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Understanding Back Pain:

Whether you’re dealing with acute discomfort or persistent pain, our chiropractic solutions are designed to target the underlying issues and provide you with the relief you deserve. Let’s embark on a journey to rediscover comfort and well-being.

Nip it in the bud...

Back pain can manifest in various forms, from dull aches to sharp, stabbing sensations. It often stems from factors such as poor posture, muscle strain, injuries, or stress. At Hagley Road Chiropractic, we recognise the impact back pain can have on your daily life and are here to guide you towards a pain-free existence.

We also have details on Lower Back Pain

Real Results

Our Comprehensive Approach:

Our skilled chiropractors employ a comprehensive approach to address back pain. Through detailed assessments and personalised treatment plans, we aim to not only relieve your immediate discomfort but also enhance the overall health of your spine.

Benefits of Chiropractic Care for back pain:

Preventive Strategies for a Healthy Back:

Beyond treatment, we empower our patients with practical tips to prevent lower back pain, including maintaining good posture, regular exercise, and ergonomic adjustments to daily routines.

If you have any questions or would like to book a free discovery call:

Symtoms we treat

Arthritis encompasses over 200 different types, with common symptoms including inflammation, pain, and stiffness, often associated with degenerative arthritis, particularly osteoarthritis—the most prevalent type in the UK. Other arthritis types include:

– Osteoarthritis: A wear-and-tear form causing cartilage breakdown over time, leading to friction and issues.
– Rheumatoid arthritis: An autoimmune condition where the immune system wrongly attacks joints, causing pain and inflammation.
– Gout: Caused by uric acid forming crystals in joints, resulting in pain and swelling.
– Juvenile idiopathic arthritis (JIA): Affecting children under 16, with an unknown cause.
– Septic (infectious) arthritis: Caused by a bacterial or viral joint infection, often triggered by another disease or injury.
– Psoriatic arthritis: Affecting individuals with the skin condition psoriasis.

Various risk factors contribute to different types of arthritis, including:

– Aging
– Gender
– Obesity, placing strain on joints
– Occupations or sports causing extra joint strain
– Immune system issues
– Other underlying health conditions.

Signs & Symptoms
Arthritis results in inflammation of tendons, synovial sheaths, and bursae (fluid-filled sacs enabling smooth muscle/tendon movement over bone). Flare-ups occur, exacerbating symptoms. During flare-ups, affected joints, particularly those in fingers, hands, wrists, feet, and ankles, become stiff, swollen, red, and painful.

Facet Dysfunction refers to pain arising from inflamed facet joints, causing discomfort, soreness, and stiffness. Patients often feel more pain when extending the spine or staying inactive for prolonged periods, such as prolonged sitting or standing. Changing positions frequently tends to alleviate the pain. Morning pain may be worse, improving as the day progresses, especially for those with sedentary jobs and poor posture.


Facet Dysfunction can result from trauma, like whiplash injuries to the neck. Abnormal posture and alignment may strain spinal tissues, leading to inflammation and pain in the facet joints. More commonly, degenerative changes in the cervical, thoracic, and lumbar spine can impose abnormal stress, increasing loads on the facet joints.

Signs & Symptoms

– Cervical facet joint pain may be felt at the base of the skull, upper back, shoulders, mid-back, or neck. Some patients may experience frequent headaches or ringing in the ears.

– Thoracic facet Dysfunction, less common than cervical and lumbar facet Dysfunction, may cause local pain near the affected segment along the midline due to restricted motion in the rigid thoracic spine.

– Lumbar facet pain, common due to the spine’s considerable motion and compressive forces, is usually felt directly over the affected joints. It may also radiate to the buttocks, hips, groin, and back of the thighs depending on the injured facet joint.

Scoliosis is an abnormal curvature of the spine that occurs after a person has finished growing. The Scoliosis Association state that 2 – 3 % of the population of the UK suffer from Scoliosis  The spine curves to the right or left and may also twist or rotate. As the vertebrae twist, it can visibly change the appearance of the back and, in severe cases, lead to painful degeneration, causing back or nerve pain, and even impacting lung and heart function.


– Untreated childhood curvature

– Disc degeneration

– Compression fracture

– Spinal stenosis

– Osteoporosis

– Hemivertebra (improperly grown half vertebra)

– Unilateral bar (bones of the spine not separating properly)


Many adults with scoliosis may not experience specific symptoms. Symptoms vary based on the severity of the curve. Some patients notice changes in clothing fit, while others may experience back pain, spinal stiffness, or nerve pain. The abnormal curvature can lead to uneven hips, an unusual gait, or leg length discrepancy. Visible signs include uneven shoulders, a prominent shoulder blade, or uneven skin folds. Difficulty in standing or sitting upright, problems with balance, and, in severe cases, potential impact on heart or lung function in the thoracic spine may occur.

Acute back pain usually results from a sudden injury or accident and typically lasts less than 3 to 6 months. It gradually resolves as the injured tissues heal. Common causes include disc herniation, strain/sprain/tear of muscles and ligaments supporting the back, muscle spasms, compression fractures, and sciatica.

Signs & Symptoms:
– Sudden onset of
– Pain
– Aches
– Weakness
– Numbness
– Tingling

Chronic back pain is described as lasting for 12 weeks or more, even after addressing the initial injury or the underlying cause of acute low back pain. Approximately 20 percent of individuals who experience acute low back pain go on to develop chronic low back pain, with symptoms persisting for at least one year.

Common Causes:
– Spinal conditions like Degenerative Disc Disease, Spinal Stenosis, and Spondylolisthesis
– Joint Fixations/Restrictions
– Injury

Signs & Symptoms:
– Persistent
– Pain
– Aches
– Weakness
– Numbness
– Tingling

Leg length inequalities fall into two categories: structural and functional. A structural discrepancy occurs when one leg is inherently longer than the other due to genetics. This is confirmed if the pelvis and sacroiliac joints are symmetrical. A functional discrepancy results from torsion, pelvic rotation, or obliquity, often linked to sacroiliac joint dysfunction, making one leg functionally longer or shorter. To determine a true structural issue, a physical therapist addresses the pelvis and checks for remaining leg length discrepancy. If the asymmetry persists, it’s structural; if it disappears, it’s functional.


Leg length differences can stem from pelvic misalignment or inherent structural variation. Despite the cause, the body strives for symmetry, compensating for the length difference. Larger discrepancies may lead to symptoms. Conditions related to leg length inequality include scoliosis, herniated discs, sacroiliitis, pelvic obliquity, bursitis, hip arthritis, piriformis syndrome, patellofemoral syndrome, and foot pronation. Other causes may include injury, bone disease, tumors, congenital issues, or neuromuscular problems.

Signs & Symptoms

– Observable difference in leg lengths

– Altered posture

– Gait issues

– Pain in the lower back, hip, ankle, or knee

Lower-Crossed Syndrome (LCS), also known as distal or pelvic crossed syndrome, involves tightness in the thoracolumbar extensors crossing with tightness in the iliopsoas and rectus femoris. Weakness in the deep abdominal muscles crosses with weakness in the gluteus maximus and medius.


– Prolonged sitting, especially with poor posture

– Lack of physical activity

– Regular participation in sports or activities that unevenly stimulate muscles involved in LCS

– Poor exercise technique (e.g., excessive arching of the lower back in deadlifts, presses, and squats)

– Imbalanced strength training, focusing more on lower back and/or hip flexor training than glute and/or abdominal training

Signs & Symptoms

– Anterior Pelvic Tilt (APT), which, when excessive, can lead to poor exercise technique and increased risk of knee and lower back issues.

– Increased lower back curve (sway back)

– “Bulging” abdomen (not necessarily fat)

– Knee hyperextension

– Lower back pain

– Poor exercise technique, often seen as overextension of the lumbar spine, lack of glute engagement, and dominance of quads and low back in movements like squats and deadlifts.

Radiculopathy is when a nerve in the spine is compressed, leading to pain, numbness, tingling, or weakness along the nerve’s path. This condition can occur in different parts of the spine, with the most common being in the lower back (lumbar radiculopathy) and neck (cervical radiculopathy). It’s less common in the middle portion of the spine (thoracic radiculopathy).


Radiculopathy happens due to nerve compression or irritation as they leave the spine. This compression can result from a disc herniation, bone spur (osteophytes) from osteoarthritis, or thickening of surrounding ligaments. Less common causes include a tumor or infection, reducing the space in the spinal canal and compressing the nerve. Scoliosis, an abnormal spine curve, can also compress nerves. Inflammation from trauma or degeneration can directly irritate the nerves.


Signs & Symptoms

– Common symptoms include pain, numbness, and tingling in the arms or legs.
– Localized neck or back pain is often present.
– Lumbar radiculopathy causing pain down a lower extremity is commonly known as sciatica.
– Thoracic radiculopathy causes pain from the middle back, sometimes mistaken for shingles.

Piriformis syndrome is when the sciatic nerve gets compressed by the piriformis muscle. This muscle helps with external rotation, weak abduction, and hip flexion, providing stability while walking and standing. Irritation, spasms, or inflammation in the piriformis muscle can lead to compression or pinching of the sciatic nerve, causing pain along its path. Pain may be felt from the buttocks down to the lower thigh and leg.


– Irritation of the Piriformis Muscle through Spasm

– Local Inflammation

– Muscle spasms in the piriformis muscle, either from irritation in the muscle itself or nearby structures like the sacroiliac joint or hip

– Muscle tightening in response to injury or spasm

– Swelling of the piriformis muscle due to injury or spasm

– Bleeding in the area of the piriformis muscle.

Signs & Symptoms

– Dull ache in the buttock

– Pain along the back of the thigh, calf, and foot (sciatica)

– Pain when walking up stairs or inclines

– Increased pain after prolonged sitting

– Reduced range of motion in the hip joint

A Lumbar Strain is an injury to a muscle, where the muscles around the lower back and pelvis are stretched or torn. A Lumbar Sprain, on the other hand, involves overstretching of a ligament, which connects bones.

Healing Time

– Grade 1: 7 days to 4 weeks

– Grade 2: 2 weeks to 1 year

– Grade 3: 8 weeks to 1 year


– Direct Trauma: Falls, Road Traffic Accidents, Sports Injuries

– Overuse

– Fatigue

– Repetitive micro trauma

– Sudden unguarded movements: bending, twisting, lifting

– Poor posture

– Prolonged sitting in the same position

– Severe cough

– Muscle imbalance

– Previous injury

– Leg length inequality

– Muscle reconditioning

Signs & Symptoms:

– Pain around the lower back and upper buttocks

– Muscle spasms in the low back

– Pain linked to activity, relieved at rest

Get in touch

The best way to get in touch is to call 0121 421 4466.

Alternatively you can request a call back, a free discovery call or ask some general questions by filling in the form below.

Get in touch

Please note call back and discovery calls can only be requested within the hours of 09.00am to 7.00pm, Monday to Friday. Please allow up to 1 work day for us to get back to you with confirmation of your telephone appointment.

LIVE Clinic News:

New patient appointments currently available for chiropractic and sports massage this week ・ New patient appointments currently available for chiropractic and sports massage this week ・ New patient appointments currently available for chiropractic and sports massage this week