Back Pain
Accreditations & Memberships

A musculoskeletal assessment is the essential starting point for anyone dealing with pain, injury, or a movement problem that just will not go away. Rather than guessing what is wrong, a proper assessment gives you a clear diagnosis, a personalised plan, and the confidence to know exactly what needs to happen next.
At Optimised Wellbeing, every MSK assessment is delivered one-to-one with Tom, focused entirely on identifying the root cause and getting you moving properly again.
Common Back Pain Conditions Treated
Back pain rehabilitation may help with:
- Ongoing or recurrent lower back pain
- Disc-related back pain and sciatica
- Stiffness or pain with sitting, standing, or bending
- Back pain related to sport or physical work
- Muscle strains and overload
- Postural or load-related back pain
- Returning to activity after a flare-up
If you are unsure whether sports rehabilitation is appropriate for your back pain, get in touch for advice.
Why Back Pain Often Persists
Back pain rarely comes from the back alone. Symptoms often persist due to:
- Reduced strength or control around the trunk and hips
- Limited movement or stiffness in the hips or thoracic spine
- Poor load tolerance with daily activities or training
- Changes in activity levels, training, or routine
- Fear or avoidance of movement following pain
Rest alone may reduce symptoms temporarily. Without addressing these contributing factors, pain almost always returns.
Tom's Approach to Back Pain Rehabilitation
Rehabilitation begins with a detailed assessment, looking at:
- How your lower back moves and tolerates load
- Strength and control through the trunk and hips
- Contribution from the hips, pelvis, and lower limbs
- Functional movements such as bending, lifting, and walking
Treatment is individualised and may include:
- Hands-on manual therapy where appropriate
- Progressive strengthening and load management
- Movement and control exercises
- Guidance on activity modification and graded return
The goal is to reduce pain, restore confidence in movement, and build lasting resilience.
Back Pain Rehabilitation for Active Individuals
Physical work and sport place repetitive load through the lower back, hips, and pelvis. Reduced strength, fatigue, or poor movement patterns can all contribute to back pain during training or on the job.
Rehabilitation helps:
- Improve trunk and hip strength
- Reduce stress on the lower back
- Support consistent training and performance
- Manage flare-ups without stopping activity unnecessarily
Rehabilitation is tailored to your demands, whether you are training, working physically, or simply trying to get through the day without pain.
What to Expect from Your Appointment
- A thorough back and movement assessment
- Clear explanation of what is contributing to your pain
- A personalised rehabilitation plan
- Ongoing support and progression as you improve
You will leave with clarity, confidence, and a structured plan to move forward.
Book Back Pain Rehabilitation
If back pain is limiting your movement, training, or everyday life, sports rehabilitation can help.
Appointments are available at The Engine Works in Wrexham, with sessions running Monday to Saturday.