Specialist Back Pain & Sciatica Physiotherapy in Selly Oak, Birmingham

BACK PAIN PHYSIOTHERAPY · BIRMINGHAM PHYSIOCARE

Back Pain In Birmingham Has A Cause. We Find It. We Fix It.

Back pain is the leading cause of disability in the UK and the most consistently undertreated. Not because effective treatment does not exist, but because the majority of back pain patients never receive an accurate diagnosis. They receive advice to rest, a generic exercise sheet or a course of physiotherapy that treats the area of pain rather than the structure causing it. Temporary relief at best. The same problem returning within weeks or months at worst.
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At Birmingham Physiocare Ltd on Pershore Road, Birmingham, we approach back pain differently. Every assessment begins with identifying the specific structure responsible for your symptoms disc, facet joint, nerve, sacroiliac joint or muscle before any treatment is recommended. Where clinical examination needs imaging support, our on-site Musculoskeletal Ultrasound provides immediate soft tissue and joint assessment without a hospital referral. Where the pain has a neurological component sciatica, leg pain, nerve-related symptoms neural assessment is part of every examination. The result is a treatment plan built on an accurate diagnosis, not a working assumption.

We treat acute back pain, chronic back pain, disc-related pain, nerve-related pain, post-surgical back pain and work-related back conditions at our clinic and through our domiciliary home visit service across Birmingham, Harborne, Edgbaston, Selly Oak, Moseley, Sutton Coldfield, Solihull and the wider West Midlands.

Common symptoms
  • Localised pain across the lower back, upper back or between the shoulder blades
  • Stiffness that is worst in the morning and eases with movement
  • Sharp, catching pain on specific movements such as bending, twisting or standing from sitting
  • Dull, persistent ache that worsens with prolonged sitting or standing
  • Pain radiating into the buttock, hip or down one or both legs
  • Pins and needles, numbness or weakness in the leg or foot
  • Pain that wakes you at night or is worse at rest
Common causes we treat
  • Facet joint dysfunction: restriction and inflammation in the small joints of the spine, producing localised pain and stiffness that is often worse on extension and rotation
  • Disc herniation & discogenic pain: disc bulge or herniation compressing or irritating adjacent nerve roots, producing both local back pain and referred leg symptoms
  • Sacroiliac joint dysfunction: pain at the base of the spine and into the buttock, frequently misdiagnosed as hip pain or lumbar disc pain
  • Muscle strain & myofascial pain: acute injury or chronic trigger point activity in the paraspinal and gluteal musculature producing localised and referred pain patterns
  • Spinal stenosis: narrowing of the spinal canal producing pain, heaviness and leg symptoms on walking and prolonged standing, typically relieved by sitting or flexion
  • Work-related & postural back pain: sustained poor posture and repetitive loading patterns producing gradual onset pain and stiffness, particularly in desk-based and manual workers

Get in touch with us

service timing ( Mon to Fri )

09 Am To 6 Pm

service timing ( Sat to Sun )

10:30 Am To 5 Pm

Our Services

Birmingham Physiocare In a nutshell

What Makes Birmingham Physiocare Different?

Birmingham Physiocare

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    How We Treat Back Pain At Birmingham Physiocare

    BACK PAIN TREATMENT
    Manual Therapy
    Exercise Rehab
    Acupuncture
    MSK Ultrasound
    Chronic Pain
    Structure-Specific

    Manual Therapy

    Joint mobilisation and manipulation targeted at the specific spinal level identified in your assessment. Soft tissue release for myofascial contributors and neural mobilisation for nerve-related symptoms and sciatica.

    Treatment is directed at the specific structure identified as the source of your back pain ; not the lower back as a general region.

    Progressive

    Exercise Rehabilitation

    A progressive strengthening and movement programme specific to your diagnosis, your current function and your goals. Not a generic back exercise sheet. A programme built around what is actually causing your pain and what is needed to prevent it returning.

    Traditional & Dry Needling

    Acupuncture

    For chronic back pain with significant myofascial and central sensitisation components, acupuncture addresses the neurological dimension of persistent pain that hands-on treatment alone cannot fully reach.

    Diagnostic

    MSK Ultrasound

    Where soft tissue or joint imaging is needed to confirm a diagnosis or guide treatment decisions, available at the same appointment without a hospital referral, removing long wait times.

    Specialist

    Chronic Pain Management

    For back pain that has been present for more than three months and has not responded to standard physiotherapy, our specialist chronic pain programme addresses the central sensitisation and functional avoidance patterns that maintain pain long after the original tissue injury has healed.

    We go beyond standard care to help you regain movement and quality of life.

    Commonly Asked Questions About Back Pain

    Essential FAQs

    Acute mechanical back pain sudden onset with no nerve involvement typically responds significantly within four to six sessions. Chronic back pain that has been present for more than three months, or back pain with associated nerve symptoms such as sciatica, generally requires a longer course of treatment. Your physiotherapist will give a realistic timeline at your first appointment based on your specific diagnosis, the chronicity of your symptoms and your response to early treatment. Honest timelines from the start not open-ended courses with no defined goal.

    Yes and this is one of the most important things to understand about disc-related back pain. The vast majority of disc herniations do not require surgery. The disc material responsible for nerve compression typically reabsorbs over time, and the role of physiotherapy is to manage symptoms effectively during that process, maintain movement, address the mechanical factors that contributed to the disc injury and prevent recurrence. Neural mobilisation, specific manual therapy techniques and a carefully progressed exercise programme are all highly effective in the management of disc-related back pain and sciatica.

    No. Disc degeneration on MRI is extremely common present in a significant proportion of adults over 40 with no back pain at all. The presence of degenerative changes on imaging does not determine your prognosis, and it does not mean your pain is untreatable or inevitable. Many patients with significant degenerative findings on MRI achieve full resolution of their back pain through physiotherapy. Your symptoms not your scan determine your treatment plan and your recovery potential.

    For the vast majority of back pain presentations, staying as active as your symptoms allow produces better outcomes than bed rest. Movement maintains joint mobility, prevents muscle deconditioning and reduces the central sensitisation that develops rapidly when pain leads to prolonged inactivity. This does not mean pushing through severe pain it means guided, appropriate movement from as early as possible. Your physiotherapist will advise the specific activities and movements that are safe and beneficial for your particular diagnosis from your first appointment.

    📍 Same-Day Appointments

    Still Living With Back Pain?

    Get expert assessment and diagnosis at our clinic on 650 Pershore Road, B29 7NX or in the comfort of your own home across Birmingham & the West Midlands.

    ✓ No GP referral required
    ✓ Direct specialist access
    ✓ Same-week appointments
    Call us now — speak to a physio 0121 330 0272
    or
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