Back & Neck Pain

Spinal and postural complaints, including pain that recurs or refers into a limb.

Condition

Back & Neck Pain

Back and neck pain are some of the most common musculoskeletal problems and they can affect anyone at any stage. For some people it is short lived. For others it becomes persistent or recurrent.

Symptoms may start after a specific incident, build gradually over time, or appear without one clear cause. At Nexus HealthHub, we focus on the individual. That means we do not assume every case of back or neck pain has the same underlying explanation.

A man gripping the back of his neck

A defined timeframe, not open-ended treatment

Common Presentations

We commonly see people with:

  • Acute lower back pain
  • Persistent or recurrent back pain
  • Neck pain and stiffness
  • Mid back discomfort
  • Pain associated with lifting or training
  • Pain aggravated by prolonged sitting or work
  • Reduced spinal movement
  • Muscular tightness or spasm
  • Recurrent flare ups
  • Pain affecting sleep, exercise, or daily activity

Some people also experience symptoms in the arm or leg. If this is present, we may carry out a more detailed neurological assessment.

How We Assess Back and Neck Pain

Your assessment will include a detailed history of your symptoms, your medical background, previous episodes, and the activities that make things better or worse.

Depending on your presentation, assessment may include:

  • Range of motion testing
  • Neurological examination
  • Orthopaedic testing
  • Strength assessment
  • Functional movement assessment
  • Postural or movement analysis where relevant
  • Review of previous imaging or medical reports

The goal is to identify the most likely source of your symptoms, check for any signs that may require further investigation, and understand how the problem is affecting your physical function.

How We Can Help

Treatment and rehabilitation are tailored to your presentation and may include:

  • Chiropractic care
  • Joint mobilisation or manipulation
  • Manual and soft tissue therapy
  • Dry needling
  • Exercise rehabilitation
  • Strength and conditioning
  • Movement and strength testing
  • MLS Laser Therapy
  • Hilterapia
  • Advice around activity, training, and self management

For persistent or recurrent pain, rehabilitation often becomes an important part of the plan. This may focus on restoring movement, improving strength, and gradually increasing confidence with everyday activity, work, or exercise.

Our Approach

Back and neck pain are not always caused by one damaged structure.

Symptoms can be influenced by several factors, including previous injury, physical capacity, activity levels, sleep, stress, and general health. Because of this, our approach combines symptom management with rehabilitation and education where appropriate.

If your symptoms or examination suggest that imaging, medical assessment, or specialist referral is required, we will discuss this with you and recommend the most appropriate next step.

Common questions

Frequently Asked Questions

  • Not routinely. Imaging is usually considered when the history or examination suggests it may change management, or when further investigation is clinically indicated.

  • Not necessarily. Depending on your presentation, treatment may include mobilisation, manual therapy, exercise, dry needling, or other approaches based on what suits you.

  • Prolonged rest is usually not necessary for uncomplicated musculoskeletal pain. Appropriate activity and a gradual return to normal movement are often encouraged.

  • Yes. Persistent pain can still be assessed and managed. We focus on improving function, strength, movement, and confidence rather than relying only on short term symptom relief.

  • These symptoms require appropriate assessment. If you develop sudden or significant weakness, changes in bladder or bowel control, saddle numbness, severe trauma, or other concerning neurological symptoms, urgent medical assessment may be required.

Next step

Ready to Get a Plan?

Book an assessment and we will work out what is driving your problem, talk you through what we find, and set out what happens next.

Prefer to talk first? +44 74269 06361