Back pain

Back pain can have many causes – from a slipped disc to sprains, osteoarthritis, to a kidney infection. Our pain medicine specialists are experienced in identifying the cause and delivering effective, personalised treatment.

What is back pain?

Back pain is an incredibly common issue, and will affect most people at least once. Back pain can range from dull aching pain to sharp, burning pain anywhere in the back from the top of your neck, down to your pelvis.

  • lower back pain is the most common kind of back pain. This is back pain you feel just above your hips and buttocks, below your ribcage – this area is called the lumbar spine

  • upper and middle back pain happens around the base of your neck, your shoulder blades and ribs – this area of your spine is called the thoracic spine.

You can ease and sometimes completely resolve back pain with a combination of at-home exercises, self-care, and medical treatments.

At Welbeck, our consultants diagnose and treat patients with back pain in our state-of-the-art Pain Medicine centre. 

Paediatrics

We offer appointments to paediatric patients aged 12 to 18. For full information on our paediatrics service, please visit our main Paediatrics page.

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You can experience different types of pain sensations depending on where and why you’re feeling back pain.

  • dull muscle aching

  • stiffness

  • muscle twitches or spasms

  • burning, shooting, or stabbing pains that might spread down into your legs or feet

  • pins and needles, numbness, or weakness

You might find movements, including bending, twisting, lifting, standing, and walking, can make it worse or cause sudden pain.

You might also find your pain is affected by:

  • being more active than normal

  • staying in one position for long periods

  • lifting something in an awkward position

  • a flare-up of an underlying condition such as rheumatoid arthritis

Back pain can have many causes, including:

  • straining your muscles or tendons due to heavy lifting or repetitive movements

  • spraining a ligament in a sudden twist or fall that overstretches it

  • pregnancy and birth – pressure and extra weight during pregnancy, hormonal changes, and giving birth are common causes of back pain

  • certain medical conditions, including arthritis, spinal stenosis, degenerative disc disease, scoliosis, a slipped (herniated) disc, endometriosis and fibroids, kidney or urinary tract infections, or a fracture or tumour (rarely)

Diagnosing your back pain usually involves an initial consultation where our pain specialist will:  

1. Take a history to get a full understanding of your pain and how it affects you – for example, how severe it is, where it is, what makes it worse or better, and how it affects daily life. They will want as much detail from you as possible because this can help narrow down the cause.

2. Do a physical examination of the painful area.

3. Review any relevant scans and other previous investigations.

4. Talk through their initial findings and what will happen next.

They may also:

  • recommend further imaging tests such as an MRI, ultrasound or X-ray

  • recommend studies of your nerves, such as electromyography

If your back pain is caused by a health condition, you may not be able to prevent it. But there are some lifestyle tips that can help reduce your risk of back pain. These include:

  • stopping smoking if you smoke – it increases your risk of arthritis

  • managing your weight if you’re obese

  •  looking after any health condition that can cause pain, such as arthritis

  • stretching and warming up before activity or sports, then stretching and cooling down afterwards

  • wearing the right protective gear when playing sports

  • stopping what you’re doing if your back hurts

Complications are most likely to come if you don’t get your back pain diagnosed and treated, or manage the underlying health condition as well as possible. These might include worsening of the pain, or making the damage worse.

Your consultant will talk you through any potential complications of treatments you may need to manage the pain, such as medications or surgery.

Once your consultant has identified the root cause of your back pain, they’ll recommend the most appropriate next steps and will arrange treatment to ensure you make the best possible recovery.

Treatment options for back pain include:

  • condition-specific medication for issues such as endometriosis, kidney infections and rheumatoid arthritis

  • medications such as pain relief, anti-inflammatories and muscle relaxers

  • physiotherapy

  • injections to relieve pain and inflammation

  • nerve stimulation

  • a range of surgical options

Our consultants have access to multidisciplinary teams who can be brought in to support your personalised pain management plan.

At Welbeck, our pain medicine specialists are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

Get in touch today to book an appointment.

Our specialists

    Our locations

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    London

    1 Welbeck Street
    Marylebone
    London
    W1G 0AR

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    Frequently asked questions

    There are several things you can do to help ease back pain that comes on without an obvious cause and doesn’t feel too severe to stop you from going about your day:

    • try soothing pain and swelling with an ice pack wrapped in a tea towel for 15 minutes at a time, a few times a day

    • for joint stiffness, muscle spasms or period pain, try a hot water bottle wrapped in a tea towel or cover

    • take anti-inflammatory medicine like ibuprofen 

    • avoid staying in bed or sitting for long periods – gentle activity is often helpful

    • get exercises from a physiotherapist for your specific kind of pain to do at home

    Most cases of back pain will gradually improve within a few weeks with self-care, at-home treatment, and exercises. However, you should make an appointment with a consultant as soon as possible if your back pain:

    • has come on after a traumatic injury, such as a fall

    • lasts longer than 3 weeks

    • is very severe and doesn’t ease with rest

    • radiates down one or both legs, especially past the knee

    • causes weakness, numbness, or tingling in one or both legs

    • happens alongside unexplained weight loss

    • causes new bowel or bladder issues

    • is paired with a fever

    • you also notice a change in your ability to get an erection or ejaculate

    • you find a loss of genital sensation during sex

    Epidural injections during birth – or for other back pain management – can cause pain and swelling at the site of the injections for a few days, but this is usually temporary. There are many reasons why women have post-birth back pain, such as their centre of gravity being out of alignment, pressure from pregnancy weight gain, changes in the pelvis, and after-effects of hormones that soften the ligaments during pregnancy.

    There’s a rare risk of nerve damage being caused by an epidural injection or post-injection infection, but it’s rare. Whatever procedure your consultant may recommend for back pain during pregnancy and birth – or for back pain management where an injection might be part of a recommended solution – they’ll explain any risks to you based on your health history.

    Acute pain is a shorter-term pain that can usually be explained by an injury or illness. It’s often relieved by medicines and usually goes away within 12 weeks.

    Chronic pain is a longer-lasting pain that can’t always be clearly explained and may not be helped as effectively by medicines alone. It may have more than one cause, and it can be more complex to manage – often affecting your mental wellbeing as well as your physical wellbeing.

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