    They can provide short‑term confidence during flares. Long‑term, strength and movement variety matter most.
    Any standing‑all‑day tips?
    Rotate tasks, use a small footrest, micro‑bend knees, change foot positions, and schedule movement breaks.

    Ready to get moving?

    Book onlineCall 0115 972 1319
  • What helps

    • Therapeutic exercise and education are core. Manual therapy can be considered alongside exercise; some interventions aren’t recommended. Pacing and strength build confidence.

    How physio helps

    • Progressive strength and function plan (sit‑to‑stand, step work, carries, trunk holds); flare‑up strategies; clear progression markers.

    Quick questions

    Is exercise safe?
    Yes — regular strength and activity reduce pain and improve function. We’ll set starting levels and progress steadily.
    Heat or ice?
    Choose what helps you move more comfortably. Many prefer heat for morning stiffness; ice can calm flares after busier days.
    Will it keep getting worse?
    Not inevitably. Many people see meaningful improvement with activity, pacing and strength work. We’ll measure progress with simple function goals (e.g., walking time, stairs, hobbies).
    Should I use a stick?
    A stick in the opposite hand to the sore side can ease load on painful days while you build capacity. We’ll advise on height and technique.
    Group classes?
    Pilates and Strength & Conditioning classes at Long Eaton, and Tai Chi in Toton, can build confidence and balance; we’ll suggest a suitable level.

    Ready to get moving?

    Book onlineCall 0115 972 1319

Insurance and funding

We work with all major private health insurers, including Bupa, AXA, Aviva, Cigna, WPA and Simplyhealth. Please check your policy for physiotherapy cover and, if needed, ask us for our provider/registration details.

We also hold NHS contracts for services in primary and secondary care.

Prefer to self-fund? You can pay for your own sessions — we’ll explain options and provide clear pricing.

See our fees
  • Bupa
  • AXA
  • Aviva
  • Cigna
  • WPA
  • Simplyhealth

Back pain: your questions answered

Book an appointment
  • Not usually. Most new back pain settles with the right activity and rehab. We consider MRI if symptoms persist beyond a sensible trial (often 6–8+ weeks), there’s significant trauma, or there are red flags such as new bladder/bowel issues, saddle numbness, fever, unexplained weight loss, or progressive weakness. Imaging supports decisions; it rarely changes first-line care.
  • Keep moving within comfort. Short walks, light mobility and graded strength outperform bed rest, which can delay recovery. Use relative rest during flares, then gradually pick up normal activity.
  • Many flare-ups improve over 2–6 weeks. Nerve-related pain (sciatica) can take longer (sometimes months) but still improves in most people. Sleep, stress and consistent loading have a big impact on timelines.
  • Immediately if you develop new bladder/bowel problems, saddle numbness, severe unrelenting pain, fever, unexplained weight loss, significant trauma, or progressive leg weakness. Call NHS 111 or seek urgent medical care.
  • Often yes, with modifications: reduce provoking lifts/movements short-term, keep cardio going (walking, cycling, pool), and rebuild strength in stages. We’ll use criteria-based progressions instead of the calendar alone.
  • It can give short-term confidence during a flare or heavy tasks. For long-term results, building capacity with strength and movement variety is more effective than relying on supports.
  • Usually not. Injections may help short-term pain to enable rehab. Surgery is reserved for specific cases (e.g., severe, persistent nerve compression with functional loss) after a thorough conservative plan.
  • Not on its own. People thrive in a range of postures. Variety and capacity (strength/endurance) matter more than holding a perfect shape all day.
  • We’ll give practical tweaks you can actually implement: movement breaks every 45–60 minutes, task rotation, load management and workstation adjustments. If needed, we can provide a fit note/letter to support phased duties.
  • Yes — many people feel more confident and in control with Pilates. We’ll tailor level and pair it with strength work. See our Pilates classes at Long Eaton.
  • Use whichever helps symptoms. Heat can relax guarding/spasm; ice can calm a flare. 10–15 minutes, protect the skin, and keep gently moving.
  • If you’re not improving despite a well-followed plan, or if red flags appear, we’ll liaise with your GP/consultant for further options (imaging, injections, surgical opinion).

Who you'll see

Our team includes HCPC‑registered physiotherapists and CSP members with experience in back pain, sciatica and return‑to‑work/sport planning. You’ll get a clear diagnosis, a plan that fits your life, and support back to the things you love.

Clinics and booking

Book online in three steps.

  1. Choose your clinic
  2. Choose Physiotherapy (or a named physio)
  3. Pick a time

Pride Park, Derby

Derby Arena, Royal Way, Derby DE24 8JB

Our Pride Park clinic is inside the iconic Derby Arena. Especially convenient for businesses on Pride Park.

Mon: 10am – 4pm
Tue: 8.30am – 4.30pm
Wed: 5pm – 7pm
Thu: 8am – 12pm
Fri: 7am – 4.30pm

View on map (Pride Park)Book at Pride Park

Classes run at Long Eaton (Tai Chi in Toton). See classes

Book onlineCall