“The recovery was unbelievably fast compared with previous episodes.” Gloria B. (London, UK)

We believe that everyone has the right to live pain-free.  To wake up feeling good.  To be able to do the things they like doing.  To be active for life.

There is so much misinformation related to low back pain; & sciatica.  You are likely to get a different diagnosis from every healthcare professional you consult.  You’re also likely to be offered symptomatic treatments – painkillers, manual therapy, injections, surgery, hot/cold packs.  But the evidence is that good old movement and education are what’s needed.

But which movements and what information?  It turns out that’s not complicated either.  A lot of money is made from over-complicating back pain.

People deserve better.  If you want to join us in dispelling those myths and misunderstandings, reducing the massive economic, societal and personal burden of low back pain, then join us.

The only proven long-term relief for low back pain and sciatica is education and exercise. And your commitment to being pain-free.

Active X Backs have been helping people with low back pain and sciatica for nearly 30 years. Our mission is to help one million people get a better back and be pain-free for life.

Stop treating symptoms

Identify the hidden causes of your problem

Set your goal and stick to the plan

Follow a tailored, comprehensive rehabilitation program

Reduce or eliminate costly trips to a clinic

Understanding your back pain: it’s the first step towards preventing back pain for life.

And our free online assessment is the first step you need to take. We ask key questions about you, your health, your pain and the effect it has on your day-to-day life. We then provide a tailored Functional Assessment Report.  Helping you to understand your back pain / sciatica.  And empowering you to take the next step towards a pain-free life.

What is the best way to treat lower back pain and sciatica?

Education and exercise.  It’s the only proven treatment plan for long-term back pain relief. Our online coaching system provides the information and exercises you need to manage your pain. And it coaches you every day, helping you keep your treatment plan on track. You can work on your own at your own pace, or we can connect you with an Active X Backs movement coach or therapist.


24/7/365 support for your lower back pain and sciatica

Online coaching – empowering you to take control of your pain

Online exercise classes targeting back pain relief and prevention

The main risk factors for low back pain are repetitive loads, heavy loads, sustained loads, stress, obesity, smoking,

Reduce pain before going to bed, experiment with pillows for support, ensure mattress offers appropriate support, consider sleeping alone,

Remember there’s no perfect posture, move often, sit tall, use lower back support to avoid fatigue, have hips higher than knee,

Brace your abdominal muscles, get both feet on the same step before taking the next one, might be easier going down backwards, hold onto the rail more…

First identify the different causes, reduce these and any aggravating factors, use manual therapy or analgesics as advised more…

First identify the different causes, then reduce them, and stick to this plan more…

Exercise Professionals

Physical Therapists

Specialising in lower back pain prevention

Gavin Routledge is an award-winning Osteopath, specialising in the relief and prevention of lower back pain and sciatica.  After completing a Masters Degree in The Clinical Management of Pain, he developed the Active X Backs online coaching system to empower back pain sufferers to take back control. Gavin, two-times author of books on lower back pain, has helped thousands of patients lead a life free of pain. Take the first step towards your pain-free life now.


It’s an honour to support the clinical and exercise communities in this fight against the world’s leading cause of disability.  We can help sufferers, but we must work together. We must adopt a common purpose, a common language and an uncommon determination.”

– Gavin Routledge MSc, DO(Hons), Clinical Director, Registered Osteopath (UK), two-times author on lower back pain.