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.

26/11/2025

Set time aside to eat and just eat, try to be present with your food- no screens if possible. An ideal approach is to do an eating meditation, quite simply just eating and only thinking about eating. This will improve digestion and is part of the mindfulness based stress reduction programme shown to aid many markers of mental health.

25/11/2025

The UK government recommends you do at least 150 minutes of moderate intensity activity a week or 75 minutes of vigorous intensity activity a week. This is the bare minimum for health and equates to just over 20 minutes walking a day. For optimum health and longevity much more is necessary!

24/11/2025

Large & very sexy studies show the best longevity and lowest inflammation with 2–4 cups of coffee per day. This surprisingly high intake is linked to a 15–30% lower mortality risk and reduced inflammatory markers, we think this is due to coffee’s polyphenols, so good sparkling water decaff might be as good (Loftfield et al., 2017).

21/11/2025

10 preclinical trials have shown positive effects of prunes on inflammatory markers (Damani et al 2022). Consider adding the delicious Forest Feast prunes from Waitrose to your diet.

20/11/2025

Cordyceps mushrooms may enhance circulation via improved oxygen utilisation and energy production (Anderson & Perry, 2018; Chen et al., 2020). They could also boost testosterone by stimulating Leydig cells, though evidence is mainly from animal studies (Hsu et al., 2003; Huang et al., 2001).

19/11/2025

Prebiotics, the food for good bacteria, can be more effective in improving the numbers of good bacteria compared to taking the bacteria themselves as a probiotic (Davani-Davari et al., 2019).

18/11/2025

A hot shower or bath within 2 hours of bed helps bring heat to the surface, facilitating the body cooling for bed which has been shown to aid sleep (Haghayegh et al., 2019).

17/11/2025

Consuming more omega 3s >1.5g/ day and less than 40 calories/ day of omega 6s has been shown to reduce headache frequency and duration in migraine sufferers (Prabahar et al., 2023).

14/11/2025

Chronic mouth breathing is linked with altered jaw growth, narrower palates, and airway issues (Harari, D., et al. 2010).

13/11/2025

We now know that manipulation, "cracking" of joints doesn't actually put bones back in place (Kawchuk et al 2015). The "crack" is associated with a release of endorphins, our natural pain killers (Bialosky et al 2014). These normally kick in when we hold awkward positions so they don't get too painful. I worked with one patient who had clicked his own back so much- eventually he was getting someone to jump on his back, that he had exhausted this system. He got pain 10/10 after bending forward for more than 10 seconds but was pain free at rest.

12/11/2025

Dark chocolate, rich in flavonoids like epicatechin, may enhance stem cell activity by improving blood flow and supporting tissue repair, particularly in the cardiovascular system, though more research is needed (Gu, 2016).

11/11/2025

A Cochrane review (Moore et al., 2015) concluded that food/milk decreases GI symptoms when taking anti-inflammatories but not the risk of mucosal damage.

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

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