Managing Low Back Pain Specialism

Discover clinically proven exercise-based strategies to support clients suffering from a range of low back pain disorders

low back pain specialist with spine
low back pain specialist with spine

Low Back Pain Specialism

Discover exercise and lifestyle-based interventions to support clients suffering from acute and chronic low back pain

  • Blended Learning:

    Combine home study with weekend practical training

  • Latest Clinical Standards:

    Underpinning back pain science delivered by Dr Stuart Porter

  • Internationally Recognised:

    Active IQ, CIMSPA and ACSM backed

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Book your place for only £100 deposit

Starting from £470.25


Payment Options

  • Pay in full

    Total payable £470.25 5% discount £24.75
  • 6 month payment plan

    1 x £70 and 5 x £65 Minimum deposit £100 Total payable £495
  • Military approved

    Enhanced Learning Credits Resettlement Contact our Careers Team for more information

Level 4 Exercise and Low Back Pain Certificate

Low back pain is a growing national health problem with both incidence and prevalence levels soaring. With this advanced level 4 'exercise specialist' qualification, discover clinically proven strategies for managing low back pain conditions to help your clients to live a more pain free lifestyle.

Course Overview

Low back pain is an-ever growing national problem which requires specialist knowledge and training in order to understand and effectively treat it. The prevalence of this condition has increased significantly in recent decades, which is why an advanced qualification like the Level 4 Low Back Pain Certificate is in such demand.

This specialist low back pain course is delivered in a blended format, combining a period of home-study with 2-days intensive practical training. Throughout the home study phase, you’ll learn all the knowledge and understanding required to be able to understand the pathological, occupational, biomechanical and psychosocial factors contributing to your client’s pain symptoms so you can better help them on their road to recovery. This home study part of the course primarily delivered by online lectures presented by our very own Dr Stuart Porter, although you will get a printed student manual also.

You’ll also attend a 2-day practical workshop where you’ll discover how to apply the knowledge that you have learned at home to assess your client’s, design specific low back pain exercise programmes, and teach them specific exercises and spine hygiene techniques that will improve their symptoms.

This is an advanced-level qualification that is well suited to personal trainers, Pilates teachers or yoga professionals looking to tailor their services to clients suffering from low back pain. Exercise and physical activity are known to be key components of any low back pain treatment strategy so if you want to make a difference in this area, this specialism is definitely for you.

  • Entry Requirements

    To achieve this qualification you must hold a valid Level 3 Diploma in Exercise Referral. If you don't already have this, then you could consider combining it with this qualification with our Low Back Pain - Exercise Specialist Package.

  • Learning Materials

    You'll receive all the study materials and learning resources you need to complete this low back pain specialism. You'll get a comprehensive student manual containing all the knowledge, access to our Learner Engagement System (LES), and online lectures presented by Dr Stuart Porter. If you really want to become a low back pain specialist, then watching the online lectures and taking diligent notes is how you'll really excel because this content is truly ahead of anything else in the sector.

  • Career and Progression

    Once qualified, a number of employment and career opportunities open up for you. A popular path to consider is working in a formal exercise referral scheme, providing specialist advice and instruction to patients suffering from low back pain/disorders. Alternatively, you could partner with physiotherapists, chiropractors, osteopaths or other specialists operating in this field, forming a multi-disciplinary scheme where you can provide more specific and applied support for patients.

    If you're a PT, Pilates teacher or Yoga professional, you can even run dedicated classes or services for clients with low back pain.

We're All About Support

Here at HFE we're all about fantastic support and our Learning Support team are at the heart of our operations. Every day, our amazing support team help hundreds of students with their learning, simplifying complex subjects, helping them better navigate their course content, preparing for exams and providing practical solutions to course and career-related matters. When you train with HFE, this is the sort of learning support service you can expect.

Some of the more common ways we support students includes:

  • Phone

  • Email

  • Video call

  • Webinar

Support tutor at whiteboard

What You'll Learn

This is an advanced level fitness industry qualification designed for fitness instructors and personal trainers that are committed to operating in-line with the highest levels of professional practice. As such, the qualification covers a multitude of complex anatomical, biomechanical, pathological and policy-related subjects, some of which have been listed below.

  • Incidence, Prevalence and Classification of LBP

    - The prevalence and trends of low back pain
    - National and global costs of low back pain
    - Classification models
    - Risk factors for low back pain
    - Psychosocial factors affecting low back pain
    - Occupational factors affecting low back pain
    - Other contributory factors for low back pain
    - Professionals involved in low back pain care

  • Pathophysiology of LBP

    - Anatomical causes of low back pain
    - Pathophysiology of low back pain
    - Specific pathologies and conditions
    - Psychosocial considerations in low back pain
    - Signs and symptoms of structural dysfunction
    - Biomedical and biopsychosocial models
    - Medication and implications for exercise
    - Stress and low back pain

  • Anatomy and Kinesiology of LBP

    - Structure of the spinal column
    - Specific spinal landmarks
    - Motions of the lumbar spine
    - Spinal kinematics and dysfunction
    - Muscles of the spine
    - Ligaments and connective tissues of the spine
    - Intervertebral disc functions
    - Spinal imbibition and disc nourishment
    - Nerves of the spine

  • Planning Exercise for LBP Clients

    - The role of exercise and physical activity
    - Benefits of movement in the spine
    - Spine hygiene techniques
    - Designing functional movement programmes
    - Progressive and regressive exercise options
    - Managing and controlling risk in exercise
    - Modifying exercise techniques
    - National guidance on exercise for low back pain

  • Teaching Exercise to LBP Clients

    - Screening and consultation techniques
    - Goal setting and motivational interviewing
    - Core bracing techniques
    - Performing functional assessments
    - McGill's big 3 for low back pain
    - Flexibility vs stability in low back pain
    - Contraindicated low back pain exercises

Dr Stuart Porter leading Low Back Pain lecture on iPhone screen

*Images and videos are for illustration purposes and may not depict specific course materials.

One Low Back Pain Qualification.
Unlimited Possibilities.

Join an elite group of exercise professionals who have achieved the highest of professional standards. many of our graduates are now working in and with some of the UK's leading health and fitness operators.

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How You'll be Assessed

Your knowledge and understanding of a wide range of subjects related to low back pain and exercise will be assessed throughout this qualification via a number of pieces of coursework, including worksheet sand a case study. Your understanding, and ability to apply this practically in an exercise environment to help and support your clients manage their symptoms and condition will be assessed via a practical assessment, where you'll need to teach a range of therapeutic and functional exercises that address your client's deficits.

Theory assessments are completed from home, whereas practical assessments are completed on course. You'll receive full guidance on all of these assessments from our Course Tutors and Learning Support Team.

assessment video iphone


  • Various LBP worksheets
  • Programming LBP Case-Study
  • Completed and submitted online


  • Screening and consultation
  • Programming exercise for LBP
  • Teaching exercise to LBP clients

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