Low Back Pain Specialist London; Kieran Macphail

Low Back Pain Specialist London; Kieran Macphail Kieran is passionate about studying and developing optimum strategies for full rehbailitation from s Kieran specialises in rehabilitation from spinal pain.

I am developing, trialing and refining, a free self assessment and treatment algorithm for low back pain patients. It takes patients through self assessment, so they are referred to A&E, or a consultant/ GP where appropriate. If this is not essential it takes them through questions and self assessment to give them a starting point and an exercise and education programme. In time the aim is for this to be an automated website, but for now as it changes almost daily I'm emailing out questions and refining day by day! If you would like to try the algorithm please contact me through this page. Kieran is a physiotherapist, nutritional therapist and corrective exercise specialist who specialises in comprehensive evidence based rehabilitation of spinal pain patients. Kieran has worked in the health, exercise and rehabilitation industry since 2004. Starting as a personal trainer and sports massage therapist consulting private clients in a gym environment, he has since gone on to complete a physiotherapy degree, diploma in nutritional medicine and advanced studies in holistic lifestyle management and corrective and high-performance exercise. This has enabled him to work with a wide range of patients suffering with acute and chronic conditions. Kieran presents regularly to health care professionals on a diverse range of topics and undertakes scientific reviews for educational institutions, private clinics and individuals. These have varied from the role of inflammation to the development of trigger points and the manipulation of acute exercise variables on health, function and performance. In addition he has a clinical interest in chronic pain management, Parkinson’s disease and the management of irritable bowel syndrome.

13/01/2026

Half your protein requirements are to repair the gut lining. A good basic for an inactive person 1g/ kg of healthy bodyweight. A chicken breast is about 35 grams, a large egg about 7 grams. We probably need a good protein source at all meals.

12/01/2026

During a test magnesium levels drop, as it is required for GABA receptors to work which keep you calm. This drop is correlated with the level of anxiety you feel (Boyle et al 2017). Increasing magnesium levels typically gives people more of a sense of calm. It is readily available in nuts and seeds in particular.

09/01/2026

A significant portion of the pain relieving benefits of acupuncture comes from its action on adenosine receptors. Caffeine has the opposite effect and in rat studies has prevented the pain relieving effect (Cui et al 2024). If you're going for acupuncture avoid caffeine!

08/01/2026

When the clocks fall backward and we lose the hour sleep there is a 24% increase in heart attacks the following day, when we gain the hour there's a decrease of approximately 21% (Sandhu et al 2014). Sleep maters in the short term and long term!

07/01/2026

Lipopolysaccharides are used to induce pain in studies (Calil et al 2014). These are contained in the outer membrane of "bad" bacteria, but not the "good". If our gut microbiome gets unbalanced these can make it in to circulation and make tissues more sensitive. Look after your gut!

06/01/2026

One very large study showed that when all things are equal, each portion of fruit and veg reduces the chance of death by 5% (Wang et al 2014). This relationship holds up to about 5 portions of different fruit and vegetables. The five a day guideline has not been changed as most people cannot even do five. Two fruit, five veg- EAT THEM.

05/01/2026

Consuming large quantities of Earl Grey tea on a daily basis can lead to nerve damage as seen by twitching muscles, pins and needles and worsening vision (Finsterer 2002). I recommend up to 4 cups per day. It should reverse once the Earl Grey is stopped.

02/01/2026

Increased systemic inflammation causes muscle stiffness (Cohen et al 2022). It is very normal to be stiff after a cold or infection.

01/01/2026

When making progress in the gym try to leave some improvement on the table. For example if you start by bench pressing 40kg for 8 reps, try to do 9 reps next set, then 10 on the next set. If you fail to get a personal best, then do an extra set so you get a personal best by volume.

31/12/2025

You can achieve anything you want in life if you have the courage to dream it, the intelligence to make a realistic plan, and the will to see the plan through to the end (Sidney Friedman).

30/12/2025

Most simple injuries can be rehabilitated by decreasing your activity to a pain free level and then gradually building back up

29/12/2025

Taking and posting a photo a day to social media has been found to have many positive impacts, including improving mindfulness of the present moment, increasing physical activity and promoting socialising. This may be a simple a powerful new years resolution.

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