Q I have a long-standing problem with lower-back pain which seems resistant to cure despite physiotherapy. Do you have any suggestions to help?

A Lower-back pain is a very common problem, costing industry millions each year in days lost off work.

Almost all of us will experience this problem at some time of our lives. Often the problem is chronically poor posture and the long-term holding of tension in the spine causing wear and tear on the joints in the spine or damage to the discs which act as shock absorbers between the bones of the vertebral column.

Lower-back pain is more common in the overweight, those who exercise little, drivers and people who lift a lot.

If you are a sufferer, you need to look at your lifestyle as a whole - diet, exercise, relaxation and occupation and look for exacerbating factors. Are you doing anything which doesn't help your back? Look at posture and the way you hold yourself, particularly while sitting or lifting.

If posture is a problem, consider seeing an Alexander Technique practitioner. If your exercise pattern is insufficient or possibly damaging, consider yoga as an alternative which is excellent for spinal health.

As an alternative to orthodox medicine and physiotherapy you could consider a trip to an osteopath or a chiropractitioner who will be able to assess your back expertly and advise on treatment, posture and prevention of further trouble.

I recommend Treat Your Own Back by Robin McKenzie as a useful book for anyone with lower-back pain.