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

Solve your back pain from home

Active X Backs provides a proven, online coaching solution that not only gives you relief now; it also gives you the tools and knowledge to prevent low back pain and sciatica.

From the comfort of your own home, you can integrate the Active X Backs online coaching system into your life seamlessly. We provide a straightforward, simple, proven method of back pain relief and prevention. If you are committed to helping yourself become pain-free forever, our commitment to you is to provide the knowledge, the tools and the techniques needed to turn your weak back into a better, stronger back. Meaning you can lead a healthier, happier, pain-free life.

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

Active X Backs have been treating 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. Our online coaching service provides a self-managed treatment that puts you in control – giving you the tools to treat your back pain at home.

  • 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 online assessment system 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 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


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.

Gavin Routledge
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…

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