Back Pain, Neck Pain and Sciatica Clinic on the Costa del Sol
Assessment and treatment for lower back pain, neck pain, sciatica and nerve-related symptoms at Costa Health in Marbella and Riviera del Sol.
Author: Costa Health clinical content team. Clinical reviewer: Sarah Monaghan, Chiropractor. Last clinically reviewed: 25 April 2026. Next review due: 25 April 2027.
2
clinic locations
4
hands-on disciplines
112
for emergency symptoms in Spain
Good care starts with assessment
We look for the safest next step, not a one-size-fits-all treatment plan.
What We Help With
Clear routes for common spine problems
Back pain, neck pain and sciatica can overlap. This page helps you start in the right place, then links to the deeper guides when you need more detail.
Lower back pain
Assessment for sudden back pain, recurring episodes, morning stiffness, lifting injuries, golf-related pain and symptoms that have not settled as expected.
Read the guideNeck pain and headaches
Support for desk-related neck pain, cervicogenic headaches, shoulder blade referral patterns and stiffness after travel, sport or prolonged screen use.
Read the guideSciatica and nerve pain
Careful screening for leg pain, tingling, numbness or weakness that may relate to nerve irritation, disc injury or other causes.
Read the guideAssessment
A safer way to decide what you need
The important question is not whether pain is muscular, joint-related or disc-related on day one. The important question is what is safe, what is likely, and what should happen next.
We check the full story
Your clinician asks about the pain pattern, medical history, previous scans, medication, lifestyle, work, sport and what has changed recently.
We screen for red flags
Most back and neck pain is not dangerous, but some symptoms need urgent medical care or GP review. We do not treat first and ask questions later.
We examine movement and nerves
Assessment may include spinal movement, strength, reflexes, sensation, joint and muscle testing, and functional movements that matter to your daily life.
We build a practical plan
Treatment may include hands-on care, exercise, education, pacing, strength work, referral for imaging, or GP or specialist input when needed.
Red Flags
When not to wait for a routine appointment
This page is not a substitute for urgent medical care. NHS back pain and NHS sciatica guidance both flag symptoms that may need hospital-level assessment.
If you are in Spain and these symptoms are present, call 112 or seek urgent medical care.
- New bladder or bowel changes, including difficulty peeing or loss of control
- Numbness around the genitals, anus or saddle area
- Severe or worsening weakness, numbness or tingling in both legs
- Back pain with fever, feeling very unwell, or unexplained weight loss
- Severe pain that starts suddenly, gets worse quickly, or follows a serious accident
- Back pain with chest pain or symptoms that feel like an emergency
Treatment Options
Multidisciplinary care, not a fixed script
NICE NG59 supports advice to stay active, exercise and manual therapy as part of a broader treatment package. We keep treatment matched to your presentation, goals and risk factors.
Chiropractic
Joint assessment, spinal adjustments, soft tissue work and practical advice for back, neck and movement-related pain.
Learn morePhysiotherapy
Rehabilitation, strength work, McKenzie-informed assessment, sports recovery and progressive return to activity.
Learn moreOsteopathy
Whole-body manual therapy for mobility, compensation patterns, posture-related pain and recurring stiffness.
Learn moreManual therapy and rehab
Hands-on techniques used alongside exercise and self-management, rather than as a stand-alone promise.
Learn moreClinical Team
People who work with spine pain every week
Your care may involve a chiropractor, physiotherapist, osteopath or a combination of disciplines. If your symptoms need medical or specialist review, we will say so.
Chiropractor and Owner
Sarah Monaghan
Sarah founded Costa Health with a focus on evidence-informed hands-on care, spinal assessment and clear explanations for patients who want to understand what is happening.
Chiropractor
Paul Morrison
Paul focuses on lower back, neck and hip conditions, using chiropractic treatment and rehabilitation to help patients move with more confidence.
Physiotherapist
Flora Muijzer
Flora specialises in spinal health, hypermobility, sports performance and McKenzie MDT-informed assessment for persistent or recurring pain.
Osteopath
Mihaela Blejusca
Mihaela assesses the body as a connected system, helping identify compensation patterns that may keep back or neck pain cycling.
Further Reading
Helpful guides for back, neck and sciatic pain
These articles support the clinic page with deeper answers. They are educational only and should not replace an assessment when symptoms are new, severe or changing.
Do I Need a Scan, MRI or X-Ray for Back or Neck Pain?
A practical guide to when imaging helps, when it may not, and why assessment comes first.
Read articleDo Disc Bulges or Herniations Always Need Surgery?
A physiotherapist explains disc findings, recovery and when specialist input may be needed.
Read articleSciatica: Symptoms, Causes and Treatment Options
How sciatica can feel, common causes and what conservative care may involve.
Read articleThe Best Exercises for Back Pain
Exercise ideas that can help many people, with the reminder that painful or worsening symptoms need assessment.
Read articleWhy Does My Lower Back Hurt in the Morning?
A patient-friendly explanation of stiffness, sleep, movement and when morning pain deserves a closer look.
Read articleWhen Neck Pain Tells a Bigger Story
A neck pain case study showing how posture, movement and headaches can be connected.
Read articlePosture: Common Problems and Simple Home Solutions
Simple ways to think about posture without blaming every symptom on sitting badly.
Read articleQuestions
Back pain, neck pain and sciatica FAQs
Short answers to the decisions patients usually need to make before booking.
Which clinician should I book for back pain, neck pain or sciatic pain?
If you are unsure, book this assessment route or contact the team. Chiropractic is often a good starting point for spinal pain, physiotherapy may be best when rehabilitation or exercise progression is central, and osteopathy can help when whole-body movement patterns are involved. If another clinician is more suitable, we will redirect you internally.
Do I need an MRI or X-ray before booking?
Usually, no. NICE guideline NG59 advises against routine imaging for low back pain or sciatica in non-specialist settings. Imaging is most useful when the result is likely to change management, or when serious pathology is suspected. If your assessment suggests imaging or medical review is needed, we will explain why.
Can sciatica improve without surgery?
Many cases of sciatica improve over weeks to months, but some last longer or need specialist care. NHS sciatica guidance lists exercise, physiotherapy, pain management and, in selected cases, injections or surgery. Your clinician will check for signs that need urgent or specialist review.
Is it safe to keep moving with back pain?
For many people, gentle movement and normal activity are helpful. NHS back pain guidance advises staying active and avoiding long periods in bed. The right level depends on your symptoms, medical history and whether pain is worsening, spreading or linked with red flags.
What are back pain red flags?
Seek urgent medical care if back pain is linked with new bladder or bowel changes, numbness around the genitals or anus, severe or worsening weakness or numbness in both legs, chest pain, serious trauma, fever, feeling very unwell, or severe pain that is rapidly worsening.
What happens in the first appointment?
Your clinician will listen, screen for risk factors, examine movement and neurological signs where appropriate, explain what they think is happening, and agree a plan. Treatment may begin in the first session when it is appropriate and safe.
Can you help golfers, desk workers and active people?
Yes. The team regularly sees golfers, desk workers, travellers, gym users and people who simply want to move without fear. The goal is not only short-term symptom relief, but helping you understand how to manage load, movement and recurrence risk.
Clinical references
This page references NICE guideline NG59, NHS back pain and NHS sciatica guidance. Guidance changes over time, and individual advice should always come from a clinician who has reviewed your current symptoms and medical history.
Book a Back Pain, Neck Pain or Sciatica Assessment
Start with a clear clinical assessment, a plain-English explanation and a practical plan for the safest next step.
Available at Riviera del Sol and The Clubhouse Marbella