Peek Practice

26/05/2026

Pain is not a signal your body sends. It is an output — generated when your nervous system calculates that threat outweighs safety. A persons psychological state (stress and emotional factors), along with their genetic predisposition and their social and belief systems also play a role in what determines their unique pain experience.

Nigel Peek, MSc Chiro (SA) | DIANM, Chiropractic Orthopaedist | PGDip HealSc Pain & Pain Management – Dist. (Otago) — Peek Practice, Grey Lynn, AucklandPain is not a signal that travels from damaged tissue to a passive brain. That model — intuitive, persistent, and wrong — has been substanti...

26/05/2026

Pain is an output. Not and Input. A protective output — generated when your nervous system calculates that threat outweighs safety. Pain is not a damage report per se, it is a complex interaction of factors based on perceived threat in addition to damage factors (see prior blog post).
That's why two people with similar MRI findings can have completely different pain experiences. The scan shows tissue, in other words a scan is a damage report, not a pain report. It doesn't show context, history, fear, or what happened last Tuesday.
This is the neuromatrix model — decades of neuroscience, now shaping how the best clinicians approach persistent pain.
It doesn't mean your pain isn't real. It means the story is more about you, the individual and what is happening in your life around your pain experience. This opens other avenues for treatment when applied on this basis.
Peek Practice, Grey Lynn — evidence-based musculoskeletal care.

08/05/2026

Pain is the brain’s protective output — not always a direct report of tissue damage. Discover why you can have severe pain with no clear structural cause and vice versa. Read our deep-dive on current pain neuroscience and what it means for treatment and recovery: https://wix.to/tR2biIt

Key takeaways: pain is an experience, tissues and nerves interact with context, and modern definitions reflect that complexity. Share if this changed the way you think about pain.
https://wix.to/Y2DrCni

The short answerContemporary pain neuroscience tells is that pain is the brain's protective output — not a direct readout of tissue damage. The two are related, but they are not the same thing. You can have severe structural damage with no pain. You can have severe, disabling pain with no identifi...

30/04/2026

What difference does post‑doctoral orthopaedic training make to chiropractic care? In our latest blog we explain how board certification in orthopaedics and neuromusculoskeletal medicine — plus postgraduate pain‑science training — changes assessment, diagnosis and management for complex presentations. If you want care rooted in advanced credentials and rigorous examination-based standards, read more. https://wix.to/QdOTrPs

There is a meaningful and poorly understood distinction between a chiropractor or physiotherapist trained to undergraduate level and a practitioner who has completed post-doctoral board certification in orthopaedic and neuromusculoskeletal medicine alongside postgraduate academic training in pain sc...

15/04/2026

Struggling with persistent musculoskeletal pain? Discover an evidence-based approach at Peek Practice in Grey Lynn that tackles complex pain with advanced clinical training and proven strategies. Read the full post to learn how targeted, research-backed care can help you find lasting relief.

https://wix.to/H2pbxPG

09/04/2026

At Peek Practice in Grey Lynn we offer second-opinion consultations that are patient-centred and clinically rigorous. I listen respectfully to your symptom history, perform a focused examination, and explain the likely diagnosis in plain terms. Together we review evidence-based treatment options and outline a clear, tailored management plan with the rationale for each step. If previous care left you unsure, a second opinion can reduce anxiety and restore clarity. Book a thoughtful, professional consultation at our clinic: https://wix.to/s6Q5yll 📍17b Pollen Street, Grey Lynn. How can we help with your pain concerns? 👇

28/03/2026

Clear diagnosis matters. Lumbar discogenic pain often causes deep, central low‑back pain that worsens with flexion and sitting; radicular (referred) pain follows a nerve pattern down the leg with sharp, shooting symptoms and may show neurological signs on exam. At Peek Practice in Grey Lynn, Dr Nigel Peek — our internationally board certified chiropractor and pain management expert — uses evidence-based assessment: focused history, targeted neurological and orthopaedic examination and selective imaging (when indicated)*. Accurate diagnosis directs and determines the appropriateness of any treatment plan. At Peek Practice we present you with options that aim to get you moving as soon as possible. We do not just "crack backs" we use a range of treatment methods in accordance with your preferences. Our approach will likely include some or a mix of hands on treatment, education, targeted rehabilitation, and/or appropriate specialist referral. If you’re in Auckland and want a thorough, clinical second opinion, book an assessment with us: https://wix.to/dsoswZe 🔬🩺

17/03/2026

Sciatica can be misdiagnosed — and a second opinion can change everything. I am a Board‑Certified Chiropractic Orthopaedist at Peek Practice in Grey Lynn. We often see patients labelled with "sciatica” whose pain is actually driven by mechanical joint pain from the lower spine or hip. Sometimes these issues can be solved with a relatively simple approach that does not involve injections or surgery. If, however, your pain is consequential to nerve root compression with associated loss of function we can assist you with the right advice and appropriate timely referral. Our focused spinal assessment will help triage you into the right approach from the start. If you’re in Auckland and sceptical of trend‑style care, come for a measured, evidence‑based second opinion at 17b Pollen Street, Grey Lynn. Book an assessment: https://www.peekpractice.co.nz/book-online-auckland-chiropractor
https://wix.to/ObamXmt

10/03/2026

How we approach your care differs from the others. We are not the local crackypractor down the road. We utilise a range of evidence-based methods that may or may not involve manual treatment. Our primary aim is to help YOU get back in charge of your pain without the need for unnecessary long term treatment plans. We guide you based on the evidence, our experience and YOUR values and needs to optimise care to work for you.

Chronic Back Pain, Neck Pain and Headaches – Our Specialty at Peek PracticeChronic pain is a major global health burden, affecting about 1 in 6 New Zealanders and 20.4% of U.S. adults, with higher prevalence in women, older adults, and those with lower socioeconomic status. Back pain, neck pain, a...

10/02/2026

🚩 𝘐𝘧 𝘺𝘰𝘶’𝘷𝘦 𝘣𝘦𝘦𝘯 𝘴𝘵𝘶𝘤𝘬 𝘪𝘯 𝘢 𝘤𝘺𝘤𝘭𝘦 𝘰𝘧 𝘤𝘩𝘳𝘰𝘯𝘪𝘤 𝘱𝘢𝘪𝘯, 𝘺𝘰𝘶 𝘮𝘪𝘨𝘩𝘵 𝘩𝘢𝘷𝘦 𝘩𝘦𝘢𝘳𝘥 𝘵𝘩𝘦 𝘵𝘦𝘳𝘮 𝙋𝙖𝙞𝙣 𝘾𝙤𝙖𝙘𝙝𝙞𝙣𝙜. 𝘉𝘶𝘵 𝘸𝘩𝘢𝘵 𝘥𝘰𝘦𝘴 𝘪𝘵 𝘢𝘤𝘵𝘶𝘢𝘭𝘭𝘺 𝘮𝘦𝘢𝘯?

𝘜𝘯𝘭𝘪𝘬𝘦 𝘵𝘳𝘢𝘥𝘪𝘵𝘪𝘰𝘯𝘢𝘭 𝘵𝘳𝘦𝘢𝘵𝘮𝘦𝘯𝘵𝘴 𝘵𝘩𝘢𝘵 𝘷𝘪𝘦𝘸 𝘱𝘢𝘪𝘯 𝘱𝘶𝘳𝘦𝘭𝘺 𝘢𝘴 "𝘵𝘪𝘴𝘴𝘶𝘦 𝘥𝘢𝘮𝘢𝘨𝘦" 𝘵𝘩𝘢𝘵 𝘯𝘦𝘦𝘥𝘴 𝘵𝘰 𝘣𝘦 "𝘧𝘪𝘹𝘦𝘥", 𝘗𝘢𝘪𝘯 𝘊𝘰𝘢𝘤𝘩𝘪𝘯𝘨 𝘪𝘴 𝘢 𝘤𝘰𝘭𝘭𝘢𝘣𝘰𝘳𝘢𝘵𝘪𝘷𝘦 𝘢𝘱𝘱𝘳𝘰𝘢𝘤𝘩. 𝘐𝘵 𝘩𝘦𝘭𝘱𝘴 𝘺𝘰𝘶 𝘶𝘯𝘥𝘦𝘳𝘴𝘵𝘢𝘯𝘥 𝘸𝘩𝘺 𝘺𝘰𝘶 𝘩𝘶𝘳𝘵 (𝘵𝘩𝘦 𝘯𝘦𝘶𝘳𝘰𝘴𝘤𝘪𝘦𝘯𝘤𝘦) 𝘢𝘯𝘥 𝘨𝘪𝘷𝘦𝘴 𝘺𝘰𝘶 𝘵𝘩𝘦 𝘵𝘰𝘰𝘭𝘴 𝘵𝘰 𝘳𝘦𝘵𝘳𝘢𝘪𝘯 𝘺𝘰𝘶𝘳 𝘱𝘢𝘪𝘯 𝘴𝘺𝘴𝘵𝘦𝘮. 𝘐𝘵’𝘴 𝘯𝘰𝘵 𝘢𝘣𝘰𝘶𝘵 𝘪𝘨𝘯𝘰𝘳𝘪𝘯𝘨 𝘵𝘩𝘦 𝘱𝘢𝘪𝘯; 𝘪𝘵’𝘴 𝘢𝘣𝘰𝘶𝘵 𝘳𝘦𝘮𝘰𝘷𝘪𝘯𝘨 𝘵𝘩𝘦 𝘧𝘦𝘢𝘳 𝘢𝘯𝘥 𝘢𝘷𝘰𝘪𝘥𝘢𝘯𝘤𝘦 𝘵𝘩𝘢𝘵 𝘬𝘦𝘦𝘱𝘴 𝘵𝘩𝘦 𝘱𝘢𝘪𝘯 𝘥𝘪𝘢𝘭 𝘵𝘶𝘳𝘯𝘦𝘥 𝘶𝘱.

𝘈𝘵 𝘗𝘦𝘦𝘬 𝘗𝘳𝘢𝘤𝘵𝘪𝘤𝘦, 𝘸𝘦 𝘱𝘰𝘴𝘪𝘵𝘪𝘰𝘯 𝘰𝘶𝘳𝘴𝘦𝘭𝘷𝘦𝘴 𝘥𝘪𝘧𝘧𝘦𝘳𝘦𝘯𝘵𝘭𝘺 𝘣𝘦𝘤𝘢𝘶𝘴𝘦 𝘰𝘶𝘳 𝘲𝘶𝘢𝘭𝘪𝘧𝘪𝘤𝘢𝘵𝘪𝘰𝘯𝘴 𝘢𝘭𝘭𝘰𝘸 𝘶𝘴 𝘵𝘰 𝘭𝘰𝘰𝘬 𝘥𝘦𝘦𝘱𝘦𝘳.

𝘈𝘴 𝘕𝘡’𝘴 𝘰𝘯𝘭𝘺 𝘊𝘩𝘪𝘳𝘰𝘱𝘳𝘢𝘤𝘵𝘪𝘤 𝘖𝘳𝘵𝘩𝘰𝘱𝘢𝘦𝘥𝘪𝘴𝘵, 𝘋𝘳. 𝘕𝘪𝘨𝘦𝘭 𝘗𝘦𝘦𝘬 𝘤𝘰𝘮𝘣𝘪𝘯𝘦𝘴 𝘢𝘥𝘷𝘢𝘯𝘤𝘦𝘥 𝘥𝘪𝘢𝘨𝘯𝘰𝘴𝘵𝘪𝘤 𝘴𝘬𝘪𝘭𝘭𝘴 𝘸𝘪𝘵𝘩 𝘦𝘷𝘪𝘥𝘦𝘯𝘤𝘦-𝘣𝘢𝘴𝘦𝘥 𝘱𝘢𝘪𝘯 𝘤𝘰𝘢𝘤𝘩𝘪𝘯𝘨 (𝘪𝘯𝘤𝘭𝘶𝘥𝘪𝘯𝘨 𝘊𝘰𝘨𝘯𝘪𝘵𝘪𝘷𝘦 𝘍𝘶𝘯𝘤𝘵𝘪𝘰𝘯𝘢𝘭 𝘛𝘩𝘦𝘳𝘢𝘱𝘺 𝘢𝘯𝘥 𝘈𝘊𝘛).

𝘞𝘦 𝘥𝘰𝘯'𝘵 𝘫𝘶𝘴𝘵 𝘰𝘧𝘧𝘦𝘳 "𝘣𝘢𝘤𝘬 𝘤𝘳𝘢𝘤𝘬𝘪𝘯𝘨" , 𝘸𝘦 𝘥𝘦𝘭𝘪𝘷𝘦𝘳 𝘢 𝘴𝘦𝘳𝘷𝘪𝘤𝘦 𝘵𝘩𝘢𝘵 𝘪𝘯𝘵𝘦𝘨𝘳𝘢𝘵𝘦𝘴 𝘺𝘰𝘶𝘳 𝘱𝘳𝘦𝘧𝘦𝘳𝘦𝘯𝘤𝘦𝘴 𝘸𝘪𝘵𝘩 𝘵𝘩𝘦 𝘣𝘦𝘴𝘵 𝘦𝘷𝘪𝘥𝘦𝘯𝘤𝘦 𝘵𝘰 𝘥𝘦𝘭𝘪𝘷𝘦𝘳 𝘵𝘩𝘦 𝘣𝘦𝘴𝘵 𝘰𝘶𝘵𝘤𝘮𝘦𝘴 𝘧𝘰𝘳 𝘺𝘰𝘶 (𝘵𝘩𝘪𝘴 𝘮𝘢𝘺 𝘰𝘳 𝘮𝘢𝘺 𝘯𝘰𝘵 𝘪𝘯𝘷𝘰𝘭𝘷𝘦 𝘮𝘢𝘯𝘶𝘢𝘭 𝘵𝘳𝘦𝘢𝘵𝘮𝘦𝘯𝘵).

𝘞𝘦 𝘮𝘰𝘷𝘦 𝘺𝘰𝘶 𝘧𝘳𝘰𝘮 "𝘱𝘢𝘵𝘪𝘦𝘯𝘵" 𝘵𝘰 "𝘱𝘢𝘳𝘵𝘪𝘤𝘪𝘱𝘢𝘯𝘵" 𝘪𝘯 𝘺𝘰𝘶𝘳 𝘰𝘸𝘯 𝘳𝘦𝘤𝘰𝘷𝘦𝘳𝘺.

📍 𝘙𝘦𝘢𝘥𝘺 𝘵𝘰 𝘵𝘢𝘬𝘦 𝘤𝘰𝘯𝘵𝘳𝘰𝘭? 𝙗𝙤𝙤𝙠 𝙝𝙚𝙧𝙚 - 𝙝𝙩𝙩𝙥𝙨://𝙬𝙬𝙬.𝙥𝙚𝙚𝙠𝙥𝙧𝙖𝙘𝙩𝙞𝙘𝙚.𝙘𝙤.𝙣𝙯

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