Low Back Pain Specialist London; Kieran Macphail

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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.

09/10/2026

Researchers at the American Gut Project found that people who ate more than 30 different plant foods each week had a more diverse gut microbiome compared with those who ate 10 or fewer (Knight et al 2018). Diversity is our strength...

08/10/2026

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).

07/10/2026

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).

06/10/2026

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).

05/10/2026

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

02/10/2026

Some forms of Parkinson’s disease appear to starts 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 substantia nigra pars compacta in the brain where it leads to reduced secretion of dopamine and the characterises symptoms of Parkinson’s (Hirayama et al., 2023).

01/10/2026

Allicin is produced when raw garlic is crushed or chopped. Laboratory studies demonstrate that allicin has activity against a broad range of bacteria and fungi like candida (Fufa, 2019; Borlinghaus et al., 2014).

30/09/2026

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.

29/09/2026

Dark chocolate, rich in flavonoids like epicatechin, may improve vascular repair and thus improve cardiovascular function (Gu, 2016).

28/09/2026

In spinal disc degeneration, inflammation can increase the production of nerve growth factor (NGF). NGF promotes the growth of sensitive nerve fibres into deeper regions of the disc which can become sensitised by the inflammatory environment. Potentially making things even more sensitive to mechanical and chemical stimuli and contributing to back pain (Rudnik-Jansen et al., 2024).

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Until Marylebone 105 Wigmore Street
London
W1H1QY

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

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