12 Reasons Why Back Pain Persists
by Manny

It was a pleasure to have been asked to speak at Barclays House for their well being event. I presented the topic of back pain in the workplace, something so relevant to many organisations that employ office based workers.

Every organisation that employs people and requires them to sit for nearly 40 hours a week to undertake their duties needs to be aware of the risks associated with this. The implications such as staff sickness, reduced productivity and output from your staff and the financial implications can be significant.    

Equally, staff need more education on what they can do to help themselves and reduce the likelihood of being off work due to back pain.

The presentation started with 21 misconceptions of back pain and why pain can persist!

Here I have reduce them down to give you what I believe to be the 12 of the most important. These include:

•      #1 Thinking you will never get back pain

•      # 2 People not understanding the difference between symptoms and causes

•      # 3 Treating only the symptoms

•      # 4 being told medical misconceptions such as ‘I’ve one leg longer than another’ or ‘ my pelvis is out of alignment’

•      # 5 The bouts of pain previously are different and not related to this current episode

•      # 6 Thinking a scan will or has shown me what is wrong

•      # 7 Failing to resolve the issue the first time or not seeking advice early on

•      # 8 Pushing through the pain, ignoring it or not taking them seriously

•      # 9 ‘Googling’ the problem and being a Google Doctor

•      # 10 reluctant to see another therapist due to having poor outcomes with previous interventions

•      # 11 With long standing pains thinking you can only manage your condition

•      # 12 You are in no pain now therefore assume you have a healthy back and will not have any issues in the future

We looked at the 3 main factors that influence and cause back pain in the work place. These include:

1. Desk/ Chair set up which alters spinal posture  

2. Laptops / Mobile phone use and the effect it has on spinal loading

3. How low physical activity levels linked with long periods of sitting are a dangerous two combinations.  

 I provided the key solutions to overcoming back pain. These include:

1. Avoiding aggravating movements / activities when you have back pain

2. Hints and tips on posture. The fundamental technique of finding pelvic neutral in sitting.

3. Addressing the workstation, the importance of desk set up and use of standing stations.

4. Looking at movement patterns that reinforce effective back stability on a day to day basis

5. Giving 12 top tips to getting active and how to start on changing behaviours

6. Practical and evidence based exercises that improve spine mobility and strength.

 You can access the full presentation at:


Need help at your workplace?

I offer any Dorset based business a free workshop on back pain for their staff.

For more information on how I can help your staff with back pain in the workplace or all other questions please contact me.

Written by Manny

It started with a passion for fitness!

At the age of 17, Manny qualified as a fitness instructor and worked in a large multinational health club. Eager to learn about this industry he went on to university obtaining degrees in physiology and sports science from Leeds University, a YMCA personal training qualification and a Master’s degree in Physiotherapy from Robert Gordon’s University, qualifying as a Chartered Physiotherapist in 2005.

The next four years he was a rotational physiotherapist at Royal Salford Foundation Trust, implementing his skills in a variety of settings and departments with the hospital. Promoted into more specialist role Manny soon moved to Derby City PCT and worked with local GPs to manage people’s musculoskeletal pains.

He then progressed to working with the military and obtained the team lead role at Bovington Camp in Wareham. Whilst running a busy and complex department he obtaining more specialist qualifications in orthopaedic medicine, injection therapy and acupuncture. Manny observed very high standards of physiotherapy and rehabilitation within the military and wanted to transfer these services to everyday people.  So 2012 Urban Health & Fitness was created by Manny with the sole aim of doing this. 

Manny now specialises in treating people with complex back pain and particularly people suffering with pain after back surgery. He actively engages with people, organisations and companies to reduce the incidence of back pain for the long term. He aims to ensure that all organisations no matter how big or small can prevent their staff from the epidemic that is spreading.  

Manny also advises and sits on two boards for a medium sized social enterprise company in Hampshire who deliver a range of care, dental, well-being and transport services throughout the south of England.  He is also on executive team member for the Christchurch Chamber of Trade and Commerce.

Add a comment

Follow Urban