Low back pain with Exercises is one of the highest search terms on Google.   Your exercises depends on your lower back examination which includes your posture, gait (walking) active movements which should include the Stork Test for suspect Pars Stress Fractures , Lumbar joint Facet mechanical inflammations  Slump test, Myotomes which is your strength in your muscles   The tests for your strength in your muscles is 1, Single Leg Standing 2. Single leg squat  3 Single Plantar Flexion  this is the ability for you to stand on your tip toes   this is often not possible in the older age group or if the pain is unbearable   If one supports oneself with a chair then it is safer

Helen uses this examination form or  low back pain too find out if you are ready for back exercises or if you require to be referred back to your General Practitioner. As you can see from this clinical examination form one must go through a thorough examination before considering any exercises. You will see that one can fill in an questionnaire about your back pain and the limitations is may give you in your Daily Life Activities  You will see diagrams of the different types of Lumbar Disc Herniations and some do require urgent surgery and some will reduce in size but it takes a good 6 months to a year.   Helen has included in this page  a current Evidence Level 1 Paper from the Spine in which is shows that it takes a minimum of 6 months to a year for a lumbar disc sequestration to reduce in size.   During this time it is important not to do any aggressive exercises as this may prevent the disc material from being slowly reabsorbed by the body

Helen uses Physitract which is mini videos clips for your low back pain  which can be sent to your computer or smart phone, you can send her encrypted messages about which exercises increases your pain or fill in a low back pain questionnaire of which Helen has uploaded one well know low back questionnaire   This is particularly useful for Private Health Insurance or even to show to your General Practitioner or your Consultant for monitoring your weekly or monthly changes in pain levels for good clinical insight and information for medical purposes






























The exercises are selected very carefully depending if you have the worst, most unbearable pain to mild pain or medium pain. There are a wide range of exercises including advice on how to get up from the lying to a sitting position and vice versa how to stand up from a sitting position. It is part of the NICE Guidelines that we all encourage sensible exercises

By using Physitract. The feedback is extremely encouraging. As you can message Helen and tell her which exercises are increasing the pain and which are decreasing the pain. Also, you need fewer sessions of treatments which reduces the costs for you and some people find just one or two sessions is enough because they are happy to follow these wonderful video clips which arrived safely on their computer or their smart phone

You can also fill in the pain chart questionnaires, which is much appreciated by the Private health insurance companies






Different Back Pain History depending on Case History Examination Assessment and any Imaging Reports 


so your exercise prescription depending on your own personal circumstances and considerations
























Reviews from Edinburghonline

Edinburgh Osteopath Helen How has over twenty-eight years experience of treating patients at the How Osteopathic Clinic (Trinity Edinburgh). Registered Osteopath Helen combines the latest advances in osteopathy with a gentle patient-centred approach to diagnosis and treatment ensuring that osteopathic treatment at the How Clinic is suitable for a wide-range of conditions including; back pain, neck pain, shoulder pain, knee conditions Helen uses Video Clips exercises educational information and outcome which is sent to your computer smartphone or iphone if you wish Treatment at the How Osteopathic Clinic is tailored to the individual and where necessary uses a combination of osteopathic techniques including, Traditional Osteopathy, Cranial Osteopathy, Electrotherapy, Vibrotherapy and Sports Remedial Massage. The holistic approach to osteopathy at the How Osteopathic Clinic, in addition to a full one hour treatment sessions, is designed to alleviate symptoms rapidly and can often significantly reduce the number of osteopathic treatments required. One of the few Osteopaths in Edinburgh and in Britain who uses the unique, gentle fleximatic vibrotherapy or shockwave therapy massage equipment combined with traditional osteopathic techniques in order to to find, feel and palpate those hard fibrotic bands of muscles which accumulate over the years of prolonged sitting, Helen has attended conferences held throughout the country; Helen has been using Shockwave Therapy for over 3 years now for Patella Tendons , Achilles Tendons Plantar Fasciitis and Tendon pain Hips, Upper Proximal Hamstring tendinopathy along with rehabilitation loading Contact Helen How, Registered Osteopath, 14 Craighall Gardens, Edinburgh EH6 4RJ To make an appointment contact Helen on 131 551 1044 or Text /Call 07889304762