BACK pain is the second most common cause of workplace absence in the UK after stress, with more than four million working days lost to the condition every year.

In many cases, there’s no obvious cause, although poor posture, lifting and carrying, sleeping on a soft mattress and standing for long periods can all contribute.

The big problem for patients and their doctors is that there are almost as many treatments as there are causes.

But latest research suggests that core stability and spinal stabilisation exercises are the key to preventing on-going back pain.

Local chartered physiotherapist Mercedes Donaldson runs a specialist spinal stabilisation classes at Lilliput Health in Poole “The old fashioned treatment for back pain was rest but it’s now known that bed rest is the worst possible treatment, as long term it can actually prolong pain,” she explains.

“All the latest research shows that regular exercise can help to stretch and strengthen your muscles and keep you fit.

“Some people may have tried to exercise before but found it made their back pain worse. This can often be due to technique or because they have done too much or too little and need to build up your tolerance.”

Mercedes developed her interest in spinal rehabilitation after working with spinal specialists at St Thomas’ Hospital in London for three years.

Her pioneering programme, which includes six one-hour classes, is thought to be the first of its kind in Dorset.

“The course is centred around Pilates and core stability exercises and can be tailored to suit individual needs,” she explains.

“As exercises are progressed we incorporate impact and weighted exercises if suitable, to allow higher level patients to achieve their goals.

“We also educate patients about the common causes of back pain and help people manage back pain at home.”