Chronic Back or Neck Pain Programme
A structured, five-step approach for long-standing spinal pain that hasn’t resolved with other treatment
Available at our Woodford, Chigwell, Gidea Park & Bow clinics. Find your nearest
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Chronic back and neck pain affects millions of people in the UK and can have a significant impact on quality of life, work and activity. If your pain has been present for more than three months, or if you have a recurring condition that keeps coming back, you have chronic pain by clinical definition.
This programme is designed for patients who have been struggling with persistent spinal pain, whether or not they have had previous treatment. Many of our chronic pain patients have seen GPs, physiotherapists or chiropractors elsewhere without lasting benefit. Our senior clinicians and specialist spinal team are experienced in these complex presentations.
Does This Describe You?
- You've been suffering with back or neck pain for a long time.
- You're experiencing frequent or continuous stiffness and aching, and aren't sure what to do or who to ask.
- You're frustrated that your pain is making simple things, like walking or getting up from a chair, difficult.
- You just want to get back to normal and do the things you love as soon as possible.
- You've tried medication or other therapies such as physiotherapy, chiropractic, massage or osteopathy, and these have had little effect.
- You're worried your pain isn't going to get better, and it's really getting you down.
Who This Programme Is For
This programme may be right for you if you are experiencing:
- Back or neck pain that has persisted for more than three months
- Spinal pain that keeps coming back after periods of improvement
- Ongoing stiffness, reduced mobility or functional limitations
- Pain associated with degenerative disc disease, facet joint changes or stenosis
- Spinal pain that has not responded adequately to other treatment
- A wish to reduce reliance on pain medication, avoid injections or explore non-surgical alternatives
The Five-Step Treatment Programme
Comprehensive Clinical Examination
The programme begins with a detailed medical case history and thorough clinical assessment including posture evaluation, spinal range of motion testing, orthopaedic and neurological testing. For chronic conditions we typically recommend MRI imaging to identify the underlying structural causes of pain, including disc changes, facet joint arthritis, ligament thickening, nerve compression, stress reactions and muscle deconditioning. We can arrange rapid access to MRI with expert radiological reports where you don't already have recent imaging.
Manual Therapy
The early treatment phase focuses on releasing stiff spinal segments, restricted muscles and tight fascial tissue through deep soft tissue techniques and joint mobilisation. In chronic cases, muscles adapt around the pain source and normal movement patterns become altered. Restoring movement and reducing protective muscle guarding is an important early step that makes subsequent treatment more effective.
Trigger Point Release
Chronic muscle tension creates persistent trigger points that refer pain to specific areas of the spine, buttocks and legs. Trigger point dry needling (medical acupuncture) or acupressure massage is used to release these trigger points, providing significant pain relief and allowing more effective manual therapy and exercise rehabilitation.
Advanced Electrotherapy
Advanced medical-grade electrotherapy plays an important role in chronic pain treatment by addressing tissue changes that manual therapy alone cannot reach. We use:
- IDD Spinal Decompression Therapy for disc-related chronic pain, to reduce disc pressure, promote disc rehydration and relieve nerve root irritation
- Focused Shockwave Therapy to stimulate healing in degenerated tendons, calcified tissues and chronic muscle conditions
- TECAR Therapy to promote deep tissue heating, circulation and cellular metabolic activity
- Class IV Laser Therapy to reduce inflammation and promote tissue repair at a cellular level
The combination of therapies used is tailored to your specific diagnosis and response to treatment.
Rehabilitation Exercises
Structured strengthening and flexibility exercises form a vital part of long-term recovery from chronic spinal pain. Chronic pain is associated with progressive deconditioning of the postural and core muscles that support the spine. Our rehabilitation programme rebuilds this foundation progressively, improving posture and core strength and equipping you with the tools to manage your spine independently.
What to Expect


Chronic conditions take longer to respond than acute ones. Significant improvement is typically seen within 6 to 10 sessions, with the programme usually running over 8 to 16 weeks depending on severity. Many patients continue with periodic maintenance treatment to keep on top of their condition long-term.
We will give you an honest assessment of your prognosis after your first appointment. If your condition is beyond the scope of conservative treatment, we will tell you and help you access the right specialist referral.
Common Questions About This Programme
Will my first appointment include treatment?
Whilst it's often important to start with a detailed case history and clinical examination, we will most certainly start your course of treatment at your first appointment. The only exception is where it comes to light during assessment that you have a contraindication for a particular treatment, in which case you'll only be charged the consultation fee or offered an alternative form of treatment.
Do I need a referral letter from my GP or consultant?
No, while it's “nice to have”, it's not necessary if you're a self-pay client. The vast majority of our self-pay clients seeking help for musculoskeletal pain simply call and book in (self-refer).
How frequent are the treatments you recommend?
For most conditions we generally recommend one or two treatments per week.
Will you try to sign me up to lengthy and expensive courses of treatment?
We may offer discounts on pre-booked blocks of sessions, but there are no high-pressure sales tactics involved, just plain, honest advice and incentives to keep things as economical as possible. Our approach is comprehensive and intense, and usually achieves quick results; you should start to see things turning around within 6 sessions or less.
What happens during my appointments?
You'll be greeted in reception, then taken through to the treatment room. For your first appointment a medical case history will be taken; for subsequent appointments you'll be asked for a brief progress report since your last visit. Your treatment session may then involve a combination of techniques (deep massage, joint manipulation, stretching, acupuncture or electrotherapy) depending on your individual treatment plan.
Is shockwave therapy safe?
The treatment is swift, non-invasive and highly efficient, meeting the safety standards set by the National Institute for Health and Care Excellence (NICE). It doesn't require anaesthesia, and there are no restrictions on activity on the day of treatment.
Looking for Chronic Back or Neck Pain Treatment Near East London or Essex?
Serving the local communities of Woodford Green, Theydon Bois, Buckhurst Hill, Waltham Cross, North Chingford, Ivy Chimneys, Coopersale, High Beech, Barkingside, North Weald, Waltham Abbey, Chingford, Woodford, Woodford Bridge, Loughton, Ilford, Wanstead, Chigwell Row, Chadwell Heath, Walthamstow, Clayhall, South Woodford, Redbridge, Gants Hill, Snaresbrook, Leytonstone, Whipps Cross, Grange Hill and Abridge.
Ready to get proper help for your chronic back or neck pain? Call 020 8506 1000 or book online. Open Mon–Fri 8am–8pm, Saturdays 9am–5pm.
Book NowWhy Choose Us For Your Chronic Back or Neck Pain Treatment

Long Established Family Run Local Business
Established in 2000, our highly experienced and knowledgeable team have great relationships with GPs and specialists in the local and London area.

Convenient Opening Hours Including Late Evening & Saturdays
We understand how busy life can be trying to schedule appointments around work and family commitments, so we offer a range of times.
Free Parking On Site, Close to Tube / Train Stations & Bus Stops
Our clinics are a short distance from Underground and train stations or local bus stops, and all have customer parking on site.





