Conditions We Treat
Low back pain is the leading cause of disability worldwide, and we treat it more than any other condition at our Sandton practice. It might have crept in after weeks at a desk, flared up lifting something awkward, or arrived for no obvious reason at all. However it started, it can quickly take over, making work, exercise and even sleep a struggle.
Most low back pain is mechanical. It comes from the joints, muscles, discs or ligaments of the lumbar spine rather than anything sinister. Prolonged sitting, repetitive movements, a sedentary lifestyle and stress are the most common drivers. When pain radiates into the buttocks or legs, a spinal nerve may be involved, a condition often called sciatica.
Spinal manipulation is one of the most thoroughly researched treatments for low back pain. A 2026 Cochrane review of 76 trials found it produces meaningful improvements in both pain and function, and the WHO, NICE and over 20 international guidelines recommend it as a first-line approach, ahead of medication.
We see the full spectrum: first episodes, recurring flare-ups and long-standing pain that hasn't responded to other treatment. Every consultation starts with a thorough assessment to work out exactly which structures are involved and why. From there, we use a combination of spinal adjustments, soft tissue therapy and personalised exercise advice. If imaging or a specialist referral is needed, we can arrange that too.
We focus on finding and fixing the cause of your pain, not just managing symptoms. In practice, most patients notice a clear improvement within the first few visits, and with the right rehab, we can help keep it that way.
Book an appointment at our Sandton rooms and take the first step towards moving freely again.
