Hillcrest Chiropractor https://www.drneilcuninghame.com/ Dr Neil Cuninghame is a Chiropractor based in Hillcrest with over 16 years experience in managing aches and pains and complex conditions throughout the body. Thu, 13 Mar 2025 08:20:30 +0000 en-US hourly 1 https://wordpress.org/?v=6.8 https://i0.wp.com/www.drneilcuninghame.com/wp-content/uploads/2021/02/Hillcrest-Chiropractor.png?fit=32%2C30&ssl=1 Hillcrest Chiropractor https://www.drneilcuninghame.com/ 32 32 193382437 Anti-inflammatories for Spinal Pain https://www.drneilcuninghame.com/2025/03/13/anti-inflammatories-for-spinal-pain/ Thu, 13 Mar 2025 07:25:55 +0000 https://www.drneilcuninghame.com/?p=4480 Discover why anti-inflammatories may not be the best solution for spinal pain. Learn about the importance of a multidisciplinary approach to effectively manage pain.

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The Limitations of Anti-Inflammatories for Spinal Pain: A Multidisciplinary Perspective

Non-steroidal anti-inflammatory drugs (NSAIDs), commonly referred to as anti-inflammatories, are often prescribed to relieve spinal pain. However, a comprehensive systematic review and meta-analysis published in the Annals of the Rheumatic Diseases (2017) by Machado GC, Maher CG, Ferreira PH, et al. questions their effectiveness.

Dr Neil Cuninghame - Hillcrest Chiropractor on Noninvasive management of low back pain
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What the Study Found About Anti-Inflammatories and Spinal Pain

The study reviewed 5,208 individual records, narrowing them down to 35 randomized trials. The trials covered various types of spinal pain:

  • 11 trials on chronic back pain
  • 11 trials on acute back pain
  • 11 trials on sciatica
  • 4 trials on neck pain
The conclusion of the study is clear: while anti-inflammatories can be effective, their benefits are clinically insignificant compared to placebos. The authors highlight the urgent need to develop new pain relief strategies.
“We provide sound evidence that NSAIDs are effective, but do not offer clinically important benefits for spinal pain above those attributable to placebo…– Machado et al., 2017”

The Real Issue: Why Anti-Inflammatories Alone May Not Work

The findings of this study reveal an underlying issue in pain management. Pain, especially spinal pain, is not a simple condition that can be resolved by anti-inflammatories alone. Pain is multifaceted, involving biological, psychological, and social factors. This concept is supported by Williams and Craig’s article on updating the definition of pain, which emphasizes the importance of acknowledging the psychosocial components of pain.

Another concern is how spinal pain is grouped together as a single problem. Spinal pain can have numerous causes and contributing factors, making it difficult to assess the true effectiveness of an intervention when only looking at broad averages across patients.

A Better Approach: Multidisciplinary Care Over Anti-Inflammatories

The idea of a ‘magic bullet’ for pain relief is, unfortunately, a flawed one. As mentioned in my previous post discussing noninvasive management of lower back pain, there is solid evidence supporting the effectiveness of combined approaches to pain management.

While I am certainly not against pharmacological interventions—there is a time and place for everything—pain is far too complex to be managed effectively with anti-inflammatories alone. Combining chiropractic care, physiotherapy, lifestyle modifications, and when appropriate, medication, can produce much better results.

Takeaway: Rethinking Anti-Inflammatories for Spinal Pain

This study highlights the limitations of anti-inflammatories in treating spinal pain and underscores the importance of a multidisciplinary approach. Chiropractic care can play a valuable role in addressing the mechanical and functional aspects of spinal pain, while also integrating other therapies to provide a more holistic treatment.

If you’re struggling with spinal pain and are looking for effective, evidence-based treatment, consider reaching out to a professional who understands the complexity of pain and offers a comprehensive approach to care.

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalized recommendations.

Dr Neil Cuninghame - Hillcrest Chiropractor on Noninvasive management of low back pain

about Dr neil cuninghame

Mtech Chiro (DUT)   l   PG Dip Pain Mngmnt (UCT)

Hi, I’m Dr. Neil Cuninghame, a Hillcrest Chiropractor specializing in helping you move better, feel better, and live better. Whether you’re struggling with chronic pain, sports injuries, or everyday aches like headaches, back pain, or shoulder discomfort, I’m here to guide you toward lasting relief. With over 16 years of experience, I’ve helped athletes, busy professionals, parents, and many others overcome pain and return to doing what they love. My approach combines evidence-based care, personalized treatment plans, and a deep understanding of how the body works.

more from the hillcrest chiro

Dr. Neil Cuninghame explaining the link between sleep and pain

Sleep and Pain: Understanding the Connection

Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

Read More »

Frequently asked questions

FIND OUT MORE ABOUT CHIROPRACTIC

Find Me Here - the Hillcrest chiro

031 035 1165

A1a Meyrickton park, 2 meyrickton place, hillcrest

BOOK YOUR APPOINTMENT NOW

The Hillcrest Chiro on Instagram

Dr Neil Cuninghame • Chiro

hillcrest_chiropractor

Helping you break free from pain & live fully
Expert pain insights for patients & practitioners
𝗖𝗵𝗶𝗿𝗼. 𝗣𝗮𝗶𝗻 𝗺𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁. 𝗦𝗽𝗲𝗮𝗸𝗲𝗿

Get In Touch

Phone:

0310351165

Online Booking: www.drneilcuninghame.com

WhatsApp:

064 820 5203

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalised recommendations.

© Dr Neil Cuninghame 2025

The post Anti-inflammatories for Spinal Pain appeared first on Hillcrest Chiropractor.

]]> 4480 Sleep and Pain: Understanding the Connection https://www.drneilcuninghame.com/2025/03/11/sleep-and-pain-understanding-the-connection/ Tue, 11 Mar 2025 08:57:47 +0000 https://www.drneilcuninghame.com/?p=5348 Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

The post Sleep and Pain: Understanding the Connection appeared first on Hillcrest Chiropractor.

]]>

Sleep and Pain: Understanding the Connection

Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

Dr. Neil Cuninghame explaining the link between sleep and pain
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The Basics of Sleep: NREM and REM

To understand how sleep affects pain, it’s important to first break down the basics of sleep. Sleep is divided into two main types: NREM (Non-Rapid Eye Movement) and REM (Rapid Eye Movement).

  • NREM Sleep: This is further divided into three stages:

    • N1 & N2: Light sleep phases where your body begins to relax, and your heart rate, blood pressure, and breathing slow down.

    • N3: The deep sleep phase, crucial for physical recovery and restoration.

  • REM Sleep: This phase is associated with increased brain activity, vivid dreams, and unstable physiological parameters like heart rate and breathing.

Throughout the night, your body cycles through these stages 3-5 times, with each cycle lasting about 90 minutes. As the night progresses, deep sleep (N3) decreases, lighter sleep (N2) increases, and REM sleep becomes longer.

How Sleep Deprivation Amplifies Pain

Chronic sleep deprivation doesn’t just leave you feeling tired—it can significantly worsen pain. Here’s how:

1. Disruption of Pain Modulation Pathways

Sleep deprivation disrupts the body’s natural pain-killing mechanisms. Specifically, it impairs pain inhibition pathways, making you more sensitive to pain. Studies have shown that chronic sleep deprivation increases pain sensitivity in the PAG (Periaqueductal Gray) area, which is responsible for descending pain modulation.

2. Increased Pain Reactivity

Sleep deprivation amplifies pain reactivity in the primary somatosensory cortex, the part of the brain that processes sensory information. The longer you go without sleep, the more your brain reacts to painful stimuli.

3. Inflammation and Cytokines

Pro-inflammatory cytokines, particularly IL-6, are elevated after sleep deprivation. This inflammation can exacerbate pain, especially in conditions like arthritis or fibromyalgia.

4. Melatonin’s Role in Pain and Sleep

Melatonin, the hormone that regulates sleep-wake cycles, plays a key role in the sleep-pain connection. It acts through receptors in the hypothalamus, thalamus, and spinal cord, influencing pain pathways. Sleep deprivation suppresses melatonin secretion, which can increase glial cell activation and worsen neuropathic pain.

The Consequences of Chronic Sleep and Pain Interaction

The relationship between sleep and pain isn’t just physical—it affects your mental and emotional health too. Chronic sleep deprivation and pain can lead to:

  • Depression and Anxiety: Poor sleep and persistent pain create a vicious cycle that negatively impacts mental health.

  • Impaired Immune Function: Lack of sleep weakens your immune system, making you more susceptible to illness.

  • Strained Relationships: Sleep deprivation and pain can affect intimacy and communication with loved ones.

  • Reduced Quality of Life: Chronic pain and poor sleep can limit your ability to enjoy daily activities.

Interestingly, research suggests that women may be more vulnerable to the effects of sleep deprivation on pain, so it’s especially important to prioritize sleep if you’re female.

How to Break the Sleep Pain Cycle

Improving your sleep can help reduce pain and improve your overall quality of life. Here are some tips:

  1. Stick to a Sleep Schedule: Go to bed and wake up at the same time every day.

  2. Create a Relaxing Bedtime Routine: Avoid screens, caffeine, and heavy meals before bed.

  3. Optimize Your Sleep Environment: Keep your bedroom cool, dark, and quiet.

  4. Consider Melatonin Supplements: If you struggle with falling asleep, consult your doctor about melatonin supplements.

Watch My Videos to Learn More about sleep and pain

To dive deeper into the science of sleep and pain, check out our two videos:

  1. The Sleep Pain Cycle: Is there a link?

  2. How Sleep Affects Pain: Explore the mechanisms behind sleep deprivation and pain sensitivity.

The Sleep pain cycle

How sleep affects pain

Final Thoughts on sleep and pain

Sleep and pain are deeply connected, and addressing one can significantly improve the other. By prioritizing sleep, you can enhance your body’s natural pain-killing mechanisms, reduce inflammation, and improve your overall well-being.

If you’re struggling with chronic pain or sleep issues, don’t hesitate to seek professional help. Small changes to your sleep habits can make a big difference in how you feel every day.

Sweet dreams and pain-free days ahead!

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalized recommendations.

Dr Neil Cuninghame - Hillcrest Chiropractor on Noninvasive management of low back pain

about Dr neil cuninghame

Mtech Chiro (DUT)   l   PG Dip Pain Mngmnt (UCT)

Hi, I’m Dr. Neil Cuninghame, a Hillcrest Chiropractor specializing in helping you move better, feel better, and live better. Whether you’re struggling with chronic pain, sports injuries, or everyday aches like headaches, back pain, or shoulder discomfort, I’m here to guide you toward lasting relief. With over 16 years of experience, I’ve helped athletes, busy professionals, parents, and many others overcome pain and return to doing what they love. My approach combines evidence-based care, personalized treatment plans, and a deep understanding of how the body works.

more from the hillcrest chiro

Dr. Neil Cuninghame explaining the link between sleep and pain

Sleep and Pain: Understanding the Connection

Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

Read More »

Frequently asked questions

FIND OUT MORE ABOUT CHIROPRACTIC

Find Me Here - the Hillcrest chiro

031 035 1165

A1a Meyrickton park, 2 meyrickton place, hillcrest

BOOK YOUR APPOINTMENT NOW

The Hillcrest Chiro on Instagram

Dr Neil Cuninghame • Chiro

hillcrest_chiropractor

Helping you break free from pain & live fully
Expert pain insights for patients & practitioners
𝗖𝗵𝗶𝗿𝗼. 𝗣𝗮𝗶𝗻 𝗺𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁. 𝗦𝗽𝗲𝗮𝗸𝗲𝗿

Get In Touch

Phone:

0310351165

Online Booking: www.drneilcuninghame.com

WhatsApp:

064 820 5203

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalised recommendations.

© Dr Neil Cuninghame 2025

The post Sleep and Pain: Understanding the Connection appeared first on Hillcrest Chiropractor.

]]> 5348 Expert Chiropractic Care for ITB Syndrome Relief in Hillcrest, South Africa https://www.drneilcuninghame.com/2023/11/02/expert-chiropractic-care-for-itb-syndrome-relief/ Thu, 02 Nov 2023 09:51:39 +0000 https://www.drneilcuninghame.com/?p=5084 Discover effective TFL stretching techniques and professional pain management solutions to alleviate ITB syndrome at our Hillcrest clinic. Contact Dr. Neil Cuninghame for expert care.

The post Expert Chiropractic Care for ITB Syndrome Relief in Hillcrest, South Africa appeared first on Hillcrest Chiropractor.

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Effective TFL Stretching for ITB Syndrome Relief

Relieve ITB Syndrome with Expert Chiropractic Care in Hillcrest, South Africa

If you’re struggling with ITB syndrome, watch our video to learn how to stretch your TFL effectively.
Looking for a second opinion or advice on your condition? CLICK HERE to book your consultation
Understanding ITB Syndrome: Causes and Symptoms

If you are a runner or an active individual, you are likely familiar with the dreaded ITB syndrome, a common issue for many athletes. ITB, or the Iliotibial band, is a lengthy tendon that extends from the top of your pelvis down to the side of your knee. What many people may not realize is that the TFL, or Tensor Fascia Lata, is a muscle that plays a crucial role in the ITB. It originates at the pelvis and inserts itself between the layers of the ITB, ultimately connecting to the side of the knee.

Pain Management Solutions for ITB Syndrome

When problems arise with the TFL, it often leads to a tense ITB and the associated symptoms. Pain can radiate along the side of the leg, following the path of the ITB, and extend to the side of the knee.

This issue frequently affects runners and cyclists, especially when they increase their mileage in preparation for a race. Another common trigger is when a runner’s shoes are nearing the end of their lifespan. This serves as a critical reminder to invest in new footwear for optimal support and comfort.

Effective TFL Stretching Techniques

So, how can you effectively stretch the TFL to alleviate ITB syndrome?

Start by standing up straight and focus on the leg you want to stretch. Cross your other leg in front of it, using your foot for support, and push your hip out to the side. To pinpoint the perfect stretch, you can lean slightly forward or backward.

This technique will help you alleviate tension in your TFL and reduce the associated discomfort.

Picture of Dr Neil Cuninghame

Dr Neil Cuninghame

Hillcrest Chiropractor

2 Meyrickton Place, Hillcrest

031 035 1165

Dr Neil Cuninghame • Chiro

hillcrest_chiropractor

Helping you break free from pain & live fully
Expert pain insights for patients & practitioners
𝗖𝗵𝗶𝗿𝗼. 𝗣𝗮𝗶𝗻 𝗺𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁. 𝗦𝗽𝗲𝗮𝗸𝗲𝗿

Find me here

Book Online

here are some more helpful articles

Dr. Neil Cuninghame explaining the link between sleep and pain

Sleep and Pain: Understanding the Connection

March 11, 2025 No Comments

Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

Read More »

The post Expert Chiropractic Care for ITB Syndrome Relief in Hillcrest, South Africa appeared first on Hillcrest Chiropractor.

]]> 5084 Hillcrest Chiropractor Location https://www.drneilcuninghame.com/2023/10/09/hillcrest-chiropractor-location/ Mon, 09 Oct 2023 13:17:02 +0000 https://www.drneilcuninghame.com/?p=4994 An Arial fly-by of my practice in meyrickton park, hillcrest Welcome to my practice! Easily located off old main road in hillcrest. Looking for a second opinion or advice on your condition? CLICK HERE to book your consultation Find me here Book Online here are some more helpful articles

The post Hillcrest Chiropractor Location appeared first on Hillcrest Chiropractor.

]]>
Find Dr Neil Cuninghame, Hillcrest Chiropractor, at 2 Meyrickton Place, Hillcrest.

An Arial fly-by of my practice in meyrickton park, hillcrest

Welcome to my practice! Easily located off old main road in hillcrest.
Looking for a second opinion or advice on your condition? CLICK HERE to book your consultation
Picture of Dr Neil Cuninghame

Dr Neil Cuninghame

Hillcrest Chiropractor

2 Meyrickton Place, Hillcrest

031 035 1165

Dr Neil Cuninghame • Chiro

hillcrest_chiropractor

Helping you break free from pain & live fully
Expert pain insights for patients & practitioners
𝗖𝗵𝗶𝗿𝗼. 𝗣𝗮𝗶𝗻 𝗺𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁. 𝗦𝗽𝗲𝗮𝗸𝗲𝗿

Find me here

Book Online

here are some more helpful articles

Dr. Neil Cuninghame explaining the link between sleep and pain

Sleep and Pain: Understanding the Connection

March 11, 2025 No Comments

Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

Read More »

The post Hillcrest Chiropractor Location appeared first on Hillcrest Chiropractor.

]]> 4994 Understanding the SCMs: Your Guide to Neck Pain Relief https://www.drneilcuninghame.com/2023/09/18/scm-stretch/ Mon, 18 Sep 2023 15:16:49 +0000 https://www.drneilcuninghame.com/?p=4942 Uncover the secrets of sternocleidomastoid muscles with Dr. Neil Cuninghame, a Hillcrest-based chiropractor. Learn about their symptoms, anatomy, and effective stretches for relief.

The post Understanding the SCMs: Your Guide to Neck Pain Relief appeared first on Hillcrest Chiropractor.

]]>
Chiropractor explaining SCM muscles in Hillcrest, South Africa.

Understanding the SCM's: Your Guide to Neck Pain Relief

Have you ever experienced neck pain that radiates to your head, jaw, and even causes dizziness? It might be due to the sternocleidomastoid muscle, commonly known as SCM.
Looking for a second opinion or advice on your condition? CLICK HERE to book your consultation
The Culprits Behind Mysterious Aches

SCMs are those tiny yet troublesome muscles that can wreak havoc on your comfort. They are situated in your neck and shoulder area and can often go unnoticed until they start causing problems.

Symptoms and Their Impact

The referral pattern of SCMs is vast, capable of mimicking sinus pain, headaches, eye pain, cheek discomfort, and more. In this post, Dr. Neil Cuninghame, a chiropractor and pain management specialist in Hillcrest, South Africa, will shed light on how these muscles can affect your overall well-being.

Unveiling the SCM's Anatomy

Let’s delve into the anatomy of SCMs. These muscles have two origins: one at the top of the sternum and the other at the end of the clavicle. They ascend the neck, eventually attaching to the base of the skull and the mastoid process.

Alleviating SCM Troubles

Dr. Neil Cuninghame recommends two effective stretches to ease SCM-related discomfort:

  1. Tuck chin down, tilt neck to the side.
  2. Turn head away, tilt backward, push chin into a corner of the room.

By performing these stretches, you can give your SCMs the attention they deserve and potentially find relief from associated symptoms.

Picture of Dr Neil Cuninghame

Dr Neil Cuninghame

Hillcrest Chiropractor

2 Meyrickton Place, Hillcrest

031 035 1165

Dr Neil Cuninghame • Chiro

hillcrest_chiropractor

Helping you break free from pain & live fully
Expert pain insights for patients & practitioners
𝗖𝗵𝗶𝗿𝗼. 𝗣𝗮𝗶𝗻 𝗺𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁. 𝗦𝗽𝗲𝗮𝗸𝗲𝗿

Find me here

Book Online

here are some more helpful articles

Dr. Neil Cuninghame explaining the link between sleep and pain

Sleep and Pain: Understanding the Connection

March 11, 2025 No Comments

Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

Read More »

The post Understanding the SCMs: Your Guide to Neck Pain Relief appeared first on Hillcrest Chiropractor.

]]> 4942 The Science Behind Chiropractic Manipulation https://www.drneilcuninghame.com/2023/08/29/what-does-a-chiropractor-do/ Tue, 29 Aug 2023 09:38:59 +0000 https://www.drneilcuninghame.com/?p=4906 So you know how Chiropractic Manipulation used to be all about putting bones back in place, straightening the old chassis out and freeing nerves that had become trapped because of stuck joints? Well, that’s not quite the case anymore. It’s time to explain what we think actually happens when we manipulate a joint.

The post The Science Behind Chiropractic Manipulation appeared first on Hillcrest Chiropractor.

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the Science Behind Chiropractic Manipulation

So you know how Chiropractic Manipulation used to be all about putting bones back in place, straightening the old chassis out and freeing nerves that had become trapped because of stuck joints? Well, that’s not quite the case anymore. It’s time to explain what we think actually happens when we manipulate a joint.

Animated explanation of the science behind chiropractic manipulation.
HAVE A QUESTION? POP ME A WHATSAPP AND LET'S CHAT

The Modern Approach to Chiropractic Manipulation

In the modern era of chiropractic care, the focus has shifted from simply aligning bones to a more intricate understanding of the mechanisms at play. Chiropractic manipulation involves more than just repositioning joints; it’s about harnessing the body’s own healing responses.

After manipulation, a fascinating cascade of events occurs within the body. Nerve endings surrounding the joint and within stretched muscles come alive with a flood of information. This leads to notable changes in the spinal cord and specific brain regions, as illuminated by functional MRI scans.

The transformation brought about by manipulation translates into remarkable benefits: reduced pain, improved movement, and an enhanced sense of wellbeing.

What is the science saying about chiropractic manipulations?

1. Temporal Summation and Pain Inhibition

One theory that sheds light on the magic of chiropractic manipulation revolves around the concept of temporal summation. This process involves continuous nerve signal bombardment, which can eventually lead to pain signal transmission. Manipulation, through its stretching of muscles and joint capsules, stimulates tiny nerve endings. These nerve endings, in turn, relay positive signals to the spinal cord, effectively blocking pain signals. Simultaneously, this process can induce relaxation in the muscles surrounding the spine.

2. Descending Inhibition: The Brain's Role in Pain Control

Another intriguing explanation for the pain-relieving effects of manipulation lies in descending inhibition. This neurological process is orchestrated by the brain, where inhibitory signals are released, modulating certain inputs at the spinal cord level. This natural pain-controlling mechanism contributes to the overall effectiveness of chiropractic care.

Enhancing Wellbeing Through Chiropractic Manipulation

In essence, chiropractic manipulation goes beyond mere physical adjustments. It taps into the body’s intricate network of nerves, muscles, and brain connections to orchestrate a symphony of healing responses. By understanding and harnessing these mechanisms, chiropractors empower patients to experience not only pain relief but also improved mobility and a profound sense of wellbeing.

Watch My Videos to Learn More

the Science Behind Chiropractic Manipulation

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalized recommendations.

Dr Neil Cuninghame - Hillcrest Chiropractor on Noninvasive management of low back pain

about Dr neil cuninghame

Mtech Chiro (DUT)   l   PG Dip Pain Mngmnt (UCT)

Hi, I’m Dr. Neil Cuninghame, a Hillcrest Chiropractor specializing in helping you move better, feel better, and live better. Whether you’re struggling with chronic pain, sports injuries, or everyday aches like headaches, back pain, or shoulder discomfort, I’m here to guide you toward lasting relief. With over 16 years of experience, I’ve helped athletes, busy professionals, parents, and many others overcome pain and return to doing what they love. My approach combines evidence-based care, personalized treatment plans, and a deep understanding of how the body works.

more from the hillcrest chiro

Dr. Neil Cuninghame explaining the link between sleep and pain

Sleep and Pain: Understanding the Connection

Sleep and pain are deeply intertwined, and understanding this connection can help you manage both more effectively. In this blog post, we’ll explore how sleep impacts pain, the science behind it, and why prioritising sleep is crucial for your overall well-being.

Read More »

Frequently asked questions

FIND OUT MORE ABOUT CHIROPRACTIC

Find Me Here - the Hillcrest chiro

031 035 1165

A1a Meyrickton park, 2 meyrickton place, hillcrest

BOOK YOUR APPOINTMENT NOW

The Hillcrest Chiro on Instagram

Dr Neil Cuninghame • Chiro

hillcrest_chiropractor

Helping you break free from pain & live fully
Expert pain insights for patients & practitioners
𝗖𝗵𝗶𝗿𝗼. 𝗣𝗮𝗶𝗻 𝗺𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁. 𝗦𝗽𝗲𝗮𝗸𝗲𝗿

Get In Touch

Phone:

0310351165

Online Booking: www.drneilcuninghame.com

WhatsApp:

064 820 5203

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalised recommendations.

© Dr Neil Cuninghame 2025

The post The Science Behind Chiropractic Manipulation appeared first on Hillcrest Chiropractor.

]]> 4906 Acute Pain: Why Heat Might Not Be the Best Choice https://www.drneilcuninghame.com/2023/08/29/acute-pain-why-heat-might-not-be-the-best-choice/ Tue, 29 Aug 2023 08:36:49 +0000 https://www.drneilcuninghame.com/?p=4878 Explore the intricacies of managing acute pain through heat therapy with Dr. Neil Cuninghame, a renowned Chiropractor in Hillcrest, South Africa. Understand the science behind acute pain, inflammation, and the pitfalls of immediate heat application. Make informed decisions for effective pain relief and recovery.

The post Acute Pain: Why Heat Might Not Be the Best Choice appeared first on Hillcrest Chiropractor.

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Acute Pain: Why Heat Might Not Be the Best Choice

In this blog post, we’re going to delve into the world of acute pain management, specifically focusing on whether heat is the right approach for fresh injuries. Acute pain resulting from new injuries, like ankle sprains, requires careful consideration, and understanding the underlying neurophysiology is crucial.

Chiropractor explaining acute pain management and the effects of heat on injuries.
HAVE A QUESTION? POP ME A WHATSAPP AND LET'S CHAT

Heat for acute pain management

When it comes to addressing pain caused by fresh injuries, the debate between using heat or ice is a common one. In this post, we’ll take an in-depth look at acute pain, the inflammatory response, and why using heat immediately after an injury might not be the best choice.

First things first

Before we dive into the heat vs. ice discussion, it’s essential to understand the intricacies of acute pain. The body’s response to injury involves a complex process that triggers inflammation. This natural reaction initiates a cascade of events, setting the stage for the healing process.

The Role of Inflammation in Fresh Injuries

Inflammation is a normal and healthy response to injury. It results in the release of various chemicals at the injury site, which activate nerve endings. These activated nerve endings send signals to the spinal cord and brain, translating into the sensation of pain. This process is a protective mechanism, signaling the body to avoid further harm.

A key player in acute pain

One crucial player in the pain process is the TRPV1 receptor located on nerve endings. This receptor becomes sensitized after an injury, making it responsive to temperatures above 43 degrees Celsius. As we explore the effects of heat therapy, it’s important to keep this receptor in mind.

Why heat may not be ideal for acute pain

Now, let’s delve into why applying heat to acute injuries might not be ideal.

1. Heat and TRPV1 Interaction

When heat is applied to an injury site with an already sensitized TRPV1 receptor, it triggers an amplified response. The result is the release of CGRP and Substance P, two compounds that intensify pain signals.

2. Unwanted Outcomes: CGRP and Substance P

CGRP and Substance P are released in response to heat application, further sensitizing nerve endings around the injury site. This heightened sensitivity can lead to increased pain, even with simple actions like applying pressure.

3. Amplified Sensitivity and Vascular Effects

Not only do CGRP and Substance P enhance pain signals, but they also cause blood vessels to dilate. This vascular effect contributes to increased redness and swelling at the injury site. These outcomes create a feedback loop that perpetuates the cycle of pain and inflammation.

Breaking the Pain Cycle

In light of the neurophysiological processes involved, it becomes clear that heat might not be the most effective choice for managing acute injuries. Considering the potential exacerbation of pain and inflammation, alternative approaches such as ice therapy might be more appropriate in the initial stages of injury.

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Heat for pain. Yes or no?

By understanding the interaction between heat, nerve receptors, and inflammatory responses, we can make informed decisions about pain management strategies for acute injuries. If you’re dealing with a fresh injury, consulting a healthcare professional, like a chiropractor, can provide personalized guidance on the most suitable approach to pain relief and recovery.

Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalized recommendations.

Dr Neil Cuninghame - Hillcrest Chiropractor on Noninvasive management of low back pain

about Dr neil cuninghame

Mtech Chiro (DUT)   l   PG Dip Pain Mngmnt (UCT)

Hi, I’m Dr. Neil Cuninghame, a Hillcrest Chiropractor specializing in helping you move better, feel better, and live better. Whether you’re struggling with chronic pain, sports injuries, or everyday aches like headaches, back pain, or shoulder discomfort, I’m here to guide you toward lasting relief. With over 16 years of experience, I’ve helped athletes, busy professionals, parents, and many others overcome pain and return to doing what they love. My approach combines evidence-based care, personalized treatment plans, and a deep understanding of how the body works.

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Disclaimer: This blog post is for informational purposes only and is not a substitute for professional medical advice. Always consult a healthcare provider for personalised recommendations.

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