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.

25/09/2025

Heat can ease mechanical pain (like muscle spasm or joint stiffness) by improving blood flow and reducing muscle tension. But it’s less effective for centrally driven pain (like fibromyalgia), where the issue is nervous system sensitivity rather than local tissue (Nadler et al., 2004; Häuser et al., 2015).

24/09/2025

In one study, obese adults who ate a big breakfast including a dessert lost more weight and kept it off longer than those on a low-carb breakfast—likely from reduced cravings. But research shows the real key is a larger, protein- and carb-rich breakfast, not dessert itself (Jakubowicz et al., 2012; Betts et al., 2014).

23/09/2025

Awe, often experienced in nature, concerts, or spiritual practices, can activate the parasympathetic system, reduce inflammation, increase oxytocin, and enhance prosocial feelings. It also reduces self-focus and boosts a sense of purpose (Stellar et al 2015).

22/09/2025

Ni****ne use may be directly responsible for intervertebral disc degeneration as it is directly toxic to the cells of the nucleus. This impacts the long-term health of the disc and its functional ability (Akmal et al 2004).

19/09/2025

Parkinson’s disease appears to start in the gut, with constipation typical 18 years prior to Parkinson’s and the damage can be traced up the vagus nerve till it gets to the substantial nigra pars compact in the brain where it leads to reduced secretion of dopamine and the characterises symptoms of Parkinson’s (Dogra et al 2022).

18/09/2025

Good nutrition, fruit veg and protein (vitamins A, C, D, zinc, selenium, protein) helps vaccines work better, while heavy alcohol use weakens immune response. Moderate alcohol doesn’t seem to impair vaccine effectiveness—but avoid binge drinking before and after your shot (Gombart et al., 2020; Mossad, 2021). If you're getting a vaccine eat like an adult before and after.

17/09/2025

Echart Tolle (2005) describes our consciousness not as our thoughts or feelings. He says we are the "thing" that is aware of our thoughts. There may be psychological value in this approach, we are not depressed or anxious, but having depressed or anxious thoughts. This can provide some detachment from these experiences and may make it easier to let them go.

16/09/2025

30g per day of 85% dark chocolate improved mood via changes in the gut microbiome (Ji-Hee Shin et al. 2022). Interestingly, patients randomised to receive 70% of dark chocolate did not get improved mood or an increase in microbial diversity. 30g is quite a bit unless you're 80kg+ and v active, if smaller go for 15 grams.

15/09/2025

Vitamin D won’t help all back pain (Lee et al 2024), but in people who are severely deficient (Bahinipati and Mohapatra 2020), especially older adults and women, supplementation can reduce pain and improve function (Hicks et al 2009). From now on in the northern hemisphere most of us could benefit from 1000iu's per day.

12/09/2025

For low back pain, endurance training of the spinal muscles often outperforms pure strength work. Better back endurance is linked to lower risk of future pain, faster recovery, and improved daily function (Kameswaran et al., 2023; Steele et al., 2014).

11/09/2025

Mercury has been associated with hypothyroidism (Pamphlett et al 2021), although causation from mercury fillings is far from proven (Siblerud & Mutter 2021). If you have mercury fillings it might be worth seeing an expert to check the levels of heavy metals in your system.

10/09/2025

In a classic study, monkeys developed a forward head posture after 10 minutes of having their noses blocked (Harvold et al 1981). Nasal breathe where you can and see an ENT if you can't.

Address

Until Marylebone 105 Wigmore Street
London
W1H1QY

Opening Hours

Monday 8am - 8pm
Tuesday 8am - 8pm
Wednesday 8am - 8pm
Thursday 8am - 8pm
Friday 8am - 8pm

Website

Alerts

Be the first to know and let us send you an email when Low Back Pain Specialist London; Kieran Macphail posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Low Back Pain Specialist London; Kieran Macphail:

Shortcuts

Featured

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category