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Level 4 Lower Back Pain Course

Awarding Body

Accredited by CIMSPA


Face-to-face training


4 Days


Paul Edmondson
Paul Edmondson

Movement Expert Tutor

Low back pain is a problem that around 80% of the population will face in their lifetime. As a qualified Level 4 Low Back Pain exercise specialist, you can play a crucial in helping your client manage and possibly recover from their condition. 

In this Level 4 Lower Back Pain Course you will gain an understanding of how to assess individual client needs. This will include exploring posture, movement range, muscle imbalance and more. You’ll also gain the interpersonal skills to help manage your client’s wellbeing, offering motivation and support throughout their recovery.



This course is aimed anyone looking to play a crucial role in helping clients manage pain and recovery from lower back pain problems. You must already completed our Level 3 Diploma in Exercise Referral Course.

Learning Outcomes

Outcomes from our Level 3 Sports Massage Course

With a Level 4 specialism, you’ll gain a deep understand of your chosen medical condition and how to effectively program physical activities for effected clients. Combined with your Level 3 Exercise Referral qualification, this course will enable you to become an exercise specialist, working on referral schemes to help clients who have low back pain. The aim of this qualification is to provide the learner with the appropriate knowledge and skills to design, deliver, monitor and evaluate structured, individualised physical activity programmes for adults with low back pain, in accordance with current evidence-based guidelines.

By the end of this course, you will learn:

Programming Physical Activities for Individuals with Low Back Pain

You will be able to understand how to risk stratify individuals with low back pain before participating in exercise. You will be able to gather the necessary information to plan safe and effective exercise programmes, set SMART goals and design a progressive physical activity programme with wide-ranging lifestyle advice included. You will learn how to conduct reviews and adapt your programme.

Instructing Physical Activity for Individuals with Low Back Pain

You will learn how to prepare a safe and effective training environment, and will gain enhanced instruction skills to cue, motivate, progress and regress clients who low back pain. You will learn how to analyse the effectiveness of your sessions in the context of the overall programme and goals of your client. 

Principles and Epidemiology of Low Back Pain

You will be able to define low back pain, deferentiate between NSLBP and specific spinal pathology definitions. You will gain enhanced knowledge of the anatomy and physiology associated to Low Back Pain, identifying its common causes and understand the national statistics on the prevalence of low back pain to society. You will understand the risk and causative factors involved in the development of low back pain, and will be able to utilise the national guidelines for the treatment and management of low back pain.

Course Structure & Assessment

How you'll be assessed on our fitness course

This course takes place at T2HQ, which is our training centre housed within Blunsdon Fitness in Swindon. It offers a state of the art gym and fitness centre to give you the best training environment.

You will complete preliminary learning materials before joining our expert tutor over four days. You will also be required to attend fortnightly conference calls to catch up on your progress and check in with your tutor.

We limit our group sizes to ensure you receive the best possible learning experience, with plenty of individual attention, real-time feedback and coaching.

You will be assessed by a mixture of short and long answer papers and worksheets. You will also be required to submit a case study programme design and review. You will also be required to complete a final practical assessment where you will demonstrate an instruction session under observation of an assessor.

Career & Progression

Employment Opportunities

Once you gain your Level 4 Certificate in Lower Back Pain, you can enjoy increased employability prospects from your enhanced qualification status. You can inform any referral schemes you are available to receive clients with low back pain, as well as advertise more widely for private clients use your specialist services.

Ongoing Support

While our courses contain practical information to prepare you for the industry, once you complete your studies with us you also become part of the T2 Community. That means you receive ongoing support to help you succeed in your new career. Whether its career advice, CV advice or helping your network and prepare for interviews, we do everything we can to help you launch your new career.


Work with another specialist population with a Level 3 Certificate in Ante Natal and Post Natal Exercise.

Career Packages

Get certified, propel your career and save a bundle. Our ready-made course bundles fast track you to success! 

Course Dates

Join us for this 2 day workshop, plus 1 day for assessment in Lower Back Pain Instructor Course, taking place at our head office in Swindon. 

Level 4 Lower Back Pain Course by T2 Fitness
Level 4 Lower Back Pain Course

3 Day course. Training 23-24 March and assessment on the 30 March.

Blunsdon Fitness, Swindon
20/21/27 July
Level 4 Lower Back Pain Course by T2 Fitness
Level 4 Lower Back Pain Course

3 Day course. Training 20-21 July and assessment on the 27 July.

Blunsdon Fitness, Swindon
30/1/7 December

Meet Your Lower Back Pain Course Tutor

Our resident movement and treatment expert, Paul has been with T2 since 2012. He was a full time PT and class instructor for his first 7 years in the fitness industry. He now spends most of his time teaching and presenting across the UK and abroad. His areas of expertise are movement assessment, anatomy and training for optimal movement quality.

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ELCAS Eligible for MOD Personnel*

We work with ELCAS to offer courses through the MOD’s enhanced learning credits scheme.

*MOD ELCAS available on selected PT courses only. Please enquire for more information.

Hear From Our Graduates

We’ve trained over 2000 fitness professionals since 2011, and we continue to provide career support and Continued Professional Development (CPD) course options. 

Apply For Level 4 Lower Back Pain Course

Let us know your training preferences by completing the form. We’ll be in touch shortly to get you booked on to your training course.

*please note: MOD ELCAS is only available for members of the armed forces on selected Personal Training Diplomas

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