Back specialist Physiotherapy


Movamento has manual therapists who focuse on back complaints that have been present for a long time and the correct treatment has not been found yet.

In vertebrate animals, and therefore also in humans, the back is the body part that consists of vertebrae, ribs and muscles. In humans, the back consists of seven cervical vertebrae (cervical spine), twelve thoracic vertebrae (thoracic spine), five lumbar vertebrae  (lumbar spine), five sacrum vertebrae (sacral spine) and the tailbone.

Almost all vertebrae of the human body have the same shape. They consist of vertebral bodies that are stacked on top of each other. The vertebral arches form a tube where the spinal cord runs through. From the spinal cord, nerves run between the vertebrae. These nerves control, for example, the arms and legs. Each vertebra has a number of protrusions to which muscles and ligaments are attached. On the back of a vertebrae there is a spiny protrusion (processinos spinosus), this can be felt on the back. On both sides of a vertebrae are the processus transversus.  These differ from shape, depending on the level of the vertebrae. In addition, there are facet joints on both sides that slide in and out of each other when movement occurs. The vertebrae are separated from each other by an intervertebral disc (the discus).

The cervical spine consists of 7 neck vertebrae. The upper neck vertebra (C1) supports the skull. This vertebra is called the Atlas. The second cervical vertebra (C2) is called Axis (turner). This is because the Atlas and the Axis can rotate much more, relative to each other, compared to other vertebrae. The other cervical vertebrae are called C3 to C7 (counted from above). It is possible to feel C7 from the outside because it has a large spiny protrusion (vertebra prominens).

The thoracala spine consists of twelve chest vertebrae (T1 to T12) that are higher at the back than the front due to the curvature of the back. The thoracic vertebrae form the connection between the ribs and the spine.

The lumbar spine usually consists of five lumbar vertebrae (around 1 in 1000 people has 6). This part of the spine forms the lower back and one of the characteristics of the lumbar vertebrae is that they have the largest vertebral body. The lumbar vertebrae have to process the greatest forces  during, for instance, lifting activities.

The sacral spine consists of the sacrum, the largest bone of the spine. The Sacrum has a triangular shape and consists of three to five intertwined vertebrae. The nerves run through four pairs of openings. The lower part is also called the rump. The sacrum and the intestinal bone (the Ilium) form a joint, called the SI joint (sacro-iliac joint). In the SI joint movements can take place in three axes. Tilting forwards and backwards takes place around the transversal axis (nutation and contranutation). Lateral bending (lateroflexion) takes place around the anterior posterior axis and the rotational movements take place about the vertical axis.


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