UNDERSTANDING CHRONIC PAIN

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

Red Flag Questioning
2.1.7.10 Indwelling Vascular Catheter
Gallicker et al (2019) analyzed 22 studies with a total of 41′320 patients. The prevalence of any serious spinal pathology requiring immediate/urgent treatment was 2.5–5.1% in prospective and 0.7–7.4% in retrospective studies (0.0–7.2% for vertebral fractures, 0.0–2.1% for spinal cancer, 0.0–1.9% for infectious disorders, 0.1–1.9% for pathologies with spinal cord/cauda equina compression, 0.0–0.9% for vascular pathologies). Examples of red flags which increased the likelihood for a serious condition were: suspicion and/or history of cancer (spinal cancer); intravenous drug use, indwelling vascular catheter, other infection site (epidural abscess).
References
Galliker, G., Scherer, D.E., Trippolini, M.A., Rasmussen-Barr, E., LoMartire, R. and Wertli, M.M., 2019. Low Back Pain in the Emergency Department: Prevalence of Serious Spinal Pathologies and Diagnostic Accuracy of Red Flags–A Systematic Review. The American journal of medicine.
...

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Red Flag Questioning

2.1.7.10 Indwelling Vascular Catheter

Gallicker et al (2019) analyzed 22 studies with a total of 41′320 patients. The prevalence of any serious spinal pathology requiring immediate/urgent treatment was 2.5–5.1% in prospective and 0.7–7.4% in retrospective studies (0.0–7.2% for vertebral fractures, 0.0–2.1% for spinal cancer, 0.0–1.9% for infectious disorders, 0.1–1.9% for pathologies with spinal cord/cauda equina compression, 0.0–0.9% for vascular pathologies). Examples of red flags which increased the likelihood for a serious condition were: suspicion and/or history of cancer (spinal cancer); intravenous drug use, indwelling vascular catheter, other infection site (epidural abscess).

References
Galliker, G., Scherer, D.E., Trippolini, M.A., Rasmussen-Barr, E., LoMartire, R. and Wertli, M.M., 2019. Low Back Pain in the Emergency Department: Prevalence of Serious Spinal Pathologies and Diagnostic Accuracy of Red Flags–A Systematic Review. The American journal of medicine.
...

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  • 07830160323
  • kieran@kieranmacphail.com