Spine-related conditions are one of the leading causes of pain, disability, and lost productivity across the UK, yet their impact is often underestimated. In this report, Consultant Spinal Neurosurgeon Anthony Ghosh explores the growing burden of back and neck problems, examining the lifestyle, workplace, and health factors driving rising rates of spinal pain. Drawing on the latest evidence and national data, the report highlights the personal, economic, and healthcare consequences of poor spine health, while outlining practical steps that individuals, employers, and policymakers can take to help keep the nation moving.