Getting out of bed in stages?
One hand on the bedside table, a slow roll, then the careful stand. You plan how you'll pick things up. Rest helps for a week, then it's back. Most back pain isn't really a back problem, which is exactly why resting the back doesn't fix it.
Nick Monczakowski 4.9 from 74 Google reviews · 13+ years

The pain is in your back. The cause usually isn't.
Tight hips pull on it.
Hours of sitting shorten the hip flexors. They tip your pelvis and your lower back takes the strain.
Your glutes clock off.
Sit on them all day and they stop helping. Your back muscles pick up their work and get overloaded.
Your upper back stops moving.
When the mid-back is stiff, the lower back twists and bends more than it should every time you move.
Find your kind of back pain.
Back pain shows up in different places for different reasons. Each of these has its own page explaining what drives it.
Lower back stiffness
A band of ache across the low back, worse after sitting. Usually hips and glutes.
Back pain myths. Busted.
“Rest it until it's better.”
Tap to flip →Gentle movement usually helps more than bed rest. Long rest stiffens the muscles around your spine.
“It's just my age.”
Tap to flip →Age doesn't make back pain permanent. Muscles stay adaptable and respond to the right treatment at any age.
“Painkillers will sort it.”
Tap to flip →They take the edge off. They don't change what's loading your back, so it comes back.
Desk, wheel or warehouse.
One hour. Your back, properly looked at.
- 01
Talk
When it started, what sets it off and what your day involves.
- 02
Assess
Hands-on assessment of your back, hips, glutes and upper back to find what's loading it.
- 03
Treat
Release of the muscles driving your pain, not just the sore spot.
- 04
Plan
What to keep doing, simple habits for sitting and lifting and an honest view on sessions.
Backs sorted. In their words.
“I work manual labour for 9 hours a day and my back was in so much pain. I couldn't stand up straight and could barely hobble through the front door. After a 1-hour session there was a huge improvement in my back pain and hip mobility.”
John · Manual worker“I came to Nick with a very sore back to a point where I couldn't do anything and he really helped me become comfortable again and no more excruciating pain.”
Jodie · Back pain“Over a few sessions Nick completely resolved my back pain and I've also been recovering faster on the bike!”
Peter · CyclistWhen to see your GP first
Call 999 or go to A&E straight away if you have numbness around your bottom or genitals, problems peeing or controlling your bowels, or weakness in both legs.
Call NHS 111 or see your GP before booking if you have back pain with any of these:
- Back pain after a fall or accident
- Pain with a fever, or feeling generally unwell
- Unexplained weight loss
- Pain that's worse at night and doesn't ease with rest or changing position
Not sure? WhatsApp Nick a quick description first. If massage isn't the right first step, he'll tell you before you book.
£80 to find out why it keeps happening.
When it breaks down, everything goes on hold. The runs you love. The game with your mates. Holidays become something to get through, not enjoy. And somewhere along the way, you get shorter with the people closest to you.
First session · 60 min
Assessment, treatment and a plan. The first step to getting your life back.
Book first session60 minutes
Ongoing issues, recovery or maintenance.
90 minutes
Several problem areas, or a deeper session.
Need a few sessions? Book a 5-pack and every 60-minute session is £80, the same as your first. See packages →
No wasted money. Describe it first. If massage isn't what you need, Nick will tell you before you book.
Before you book for back pain.
Is massage safe with back pain?
For most back pain, yes and it helps from early on. Muscle tension, stiffness and long-standing lower back pain all respond well. If you have pain shooting down your leg with numbness or weakness, a recent injury or a diagnosed disc problem, WhatsApp Nick first so he can advise.
Why does my back pain keep coming back?
Rest calms it down but doesn't change what's loading your back, so it returns when you get busy again. Lasting results come from treating the hips, glutes and upper back that are overloading it, alongside a few simple habits.
Should I rest or keep moving?
For most back pain, gentle movement beats bed rest. Long rest stiffens the muscles around your spine and slows recovery. Keep moving within comfortable limits and Nick will tell you what's fine to carry on with.
How many sessions will I need for back pain?
For a recent flare-up, 2 to 3 sessions close together usually brings quick relief. For long-standing or recurring back pain, 4 to 6 sessions to change the underlying pattern. You'll get an honest view after the first session.
How long are sessions and what do they cost?
Sessions are 60 or 90 minutes. Your first session is £80 (usually £100). After that it's £100 for 60 minutes or £150 for 90 minutes. 90 minutes suits anyone with several problem areas. Packages of 3 or 5 sessions, valid for 6 weeks, bring the price per session down. Full details on the rates page.
How do I book?
Use the booking form on this page, WhatsApp or call Nick on 07517 335 358. You'll get a personal reply from Nick, usually the same day. Tell him which days and times suit you and he'll offer the nearest slot.
Back pain has neighbours.
Stop managing it. Start fixing it.
- £80 first session, assessment included
- Mon–Fri 11am–7pm
- Near New Malden station · free street parking
- Personal reply from Nick, usually same day
“He was able to sort out all my back problems and gave me good advice on improving my body.”
Supreme