Back Pain Physiotherapy in London
Specialist Treatment in Moorgate, Strand and Chiswick
At Atherapy, clinical delivery is led by Andrew Balderston, who brings over 25 years of experience in elite professional football, having worked across Manchester United, Preston North End, Derby County, Nottingham Forest and Hull City, leading integrated medical and performance teams.
Andrew is also a member of the Acupuncture Association of Chartered Physiotherapists and this forms part of a broader evidence informed clinical toolkit.
This experience underpins a performance led, structured approach to rehabilitation across all Atherapy clinics.
Our model is aligned with current best practice and combines clinical expertise, performance based rehabilitation and where appropriate collaboration with Sport and Exercise consultants.
What Causes Back Pain
Back pain can arise from muscles joints discs or nerves and is often a combination of factors rather than a single diagnosis
Common causes include mechanical pain disc related pain facet irritation muscle strain nerve pain postural overload and training load errors
How We Assess Back Pain
Your initial 45 minute assessment is designed to give clarity from the outset including clinical history movement assessment and strength testing
Where appropriate we liaise with consultants or refer for imaging
Our Approach to Treatment
Our approach is evidence based and centred on active rehabilitation including hands on treatment targeted rehabilitation load management and performance based progression. Where appropriate acupuncture may be used to support early stage pain management within a structured plan. This is supported by access to full rehabilitation facilities within Virgin Active allowing progression at each stage.
Access to Full Rehabilitation Facilities
We have access to a full rehabilitation environment including gym space studios hydrotherapy and cardiovascular equipment allowing progression from early stage rehabilitation through to full return to performance.
Real Results
Patients commonly report faster and more sustained improvements when a clear diagnosis and structured plan is in place.
Case Example
E.g. City professional with recurrent back pain returned to full training within 6 weeks following structured rehabilitation and load management.
Back Pain and Sport
Back pain is often linked to movement control fatigue and load progression and our background allows us to address both symptoms and root causes
Should You Be Worried
Seek assessment if pain persists beyond 7 to 10 days is recurring limits activity or travels into the leg.
Back Pain Treatment Locations - Moorgate Strand and Chiswick with consistent clinical standards across all sites
Frequently Asked Questions
Modified movement is preferable to rest
Most cases do not require imaging
Many improve within 3 to 5 sessions
Chronic pain can be treated with structured rehabilitation
London Physiotherapy Team
Welcome to the Atherapy expert clinical team. We are a dedicated group of qualified physiotherapists and sports medicine specialists committed to delivering innovative, evidence-based rehabilitation. Our practice is built on a holistic approach to physical health, firmly believing that injury prevention is just as vital as the cure. From treating acute sports injuries to designing custom performance optimization programs, our clinicians work collaboratively to help you safely reach your goals.
Meet our resident experts below and find the right specialist for your recovery journey.
- With 25+ years of Premier League and Championship experience, Andrew has led Medical, Science, and Performance departments for Hull City, Nottingham Forest, Derby County, and Preston North End, following earlier work at the Manchester United Academy
- Specialist in lower limb rehabilitation
- Post-operative rehabilitation
- Back pain and complex spinal presentations
- Elite athlete management including manual therapy, gym rehabilitation and acupuncture
- Specialises in complex cases and second opinion rehabilitation planning including return to play
- Limited clinical availability due to wider clinical leadership and operational responsibilities
Andrew Balderston
Based at Moorgate
- Specialist in exercise-based rehabilitation, manual therapy and injury prevention
- Experienced in post-operative rehabilitation and progressive return to activity
- Clinical interests include sports injuries, cervical spine and low back dysfunction, shoulder, knee, foot and ankle rehabilitation
- Combines hands-on treatment with targeted strength and rehabilitation programming
- Focused on structured rehabilitation to help patients rebuild strength, movement confidence and function
- Specialist interest in women’s health support including manual lymphatic drainage during pregnancy and pre/post-natal care
- Over 15 years of clinical experience across private practice, sports rehabilitation and women’s health settings
- Fluent in English, Portuguese and Italian
Fernanda Saldanha
Based at Chiswick
- Extensive experience working within elite professional football and private practice
- Former Tottenham Hotspur Academy physiotherapist specialising in performance rehabilitation and return-to-play management
- Specialist interest in post-operative rehabilitation and upper and lower limb injury management
- Experienced in managing complex and recurrent injuries through structured, evidence-based rehabilitation planning
- Clinical approach combines manual therapy, gym-based rehabilitation, movement analysis and acupuncture
- Focused on restoring movement quality, strength under load and long-term performance outcomes
- Fluent in English and Greek
Dimitrios Michtatidis
Based at Chiswick and Strand
- Level 4 Strength & Conditioning Coach
- Medical Acupuncture & Dry Needling Qualified
- Combines detailed clinical assessment with progressive rehabilitation and strength & conditioning principles
- Specialist interest in gym-based rehabilitation and return-to-sport management
- Clinical interests include acute sporting injuries, post-operative orthopaedic rehabilitation (including ligament reconstructions, meniscal and labral repairs) and hip/groin pain in active populations
- Experience managing both active general population and performance-focused clients
- Adjunct treatment techniques include dry needling and shockwave therapy
Claire Cuffe
Based at Moorgate and Strand
- Over 5 years experience treating orthopaedic injuries, chronic pain and post operative care
- Advanced certifications in dry needling for hands, face, feet, lower limb, upper limb and lumbopelvic region
- Certified pelvic floor physio for both men and women with an interest in treating clients pre and post natal
- Special interest in strength and conditioning programming for clients training for half/full marathons
