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Musculoskeletal Chronic Pain



Have you been suffering with back pain or sciatica? At the Dynamic Clinic, our back pain clinics in Birmingham, Solihull and Warwickshire may be able to help. Our very experienced musculoskeletal clinicians have been treating back pain and sciatica for many years and have gained a very good reputation in this very common area of complaint. It is our primary focus to reduce low back pain, improve spinal function and get people back to their normal daily activities and sport as quick as possible. We can provide many different types of treatments that may be suitable for you. 


What are the causes of sciatica?

Sciatica is a very common cause of back pain that is most often caused from impingement of an exiting spinal nerve root from spinal disc herniation. Sciatica is an umbrella term for pain along the route of the sciatic nerve as it travels from the lower back down the leg into the foot. There are many different causes of sciatica ranging from an acute cause of trauma or an accident to a slow progressive degenerative cause.


Sciatica is often caused from progressive degenerative changes to the spinal discs causing impingement on the nerve route. This often leads to significant pain, poor function and on going disability. Most pain will often start in the lower back and then refer in to the leg, often associated with altered sensation  (pins and needles) in the feet. Most cases of sciatica are triggered by a combination of overuse, repetition, injury (or trauma), occupational strain, genetic predisposition, age and inflammation. Severity can vary, depending on cases of mild to moderate to severe. 



Symptoms of sciatica and back pain

  • Spinal stiffness 

  • Pain

  • Referred pain

  • Altered sensation

  • Difficulty bending

  • Weakness


It is extremely important to be aware of more sinister causes of back pain, like inflammatory arthritis, tumour or malignancy. Other important symptoms to be aware of are prolonged morning joint stiffness, fever, altered sensation in the saddle area, incontinence or tingling down both leg, ongoing cramps in the legs,  fatigue, weight loss and night pain. Cauda equina is a very serious condition that needs to be treated immediately in hospital. This is caused from a central disc herniation.


Depending on the severity, there are various treatment options for sciatica that can really help to a speedy recovery. These treatments include:


  • Osteopath and spinal manipulation (manual therapy)

  • Physiotherapy (physical therapy)

  • Rehabilitation

  • Postural correction 

  • Acupuncture / dry needling


  • Spinal injection (cortisone, platelet rich plasma PRP)

  • Facet joint injection

  • Nerve route injection

  • Epidural injection

  • intra-discal injection

  • Anti-inflammatory injection 


  • PRP injection therapy

  • Stem cell therapy

  • Prolotherapy


Low back pain treatment Birmingham
Back pain treatment Henley In Arden

Sciatica can come in many forms. Ultimately, we want to achieve reduced pain, improve spinal function and prevent recurrence or chronicity. At the Dynamic Clinic, sciatica is an extremely common complaint we see many times everyday at our Birmingham clinics, in many different varieties. Cases can range from acute to chronic and mild to severe. We always explain to every patient the importance of treating sciatica early. As sciatica progresses, it can become increasingly difficult to treat. 


In the majority of cases, we like to enforce a conservative approach to sciatica treatment and management. But in certain cases, extra resources may needed. In these cases patients may be considered for the possibility spinal injection therapy. If patients are showing signs of advanced injury or disease then we may discuss the option for an MRI scanning, to get diagnostic clarity of what it is that may be causing the issue. 

If a cause of sciatica or back pain is suspected to be of an inflammatory or rheumatological origin, then you will be asked to provide a blood test and lab panel to check for raised inflammatory markers - ESR, CRP and TNFa, and maybe immunological makers.

Referral for Specialist Imaging or Private MRI Scans

At the Dynamic Clinic we can provide ultrasound imaging to look for signs of tissue damage and inflammation. However, the spine will require a more in-depth analysis using an MRI. If a private MRI scan is considered, we will put in a local referral to our Imaging Centre in Solihull. You will then be booked in within 5-10 days. Following your scan, the report will be completed by our colleague Dr David Beale (Consultant Neuro-radiologist). This report will then come back to the Dynamic Clinic and will we then discuss with you then best course of treatment for your compliant. 

In cases where the condition is too severe, or there is suspected neurological compromise then we may refer to our trusted colleague Mr Spencer Harland (Consultant Spinal Neurosurgeon) for surgical opinion. In occasions where the disc may be causing significant nerve compression, a micro-discectomy may be used to take part of the disc or provide spinal fusion.

Back Pain and Sciatica Assessment

To help your sciatica, we firstly need to provide a full functional spinal assessment to check for severity. If you have been suffering with sciatica which does not appear to be improving or is impacting on your function, it is recommended to see a musculoskeletal professional. This experienced clinician will be able to provide a full assessment, gain information to make a diagnosis and provide the best treatment and management to help improve your sciatica and get you back to best function again. At the Dynamic Clinic, sciatica and back pain is one of the most common conditions we see and treat. Our experienced musculoskeletal clinician, Mr Adam Whatley will be able to provide assessment, diagnosis and treatment of a wide variety of sciatica causes from sport injuries to spinal arthritis.

Sciatica treatment Birmingham
Sciatica assessment and treatment flow
  • Clinical case history

  • Clinical assessment

  • Functional assessment

  • Investigations (if needed)

  • Treatment

  • Projected management plan

  • Follow up monitoring and reviews

Pain and injury clinic Birmingham


Sometimes sciatica can turn into chronic pain. In these cases, sometimes the body may need extra assistance to control pain, help healing and repair. Injection therapy for sciatica can also be commonly used to treat the stubborn cases that have not responded well to conservative measures. There are many different forms of injection therapies but the most common are steroid injections, platelet rich plasma (PRP) injections and prolotherapy.


Back pain treatment Henley In Arden


During your consultation, this gives us the opportunity to discuss your arising back pain complaint or injury and then to discuss possible treatment options and expectations. Below is a simple consultation flow:


  1. discuss your condition

  2. what treatment you have had so far

  3. clinical assessment (where applicable) - having a look at the area and examining

  4. ultrasound scanning (where applicable)

  5. diagnosis (refer for further investigations if necessary)

  6. treatment options

  7. treatment plan

  8. review/monitoring

Please note that treatment can indeed follow on from consultation if happy to do so and enough time has been set aside to do so. 

Pain and Injury Consultation UK
Ultrasound Birmingham UK
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PRP Treatment Birmingham

We are extremely proud to say we are one of the UK’s leading regenerative musculoskeletal clinics. Alongside physiotherapy and osteopathy, we have been providing exciting non-surgical, non-invasive regenerative therapies like PRP therapy with ongoing success for almost 10 years, providing many 1000's of treatments to patient suffering with pain and injury. We are extremely proud of the huge help and support this has provided to so many people.


Furthermore, we offer the highest quality and concentration at very affordable prices. 


Our Clinic Director and Clinical Scientist Mr Adam Whatley is continuing with ongoing clinical research in the exciting area of platelets and stem cells, and to offer the best level of clinical practice to all patients. PRP treatment has been ongoingly praised for being very safe and effectiveness for various different conditions are very different areas of clinical practice. Risks and adverse complications associated with PRP treatment is practically non-existent.

Mr Adam Whatley, is extremely experienced in the field and hugely passionate. Furthermore, he a clinical scientist, carrying out research-based clinical trials in this area of Regenerative Medicine.

Dynamic regenerative medicine. Injection therapy for pain and joint conditions
PRP treatment UK

For further information please contact us on 01564 330773 or alternatively email us at

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