Urgent symptoms
Call 999 if symptoms are severe or come on suddenly. Call NHS 111 for urgent advice that is not an emergency. Do not delay either of those in order to finish reading a web page.
Information, not advice
Everything published on this site is general information about backs, posture, movement and the manual therapies practised in the United Kingdom. It is written for a wide audience, and by definition it takes no account of anyone's age, history, medication, diagnosis or circumstances. It is therefore not medical advice, not a diagnosis, not a treatment plan and not a substitute for a consultation with a qualified professional.
No relationship of any clinical kind is created by reading these pages or by writing to the site. Nobody here has examined you.
This site is a publication, not a practice
Upright Notes offers no treatment and takes no appointments. It operates no clinic, employs no clinicians in a treating capacity, and represents no practitioner, practice or organisation. It holds no protected professional title and makes no claim to any. Where regulated professions are described, they are described from the outside, as a journalist would describe them.
Always take individual advice
- Speak to a GP, pharmacist or registered practitioner before starting any new exercise or self care routine, particularly with an existing condition, a recent injury, a pregnancy, or after surgery.
- Never delay seeking professional advice, and never stop or change prescribed treatment, because of something read here.
- Stop any movement described on this site if it causes pain, and take advice.
- If a symptom is new, severe, persistent or frightening, treat it as a reason to speak to someone rather than to read further.
Accuracy and dates
Pages are researched from published UK sources, including NHS material, guidance from the National Institute for Health and Care Excellence, and the standards published by the professional regulators. Guidance changes. Each page carries the date it was last reviewed, and that date is the honest limit of what can be promised. If a page has fallen behind, please report it, because corrections are the fastest route to a better site.
External links and mentions
Links to other organisations are provided because they are useful, not as endorsements, and this site has no control over and takes no responsibility for their content. Naming a profession, an organisation or a register is not a recommendation of any individual practitioner.
Checking that someone is registered
In the United Kingdom the manual therapy professions keep public registers, free to search. Osteopaths appear on the register of the General Osteopathic Council, physiotherapists on the Health and Care Professions Council register, and chiropractors on the General Chiropractic Council register. Checking takes about two minutes and is worth doing before booking anything.
Liability
This site is provided in good faith and on an as is basis. To the fullest extent permitted by law, no liability is accepted for any loss, injury or damage arising from reliance on its content. Nothing in this notice limits liability for death or personal injury caused by negligence, or for fraud, where such limitation would be unlawful.