Back and Neck Pain Physio in Hackney
Back and neck pain is one of the most common reasons people in Hackney and East London come to see us, whether it has crept in from a desk job, flared up after a heavy training block.
- No GP referral needed
- Physio-led assessment
What is back and neck pain
Back and neck pain ranges from a stiff neck to persistent lower back pain that limits how you sit, lift or run. Common causes include muscle and joint strain, postural load and disc-related irritation. NHS guidance suggests staying as active as you comfortably can rather than resting completely. Seek urgent medical attention if back pain comes with loss of bladder or bowel control, saddle numbness or progressive leg weakness.
At your first assessment we take a full history of how your pain started, what changes it and what you need your back or neck to do. We assess movement, strength and posture, screen for anything needing onward referral, and explain what we think is going on before agreeing a plan together.
Recovery depends on how long you have had symptoms and what is driving them, but most people notice meaningful improvement within a few weeks of consistent treatment and home exercise. We give a realistic sense of timeframes at your first session, not a guarantee, and track progress against your goals.
How we treat back and neck pain
Treatment is built around you and usually combines:
Reduce pain and restore movement in the spine and surrounding joints.
Build resilience in the muscles supporting your back and neck.
An alternative or complementary manual therapy approach where appropriate.
Ease muscular tension contributing to stiffness.
For some patients, as part of a broader pain management plan.
Bridge you from pain relief back into strength training or running.
What our patients say
“I cannot recommend Joana highly enough. From my first appointment, Joana was professional, knowledgeable and genuinely invested in my recovery. She took the time to thoroughly assess my injury, explained the cause and created a tailored plan which resulted in a full recovery.”
Posted on Google“Joana is a wonderful physio! She guided me through my entire rehabilitation following ankle surgery. I started out in a wheelchair, and within just a handful of weeks, I was back to exercising thanks to her extensive hands-on treatment.”
Posted on Google“Sajj is honestly second to none! I'm a runner and work in finance so suffer from various pains from hip bursitis to neck pain due to stress and everything in between… Sajj (unlike many physios) takes a holistic approach and really reads into the root cause.”
Posted on GoogleFrequently asked questions
Do I need a GP referral to see a physio for back or neck pain?
Is it safe to keep exercising with back or neck pain?
How many sessions will I need?
What should I bring to my first appointment?

Better Flow Physio
Unit 3, 430 Hackney Road, London E2 6QL
Let's get you moving again
Book an appointment online, or get in touch and we will come back to you the same working day.