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Client Case Study: Recurring Lower Back Pain

  • May 30, 2025
  • The AG Team
Sports Message Tunbridge Wells

Recurring back pain is one of the most common, and frustrating, issues we see in our Tunbridge Wells clinic. It can come and go without warning, disrupting your routine just as you start to feel back on track.

While it might only last a day or two, repeat flare-ups are often a sign that something deeper is going on. Left untreated, these episodes can become more frequent, more intense, and start interfering with work, exercise, and family life. The good news?

With the right hands-on treatment and a personalised plan, long-term relief is absolutely possible.

Patient Background

Our patient, a 37-year-old with no previous medical conditions, came to us following an acute flare-up of right-sided lower back pain. While this was a recurring issue over the past few years, typically surfacing every few months and resolving on its own, this particular episode was more severe and persistent.

The pain began suddenly on a Friday and had not subsided by the time of their appointment. It was significantly affecting day-to-day life, especially when sitting for long periods or bending down to pick up their young child.

Presenting Complaint

Symptoms: Recurring right-sided lower back pain, worsened by prolonged sitting and bending.

Duration: Intermittent over several years; acute episode lasting longer than usual.

Impact: Interfered with work and childcare responsibilities.

Assessment & Diagnosis

Following a thorough case history, physical assessment, and orthopaedic and neurological testing to rule out disc involvement, the patient was diagnosed with:

Condition: L5/S1 Facet Joint Sprain

Confirmation: Diagnosis based on clinical examination, symptom history, and movement-based assessments.

Osteopathic Treatment Plan

We developed a treatment plan focused on reducing inflammation and pain, restoring functional movement, and supporting long-term spinal health. Techniques included:

  • Medical acupuncture to lower back and gluteal muscles

  • Deep soft tissue massage to lumbar region and glute medius

  • Pin and stretch release techniques for glutes

  • High-velocity thrust (HVT) mobilisation to lumbar spine

We recommended 6 treatment sessions, with a progressive plan that included:

Mobility work in early sessions to reduce acute symptoms
Strength training prescribed from session 3 onwards to improve lower back resilience

Treatment Outcomes & Recovery

  • After first session: Significant reduction in pain and improvement in mobility. Patient was able to bend and lift their child without discomfort.

  • By session 4: Full resolution of symptoms; patient reported feeling 100% back to normal.

  • Ongoing progress: Maintained mobility and pain-free function with continued home exercise plan.

Follow-up & Prevention Strategies

To reduce the likelihood of future flare-ups, we advised:

  • A structured strength program targeting lower back and core
  • Continued adherence to mobility and flexibility routines
  • Education around posture and lifting techniques to avoid future overload
“Angus is an exceptionally talented and professional osteopath. I’d never been before, but he made me feel at ease and explained everything clearly. My back pain was soon gone, but what impressed me most was the care he took to give me strategies to stop it from coming back. I'd happily recommend Angus to anyone seeking help with back pain.”
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Meet Our Team

Coral Salter

Growing up In a highly active and professional level sporting family, I have been immersed into sport and movement from a very young age with physical performance, injury prevention and recovery a part of every day life. Alongside my own sporting commitments, experiencing regular osteopathic treatments that sparked appreciation and interest for hands-on therapy and the body’s ability to hold onto tension, develop injuries and how effective treatment can be for performance and long-term wellness.

As a qualified sports massage therapist, I take a holistic and client centred approach, tailoring each treatment to the individuals needs. Helping the client better understand their body, and deliver results by reducing tension, improving range of moment and aiding recovery through sports massage, deep tissue techniques and cupping therapy. Working collaboratively alongside Osteopaths.

Beyond this, I am also especially passionate about women’s health, hormones with PCOS and the lymphatic system, I know firsthand the importance of balancing inflammation, tension and overall wellness.

Meet Our Team

Silas Tye

I take a comprehensive approach to osteopathic care, combining structural and functional treatments tailored to each patient’s unique needs. Where appropriate, I incorporate movement-based strategies and personalised exercises to help patients build resilience and take an active role in managing and improving their symptoms both in the clinic, at home or in a fitness environment.

Before qualifying as an osteopath, I began my career in the fitness industry as a personal trainer, specialising in rehabilitation and recovery from injuries and illness. This foundation has equipped me with the skills and knowledge to help people move better, overcome painful injuries, and reclaim their lifestyles. I am a firm believer in the power of movement and its ability to transform health and well-being.

“I value movement above all else and believe that if we all moved more and moved better, we could achieve healthier, more resilient bodies. With the demands of modern life, it’s essential to keep our bodies moving and functioning optimally.”

Outside of work, I am a proud dog parent to Amber and enjoy staying active through training at the gym and CrossFit. I am also passionate about my hobbies, which include Warhammer, Dungeons and Dragons, cooking, cinema, video games, and sharing great meals with my wife.

Meet Our Team

Josh Wisson

Growing up in Kent, Josh has always had a strong passion for sport and fitness. This enthusiasm led him to pursue a career in osteopathy, where he could combine his interest in human movement and performance with helping people feel and function at their best.

He completed his Master’s degree at the European School of Osteopathy, gaining experience in a variety of specialist clinics including sports injuries, paediatrics, and headache management.

Alongside his osteopathic work, Josh plays semi-professional football and has completed multiple marathons. He also enjoys playing Padel and golf, which gives him a strong appreciation for the demands of different physical activities and how to support patients in achieving their goals whether that’s returning to sport, managing pain, or simply improving day-to-day function.

Josh treats a wide range of patients and tailors his approach to suit each individual’s lifestyle, goals, and needs. His treatments often incorporate structural, soft tissue, and functional techniques to support recovery, improve mobility, and promote overall wellbeing.

Meet Our Team

Verity Kelsey

Registered Osteopath GOSC: 11805

Verity’s journey to osteopathy began with Adult Nursing training at King’s College London, where her experience in surgical and intensive care placements sparked her passion for rehabilitation. Her personal experience with sports injuries from hockey and rugby led her to discover osteopathy’s person-centred benefits, inspiring her career transition.

During her osteopathic education at the University College of Osteopathy (UCO), Verity developed a passion for women’s health while working at the Expectant Mothers & Women’s Health Clinic. She plans to pursue advanced training in women’s health to combine her expertise in musculoskeletal rehabilitation with women’s healthcare. As an evidence-based practitioner, she integrates current research with hands-on techniques and targeted exercise rehabilitation to help patients not only recover from injuries but also return to movement stronger, more resilient, and better informed about taking their health into their own hands. Verity prioritizes patient education to ensure that patients have the information they need to improve their physical, mental, emotional, and social wellbeing.

Outside of osteopathy, you’ll find Verity exploring local trails for running and hiking with her dog, strength training, or baking treats for family and friends.

Areas of Special Interest:

    • Sports Injuries
    • Pre/Post-Surgical Rehabilitation
    • Women’s Health (including menstrual disorders, gynaecological chronic pain, and peri/menopause)

Meet Our Team

Marie-Pauline Otzen

Registered Osteopath GOSC: 11619

Growing up in Switzerland, Marie has always been very passionate about sports, including skiing, horse riding and cold water swimming. Throughout her life, she realized the importance of having osteopathic treatment and became interested in a career as an Osteopath. Being fluent in English, French and German, Marie is happy to communicate with you in any of these languages.

Marie graduated with a Master’s degree from the European School of Osteopathy. Throughout her degree, she was able to work in osteopathic specialist clinics, including sports, pediatrics, women’s health and headache clinic.

Marie applies a combined treatment approach, drawing on her knowledge and experience as an osteopath, sports massage therapist and athlete to deliver optimal care and long term management outcomes. She incorporates structural, soft tissue and cranial osteopathy techniques and principles into her treatments offering a thorough and holistic approach to health, healing, and sustainable recovery and injury management.

Additionally to Osteopathy, Marie is a professional Show Jumper and has trained in Equine Osteopathy.

Marie is a registered osteopath with the General Osteopathic council and insured with the Institute of osteopathy.

As well as being a qualified Osteopath, Marie is a sports Massage therapist with a particular interest in sport related injuries and work related stress and tension.

Meet Our Team

Angus Gould

Registered Osteopath GOSC: 10007

Angus grew up in East Sussex where both he and his family saw an osteopath regularly from a young age. After leaving school he explored different career options and decided to expand his knowledge in the area of health sciences. Four years later Angus graduated from Swansea university having obtained a first class masters degree in Osteopathy.


Angus is primarily a structural osteopath meaning he uses a variety of different techniques that focus on the body’s frame work and connective tissue, to improve the mobility and stability of joints, reduce the likelihood of muscle spasm, as well as improving circulation and lymphatic drainage to the target tissues. The type of techniques you can expect Angus to use are; joint manipulation and articulation, neuromuscular technique, muscle energy technique, myofascial release, joint harmonics, deep soft tissue techniques and exercise prescription.


Previously to being an osteopath Angus also trained as a qualified fitness instructor which he feels adds an element of rehabilitation to his practice to help achieve sustainable results.

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