Back and leg pain I regularly see
- Sudden lower back pain after lifting, bending, gardening or sleeping awkwardly
- Recurrent or long-standing back pain that keeps coming back
- Sciatica: pain travelling from the back or buttock into the leg or foot
- Disc-related pain and stiffness, including suspected slipped or herniated discs
- Pins and needles, numbness or weakness from an irritated nerve root (assessed carefully first)
- Upper and mid-back pain, often linked to desk work and long periods of sitting
- Back pain linked to sport, weightlifting, driving or physical work
How osteopathy can help
Osteopathy is a hands-on approach to joints, muscles and nerves. For back pain, treatment may include soft tissue work, joint mobilisation and, where appropriate, gentle manipulation, combined with exercises and practical advice on staying active.
That combination matters. Current NICE guidance on low back pain and sciatica emphasises staying active and exercise, and says manual therapy can be considered as part of a package of care that includes exercise. That is how I work: treatment to settle things down, plus a plan that helps you recover and reduces the chance of it returning.
What happens at your first appointment
Your first visit lasts 60 minutes and includes treatment, not just assessment.
- A full case history: when it started, what makes it better or worse, your work, sleep, activity and general health
- Movement and orthopaedic testing, plus neurological checks (strength, reflexes, sensation) where your symptoms call for it
- A diagnosis explained in plain English, including whether anything needs onward referral or investigation
- Hands-on treatment in the same appointment
- A personalised plan with exercises, self-care advice and an honest idea of how long recovery may take
You can read the full walkthrough in What to Expect.
How many sessions will I need?
It depends on whether the problem is new or long-standing and how much is going on. Many patients notice improvement within 3 to 6 sessions, but I'll give you a realistic prognosis at your first appointment rather than a fixed course of treatment. If osteopathy isn't the right answer, I'll tell you.
When back pain needs urgent medical attention
Don't wait for an appointment if you have:
- New difficulty controlling your bladder or bowels, or numbness around the genitals, buttocks or inner thighs
- Weakness in a leg that is getting worse, or a foot that is dragging
- Back pain after a significant fall or accident
- Fever, unexplained weight loss or a past history of cancer alongside new back pain
Go to A&E or call 999 if you have bladder, bowel or genital numbness symptoms. For anything else you are unsure about, call NHS 111.
Ready to get started?
You don't need a GP referral. Same-day appointments are often available, with evening and weekend times.
Related care at Thistle Osteopathy
Sports & Running Injuries
Running, gym and team-sport injuries, gait analysis and return to sport rehab.
Learn moreNeck Pain & Headaches
Neck pain, tension and neck-related headaches, whiplash, RSI and desk strain.
Learn morePregnancy & Postnatal Care
Gentle, adapted care for pregnancy-related aches and postnatal recovery.
Learn moreClear, Straightforward Pricing
No hidden costs, no surprises, just transparent fees for thorough, unhurried care.
60 minutes
Includes a full case history, physical assessment, hands on treatment, and a personalised management plan.
Book First Appointment40 minutes
Ongoing, hands on treatment building on your management plan, with progress reviewed at every visit.
Book Follow-upPayment is due at the time of your appointment.
Frequently Asked Questions
Do I need a GP referral to see an osteopath for back pain?
No. Osteopaths are primary contact practitioners, so you can book directly. If Amir thinks you need a scan, bloods or a GP or specialist opinion, he will explain why and what to do next.
Can osteopathy help with sciatica?
Often, yes. Sciatica has several possible causes, including disc irritation, joint stiffness and muscle tension around the nerve. Amir carries out an orthopaedic and neurological assessment to identify the likely source, then treats and gives you a plan. Many cases improve with time and the right combination of treatment and movement.
Is treatment suitable if I have a slipped disc?
Disc problems are common, and many people with disc-related pain improve without surgery. Techniques are adapted to your presentation, and if there are signs that need medical attention, Amir will advise you clearly and refer you on.
Should I rest or keep moving with back pain?
For most back pain, staying gently active is better than prolonged bed rest. Amir will tell you what is sensible for your situation, including what to avoid in the first few days and how to build activity back up.
How much does back pain treatment cost?
The first appointment (60 minutes, including assessment and treatment) is £65. Follow-up appointments (40 minutes) are £60.