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Treatment provided

The mainstay of our treatment is hands-on therapy (massage, mobilisation and manipulative adjustment) and specific exercise rehabilitation. The following describes the role of the differing techniques used by some of our Back Pain Team here at Team Buckley.

Treatment technique(s) applied and exercises provided are always specific to the individual presentation, the diagnosis made and the patient’s consent.

Spinal Manipulation

This is commonly described by differing therapies as high velocity thrusts, grade 5s and spinal adjustments. These spinal manipulation techniques are the most renowned among patients for involving an often audible pop and crack known as cavitation.

These techniques involve manipulating a specific joint. Several theories exist as to the effects of these techniques, such as muscle relaxation, pain modulation, increased joint mobility and nerve release; however, the exact effects of manipulation are unclear. Many clients inform of benefiting from these techniques for non-serious back aches and pains. Manipulation/mobilisation has shown to be effective in adults for acute/sub-acute and chronic low back pain, as well as headaches and migraines arriving from the neck.

Only appropriately trained and registered therapists who are skilled in these particular techniques should perform this kind of treatment. In some back pain presentations, these techniques are not recommended, especially where there is a risk to the nerve roots and/or spinal cord.


Graded mobilisation techniques can be passive or active, and are performed within a patient’s pain-free range of motion with the aim of increasing or maintaining spinal/joint mobility. These techniques are graded and specific to the individual’s pain level and/or mobility restriction.


A variety of different techniques can be used with the aim of increasing muscle/joint flexibility; these will often be included in the treatment. However, we will also provide specific stretches for you to do at home/work/the gym etc. to maintain the achieved progress.

Massage techniques

Ideal for relieving muscular tension, we will use a variety of specific techniques from superficial to deep (depending upon the pain presentation) to achieve muscle relaxation.

Core stability/Pilates

Used as a tool for rehabilitation purposes. Research has shown the importance of strong “core muscles” to support the spine and movement in low back pain sufferers.
The purpose of the core exercises is to teach you how to identify and effectively recruit these muscles through a series of exercises. When these muscles are strong, you will develop stability throughout your entire torso.
Initially, you will be taught on a one-to-one basis; however, once your pain and base level of stability is controlled, you will have the option to join a class run by one of our therapists off-site, or to attend a class at your local gym where we will liaise with the instructor for you.


This involves the insertion of needles into or through the skin at specific sites with the aim of providing short-term relief for low back pain, tension-type headaches, and migraine headaches, and to improve wellbeing and relaxation.


Ultrasound and/or laser may be used in combination with other techniques for therapeutic reasons; however, we believe these modalities are unlikely to reach the back pain complaints, which involve deep structures.

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