Solution to Spinal Pain



The solution to the majority of spinal pain is to restore mobility to the stiffened segments and correct any rotations or tilted segments therefore reducing the strain on damaged discs, ligaments and joints.

The reason that spinal pain has become such a problem is that it is virtually impossible to achieve this by hand alone. Fortunately now after years of research Power Assisted Micro-manipulation (PAMM) has been developed specifically to achieve these goals.

The pamm handset has four fingers, which act like a bionic hand, its mechanism is so precise that the therapist retains superb feel of the joints, muscles and soft tissues.



The treatment involves using the handset to work between three settings:

1.Introductory: this setting prepares the spinal muscles for the treatment session

2.Reflex: this setting stimulates the spinal reflexes such that the muscles effectively de-clutch allowing the vertebra to once again become correctly aligned.

3.Mobilisation: this setting progressively restores mobility to the stiffened areas of the spine. This procedure can not be achieved by hand as the spinal joints are designed to withstand considerable strain while the therapists hands by comparison are not.

The PAMM handset therefore gives to the therapist the required tool for the task of restoring mobility and correcting the alignment of a patients spine.
Once treatment starts tissues usually begin to heal and the pain will begin to subside this results in any protective muscle spasm beginning to reduce, relieving the compressive forces they had been exerting on the spine. This reduction in compression particularly benefits the inter-vertebral discs as it can cause them to bulge and dehydrate but also the spinal joints and ligaments.


“I started with back pain, then sciatica. I had physio, acupuncture and saw a chiropractor. After two months I could only walk a few steps. Pain was horrific in my lower back and down my left leg. I had an M.R.I. Scan which revealed a large disc prolapse on left L5/S1 disc. Had two micro-discectomy operations on this disc also pain relief injections on facet joints. I improved, but still had pain and discomfort.I was depressed and my life was limited. My doctor gave me John Wood’s number at Sheffield Physiotherapy. I made an appointment, but did not hold much hope. Slowly I began to improve, my very active life eventually returned to normal. I have no hesitation in recommending John Wood at SheffieldPhysiotherapy for treatment for Minor and Major back problems.” – Mrs S. Hobson

Reduced muscle spasm leads to a virtuous circle of further improvement in pain and healing and therefore a further reduction in protective muscle spasm.

Prior to being treated with PAMM a full spinal assessment is carried out to arrive at a clinical diagnosis. If  PAMM treatment is indicated then the first treatment session can be given. The treatment works on the whole spine and typically requires 5-6 sessions before you can start getting back to the activities you had been avoiding.



We have used PAMM to successfully treat patients with the following conditions:

  • Back Pain
  • Neck Pain
  • Idiopathic Scoliosis
  • Sciatica
  • Radiating arm pain – Numbness or tingling in the arms or legs
  • Headaches
  • Frozen shoulder

Want to know more?

For more information, call us on 0114 268 6677.  To see some of our patient testimonials please click here.