Price Guide

Level 4 Low Back Pain Specialist

This course will allow you to expand your client base and offer a sought-after skill at a high level that affects 80% of the population at some point in their lives.


VTCT Level 4 Certificate in Exercise for Management of Low Back Pain

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CPD Points

10 CIMSPA Points

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Blended learning

This course contains elements of online learning and practical assessment. Explore learning methods


VTCT accredited

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Course Overview

The low back pain course is for Exercise Referral qualified instructors who are looking to move into specialist exercise prescription.

Although you will not be able to diagnose LBP, you will be familiar with the various chronic conditions that can be present, focusing on the exercise management of simple LBP.

You will cover level 4 A & P in relation to LBP, postural & functional assessments, psychological considerations & exercise prescription. This course is assessed in three parts, an e-learning section you can complete from home, a practical 2-day course, and a case study portfolio submitted online.

Entry requirements

To undertake this course, you will need:

  • A valid Exercise Referral Level 3 QCF
  • 150 hours of professional experience
  • Provide some evidence you have been working with clients for at least 6 months either via PT or ER

Awarding bodies

Students who complete the course will receive a VTCT certificate, in accordance with the new Occupational Standards as set by SkillsActive, REPs and the Joint Consultative Forum in 2012.

Included Qualifications

  • VTCT Level 4 Certificate in Exercise for the Management of Low Back Pain

Included Training

This course covers the complex nature of low back pain, and how to assess clients and prescribe general exercises. You will also have an understanding of how back pain is treated and the scientific evidence basis on treatment models (common medication, manual therapy, psychotherapy, and exercise)

Low Back Pain Course Image

What you'll learn

Understanding low back pain

This will include anatomy of the spine and associated structures concerning back pain. This will also cover the different types of lower back pain, their diagnosis, and effective interventions.

Designing progressive exercise programming for clients with low back pain

This will include being able to collect the appropriate information and understand the individual client's goals (and design the program around them). You will understand the protocols to follow when working with clients and referring professionals, as well as understanding how to progress and risk assess the programme devised.

Delivering progressive exercise programming for clients with low back pain

This is the practical assessment of your ability to prepare and instruct an exercise session for a client. You will also be able to review and evaluate your client's performance as well as your own.

Learning & Assessment

This course uses the blended learning approach, allowing you to fully understand the online theoretical material and demonstrate your skills to an expert in your practical assessment. This course includes an 8-week e-learning component, followed by a 2-day practical course. There will then be a formative practical assessment.

Assessment Methods

This course is assessed in 3 parts:

  • Online learning and assessment exam
  • Online portfolio
  • An in-person practical assessment.


Training & Study
50% 50%
Online Training Practical Workshops
0% 100%
Online Assessment Practical Assessment

Enhance Your Career

Studying this course will allow you to grow your client base and expand into working with clients with low back pain.

With this course, you will be able to accept and help clients from physiotherapy referrals. You will be able to train specialist back pain clients and referrals from health care professionals.

This is a highly prized skill amongst employers as it is specialised.

NHS Based Rehabilitation

With this qualification you will be able to:

Work as a trainer within an NHS facility with the potential to earn £18-30k

You could work as a specialist instructor in a variety of health facilities, such as a leisure centre, in partnership with a GP or physiotherapy service, or independently.

Frequently Asked Questions

Do you give me support for my online programmes?

Yes, our extensive Tutor Support team are on hand by phone, email and Facebook to answer any questions that you may have about your training to ensure you are always fully supported and on track.

I have a sports science/dance degree can I miss out any elements?

You may have some advantages when studying our personal training course if you have a sports science or dance degree.

Contact our Career Advisers on the numbers at the top of this page and we can discuss your prior qualifications.

I want to work for the NHS, should I take this Level 4 Low Back Pain course?

Yes, this course gives you a good understanding of low back pain exercise and management to work in an NHS facility. You will not be able to prescribe physiotherapy courses and more specific exercise plans.

How long will the course take? How many hours should I study for per week?

We would ask how much time can you dedicate to your study? The more time available, the quicker you can complete your course. If you don’t have lots of time, we advise taking it step-by-step.