Service · Brighton & Hove & Online

Movement Therapy for Persistent Back Pain

For back pain that hasn't responded to standard treatment, a structured, evidence-based approach that focuses on how you move, not just where it hurts.

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Is This Right for You?

Who movement therapy is for

Movement therapy is not for everyone. It's specifically designed for a particular type of patient, one that standard treatment hasn't fully served.

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The revolving door patient

You've had treatment, massage, physio, chiropractic, injections, and felt better each time. Then the pain came back. The treatment was managing symptoms without addressing what was driving them.

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The "nothing wrong" patient

Your scans are normal. Your GP says there's nothing to find. But you're still in pain. Structural findings and pain levels often don't correlate, and movement and loading patterns can drive significant pain without showing on imaging.

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The management patient

You have a condition, degenerative disc disease, spinal stenosis, spondylolisthesis, where a complete cure isn't realistic. The goal is reducing pain to a manageable level and maintaining quality of life and function for the long term.

A Different Approach

How movement therapy differs from standard treatment

Standard treatment and movement therapy aren't opposites, but they have different goals, different timelines and work best for different presentations.

Standard hands-on treatment

  • Focuses on the painful structure
  • Provides relief during and after sessions
  • Practitioner-led, passive for the patient
  • Works best for acute or straightforward injuries
  • Limited effect on underlying movement patterns
  • Symptoms often return when treatment stops

Movement therapy

  • Focuses on how the whole body loads and moves
  • Builds capacity that lasts beyond sessions
  • Patient-active, you do the work, I guide it
  • Designed for persistent or recurring presentations
  • Directly addresses movement faults and weakness
  • Equips you to self-manage long term

What's Involved

What a movement therapy programme includes

A typical programme runs over 6–10 sessions, though this varies depending on the presentation and goals. Sessions are 45 minutes.

1

Full movement and postural assessment

A detailed evaluation of how you move, where your body compensates, and what loading patterns are driving your pain. Often includes review of any previous scans or reports.

2

Identification of pain-perpetuating patterns

Specific movement faults, habitual postures, muscle imbalances and daily activities that are loading the painful structure and keeping symptoms active.

3

Progressive exercise programme

A structured, individually designed exercise programme that builds the muscular support and movement capacity your spine needs. Progressed systematically session by session.

4

Movement retraining

Guided retraining of specific movement patterns, bending, lifting, sitting, walking, to reduce unnecessary load on the spine and build confidence in movement.

5

Education and pain science

Understanding why persistent pain persists, and the evidence around how that changes with movement, load and belief, is a significant part of recovery for many patients.

6

Self-management tools

By the end of a programme you should know what aggravates your pain, what helps it, how to manage flare-ups, and how to maintain the gains you've made independently.

Conditions Suitable For Movement Therapy

When movement therapy is particularly effective

Movement therapy is most valuable for persistent or recurring presentations where passive treatment alone has not provided lasting relief.

Chronic lower back pain
Degenerative disc disease
Lumbar spinal stenosis
Recurring sciatica
Facet joint syndrome
Spondylolisthesis
Post-surgical back pain
Sacroiliac joint dysfunction
Non-specific low back pain
Back pain in runners and athletes
Work-related back pain
Back pain with normal scans

An Honest Conversation

Management, not just treatment

Most clinic websites promise to fix your back pain. I think that promise does some patients a disservice.

For a significant proportion of people with persistent back pain, particularly those with structural changes, degenerative conditions or long-standing symptoms, the honest goal is not elimination of pain. It's meaningful reduction, improved function, and giving you the tools to live well despite it.

That's not a pessimistic position. Patients who understand this clearly tend to do significantly better than those chasing a cure that may not exist. And the gains from a well-delivered movement therapy programme, reduced pain, improved function, greater confidence in movement, are real and lasting.

Book a Consultation

"The patients who tend to find their way to me are often the ones who've already tried things and haven't resolved. I take that seriously. A rushed appointment and a generic exercise sheet isn't good enough for complex presentations."

— Tim Regan, Hove Injury Clinic

Ready to take a different approach?

Movement therapy is available in-clinic in Hove or as part of a remote consultation programme for patients anywhere in the UK.

Understand your back pain before you book

The free structured assessment at myBackPain.co.uk gives you a clinical picture of your condition, and helps identify whether movement therapy is likely to be the right approach for you.

Take the free assessment →