Back Pain Coach London — Strength, Rehab and Movement Coaching for People Who Want More Than Pain Management
Based in Battersea, SW London. Online coaching available worldwide
If you've been dealing with back pain, you already know what doesn't work.
Rest doesn't fix it. Stretching gives temporary relief. Physio helps in the short term but rarely resolves the underlying issue. And most personal trainers either avoid the problem entirely or make it worse.
What most people with back pain actually need isn't less movement. It's the right movement — structured, progressive, and built around understanding why the pain is there in the first place.
That's what Sustain Performance does.
The Back Performance System
The Back Performance System is a structured four-phase coaching programme designed specifically for people dealing with back pain, sciatica, disc injuries, or post-surgical recovery who want to return to full strength and performance.
It is not a rehab programme. It is not a stretching routine. It is a progressive coaching system — built on modern pain science, spinal biomechanics, and strength and conditioning principles — that takes you from pain to full performance in a structured, logical sequence.
Phase 1 — Calm & Control Reduce sensitivity, restore confidence in movement, begin graded exposure to load. The nervous system is calmed, not avoided. Pain is addressed as information, not danger.
Phase 2 — Movement Re-Education Rebuild coordination, spinal control, and hip-pelvis sequencing. Clients learn to move with precision — hinging, squatting, bracing — without the compensation patterns that caused the problem in the first place.
Phase 3 — Strength Development Progressive loading of the whole system. Muscles, tendons, and discs adapt to load when load is applied correctly. This phase builds the tissue resilience that makes back pain a thing of the past — not a recurring event.
Phase 4 — Performance & Capacity Return to full training, sport, and the demands of your life. Conditioning, intensity, and volume are reintroduced. The goal: a body that can handle whatever you ask of it.
What the evidence says
Back pain is one of the most common and most mismanaged conditions in the world. Up to 80% of adults experience it at some point. The majority of cases are non-specific — meaning no structural damage, no surgical indication, no clear pathology. Just pain.
Modern pain science is clear: early, structured loading produces better outcomes than rest. Movement restores capacity. Avoidance reduces it. The fear of re-injury is often more limiting than the injury itself.
This is the foundation the Back Performance System is built on. Not guesswork. Not generic exercises. A structured methodology with a clear evidence base.
Why this is different from physio, Pilates, or generic PT
Physiotherapy is clinical and episode-based — it treats the acute problem and discharges you. Pilates builds control but rarely builds strength. Generic personal training ignores the injury or works around it indefinitely.
The Back Performance System bridges all three. It starts where physio ends, builds the strength that Pilates doesn't reach, and gives you a long-term coaching system — not a series of appointments with no clear destination.
The goal is not pain management. The goal is performance.
Who this is for
Most clients who come to Sustain Performance for back pain are professionals in their 30s, 40s, and 50s. They're active, intelligent, and frustrated. They've seen the physio, tried the stretches, modified their training, and still can't get on top of it.
Common presentations include:
Chronic lower back pain — recurring flare-ups, never fully resolved
Sciatica — nerve pain radiating into the glute, hamstring, or leg
Disc injuries — bulge, herniation, or post-discectomy recovery
Post-surgical recovery — returning to full training after spinal surgery
Back pain from sitting — desk-based professionals dealing with accumulative load
Fear of lifting — people who've been told not to deadlift, squat, or carry
If you recognise yourself in any of these, this programme was built for you.
About Ollie Weguelin
Ollie Weguelin is the founder of Sustain Performance and has spent 12 years coaching clients through back pain, injury recovery, and the return to full performance.
He has also lived it personally. Two spinal surgeries — an L4-L5 discectomy in 2021 and a second keyhole discectomy in 2024 following re-herniation — plus multiple other surgeries across his knee, shoulder, and ankle. He has coached through his own recovery, built his methodology through necessity as much as study, and understands the psychological reality of dealing with pain and injury in a way that most coaches don't.
Ollie contributes regularly to the Sunday Times, GQ, Esquire, and Women's Health on back pain, strength training, and injury rehabilitation. His approach is evidence-led, structured, and built around helping clients understand why they're doing what they're doing — not just following instructions.
"The goal isn't to manage your back pain. It's to get to a point where you don't think about it anymore."
In-person and online
The Back Performance System is available in two formats:
In-person — Battersea, SW London Sessions delivered at a private training facility in Battersea, SW11. Accessible from across SW London — Wandsworth, Clapham, Balham, Tooting, Putney, Chelsea and surrounding areas.
Online — worldwide The full Back Performance System delivered remotely. The same structured programme, the same coaching quality, the same outcomes. Current clients are based across the UK, Europe, and internationally.
What clients say
"Before working with Sustain I was not moving freely, could barely train at all. Now I'm training fully, deadlifting and bench pressing PBs and not in daily pain." — Charles Eden, 12-month client
"Ollie has really helped me to recover from a persistent sciatica injury. He has great attention to detailed technique and I am now feeling more confident and stronger." — Ashley Stephens
"My back is now fully recovered and we are now building strength to avoid issues in the future." — Nick Robertson
"Not only has he helped me overcome that injury entirely but I'm now lifting heavier and feel fitter than ever. Ollie is so knowledgeable and has really helped me understand the reasoning behind all the work we do." — Gabi Masefield
Frequently asked questions
Do I need to have a diagnosis before starting? No. A formal diagnosis isn't required. The assessment process at the start of the programme establishes your current capacity, sensitivity, and movement quality — and determines where in the four phases you begin.
Can I train if I'm currently in pain? Yes, in most cases. The programme is designed to work with pain, not around it. Phase 1 is specifically structured for people in active pain. The approach is graded exposure — not pushing through, not avoiding.
Is this suitable after spinal surgery? Yes. Post-surgical recovery is one of the most common presentations. The programme is adapted to your surgical history, recovery timeline, and current capacity. Ollie has personal experience of returning to full training after two spinal surgeries.
What if I've been told not to deadlift or squat? This comes up regularly. The evidence does not support permanent avoidance of compound movements for most back pain presentations. The goal of the programme is to rebuild the capacity to hinge, squat, and carry — safely, progressively, and with full understanding of why.
How long does the programme take? The four phases run across approximately 24 weeks. Some clients move faster, some slower — progression is determined by movement quality and load tolerance, not arbitrary timelines.