Active X Backs specialises in the long-term relief of low back pain and sciatica. Start your journey now.

Because low back pain causes more disability than any other medical condition in the world.


Active X Backs checks your symptoms to determine whether you need to see a doctor or not.

We use safety questions which are based on internationally accepted clinical guidelines.


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

Specialist coaching online – accessed through any device

Tailored exercise program for relief and prevention

Young sportsman with back pain

How much time, money and emotional energy have you spent on your pain?  You’ve probably had a different diagnosis from every healthcare professional you’ve consulted. You’ve more than likely been offered symptomatic treatments – painkillers, manual therapy, injections, surgery or hot-cold packs. But you still haven’t achieved lasting relief.

So, what are you missing?  Or is lasting relief just not possible?  Our comprehensive program helps you build your own tailored plan for long-term relief.  Including exercises and information based on your Functional Assessment.  And we coach you to stick to your plan.

You can do this – with a bit of support. If you want to correct those myths and misunderstandings, and achieve long-term relief, then join us.  Start with the free assessment.

The recovery was unbelievably fast compared with previous episodes

Gloria B. London, UK

Active X Backs compares your symptoms with the research knowledge base and works out a plan for relief and prevention.

Our protocols are also based on medically accepted evidence and updated as that evidence evolves.

Fun alert

Active X Backs is based around your needs. The service is delivered through your smartphone.

Our service was co-designed by low back pain and sciatica sufferers in multiple design workshops. We will guide you daily to relief and prevention. All through your mobile phone.


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 continually treating the 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

Nice waking up without pain

I’d had low back pain and sciatica for a few months and been to the doctor and my local therapist. You confidently said I just had to stick to the plan we put together and that it would all be OK. You were spot on! Thanks. It’s so nice waking up without pain!

Lisa Marriage
Active X Customer

Huge thanks

Just wanted to say a huge thanks again. When, over twenty years ago, a surgeon told me to come back in a few years time when I was in a wheelchair because of my back, I can’t tell you what a downer that was. I am certain that following your plan has been a big part of making sure that never happened!

Cameron Doyle
Active X Customer

I can’t believe it

My pain was typically 5 out of 10 but could be as bad as 9 for the last four weeks. It was really terrible after sitting. Two weeks after starting your plan I’m down to 0 out of 10. I can’t believe it! Thank you so much!

Caterina Toniolo
Active X Customer

Frequently asked questions

What causes low back pain?2021-02-10T16:28:10+00:00

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

How to sleep well with low back pain / sciatica2021-01-20T10:41:01+00:00

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

How to sit with low back pain / sciatica2021-01-20T10:35:12+00:00

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

How to go up and down stairs with low back pain2021-01-20T10:34:07+00:00

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…

How can I prevent low back pain?2021-01-20T10:30:28+00:00

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

How can I relieve my low back pain?2021-01-20T10:29:23+00:00

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

General Osteopathic Council
Certified Lifestyle Medicine Professional
National Institute for Health and Care Excellence
International Association for the Study of Pain

Gavin Routledge MSc, DO(Hons), DipIBLM is an award-winning Osteopath and Certified Lifestyle Medicine Professional, 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 achieve long-term pain relief. Take your first step towards relief and prevention now.

Gavin Routledge Active X Backs


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