Get help for back pain

Use this form at any time to get help from your practice. We aim to respond within 2 working hours.

Get help for back pain

About the Patient's Problem

If you're not sure, it's helpful to tell us whether it's been days, weeks, months or years.

Back Pain or Sciatica

Where is your pain? *

Since your back pain started, have you had any of the following new symptoms?

Numbness or tingling around your genitals or buttocks *
If the numbness or tingling is only in the lower back, answer No.
New difficulty peeing *
Loss of bladder or bowel control – peeing or pooing yourself *
Pain spreading down both legs to below the knees *
A high temperature *
Chest pain *
Weak legs *
If you are only struggling to move because of pain, answer No. If your legs feel weak, answer Yes.
Due to your above condition we advise you to go to 111.nhs.uk or call 111.
If you develop any of these symptoms in future, you should contact 111 immediately.

Since your back pain started, have you had any of the following new symptoms?

Unintentional weight loss *
A swelling or deformity in your back *
The pain is so bad you're having problems sleeping *
The pain does not improve after resting or is worse at night *

Have you consulted a physiotherapist?
Do you have a history of gastric ulcer (stomach ulcer), gastric bleeding, gastritis, duodenal ulcer or duodenitis? *

File Upload

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Communication Preferences

How would you like us to deal with the problem? *
Video Consultation

Video consultations require you to have a smartphone, tablet, laptop or any computer with camera and microphone or headset. You will also require access to the internet, preferably over WiFi. If the practice decides on a video consultation you will be sent an email containing a link for the video consultation, so it's best if you can receive your emails on that same device.

How quickly do you think the problem needs to be dealt with? *

If the practice has a mobile number for you, we may send text messages to this number to inform you of an appointment time, or to allow you to book an appointment at a time of your choice.

Terms & Conditions *