Most back pain is mechanical, not structural. We find which movement is overloading your spine, unload it, then rebuild the muscles that failed to protect it.
Most back pain is mechanical, not structural. We find which movement is overloading your spine, unload it, then rebuild the muscles that failed to protect it.
Your spine is a stack of 24 mobile bones cushioned by discs and held upright by deep stabiliser muscles. When those stabilisers switch off — from long sitting, a sudden lift, or an old injury you never fully rehabbed — load transfers to structures that were never designed to carry it. The disc, facet joint or muscle protests. That protest is your pain.
Load concentrates on one segment; the disc and joint become irritable.
These are uncommon, but they need medical assessment rather than physiotherapy. If you are not sure, call us on +91 86193 28981 and we will tell you honestly where to go.
Most people arrive having been told only what is wrong on a scan. What matters clinically is which of these is driving your particular case.
No two programmes are identical, but every one is built from these components in this order.
We test which specific directions and loads reproduce and relieve your pain. Scans show structure; they cannot show which movement is driving your symptoms. A large share of pain-free adults have disc bulges on MRI — the scan is a data point, not the diagnosis.
Manual therapy, dry needling, IFT/TENS and controlled traction where indicated. This phase exists only to open a window in which real loading becomes possible — it is never the whole treatment.
We identify the movement direction that centralises your symptoms and prescribe it as homework, then progressively reload the spine so it tolerates real life instead of avoiding it.
Transversus abdominis, multifidus and gluteal re-education using real-time feedback, progressing to loaded hinge and carry patterns.
Desk setup, driving position, lifting mechanics, and a maintenance programme you actually keep doing because it takes eight minutes.
A typical progression, not a promise. Your plan is set after assessment and re-checked every two weeks — if the line is flat, we change the plan.
Days 1–7
Reduce pain intensity and protective spasm
You should be able to: Sleeping through the night; sitting 30 minutes without a flare
Weeks 2–4
Recover pain-free range and normal walking gait
You should be able to: Bending to pick something off the floor without bracing
Weeks 4–8
Load tolerance — strength in the positions that used to hurt
You should be able to: Lifting, carrying and climbing stairs confidently
Weeks 8–12
Independence with a maintenance programme
You should be able to: Discharged with a home routine and a clear plan if pain returns
Individual results vary. How long you have had the symptoms, other health conditions, and how consistently you do the home programme all change this timeline — often substantially. We will give you a personalised estimate in writing after your assessment, and revise it honestly if progress is slower than expected.
Typical ranges from clinical evidence and our own caseload. Your results depend on how long you have had the problem, what else is going on, and how consistently you do the programme.
9 in 10
Report meaningful pain reduction
Within the first 3 sessions, for mechanical low back pain
6–8 weeks
Return to full daily activity
Typical for a first episode with good adherence
85%+
Avoid surgical referral
Of non-red-flag cases presenting to our centre
If your question is not here, send it on WhatsApp. A physiotherapist answers, usually within the hour during centre hours.
Usually no. Unless you have red-flag signs or persistent nerve symptoms, imaging rarely changes the plan for mechanical back pain — and abnormal findings are extremely common in people with no pain at all. We will tell you clearly if a scan is genuinely indicated.
A 45-minute assessment, a clear explanation of what we found, and a written plan with an estimated number of sessions. No packages sold on day one.
Open Mon–Sat 9:00–19:00 · Home visits available · Cashless insurance accepted