Raising the standard of spinal care.

Sarah trained as a physiotherapist in Sydney before moving to London in the mid-1970s, where she built a prestigious Harley Street practice serving the Royal Family. She is the bestselling author of Back Sufferers' Bible and several other popular books on spinal health.

Encouraged by His Majesty King Charles III, Sarah launched her Spinal Masterclasses in 2001. She pioneered the move to online Theory training in 2013, opening her unique approach to clinicians worldwide. She continues to see patients from her home in Australia while remaining actively engaged with the global community she has built.

Sarah also writes the popular Substack Beyond Back Pain, sharing insights on spinal health, clinical reasoning, and the evolving science of back pain with subscribers around the world.

Cara became an Accredited Practitioner in The Sarah Key Method in 2007 after attending the courses at Highgrove, the estate of HRH the Prince of Wales. In 2013 she set up her own highly successful private clinic specialising in musculo-skeletal disorders, primarily backs. Before that time she worked with the MoD in Ireland. The greater part of her spinal therapy work is based on the Sarah Key skills.

Cara believes that using the heel to mobilise the spine is one of the best ways to get to the heart of a client's problem. "Because of our 21st-century lifestyle we all suffer from spinal problems and various back-related aches and pains. Spinal mobilising un-jams the spine, helps the nutrient supply of intervertebral discs and stops the cascade of breakdown of a problem segment. Using my heel delivers 'kinder' pressures that loosen a stiff segment, sparing my own body and allowing a deeper, more specific treatment with highly beneficial results."

Having assisted Sarah at the 'Back in a Week' patient program at Hotel Tresanton in Cornwall (2007), visited Sarah's clinic in Sydney and assisted during the 2017 UK training at the University of Salford, Cara is delighted to be part of Sarah's teaching team — helping newcomer therapists successfully integrate the Sarah Key Method.

Kay graduated as a physiotherapist in 1991 and has built over three decades of clinical experience across the NHS, private hospitals, and private practice. Today, she treats patients from her specialist clinic in Huddersfield, West Yorkshire.

Committed to continual professional development, Kay completed a Master's degree at the University of Huddersfield in 2004, with a particular focus on the assessment and management of back pain.

In 2006, Kay attended her first Sarah Key Masterclass at Highgrove. Sarah's unique approach to understanding and treating back and neck pain immediately resonated with her, offering a fresh perspective that transformed both her own clinical practice and the outcomes she achieved for patients. The techniques also proved invaluable in her own recovery following a serious riding accident in which she fractured her back, enabling her to continue the rehabilitation programme safely and effectively.

Recognising the effectiveness of the Sarah Key Method, Kay became an Accredited Sarah Key Practitioner in 2007. Since then, she has worked closely with Sarah as a member of her teaching faculty, assisting at numerous Masterclasses and supporting the education of physiotherapists from around the world. She also assisted Sarah on the renowned Back in a Week programme at Hotel Tresanton in Cornwall.

Kay is a passionate advocate of the Sarah Key Method, particularly its use of heel-assisted manual therapy. She believes this technique provides a more effective and comfortable treatment experience for patients while also reducing strain on the therapist's hands, allowing practitioners to deliver consistently high-quality care throughout their careers.

Alongside her expertise in spinal rehabilitation, Kay has a strong interest in the neuroscience of pain. She recognises that pain is influenced by far more than structural changes alone and integrates modern pain science into her clinical practice where appropriate. By combining evidence-based pain education with the Sarah Key Method, Kay provides a holistic, patient-centred approach that helps individuals better understand their pain and regain confidence in movement.