
The Back
Pain
Strategy
Assessment
For people with persistent or recurring back pain who want clarity — not guesswork.
This team is second to none. Helped me get out of consistent low back/glute pain. Can't thank them enough! Would recommend to anyone looking for a great physio team!
Why this assessment exists
Many people with persistent back pain feel unsure what to do next.
You may have already tried physiotherapy, exercises, medication, or treatment without lasting improvement.
In these situations the most important step is often not simply doing more treatment — it is understanding why recovery has stalled.
The Back Pain Strategy Assessment is designed to provide that clarity.
What happens during the assessment
During the assessment we will explore your situation in detail, including:
• the history of your symptoms
• previous treatment and rehabilitation
• movement patterns and spinal control
• strength and tolerance to load
• factors that may be preventing recovery
This helps identify the stage at which recovery may have stalled.
What the assessment helps determine
The assessment aims to answer several important questions:
• why your back pain has not resolved
• what factors are currently maintaining symptoms
• whether a structured rehabilitation approach may help
• what the most appropriate next step may be
What you will leave with
Following the assessment you will receive:
• a clear explanation of your presentation
• an honest recommendation for next steps
• guidance on whether the Structured Spinal Rehabilitation Pathway may be appropriate.
If rehabilitation is recommended
For some people, symptoms persist because spinal support, movement confidence, or tolerance to load have been reduced.
In these cases, a structured rehabilitation programme may help rebuild these capacities in a progressive way.

What happens during the assessment
During the assessment we will explore your situation in detail, including:
• the history of your symptoms
• previous treatment and rehabilitation
• movement patterns and spinal control
• strength and tolerance to load
• factors that may be preventing recovery
This helps identify the stage at which recovery may have stalled.
The assessment aims to answer several important questions:
• why your back pain has not resolved
• what factors are currently maintaining symptoms
• whether a structured rehabilitation approach may help
• what the most appropriate next step may be
What the assessment helps to determine
What you will leave with
Following the assessment you will receive:
• a clear explanation of your presentation
• an honest recommendation for next steps
• guidance on whether the Structured Spinal Rehabilitation Pathway may be appropriate.
If rehabilitation is recommended
For some people, symptoms persist because spinal support, movement confidence, or tolerance to load have been reduced.
In these cases, a structured rehabilitation programme may help rebuild these capacities in a progressive way.

Specialist Spinal Assessment, Treatment & Rehabilitation
At The Back Lab, we believe that back pain is not something you have to live with. Whether your pain is recent or long-standing, we uncover the true cause, relieve discomfort fast, and rebuild the stability your spine needs for long-term health.
Led by Hazel Amper, Specialist Spinal Physiotherapist with over 30 years of clinical experience, our approach is thorough, scientific, and bespoke — built around your unique movement patterns, weaknesses, and anatomy.
Why The Back Clinic Is Different
Most back pain care focuses only on the site of pain. We go to the symptom and beyond to find out why it started in the first place.
Our Dual-Diagnosis Approach
Every patient receives two diagnoses — because lasting recovery requires understanding:
1.What is wrong
Structural Diagnosis. What you might see on an MRI or X-ray — for example:
-
Bulging or herniated disc
-
Facet joint irritation
-
Spinal stenosis or degeneration
-
Nerve compression or inflammation
2.Why
Functional Diagnosis. The reason that structure became overloaded — e.g. weak stabilisers, poor movement control, tight or inhibited muscles, postural compensations, or inefficient load transfer through the kinetic chain.
By treating both, we address not just the pain, but the underlying dysfunction that caused it — changing the course of your spinal health for the long term.
How we apply this
Through a head-to-toe assessment, we: Identify the injured area, assess the stage of healing and apply the correct treatments and provide the best advice to efficiently progress you, through the recovery stages.
We test for mechanical imbalances, postural faults, and muscular weaknesses that cause your spine to overload.
Then, we build a personalised plan to correct them — so your back not only heals, but stays healthy.
-

Your Journey at The Back Clinic
🔹 Specialist Spinal Assessment
To identify the true source of pain
every patient journey begins with a Back Pain Strategy Assessment - A Comprehensive Spinal Assessment, which includes:
-
Detailed history & discussion of your pain
-
Structural and functional analysis
-
Head-to-toe movement testing
-
Immediate hands-on treatment
-
A clear, personalised recovery plan
From there, we’ll guide you step by step — combining hands-on therapy, scientific rehab, and postural education to ensure your spine is supported, stable, and strong.
Spinal Treatments
Our expert team uses a combination of clinical and restorative therapies to get you moving again.
🔹 Hands-on therapy
To reduce inflammation, stiffness and spasm
-
Manual Spinal Therapy – hands-on spinal mobilisation, release, and realignment
-
Physio-Release Techniques – free up your soft tissue restrictions through targeted hands-on work
🔹 Healing therapies
To speed up the healing process
-
Laser Therapy – accelerates healing and reduces inflammation
-
Spinal Acupuncture – calms nerves, releases spasm, and promotes recovery
🔹 Rehabilitative strength work
To rebuild deep spinal support
🔹3-Week Staged Based Spinal Rehabilitation
For those ready to commit to full spinal transformation, we offer our — a structured, intensive programme designed to eliminate pain, rebuild support, and restore confident movement. You’ll receive one-to-one expert care, daily guidance, and a complete framework for lasting spinal health. 👉 [Learn more about the Staged Based Spinal Rehabilitation].
🔹 Movement retraining
To correct faulty loading patterns
-
Reformer Rehabilitation – strengthens spinal support and improves control
-
Posture & Movement Training – retrains patterns for long-term stability
🔹 Education so you understand your spine —
and how to protect it and keep it safe
-

Our specialist spinal programme is ideal for
✅ Those with chronic or recurring back pain with flare-ups
✅ Those with sudden, severe low back or leg pain (sciatica)
✅ People with disc injuries, sciatica, or spinal degeneration
The programme is designed for anyone experiencing back pain, spinal discomfort, or recurring flare-ups. If your body feels stuck, tight, or unstable (especially if you’ve tried other treatments without lasting relief) — and you’re ready to understand why — this is the place to start.
Conditions We Commonly Treat
We successfully treat all spinal and back-related conditions, including:
-
Disc injuries (bulging, herniated, compressed)
-
Sciatica and nerve entrapment
-
Spinal degeneration
-
Spinal stenosis
-
Hypermobility and instability
-
Postural and mechanical back pain
-
Scoliosis and kyphosis curvatures
-
Schuerman’s condition
-
Facet joint arthopathy
-
Spondylitis
-
Spondylolisthesis
-
Spinal conditions arising from infectious disease (Lymes disease, Long Covid)
-
Spinal injury as a result of trauma (falls, road traffic accident)
Those we regularly treat include:
✅ Desk-based workers with stiffness, poor posture, or tension
✅ Athletes and active individuals managing overload or imbalance
✅ Postnatal and menopausal clients, and rebuilding core strength and spinal support in the presence of physiological challenges driven by hormonal imbalances.
✅ Those living with hypermobility or structural conditions
✅ Those with long term posture issues
✅ Children and teenagers with early onset spinal pain and instability
-

Thorough Treatment Strategy
1. Relieve Pain & Calm the System
We start by easing pain, stiffness, and protective muscle spasm through targeted manual therapy, spinal release techniques, laser, and acupuncture. This allows the nervous system to settle and the body to accept corrective work.
2. Identify & Correct Weak Links
Next, we conduct a whole-body analysis — identifying muscular imbalances, joint restrictions, and postural deviations that overload your spine. We then introduce activation and alignment strategies to restore efficient movement.
3. Rebuild Strength & Support
Through 1:1 Reformer Rehab and functional strength training, we strengthen the key stabilisers that protect your spine — teaching your body how to move, lift, and live without pain. This can be carried out at home, in the studio or within our Staged Based Spinal Rehabilitation.
4. Rewire Movement & Maintain Health
Finally, we integrate everything into real-life function — posture, walking, bending, exercise, and sport — using movement re-education, functional exercise training and Posture Courses that give you control for life.

Why Patients Choose The Back Clinic
-
30 years of spinal expertise
-
Evidence-based methods that deliver results
-
Root-cause diagnosis and correction
-
Hands-on care combined with intelligent exercise
-
Personalised, one-to-one attention
-
Trusted by thousands, with a full diary and waiting list
We’re not just treating your back — we’re retraining your body to move the way it was designed to.
-

Ready to Transform Your Back?
You don’t have to keep chasing short-term fixes. With expert support, a structured plan, and daily action, you can build a strong, stable, pain-free spine in just three weeks.
📞 Call 0207 101 4046
💻 Book: online at backlab.co.uk
✉️ Email: support@backlab.co.uk
Spaces are limited due to the one-to-one nature of this programme. Take the first step — book your assessment today and start your complete rehabilitation journey.

Specialist Spinal Assessment, Treatment & Rehabilitation
At The Back Lab, we believe that back pain is not something you have to live with. Whether your pain is recent or long-standing, we uncover the true cause, relieve discomfort fast, and rebuild the stability your spine needs for long-term health.
Led by Hazel Amper, Specialist Spinal Physiotherapist with over 30 years of clinical experience, our approach is thorough, scientific, and bespoke — built around your unique movement patterns, weaknesses, and anatomy.
Why The Back Clinic Is Different
Most back pain care focuses only on the site of pain. We go to the symptom and beyond to find out why it started in the first place.
Our Dual-Diagnosis Approach
Every patient receives two diagnoses — because lasting recovery requires understanding:
1.What is wrong
Structural Diagnosis. What you might see on an MRI or X-ray — for example:
-
Bulging or herniated disc
-
Facet joint irritation
-
Spinal stenosis or degeneration
-
Nerve compression or inflammation
2.Why
Functional Diagnosis. The reason that structure became overloaded — e.g. weak stabilisers, poor movement control, tight or inhibited muscles, postural compensations, or inefficient load transfer through the kinetic chain.
By treating both, we address not just the pain, but the underlying dysfunction that caused it — changing the course of your spinal health for the long term.
How we apply this
Through a head-to-toe assessment, we: Identify the injured area, assess the stage of healing and apply the correct treatments and provide the best advice to efficiently progress you, through the recovery stages.
We test for mechanical imbalances, postural faults, and muscular weaknesses that cause your spine to overload.
Then, we build a personalised plan to correct them — so your back not only heals, but stays healthy.
-

Your Journey at The Back Clinic
🔹 Specialist Spinal Assessment
To identify the true source of pain
every patient journey begins with a Back Pain Strategy Assessment - A Comprehensive Spinal Assessment, which includes:
-
Detailed history & discussion of your pain
-
Structural and functional analysis
-
Head-to-toe movement testing
-
Immediate hands-on treatment
-
A clear, personalised recovery plan
From there, we’ll guide you step by step — combining hands-on therapy, scientific rehab, and postural education to ensure your spine is supported, stable, and strong.
Spinal Treatments
Our expert team uses a combination of clinical and restorative therapies to get you moving again.
🔹 Hands-on therapy
To reduce inflammation, stiffness and spasm
-
Manual Spinal Therapy – hands-on spinal mobilisation, release, and realignment
-
Physio-Release Techniques – free up your soft tissue restrictions through targeted hands-on work
🔹 Healing therapies
To speed up the healing process
-
Laser Therapy – accelerates healing and reduces inflammation
-
Spinal Acupuncture – calms nerves, releases spasm, and promotes recovery
🔹 Rehabilitative strength work
To rebuild deep spinal support
🔹3-Week Programme
For those ready to commit to full spinal transformation, we offer our — a structured, intensive programme designed to eliminate pain, rebuild support, and restore confident movement. You’ll receive one-to-one expert care, daily guidance, and a complete framework for lasting spinal health. 👉 [Learn more about the Staged Based Spinal Rehabilitation]
🔹 Movement retraining
To correct faulty loading patterns
-
Reformer Rehabilitation – strengthens spinal support and improves control
-
Posture & Movement Training – retrains patterns for long-term stability
🔹 Education so you understand your spine —
and how to protect it and keep it safe
-

Our specialist spinal programme is ideal for
✅ Those with chronic or recurring back pain with flare-ups
✅ Those with sudden, severe low back or leg pain (sciatica)
✅ People with disc injuries, sciatica, or spinal degeneration
The programme is designed for anyone experiencing back pain, spinal discomfort, or recurring flare-ups. If your body feels stuck, tight, or unstable (especially if you’ve tried other treatments without lasting relief) — and you’re ready to understand why — this is the place to start.
Conditions We Commonly Treat
We successfully treat all spinal and back-related conditions, including:
-
Disc injuries (bulging, herniated, compressed)
-
Sciatica and nerve entrapment
-
Spinal degeneration
-
Spinal stenosis
-
Hypermobility and instability
-
Postural and mechanical back pain
-
Scoliosis and kyphosis curvatures
-
Schuerman’s condition
-
Facet joint arthopathy
-
Spondylitis
-
Spondylolisthesis
-
Spinal conditions arising from infectious disease (Lymes disease, Long Covid)
-
Spinal injury as a result of trauma (falls, road traffic accident)
Those we regularly treat include:
✅ Desk-based workers with stiffness, poor posture, or tension
✅ Athletes and active individuals managing overload or imbalance
✅ Postnatal and menopausal clients, and rebuilding core strength and spinal support in the presence of physiological challenges driven by hormonal imbalances.
✅ Those living with hypermobility or structural conditions
✅ Those with long term posture issues
✅ Children and teenagers with early onset spinal pain and instability
-

Thorough Treatment Strategy
1. Relieve Pain & Calm the System
We start by easing pain, stiffness, and protective muscle spasm through targeted manual therapy, spinal release techniques, laser, and acupuncture. This allows the nervous system to settle and the body to accept corrective work.
2. Identify & Correct Weak Links
Next, we conduct a whole-body analysis — identifying muscular imbalances, joint restrictions, and postural deviations that overload your spine. We then introduce activation and alignment strategies to restore efficient movement.
3. Rebuild Strength & Support
Through 1:1 Reformer Rehab and functional strength training, we strengthen the key stabilisers that protect your spine — teaching your body how to move, lift, and live without pain. This can be carried out at home, in the studio or within our signature Back Boot Camp intensive course.
4. Rewire Movement & Maintain Health
Finally, we integrate everything into real-life function — posture, walking, bending, exercise, and sport — using movement re-education, functional exercise training and Posture Courses that give you control for life.

Why Patients Choose The Back Lab
-
30 years of spinal expertise
-
Evidence-based methods that deliver results
-
Root-cause diagnosis and correction
-
Hands-on care combined with intelligent exercise
-
Personalised, one-to-one attention
-
Trusted by thousands, with a full diary and waiting list
We’re not just treating your back — we’re retraining your body to move the way it was designed to.
-

Ready to Transform Your Back?
You don’t have to keep chasing short-term fixes. With expert support, a structured plan, and daily action, you can build a strong, stable, pain-free spine in just three weeks.
📞 Call 0207 101 4046
💻 Book: online at backlab.co.uk
✉️ Email: support@backlab.co.uk
Spaces are limited due to the one-to-one nature of this programme. Take the first step — book your assessment today and start your complete rehabilitation journey.




The Back Lab
Contact
Address | 65 Princess Road, London NW1 8JS
Tel (calls) | 0207 101 4046
Tel (texts) | 07376 703 970
Email | support@backlab.co.uk
Contact
Address | 65 Princess Road, London NW1 8JS
Tel (calls) | 0207 101 4046
Tel (texts) | 07376 703 970
Email | support@backlab.co.uk
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Why this assessment exists
Many people with persistent back pain feel unsure what to do next.
You may have already tried physiotherapy, exercises, medication, or treatment without lasting improvement.
In these situations the most important step is often not simply doing more treatment — it is understanding why recovery has stalled.
The Back Pain Strategy Assessment is designed to provide that clarity.













