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Good spinal postureDescription: Spinal and pelvic alignment, posture and movement will be assessed by your practitioner. If it appears there are issues which are causing or adding to your problems and pain, postural realignment will be included as part of your treatment.

Postural assessment: This will include identifying any tight or weak muscles that may be causing you to maintain a poor posture and also any joint stiffness or hypermobility that may cause poor posture. The practitioners will also assess the straightness of the spinal segments and assess the ilium in the pelvis in the case of an ‘upslip’, ‘downslip’ or ‘rotation’ which is a common cause of pain. The sacrum may also be assessed for nutation or counternutation and leg lengths are often measured to give the therapist the full picture about what may be causing your pain.

Sam Whiteson patient postureManual Therapy
The Back and Body Clinic has an emphasis on ‘hands on’ treatment combined with subsequent rehabilitation. If the pelvis is misaligned, where appropriate our practitioners are likely to use a variety of ‘hands on’ techniques to correct the alignment and prevent recurrence. Techniques may include mobilisation, manipulation and muscle energy techniques

Exercises to improve posture
Exercises are usually essential to help you strengthen any weak muscles or stretch any tight muscles that are causing you to adopt a poor and maybe painful posture. Exercises are also given to loosen stiff joints, or provide more stability to those that are more mobile than they should be. Personal exercise programs will also help to maximise and prolong any benefits gained from the ‘hands on’ treatment.

Postural advice
Practitioners will provide advice about correct sitting and standing positioning, moving and handling techniques that will help to improve your posture. The advice will be specific to you and therefore will consider your occupation, driving habits and other activities. This will allow you to implement our advice into your day.

checking patient alignmentWill this benefit me? People are often unaware of any posture or alignment issues that they have. Optimum posture and alignment will help you to be more functional and biomechanically correct and reduce your pain levels.

Having postural alignment as part of your treatment can produce many benefits including:

  • Reducing pain
  • Mobilising stiff joints
  • Stabilising stretchy ligaments
  • Strengthening weak muscles
  • Stretching overused/tight muscles
  • Loosening and strengthening stiff joints
  • Improving general posture awareness
  • Improving function both at work and during sport


At The Back and Body Clinic, all our specialist practitioners will work hard to give you the optimum posture and reduce your pain. They will carry out a full postural assessment and design a treatment programme specifically for your needs.

Posural Types
an exaggerated inward curve of the spine causing some muscles to become tight and some to become weak depending on the location of the lordosis. Common causes of excessive lordosis include tight low back muscles, excessive visceral fat and pregnancy. Lordosis of the lower back may be treated by strengthening the hip extensors on the back of the thighs, and by stretching the hip flexors on the front of the thighs.

this is an exaggeration of the outward curves in the spine which causes a muscle imbalance in the surrounding area. It is most common attributed to slouching but can also be either the result of degenerative diseases (such as arthritis developmental problems (the most common example being Scheuermann’s disease, osteoporosis with compression fractures of the vertebrae, or trauma.

a sideways curve of the spine that may be corrected by strengthening the back muscles that support the spine. Classic signs are an uneven musculature on one side of the spine, a rib prominence and/or a prominent shoulder blade caused by rotation of the ribcage in thoracic scoliosis, an ‘S’ shaped spine, uneven hips, arms or leg lengths.

when one side of your pelvis has raised either higher or lowe than the opposite side.

Pelvic rotation:
when one of you pelvic bones has rotated forward or backwards.

the sacram appears to slide downwards and backwards

the sacram appears to slide upwards and forwards.

Scaroiliac Joint Pain diagramLeg Length Discrepancies:
this is a difference in the overall measurements between the two leg lengths. True leg length is a difference in the actual lengths due a discrepancy in bone lengths. Apparent leg length is due to soft tissue shortening around the pelvis, legs and ankle that makes the leg length appear different.

Flat Back:
the natural curves of the back are lost causes the spine to be flat. This may result in weak hip and back muscles and tight hamstring muscles.

Sway Back:
this is a forward tilting of your pelvis and may cause weak hip, back, stomach and neck muscles. Your hamstrings may also be tight.

Round Shoulders:
this creates a hunched posture and causes the upper back muscle to be stretched and weak and your pectoral muscles to become tight.

Forward Head Posture:
this posture can result in neck pain and headaches due to the stresses and strains placed on the upper cervical vertebrae, muscle imbalances and stiffness around these areas.