About Active X Clinics

Less pain. More Active.

Active X Clinics

Active X Clinics was founded in Edinburgh in 1992.  In those days Gavin Routledge was the 6th osteopath in Edinburgh.

Then Robert Clark was the first osteopath to join Gavin in 1994.  Since then there have been more than 25 osteopaths and 10 massage therapists who have been part of the Active X Clinics story.

Expansion beyond Edinburgh

From 2000 to 2010, AXC had clinics in Bathgate, Dunfermline and Kirkcaldy.  And they provided on-site osteopathic services to Standard Life, BP Grangemouth, Aegon UK, and ASDA (RDC2).

A centre of excellence

The business purposefully contracted from 2010-2012, becoming just the one centre of excellence in Edinburgh’s West End.

Gavin wanted to specialise in back pain and sciatica treatment.   Having completed a Masters Degree in The Clinical Management of Pain at the University of Edinburgh in 2015, in 2017 Gavin released his 2nd book on lower back pain.  Having published the first with Gavin Hastings OBE in 1997 – The Back Book.

Active X Backs - an effective long-term solution to lower back pain









Gavin’s own experience of lower back pain, further qualified him to empathise with those suffering this debilitating problem.  Gavin has over 30 years of experience, specialising in the treatment of lower back pain and sciatica at his West End clinic.

Our Team

The AX team is small but growing.  There’s a real focus on attracting the best clinians, with the right positive attitude.  Their skills are important, but we provide ongoing training to ensure that you get the same high quality care whoever you see.

Need to make an appointment?

Booking online is fast and easy and the best way to get your date and time.

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Continuing to specialise in low back pain and sciatica

Since 2015, Gavin has developed an app for low back pain.  And written courses on the management of lower back pain for physical therapists and fitness professionals.

The impact of lifestyle on low back pain

Being convinced of the impact of lifestlye on pain, he passed the International Diploma in Lifestyle Medicine in December 2021.  And is proud now to be a Certified Lifestyle Medicine Professional.

British Society of Lifestyle Medicine Certified Lifestyle Medicine Professional

And Gavin will keep striving to be the best Osteopath in Edinburgh (and beyond).

Building a great team in Edinburgh

Part of the journey is to support others in the team to be their best.  So, whether you’re looking for the best back massage in Edinburgh, or to see a great Personal Trainer turned osteopath (Jordan), we have what you need.

Leveraging his knowledge

Gavin is ambitious to create physical and digital tools that support people in becoming more active at work.  Watch this space…

Susie Lowe


Gavin and his team are extremely professional and friendly and most importantly, get great results. Highly recommended.

Susie Lowe

Professional Photographer

Lisa Marriage

Nice waking up without pain

I’d had low back pain and sciatica for a few months and been to the doctor and my local therapist. You confidently said I just had to stick to the plan we put together and that it would all be OK. You were spot on! Thanks. It’s so nice waking up without pain!

Lisa Marriage

Active X Backs Customer

Cameron Doyle

Huge thanks

Just wanted to say a huge thanks again. When, over twenty years ago, a surgeon told me to come back in a few years time when I was in a wheelchair because of my back, I can’t tell you what a downer that was. I am certain that following your plan has been a big part of making sure that never happened!

Cameron Doyle

Active X Backs Customer

Caterina Toniolo

I can't believe it

My pain was typically 5 out of 10 but could be as bad as 9 for the last four weeks. It was really terrible after sitting. Two weeks after starting your plan I’m down to 0 out of 10. I can’t believe it! Thank you so much!

Caterina Toniolo

Active X Backs Customer

We adhere to lower back pain guidelines published by the National Institute for Health and Care Excellence, are registered with the General Osteopathic Council and are members of The International Association for the Study of Pain.