Your back pain assessment
Answer honestly — there are no right or wrong answers. Conditional questions appear based on your previous answers so you will typically see around 30–35 questions. Allow around 8 minutes.
⚠ Severe acute injury? If you have just had a significant injury and are in severe pain, cannot stand or walk, or your back pain came on after a fall, collision, or accident — go to A&E or call 999 rather than completing this assessment. This tool is for assessment of back pain, not for acute emergencies. If your pain is manageable, please continue.
Section 1 of 7 — About your pain
Section 1 of 7 — About your pain
Where is your pain?
Step 1 — Select the outline closest to your build
Zones are approximate — tap the area closest to where you feel your pain. Select all that apply.
Figure A — Front view
Tap a dashed region to select it
Selected areas
Nothing selected yet
Section 1 of 7 — About your pain
How long have you had this back pain?
Section 1 of 7 — About your pain
How did it start?
Section 1 of 7 — About your pain
How bad is your pain on average?
0 = no pain | 10 = worst imaginable
Section 1 of 7 — About your pain
When you stand, how would you describe your posture?
This helps us understand how your pain is affecting your body position — some presentations cause the body to adopt a protective posture automatically, which is clinically significant.
Section 1 of 7 — About your pain
What makes your pain worse?
Select all that apply
Section 1 of 7 — About your pain
What makes your pain better?
Select all that apply
Section 1 of 7 — About your pain
When sitting, how would you describe your usual posture?
This helps us understand habitual loading patterns that may be contributing to your pain — many people don’t make the connection themselves.
Section 1 of 7 — About your pain
Does the pain travel into your leg?
Pain that travels into the leg — particularly below the knee — suggests a nerve may be involved. Pain that stays in the buttock or upper thigh is often referred from the lower back without nerve involvement. The distinction significantly affects diagnosis and treatment.
Section 1 of 7 — About your pain
Compared to your back pain, how would you describe your leg pain?
Whether your leg pain or your back pain is more severe helps identify what is driving your symptoms. Leg-dominant pain often points to a disc or nerve root as the primary problem. Back-dominant pain with some leg involvement suggests the spine itself is the main source.
Section 1 of 7 — About your pain
How would you describe the leg pain or sensation?
Shooting/electric and burning suggest nerve root involvement (sciatica). Aching/heaviness is more typical of referred pain. Numbness or weakness are important neurological signs — tell your practitioner specifically about these.
Section 2 of 7 — Your symptoms
Does your pain wake you at night?
Night pain that wakes you in the second half of the night — roughly 2am to 5am — and eases once you get up and move is a specific pattern associated with inflammatory spinal conditions. It is different from pain caused by lying awkwardly. If yours wakes you in the early hours, please tell us precisely when.
Section 2 of 7 — Your symptoms
Which sleeping positions provoke or disturb your pain?
Sleeping position can be a useful clue about what is driving your pain, and knowing which positions help or aggravate can guide practical advice for a more comfortable night.
Select all that apply
Section 2 of 7 — Your symptoms
Is there a position that relieves your pain at night?
Section 2 of 7 — Your symptoms
How do you feel when you first wake up?
The character of morning symptoms helps distinguish inflammatory from age-related or disc-related causes. Pain lasting more than 30 minutes that improves with movement is a key inflammatory signal.
Section 2 of 7 — Your symptoms
What happens to your morning symptoms as the day progresses?
Section 2 of 7 — Your symptoms
Does gentle exercise or movement improve your symptoms?
Section 2 of 7 — Safety
Any changes to your bladder or bowel?
We ask this because certain changes to bladder or bowel function alongside back pain can indicate a rare but serious spinal emergency (cauda equina syndrome) requiring same-day assessment. Most people answer "no" to this question.
Important safety question — please answer honestly
Section 2 of 7 — Safety
Any numbness or altered sensation between your legs or in the groin area?
The saddle area refers to the region that would contact a saddle on a horse — inner thighs, perineum, and genitals. Numbness or altered sensation here alongside back pain can indicate pressure on nerves at the base of the spine. This is a safety question — please answer it carefully and honestly.
Section 2 of 7 — Safety
Any unexplained weight loss alongside the back pain?
Section 2 of 7 — Safety
Any fever, night sweats, or feeling generally unwell alongside the back pain?
Back pain accompanied by fever, unexplained night sweats, or a general feeling of being unwell can occasionally indicate an infection or other condition affecting the spine that needs medical assessment. If your back pain feels like part of a broader illness rather than a mechanical problem, please flag it here.
Section 2 of 7 — Your symptoms
Does your back or pelvic pain follow a cyclical pattern related to your menstrual cycle?
Women only — this can be an important clinical indicator
Section 3 of 7 — Your history
Have you had back pain before?
Section 3 of 7 — Your history
Did previous episodes resolve fully?
Section 3 of 7 — Your history
Have you had any injury, fall, or accident involving your back — even a minor one?
High-energy trauma means any significant impact — a road accident, fall from height, or forceful collision during sport. Even if you felt unharmed at the time, significant forces can cause injuries that are not immediately obvious. Please include any event that preceded your pain, even if it seemed minor.
Section 3 of 7 — Your history
In the weeks before your pain started or worsened, did you do anything that placed more stress on your spine than usual?
For example: moving house, heavy gardening, starting a new exercise, a long journey, a physical job change
Section 3 of 7 — Your history
Did your back pain start or significantly worsen during a period of high stress or a difficult life event?
This is not suggesting your pain is psychological. Significant life stress can lower the threshold at which the nervous system generates pain — meaning a physical problem becomes much harder to bear. Understanding this context helps us give you a more complete picture of what may be driving your pain.
Psychological stress has a direct physiological effect on back pain and is a recognised contributor
Section 3 of 7 — Your history
Have you had any scans for your back pain?
Section 3 of 7 — Your history
What have you been told is wrong with your back?
Select all that apply
Section 3 of 7 — Your history
Have you had any procedures for your back pain?
Section 4 of 7 — Previous treatment
Which treatments have you tried for your back pain?
Procedures include spinal injections, nerve root blocks, facet joint injections, radiofrequency ablation (a treatment using heat to reduce nerve signals), and any surgical procedure on your back. If you have had any of these, please include them — they help us understand what has already been tried and how your spine has responded.
Select all that apply
Section 4 of 7 — Previous treatment
Overall, how helpful was the treatment you received?
Section 4 of 7 — Previous treatment
Were you given home exercises or a self-management plan? Did you follow it?
Section 4 of 7 — Previous treatment
Were you given a clear explanation of what was causing your pain?
Section 4 of 7 — Previous treatment
Is there anything you feel previous practitioners missed or did not address?
Optional — type freely or skip
Section 5 of 7 — Your life and context
What best describes your main daily activity or occupation?
Section 5 of 7 — Your life and context
Do you regularly participate in any of the following activities?
Some activities place significant compressive or rotational load on the lumbar spine. Yoga (particularly forward-bending styles) can stress lumbar discs. Cycling in an aggressive position loads the spine in sustained flexion. This information helps us understand your pain pattern.
These can be relevant to back pain, particularly when leg symptoms are present
Section 5 of 7 — Your life and context
Which areas of your life is the pain most affecting?
Select all that apply
Section 5 of 7 — Your life and context
How is your mood being affected by the pain?
Section 5 of 7 — Your life and context
Are there movements or activities you avoid because you worry they might harm your back?
Avoiding movements you fear will cause damage is a natural response to pain — but in most back pain presentations, careful movement does not cause harm and avoidance often makes things worse. This question helps us understand whether fear of movement is contributing to your pain, which responds well to the right guidance.
Section 5 of 7 — Your life and context
How is your sleep affected?
Section 5 of 7 — Your life and context
Are you currently taking any medication for your back pain?
Some medications are directly relevant to back pain assessment. Long-term steroid use affects bone density and is important context for any spinal problem. Anti-inflammatory medications being particularly effective is itself a clinical clue. Nerve pain medications tell us something about how your pain has been understood and managed previously.
Section 6 of 7 — About you
What is your age range?
Section 6 of 7 — About you
What is your sex?
Section 6 of 7 — About you
Are you currently pregnant or in the postpartum period (within 12 months of delivery)?
Section 6 of 7 — About you
Do you have any of the following conditions?
These conditions can influence back pain or its management in important ways. Uveitis, sausage fingers/toes, heel pain and nail changes are associated with inflammatory spinal conditions that are often missed for years.
Select all that apply — these can influence back pain and how it is best managed
Section 6 of 7 — About you
Does anyone in your immediate family (parent, sibling, child) have any of the following?
Inflammatory spinal conditions such as ankylosing spondylitis run in families — a parent or sibling with a diagnosis meaningfully increases your own likelihood. A family history of osteoporosis is also relevant to how your spine ages. You don't need exact diagnoses — anything your family has mentioned about their joints, spine, or bones is worth including.
Family history is clinically relevant for inflammatory spinal conditions and for bone health conditions which have a significant hereditary component
Section 6 of 7 — About you
How physically active are you generally?
Section 6 of 7 — About you
Has your activity level changed since the back pain started?
Section 7 of 7 — Your goals and expectations
What does a successful outcome look like to you?
Select all that apply — this becomes part of your patient brief
Section 7 of 7 — Your goals and expectations
What activities do you most want to be able to do that your back pain currently prevents?
Optional — very useful for a practitioner to know
Section 7 of 7 — Your goals and expectations
What is your preferred approach to managing your pain?
Section 7 of 7 — Your goals and expectations
Would you like to understand more about what is causing your back pain and why it persists?
Research shows that patients who understand their pain have measurably better outcomes than those who don’t
Section 7 of 7 — Your goals and expectations
Is there anything else you would most want a practitioner to understand about your situation?
Optional — goes directly into your patient brief
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Your Results
Based on your answers — for guidance only, not a diagnosis
What your answers suggest
A note about symptoms beyond your back: This assessment is designed to identify musculoskeletal and spinal causes of back pain. It does not assess symptoms affecting other body systems. If you have any of the following alongside your back pain — unexplained fatigue, changes to your urine, unexplained weight loss, persistent fever, or symptoms that feel generally unwell rather than specifically related to your back — please discuss the full picture with your GP rather than focusing on the back pain alone. These features may be unrelated to your spine and warrant separate assessment.
Always seek urgent help if you develop:
Sudden difficulty controlling your bladder or bowel • Numbness between your legs • Rapidly worsening leg weakness • Go to A&E or call 999 immediately.
Get your full personalised report
Leave your details and we will send your complete report — including relevant condition guides, a practitioner brief prepared from your answers, and specific next-step guidance.
Your details are held securely and used only to send your report and arrange a consultation if requested.
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