The Latest Innovation in Back Care Designed By A Leading Physiotherapist

The Buttafly Effect refers to the release of the spine that occurs as a direct result of careful positioning the block in supine lying

Endorsed by Back Pain Physiotherapy Specialist of the Year, 2021

The Buttafly is an outstanding new concept in back care designed by TillyLou James, a Chartered Physiotherapist with 30 years of clinical experience in the NHS, the military, and private practice.

It is endorsed by the award-winning physiotherapist, Dr. Fatemeh Rezaei-Sajadinia.

Who Will Benefit?

The Buttafly Technique can help resolve back pain and sciatica without the need for medication. 

Many of our back care customers fall into the category of suffering from Non-Specific (Low) Back Pain. This is where there is no known cause of their symptoms.

The Buttafly is also recommended for people who complain of back ache due to poor posture, especially when related to long periods of sitting or bending at work.

It’s highly favoured by sporting enthusiasts who find great advantage in the specific release of their deep trunk and hip flexor muscles.

The Buttafly Tecnique

The Buttafly is carefully positioned under the pelvis in supine lying.

It’s not difficult to use – at the same time, it’s important to be accurate in your placement of the Buttafly to reap the benefits.

We recommend that the video instructions and guidelines given below are followed carefully.

Online consultations with TillyLou James, Chartered Physiotherapist and designer of the Buttafly are available.

Ashton, a newly-graduated Sports Science suffers a lot from back pain and sciatica, and has had significant benefit from the Buttafly Technique and now shares it with her clients.

“Blown away!” exclaims Tracey Mellor, a Yoga and Pilates Teacher, when trying out the Buttafly Tecnique for the first time.

David, a retired psychologist, reports immediate relief after stirring up an episode of back pain six weeks after a discectomy.

we recommend The STANDARD BUTTAFLY for back care

The Buttafly Technique

Case Studies

"I can't recommend the Buttafly highly enough - it's been a life-changer."

“I’ve had chronic back pain and sciatica for almost 30 years now.

I’ve been to physiotherapists, chiropractors, and osteopaths – all have helped in their own but nothing has really resolved the problem.

But I’ve recently discovered the Buttafly and it’s been an absolute revelation to me.

Even after the first session I had, I noticed a difference. As the days progressed I felt my posture had changed, I was more confident in my running, able to go more often and for longer.

Overall there has been a huge change, and in my ability to sit for long hours at my desk.”


"It was amazing how quickly I could feel the difference!"

“I find as a keyboard-based worker that my back often gets achy towards the end of the day, and that’s how it was when I went to see TillyLou to check out the Buttafly.

After a quick look at me in standing, she soon had me lying on the floor with the Buttafly positioned in a comfortable position so that my back was tilted up away from the floor. 

I laid there for around four minutes but even within a minute or so I could start to feel my back settling into a more comfortable profile, and the tension easing. It was amazing how quickly I could feel the difference as my body adjusted deeply to the new alignment.

After the Buttafly was taken away I laid back flat on the floor and could feel how much my shape had changed. It was even more obvious when I stood up, as you can see from the photos. It’s amazing how having the right support can adjust your posture.”


Conditions That Benefit From The Buttafly Technique

People with the following conditions report using the Buttafly with remarkable benefits:

  • Hip pain/ arthritis of the hip
  • Chronic pelvic pain
  • Scoliosis
  • Multiple sclerosis
  • Parkinson’s disease
  • Post-spinal surgery including discectomy and spinal decompression
  • Following removal of metalwork for scoliosis
  • Those with metalwork still in situ for scoliosis
  • Facet joint syndrome
  • Sacroiliac joint pain
  • Pregnancy

How To Position the Buttafly in Supine

Come into a low bridge, place the palm of one hand on the sacrum, middle finger pointing down towards the tailbone.

Use the other hand to position a Standard Buttafly with the high end towards the feet under the pelvis so that the sacrum rests in the indent.

Straighten out the legs one by one and make minor adjustments so that you are comfortable and the pelvis is resting in neutral and the low back is neither arching away from the floor nor dropping towards it. 

If you place the Buttafly too high under the buttocks, the pelvis will be dragged into an anterior pelvic tilt, causing an increase in the natural arch of the lumbar spine.

If the Buttafly is placed too low under the buttocks, the pelvis will drop back into a posterior pelvic tilt, causing a reversal of the lumbar lordosis so that your low back hammocks towards the floor.

Take the time to find the “sweet spot” where the pelvis and lumbar spine are in neutral, and you feel totally comfortable.

If there is any discomfort or sense of a stretch, either at the front or the back of the body, place a support under the knees/ankles up to the same height as the hips.

(Here, this is achieved by placing a Standard Buttafly under each ankle.)

The Buttafly Effect is only achieved when there is NO  pain, NO stretch, and NO discomfort.

To come out of the position, bend the knees up one by one, lift your bottom up and remove the Buttafly. Then come down flat again, straighten the legs one by one, and rest here a further few minutes.

Then let yourself move in any way that feels natural.

When you are ready to get up, roll onto your side and push up through your arms.

Avoid doing a sit-up, and any jerky movements.

Please note that in the same way that no one exercise or treatment will work for everyone, that there is no guarantee that the Buttafly will work for you.

Back pain is a multifactorial problem – if you are suffering, we recommend booking a consultation with TillyLou James, Chartered Physiotherapist, Lifestyle Prescriptions Health Coach, and designer of the Buttafly.

Are you an Allied Health Professional or a Massage Therapist & keen to explore new ways to support your clients?

The Buttafly Effect refers to the release of the spine that occurs as a direct result of careful positioning the Buttafly block in supine lying.

With proper application, the Buttafly Technique is effective in providing relief from back pain and associated symptoms.

We invite you to learn how to incorporate this outstanding new technique accredited by the Complementary Medicine Association into your work for back care and relief of pain.

TillyLou James, a Chartered Physiotherapist & designer of the Buttafly positions the Buttafly to facilitate a release of the spine