Managing back pain at our osteopathy clinic London
- Rakhee

- May 22, 2023
- 2 min read

Back pain is extremely common and can affect daily comfort, mobility, work, and sleep. Musculoskeletal issues may involve the muscles, joints, ligaments, tendons, and nerves, and back pain is often described as one of the leading causes of disability. Many adults experience at least one episode of back pain in their lifetime, and some people develop longer-term or recurring symptoms.
For anyone searching for an osteopath clinic London, Rakhee Osteopathy in London W1 offers assessment-led osteopathic care for back pain, with treatment tailored to the individual’s symptoms, history, and clinical findings.
Common Types of Back Pain
Back pain is often grouped by location, although the underlying causes can vary.
Lower back pain
Lower back pain is typically felt from the lower ribs to the top of the legs. It may be associated with:
Muscle strain or ligament sprain (for example, after lifting, twisting, or a sudden awkward movement)
Postural strain and reduced tolerance to sitting or standing
Recurring “mechanical” pain linked to how the joints, muscles, and surrounding tissues are functioning
Many acute episodes settle within days or weeks. If symptoms persist, return frequently, or significantly limit day-to-day activity, an osteopathic assessment can help clarify likely contributing factors and guide a management plan. Where symptoms suggest a non-musculoskeletal cause (for example, some kidney-related conditions), referral to a GP or urgent medical assessment may be recommended.
Upper back pain
Upper back pain (thoracic pain) occurs between the shoulder blades and the area between the neck and waist. It may be linked to:
Long-standing postural strain
Soft tissue irritation after injury (including whiplash)
Muscle and joint restrictions affecting the thoracic spine and rib mechanics
In some cases, underlying inflammatory or degenerative conditions that require medical input
Symptoms range from mild stiffness to more limiting pain. A clinic-based assessment helps determine whether the presentation appears mechanical in nature, whether further investigation is advisable, and what approach is most appropriate.
What Happens at an Osteopathy Appointment in London W1
At Rakhee Osteopathy, a back pain appointment typically involves:
Questions about symptom history, patterns, aggravating factors, and general health
A physical examination to assess movement, joint function, soft tissues, and contributing areas
A tailored plan that may include hands-on osteopathic treatment where clinically appropriate, alongside practical guidance suited to the individual
Any onward referral or shared-care recommendation is made when findings suggest it is needed.
A Note on The Perrin Technique
Rakhee Osteopathy is also known for The Perrin Technique, an osteopathic approach used in the context of CFS/ME and Long Covid when clinically appropriate. It focuses on lymphatic drainage support, gentle cranial techniques, and autonomic nervous system regulation, following Dr Perrin’s structured protocol (often weekly sessions initially, and with the possibility of temporary symptom flare-ups before improvement). This approach is condition-specific and is not typically described as the primary treatment focus for straightforward mechanical back pain unless a practitioner identifies a relevant clinical reason.




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