Common problems we see
- Sudden lower back spasm (often after bending, lifting or a sneeze)
- Stiff, painful neck after sleeping awkwardly (wry neck)
- Ankle and knee sprains from sport or a misstep
- Muscle strains: hamstring, calf, shoulder or back
- Flare-ups of a long-standing back or neck problem
Why early care helps
Most recent back and neck pain is not caused by serious damage and improves within days to weeks. The way it is handled in the first days matters: long bed rest, fear of moving and guarding the painful area tend to slow recovery, while gentle movement guided by a physiotherapist usually speeds it up.
An early assessment also checks for the uncommon signs that need a doctor, so you can get on with recovery with confidence.
What happens at your visit
We ask how the pain started and what eases or worsens it, then examine your movement, strength and nerves. Treatment begins on the same visit and may include gentle hands-on techniques to ease muscle spasm, supportive taping, positions and movements that reduce pain, and clear advice on sleep, work and activity for the next few days.
You leave with a short set of exercises and a plan for what to do if the pain flares, and we tell you when to come back.
Getting back to normal
Once the pain settles, we move on to the cause: stiffness, weak muscles, how you lift or sit, or a training error in sport. Addressing it lowers the chance of the same problem returning.
How many sessions will I need?
Many people with a recent back spasm or neck strain need around 2 to 6 sessions over 1 to 3 weeks. Sprains and strains vary with severity; we give you an estimate after the first visit.
When to see a doctor first
Please see a doctor or go to an emergency department, rather than booking physiotherapy, if you have:
- Numbness around the groin or buttocks, or new bladder or bowel problems
- Pain after a significant fall, accident or blow
- Weakness or numbness in a leg or arm that is getting worse
- Fever, feeling unwell, or unexplained weight loss with the pain
- Chest pain, breathlessness, or pain that does not change at all with position or movement
- Being unable to put weight on a leg after an injury, or a joint that looks deformed
Frequently asked questions
Should I rest or keep moving with sudden back pain?
Keep gently moving within comfort. Short rest when pain is severe is fine, but long bed rest usually slows recovery. A physiotherapist can show you which movements are safe.
Should I use ice or heat for a back spasm?
Either can be used for comfort; there is no strong evidence that one is better. For a fresh sprain or strain with swelling, a cold pack in the first 48 hours is often more comfortable. Use whichever helps, for 15 to 20 minutes at a time.
How soon should I see a physiotherapist after an injury?
As soon as you can, ideally within the first few days. Early advice helps settle pain and avoid unhelpful habits. Go to a doctor or emergency department first if you have any of the warning signs on this page.
Do I need an X-ray or MRI for sudden back pain?
Usually not. Scans rarely change treatment for recent back pain without warning signs, and many scan findings are normal for your age. We will refer you to a doctor if your assessment suggests imaging is needed.
Can I go to work with acute back pain?
Often yes, with adjustments such as regular movement breaks and a supportive chair. Staying at work or returning early generally helps recovery. We can advise on your specific job.