Kieran is a chartered physiotherapist, registered nutritional therapist and corrective exercise specialist. Using physiotherapy, exercise, nutritional therapy and education, he puts together a plan to help you get back to what you do best.

Helping people in chronic pain get back to what they do best

Kieran Machpail
MSc, BSc (hons), BSc, mSOMM

Whether writing, lecturing or working 1:1 with patients, Kieran focuses on understanding the multitude of specific mechanisms that lead people to experience pain. This leads Kieran to consider the specific diet, lifestyle and physical causes of a patients pain experience, and how each of these areas can help a patient get back to what they do best.

Services we provide to our clients

Physiotherapy

Treatment to restore, maintain, and make the most of a patient's mobility, function, and well-being

Nutritional Therapy

Uses nutrient intake and lifestyle changes to prevent and treat diseases like diabetes, heart disease, arthritis, depression, and obesity

Conditions we treat

Chronic Pain

Long standing pain that persists beyond the usual recovery period or occurs along with a chronic health condition, such as arthritis

Ankylosing Spondylitis

Form of spinal arthritis, chiefly affecting young males, that eventually causes ankylosis of vertebral and sacro-iliac joints.

Fibromyalgia

Chronic (long-lasting) disorder that causes pain and tenderness throughout the body, as well as fatigue and trouble sleeping

Chronic Fatigue

Symptoms include light sensitivity, headache, muscle and joint pain, difficulty concentrating, mood swings, and depression.

Success stories from our clients

EXCELLENT

25 reviews on

Lesley Becker

Kieran is excellent. I cannot thank him enough for his help. Kieran’s professional skills and genuinely kind manner are rare.

N O

Kieran has recently provided treatment for my exercise-induced neck pain and migraines. I am a medical doctor. When I was a second-year medical student, I had a head injury that unfortunately led to persistent post-concussion symptoms. I suffered from intractable headaches, migraines, visual disturbances, sensory overload, neck pain, insomnia and exercise intolerance for years. After completing medical school and undergoing specialised post-graduate medical training, I found myself extensively relying on pain relief medications. However, over time, I began to realize that I run out of options. I further trained in functional and integrative medicine, nutrition and acupuncture in hopes of finding some relief. However, my post-concussion symptoms persisted despite all my efforts. Eventually, I came across hyperbaric oxygen therapy ( HBOT ) and had comprehensive training in HBOT. Having found no hyperbaric clinic with the medical standards I was looking for in London, I ended up founding NUMA, my own hyperbaric clinic. HBOT tremendously helped with my spontaneous chronic headaches and some other TBI-related symptoms, but, I still suffered from upper body exercise-induced migraines and intermittent neck pains. If I did not exercise, I was no longer having any migraines. But, I love exercising, and as a medical doctor, I know how important to exercise regularly. I tried physiotherapy to resolve my remaining symptoms which sadly did not help. Eventually, I accepted that I would not be able to do any strength training, and kept walking and doing other forms of exercise that did not involve my upper body. After seeing Kieran helping some of my patients with very complex neurological backgrounds, I decided to have a course of treatment for myself with him. Kieran assessed my condition thoroughly and created a personalised treatment plan for me. He gradually got me back to exercise that involves my upper body too, and completely transformed my threshold for exercise-induced neck pains and migraines. I am a still work in progress, but, I am continuously improving my exercise capacity. I no longer suffer from neck pain. I will continue to refer my patients to Kieran and have my top-up treatments with him. Thank you, Kieran. I could not be more grateful. Dr Nur Ozyilmaz Medical Director of NUMA, Hyperbaric Oxygen Clinic

Viktor

Kieran helped me cure my back pain over the long run with only a couple of sessions. His help has allowed me to continue a variety of intensive physical activities pain-free. Top physio.

Amelia Watts

Kieran is not only a highly knowledgeable & skilled physiotherapists but also extremely caring. I would highly recommend!

Agi Borek

Highly recommended! I came to Kieran with my knee injury and the treatment he did was very helpful! He also recommended me a few simply exercises I can do at home to recover faster!

Peter Bodi

Kieran is a very experienced physiotherapist with a wealth of knowledge and practical solutions for the many different manifestation of pain in the lower back.

jay thakrar

I couldn't be more grateful to Kieran for helping me resolve my back pain issues. His thorough and holistic approach was key in reducing my pain levels almost immediately and keeping me free of symptoms long term.

Maria D'Agostino

I found kieran very competent and knowledgeable in his job. He is very keen on helping and flexible with hours.

Everything you need to know

What is Physiotherapy?

Physiotherapy, also referred to as physical therapy, is a treatment to restore, maintain, and make the most of a patient’s mobility, function, and well-being. Physiotherapy helps through physical rehabilitation, injury prevention, and health and fitness. Physiotherapists get you involved in your own recovery by setting a pre-defined track for the treatment. A physio may ask you to do certain exercises on your own in order to recover quickly. Physiotherapists use manual therapy and various modalities according to the patient’s condition.

What Procedures are used in Physiotherapy?

First of all, the assessment of the patient is done by a physio who set a track for the process of the treatment. There are different approaches used in physiotherapy treatment however it may vary from patient to patient depending upon the condition of the patient and the type of treatment needed. The common procedure includes the following:

Manual Exercises
Soft Tissue Mobilization
Electrotherapy
Heat Therapy
Taping for sports injuries
Ultrasound

Why should I consult a physiotherapist?

Physiotherapy can be helpful for people of all ages with a wide range of health conditions, including problems affecting the:

Bones, joints and soft tissue – such as back pain, neck pain, shoulder pain and sports injuries
Brain or nervous system – such as movement problems resulting from a stroke, multiple sclerosis (MS) or Parkinson’s disease
Heart and circulation – such as rehabilitation after a heart attack
Lungs and breathing – such as chronic obstructive pulmonary disease (COPD) and cystic fibrosis

Physiotherapy can improve your physical activity while helping you to prevent further injuries.

When should I consult a Physiotherapist?

If you suffer from pain and mobility issues it is quite common for us to get by, using over the counter pain killers and ointments. Often we don’t seek the support of a Physio until we have been referred via a GP or until the pain is so bad.

Physiotherapists are trained professionals that help injured patients get back to the highest range of movements. If left untreated injuries often don’t heal as well as if you were on a treatment plan. Injuries, if left for 12 weeks can become chronic and chronic injuries are a lot harder to treat. Injuries also heal a lot quicker if you work with a physiotherapist, with the added benefit of often having less pain and more range of movement than before you had your injury.

If you feel it is only a minor injury and you are still in pain 48 hours after the injury, make an appointment with a physiotherapist. If you feel the injury is more serious make an appointment immediatley. If for an extended perioid, you have been living with chronic pain and or limited mobility and range of movement make an appointment with a physiotherapist.

What does treatment involve?

Our Physiotherapists use different treatment methods in order to deal with a wide range of injuries. Depending on the nature and severity of your injury, you may require:

Manipulation or mobilisation of joints

Electrotherapy (Laser, Ultrasound, Interferential, Short Wave Diathermy)
Acupuncture
Exercise therapy
Stretching and strengthening
Core stability training
Soft tissue massage
Heat or cold therapy
Patient education, home exercises
Biomechanical analysis