Kieran is passionate about helping people get out of chronic pain and back to what they do best.



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Kieran is a chartered physiotherapist, registered nutritional therapist and corrective exercise specialist who specialises in helping people in chronic pain get back to what they do best.

Kieran is fascinated to understand the causes of someone's pain. From here he puts together a plan using physiotherapy, exercise, nutritional therapy and education to help you get back to what you do best.

Kieran is based at the Bowskill Clinic, 4 Duke Street, W1U 3EL near Bond Street tube station. Where patients are unable to attend the clinic he can do home appointments.

To find out more about Kieran see his bio here

To ask Kieran a question or book an appointment; call 07830160323 email kieran@kieranmacphail.com

Iwahashi et al (2015) conducted the first study to report age and sex related changes in parameters of bony stenosis of the lumbar spine and their relationship to the occurrence of clinical symptoms of lumbar spinal stenosis in a population‐based cohort. The anterior posterior spinal diameter at the L4 level was significantly related to the occurrence of buttock and leg pains, whereas those at the other levels were not. Other factors (disc degeneration,etc.) are assumed to be related to the occurrence of clinical symptoms of LSS. This is interesting given the typical spinal canal is narrowest at L5 (Januja and Mohammed 1989).

Iwahashi, H., Yoshimura, N., Hashizume, H., Yamada, H., Oka, H., Shinto, K., Ishimoto, Y., Nagata, K., Teraguchi, M., Kagotani, R. and Muraki, S., 2015, January. relationship Between Bony Spinal Canal Stenosis And The Occurrence Of Clinical Symptoms Of Lumbar Spinal Stenosis—The Wakayama Spine Study: o14. In Spine Journal Meeting Abstracts (Vol. 2015, p. 50). LWW.
Janjua, M.Z. and Muhammad, F., 1989. Measurements of the normal adult lumbar spinal canal. JPMA. The Journal of the Pakistan Medical Association, 39(10), pp.264-268.

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Conclusion of Amirdelfan et al (2014) on low back pain diagnosis. My synopsis, exclude specific LBP first, whilst assessing & managing the patient b-p-s.

LBP is an extremely common condition associated, as a symptom, with various disease processes, regardless of their relationship with the lumbar spine or its innervation. This article underscores the broad nature of LBP as a symptom of many diagnoses. The primary conclusion reached by the authors is the most important recommendation by all mentors in medicine, which is to obtain a comprehensive history and perform a complete physical examination on each patient. Despite the fact that there is an emerging school of thought questioning the validity of the physical examination, this tool continues to be the current standard of care and used by a majority of clinicians around the world. The physician must analyze the information obtained from his/her history, physical examination, and diagnostic tools with the recognition of the broad nature of the differential diagnoses of LBP in order to be able to best treat the patient.


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Sleep as a treatment for LBP

There is a paucity of research on sleep hygiene education in chronic low back patients with one randomised controlled trial showing the benefit of a medium firm mattress (Kovacs et al. 2003), and another showing the superiority of a specific bedding system (Jacobsen et al. 2002).

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  • kieran@kieranmacphail.com