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Advice · Pain management

When should you see someone about back pain?

Most back pain settles within a few weeks with gentle movement and time, so there's usually no need to rush. It's worth seeing someone if your pain has lasted more than about six weeks, keeps coming back, is stopping you sleeping or doing everyday things, or is spreading down a leg. And a small number of symptoms — losing control of your bladder or bowel, numbness around your saddle area or inner thighs, weakness or numbness in a leg, or back pain with a fever — mean you should seek urgent medical help straight away rather than wait.

Dr Mohamed Khafaga, Consultant in Anaesthesia & Pain Management · GMC 7517396
Reviewed by Dr Mohamed KhafagaConsultant in Anaesthesia & Pain Management · GMC 7517396
Last updated · June 20265 min read
01

When it's fine to wait and see

The reassuring news is that most back pain is what doctors call non-specific — it isn't caused by anything serious, and it tends to improve on its own within a few weeks. Staying gently active, keeping up your normal routine as much as comfort allows, and using over-the-counter pain relief if you need it will usually do more good than bed rest.

If your pain came on after a busy weekend, an awkward lift or a long drive, and it's already easing day by day, there's generally no need to see anyone. Give it a little time and keep moving.

Pain that is steadily improving week on week
No spread of pain or numbness into the legs
Still able to sleep, work and move about reasonably well
02

When it's worth getting checked

It's sensible to see someone if back pain has hung around for more than about six weeks, keeps returning, or is starting to limit your sleep, work or the things you enjoy. The same applies if simple pain relief and staying active aren't helping, or if the pain travels from your back down into your buttock or leg — often called sciatica.

Persistent or recurring back pain doesn't mean something is seriously wrong, but it does deserve a proper assessment so you understand what's driving it and have a clear plan. A consultant-led pain assessment can pinpoint the source and talk you through the options that fit your situation, rather than leaving you to guess.

03

Red-flag symptoms — get help straight away

A small number of symptoms need prompt medical attention, not a wait-and-see approach. These are uncommon, so try not to worry — but it's important to know them so you can act if they appear.

If you develop any of the signs below, contact NHS 111 the same day, or go to A&E if symptoms are severe or coming on quickly. These can point to a problem with the nerves at the base of the spine that is best checked urgently.

Loss of control of your bladder or bowel, or difficulty passing urine
Numbness or tingling around your back passage, genitals or inner thighs
New weakness, numbness or pins-and-needles in one or both legs
Back pain alongside a fever, feeling generally unwell, or unexplained weight loss
04

What a specialist assessment involves

At Bridge House Clinic, back pain is seen by Dr Mohamed Khafaga, Consultant in Anaesthesia & Pain Management. An initial consultation is a chance to talk through your history, examine you carefully and explain in plain language what is likely going on — and, just as importantly, what isn't.

From there you'll leave with a clear plan. For some people that's reassurance and self-management advice; for others it may involve a targeted injection such as a nerve block, or radiofrequency treatment for longer-standing pain. Where it's appropriate, Dr Khafaga can assess and treat in the same visit, so you're not waiting weeks between answers and action.

05

How quickly can you be seen?

One of the hardest parts of back pain is the waiting — for an appointment, for answers, for relief. At Bridge House Clinic you can usually be seen the same or the following week, with the cost of your consultation and any treatment set out clearly in advance so there are no surprises.

If your symptoms are mild and improving, it's perfectly reasonable to give them a little more time first. But if pain is persistent, wearing you down, or you simply want a clear picture, a consultation is a good next step. To learn more about how we assess and treat back pain, see our back pain page.

06

Common questions

How long should back pain last before I see someone? +

As a rough guide, most back pain eases within about six weeks. If yours has lasted longer than that, keeps coming back, or is stopping you sleeping or doing everyday things, it's worth booking an assessment — sooner if the pain is spreading down a leg.

When is back pain an emergency? +

Seek urgent help — NHS 111 the same day, or A&E if it's severe — if you lose control of your bladder or bowel, develop numbness around your saddle area or inner thighs, have new weakness or numbness in a leg, or have back pain with a fever. These signs are uncommon but should never be left to wait.

Do I need a GP referral to see a pain consultant? +

No. At Bridge House Clinic you can book a consultation with Dr Khafaga directly, without a GP referral, and you can usually be seen the same or the following week. If you have private health insurance, your insurer may ask for a referral, so it's worth checking your policy.

Dr Mohamed Khafaga, Consultant in Anaesthesia & Pain Management · GMC 7517396
Reviewed byDr Mohamed KhafagaConsultant in Anaesthesia & Pain Management · GMC 7517396View profile →
Take the first step

Get a clear picture.

Book an assessment with a consultant — usually the same or next week, at a price you've already seen.