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.

13/04/2026

People who focus on what they can control manage pain better than those who don't feel they can control their symptoms (Litt 2011)

10/04/2026

In a study of 65 patients, reading positive statements increased pain tolerance, while negative ones reduced it—though pain intensity ratings stayed the same (Edwards et al., 2006).

09/04/2026

Our bodies host about 10 times more microbial than human cells, and these microbes influence mood, emotion, and cravings—making us ecosystems, not just individuals (Sender et al., 2016; Cryan & Dinan, 2012).

08/04/2026

Chronic stress lowers growth hormone levels, and symptoms like fatigue and muscle weakness resemble those seen in fibromyalgia (Takii et al., 2007; Leal-Cerro et al., 1999).

07/04/2026

Melatonin supports sleep and also helps close the lower oesophageal sphincter, reducing heartburn symptoms (Zhao et al., 2004; Kandil et al., 2010

06/04/2026

Testosterone reduces pain sensitivity; in rats, castration increased pain behaviours, which reversed with testosterone therapy (Craft et al., 2004; Ceccarelli et al., 2003).

03/04/2026

Oestrogen increases pain sensitivity, especially to pressure, temperature, and emotional cues (Bartley & Fillingim, 2013). Pain levels tend to peak when oestradiol is highest in the cycle (Vincent & Tracey, 2010).

02/04/2026

Taking 10 slow breaths before meals activates the cephalic phase of digestion, enhancing salivation and enzyme release (Power & Schulkin, 2008). Chewing thoroughly—about 30 times per bite—further improves nutrient breakdown and absorption (Fukuoka et al., 2013).

01/04/2026

Chronic stress increases magnesium demand and loss (Pickering et al., 2020), which can lead to deficiency linked to muscle pain and fibromyalgia-like symptoms (Sendur et al., 2008; Bagis et al., 2013).

31/03/2026

Smooth muscle cells are located in collagen within ligaments, intervertebral discs and menisci. These respond to sympathetic stimulation by contracting (Schleip et al 2006), as do the smooth muscle cells in arteries, which lead to vasoconstriction under periods of stress.

30/03/2026

In 330 patients over 80 only 1.3% got sufficient calories and 0.3% got sufficient protein (Rosenberger et al 2019). This is generally what I've seen in this population, if you're over 80 get eating!

27/03/2026

Currently under research conditions two different physiotherapists have been unable to reliably find the same muscle knots in the same patient (rathbone et al 2017). Some academics use this to suggest they don't exist. Many 3 year physiotherapy degrees have less than 2 hours of massage training and no training on finding these knots which might explain the lack of skill.

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