The Latest Innovation in Back Care Designed By A Leading Physiotherapist

Endorsed by award-winning Dr Fatemeh – “Most Trusted Physiotherapist, London 2020” and “Back Pain Physiotherapy Specialist of the year 2021, UK”, 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, MOD, and private practice.

Using the Buttafly is simple and takes only 5 to 10 minutes once or twice a day. It is designed to be used safely at home while lying down comfortably – the effects are remarkable and immediate.

If you are frustrated with ongoing back pain and/or sciatica that hasn’t resolved despite numerous appointments with physiotherapists, chiropractors, and osteopaths then the Buttafly is for you.

TillyLou’s early experimentation with the Buttafly led to a chance discovery that she used to cure her own longstanding back problems following a fracture at the base of her spine.

“Having experienced the benefits myself throughout the development process, it became clear that the Buttafly had extraordinary potential. I started using it with my clients, and saw first-hand dramatic improvements in their back pain and related symptoms.

“For many of them the results have been profound and life-changing, giving relief from long term back pain and sciatica too. I’ve come to realise that too many people are suffering needlessly,” says TillyLou.

“The Buttafly changed my posture.”

Dr Ann Redgrave, British Orthopaedic Surgeon, Doctor of Osteopathy and Chief Medical Officer of GB Rowing

“The Buttafly has been an absolute revelation to me.”

Paul Harrold

The Buttafly Effect

The Buttafly can be used to help the spine to recover from poor postural habits and activities that involve repetitive movements. Spending just 5-10’ minutes a day lying down with a Standard Buttafly carefully positioned under the pelvis can provide just the right kind of support for the deep muscles of the trunk to relax and facilitate the spine release, unravel and lengthen as you literally lie back and unwind.

This can be particularly helpful at the end of the day and also, in the morning. Lying down on our back in bed, the bulk of the weight of our belly and lower trunk rests on the sacrum – the triangular bone at the base of the spine. In effect, this “fixes” the spine – the softer the mattress, the more the spine is held in place.

Lying down with a Buttafly placed low down under the pelvis minimises direct pressure on the base of the spine, and provides a gentle inversion, where pelvis resting slightly higher than the shoulder girdle.

It can take a bit of practice to get the position just right the first time and we encourage everyone to watch the video all the way through for full instructions and helpful hints.

The Buttafly Facilitates A
Natural Unwinding of the Spine

Rob's Story

"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.”

Rob Dewing, Lymington

How Does the Buttafly Work?

Lying down on our back especially on a hard surface like the floor, most of us can get a sense of how much of our weight is taken through the triangular bone at the base of the spine – known as the sacrum.

Taking the same position with a Buttafly placed low down under the pelvis effectively offloads the sacrum – leaving the base of the spine and low back free to respond to gravity and release.

As the spine releases, this has a knock-on effect throughout the whole skeleton and is especially noticeable in the hips. For anyone with arthritis of the hips, this can give welcome relief.

A Gentle Inversion

Inversion therapy has long been used by Physiotherapists to reverse the effect of gravity on the spine. The idea is to provide a “stretch” of the spine, opening out the joints between the vertebrae – the bones of the spine. Many NHS Physiotherapy departments continue to use traction beds for this purpose.

Inversion tables and gravity boots can be used at home to reverse the effects of gravity.

The supine positioning with the Buttafly offers a more gentle and yet remarkable effective release of the spine.

Who Will Benefit From Using the Buttafly?

The Buttafly can be used by people of all ages and abilities; the most common uses are to improve their posture, give relief from back pain, and increase ease and freedom of movement of their spine.

Many of them fall into the category of suffering from “non-specific back pain” – this is where no cause of pain has been identified. Other customers present with the occasional backache.

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

The Buttafly is also favoured by sportsmen and women who find great advantage in the very specific release of their deep trunk muscles and hip flexors.

Our customers include weight-lifters, long-distance cyclists and runners, and rowers, and those who sports dominate one side of the body, e.g. golfers and tennis players.


People with the following problems also 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 Often and How Long For?

Start off with 5 minutes at least once every day. It generally takes a few minutes to fully relax, and in our experience, the body often releases layer by layer. Think of it like brushing your teeth – a quick brush will rinse off the remains of your last meal but you will need to use a bit more toothpaste and probably floss too, to reach the deeper layers.

Those who suffer from back problems and who know their posture to be poor will likely benefit for 15-20 minutes.

It’s ideal to work out for yourself what is the optimum time, working up in 5-minute increments. 


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

The most important factors are that the Buttafly must be used according to the instructions given and the position MUST feel comfortable.

Please follow the instructions provided here and also with your Buttafly.

You may experience some general discomfort as you get used to the position, and if you already were experiencing some pain, this may not disappear straight away. We recommend that should you experience any increase in symptoms or new pain, you discontinue the exercise and try it again an other day. 

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 can fall away 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. You will want the buttock flesh to be cushioned in between the sit bones and the Buttafly to avoid compression around the sacrum.

If you place the Buttafly to 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 (lordosis).

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 will feel like it is hammocking towards the floor.

Take the time to find the “sweet spot” where the pelvis is in neutral. When this is in place, the lumbar spine will also be in neutral. Once here, 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.

If any stretch or discomfort persists beyond a few minutes, come into the crook lying position again, remove the Buttafly, straighten the legs one by one and rest flat or with a pillow under the knees.

Go back to the exercise at another time.

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

The objective of this exercise is intended as general back care.

Please follow the instructions here – also provided on the leaflet provided with your Buttafly.

It has also been shown to be helpful for back pain and sciatica, and may be included in therapeutic exercise  programmes.

If you are in any doubt, or would otherwise like to have an online consultation with TillyLou James, book here.



The Standard size Buttafly is the one to use for back care.

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