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 thi

s 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.

16/06/2026

In twins, the one with higher levels of systemic inflammation (immune activity) will report more pain at the same level of stimulus. Systemic inflammation is influenced by all areas of diet and lifestyle (Afari et al 2011)

15/06/2026

Relative to participants in a disorderly room, participants in an orderly room chose healthier snacks and donated more money (Vohs et al 2013). However, participants in a disorderly room were more creative than participants in an orderly room- clean your room unless you need to be creative?

12/06/2026

Experimentally induced low magnesium levels results in depression like behaviour in rodents which is effectively treated by administration of antidepressant (Poleszak et al., 2004; Sartori et al., 2012).

11/06/2026

The bacteria Akkermansia has been shown to reduce body fat levels and improve mood. Currently it appears a panacea! Undoubtedly more nuance to its benefits will be found, but initial research is very promising (Depommier et al., 2019; Ansaldo et al., 2021).

10/06/2026

Melatonin plays a key role in sleep but also in closing the sphincter at the top of the stomach. If you have both poor sleep and acid reflux, melatonin insufficiency might be an issues (Kandil et al., 2010; Bubenik, 2002).

09/06/2026

Meditation helps people feel less pain (Zeidan et al., 2011). A typical progression:
1. One task daily done mindfully e.g. brushing your teeth
2. Add one meal a day eaten mindfully
3. 5-10 minutes walking meditation, e.g. as part of your walk in to or out of work
4. 10-30 minutes mindful stretching
5. 10-30 minutes body scan done each day mindfully
6. 10-30 minutes seated meditation

08/06/2026

Bilateral tendon issues in the lower limbs are very uncommon, but occasionally seen in those taking statins. If you're on statins consider speaking with your GP and possibly switching to Rosuvastatin which is much more expensive but has fewer side effects, and add Co Q10 as a supplement which is known to reduce side effects (Marie et al., 2008; Caso et al., 2007).

05/06/2026

Drinking large amounts of water with meals may dilute gastric juices and impair digestion. Try to finish fluids 20 minutes before eating (Marcason, 2012; Choe et al., 2001).

04/06/2026

Social isolation is associated with diminished physical activity, and in turn, diminished physical activity is associated with decline in memory in older women and men, with larger declines in executive function in older men (Hopper et al 2024)

03/06/2026

Dehydration increases tissue sensitivity (Bear et al 2016). Drink some water!

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