I am a psychotherapist, Level 4 Personal Trainer (Chronic Lower Back Pain Specialist) and Pilates Teacher: there is a massive psychological element in chronic lower back pain (CLBP): anxiety, depression, stress and trauma make physical pain worse and sometimes can create it even where there is no physical cause or the original tissue damage has healed. NICE, (National Institute of Clinical Excellence) recommend a combination of exercise and psychotherapy to treat CLBP and that's just what I offer: if you are living with CLBP, it could be to do with a physical issue - problems with a disk, how you're standing and moving, muscle imbalances or it might be because of how you're feeling - if you're stressed, anxious or depressed, this will be making your pain worse. If you work with me, I will offer you a full physical and psychological assessment of your fitness, the physical elements of your pain and any psychological pressures which may be contributing. I'll then develop a fitness programme to get you moving again, correcting postural and faulty movement issues and building your core strength and endurance. We'll have a PT session each week and a therapy session to work through and relieve the emotional stressors which are making your pain worse, lifting your mood, calming your anxiety and reducing your stress. Moving more will help with this and we will get you back on your feet again. You can also join my Pilates for Chronic Lower Back Pain online sessions at 7pm on Mondays, a session comprising an hour of Pilates, focused on core strength, control and stability and spinal flexibility and 20 minutes of Mindfulness, Relaxation, Visualisation and Breathing to address the psychological aspects of pain. I also offer individual Pilates sessions.