Dr Neil Cuninghame

Dr Neil Cuninghame Helping you break free from pain and live fully again. Empowering patients and practitioners with expert pain insights.

Chiropractor and pain management specialist | Speaker & educator | Husband, father, athlete. I am a Chiropractor with a special interest in pain, chronic pain specifically, and how the nervous system plays a role in our function and outcomes

Those nighttime leg pains can be worrying, especially when your child wakes up crying and can’t explain what’s wrong.
Bu...
10/11/2025

Those nighttime leg pains can be worrying, especially when your child wakes up crying and can’t explain what’s wrong.
But in most cases, this pattern fits something called growing pains, a common, harmless, and temporary part of childhood.

What we know (and what research says):
* Growing pains affect 25–40% of healthy children, most often between ages 4 and 8.
* They usually occur in the legs, calves, thighs, shins, or behind the knees, and on both sides.
* The pain typically appears in the late afternoon or at night and is gone by morning.
* Studies show no link to growth plates or injury, the name is misleading.
* They’re thought to come from muscle fatigue, rapid activity, and a sensitive nervous system.

How to help your child:
* Gentle massage of the legs often relieves pain quickly.
* Warm compress or bath before bed relaxes muscles.
* Light stretching of calves and thighs can reduce recurrence.
* Comfort and reassurance calm the nervous system, being present really helps.
* Encourage daily play and movement, but let them rest if sore.
* Maintain a regular bedtime routine, tiredness can heighten pain perception.

When to check in with a doctor:
If pain:
* Occurs in one leg only.
* Persists into the morning.
* Is accompanied by swelling, redness, or a limp.
* Or your child has fever or fatigue.
These could signal something other than growing pains and are worth assessing.

The bottom line:
Growing pains are real, but they’re not dangerous.
They’re a reflection of an active, developing body and a sensitive nervous system that sometimes feels things a little louder than usual.
With reassurance, warmth, and gentle care, they pass.

06/11/2025

Ever felt like those childhood growing pains are back, only now you’re in your 40s?
You’re not imagining it. And you’re definitely not alone.

In kids, “growing pains” aren’t actually caused by growth. Studies show they’re more about muscle fatigue, overuse, and a sensitive nervous system, the kind that ramps up after busy days or bursts of activity.

As adults, we can experience that same type of deep, dull ache, especially in the legs, knees, or hips and when our nervous system becomes more sensitive due to:
• Changes in activity levels (doing more or doing less)
• Poor sleep or increased stress
• Hormonal changes, especially during perimenopause and menopause

Research shows that lower oestrogen levels can affect joint lubrication and collagen turnover, slow muscle recovery, and influence how our brain processes pain.

That’s why those old, familiar aches often show up again around this stage of life.

The key is to keep moving, but to do it smartly. Gentle strength training, walking, stretching, good sleep, and stress management all help calm an over-alert nervous system.

Your body isn’t regressing, it’s just readjusting. And that’s something we can absolutely work with.

If these “growing pains” are becoming part of your daily routine, let’s take a closer look together. There’s almost always a reason, and a way forward.

Pain often makes us fear movement, but avoidance teaches the brain that movement is dangerous.
Research shows that movem...
03/11/2025

Pain often makes us fear movement, but avoidance teaches the brain that movement is dangerous.
Research shows that movement, combined with education, reduces pain intensity and fear.
Through graded exposure (slow, safe reintroduction of activity) you can rewire your system to feel safe again.

When you force or fight pain, your nervous system feels threatened.
When you move with patience and awareness, it feels ...
31/10/2025

When you force or fight pain, your nervous system feels threatened.
When you move with patience and awareness, it feels safe.
And safety rewires the brain faster than force ever will.

29/10/2025

You’ve probably seen this online, the ‘RingDinger’, where someone’s head gets strapped in and the whole spine is yanked in one quick pull. Looks great for social media but here’s the problem…

That move applies a sudden, high-velocity traction along the entire spine, from the skull right down to the pelvis.

It’s supposed to ‘decompress’ everything at once…

But that’s not how the spine actually works.

Each joint, disc, and ligament is designed for controlled, segmental movement, not one massive pull through all of them.

An article published this year in the journal of contemporary chiropractic highlights the potential risks associated with this type of manipulation including overstretching of spinal structures, nerve and artery damage, and worsening of pre existing spinal pathologies.

They raised significant concerns regarding safety, efficacy, and ethical practice.

That’s why evidence-based chiropractors don’t endorse it. It’s not taught in accredited programs, and there’s zero clinical research showing that it’s safe or effective.

Good chiropractic care is backed by science, not social media spectacle.

So if you’re ever unsure about what’s being done, ask your chiropractor to explain the technique and why it’s being used.

Your spine deserves care, not a viral stunt.

You are not broken…Your nervous system may just be turned up too high.
And the best part? It can be turned down again.
P...
27/10/2025

You are not broken…
Your nervous system may just be turned up too high.
And the best part? It can be turned down again.
Pain doesn’t always mean damage, sometimes it’s just your body trying to protect you.
When you start moving, learning, and feeling safe again… the system calms down.
Healing isn’t about fixing what’s broken, it’s about retraining what’s sensitive.

24/10/2025

Pain is often classified by time, acute (under 12 weeks) or chronic (beyond that).
This system is based on tissue healing and most tissues in the body heal within 6–12 weeks.
So, in theory, once healing is complete, pain should fade right?
But for some people, it doesn’t.
That’s when the problem isn’t in the tissue anymore, it’s in the way the nervous system is processing signals and it’s where a mechanism-based classification becomes more useful.
We look at three main mechanisms when it comes to pain:
* Nociceptive pain – from actual or potential tissue damage (e.g. a sprain).
* Neuropathic pain – from nerve injury or irritation (e.g. sciatica).
* Nociplastic pain – from altered pain processing, when the system becomes sensitised.
And often, they overlap.
Someone might have an acute tissue injury (nociceptive) but also a sensitised nervous system (nociplastic).
Understanding which mechanisms are at play helps guide more accurate, effective treatment and better conversations about recovery.

Pain is often misunderstood as a simple reflection of injury.
But in truth, pain is your brain’s protective decision, ma...
22/10/2025

Pain is often misunderstood as a simple reflection of injury.

But in truth, pain is your brain’s protective decision, made after weighing all the evidence it has.

That means two people with the same injury can feel very different levels of pain because the context is different.

Stress, fear, past experiences, and beliefs all influence how much danger your brain senses… and how much pain it creates.

When we start to understand pain as protection, not just damage, we can begin to calm the system, move with confidence, and reclaim trust in our bodies.

21/10/2025

Pain isn’t just a signal from your body, it’s a whole-body, whole-person experience.

When you stub your toe, nerves in your foot send danger messages (called nociception) to your brain.

But that message alone isn’t “pain.”

Your brain takes that signal, looks at the situation, your emotions, your memories, even your stress levels, and then decides whether or not to create pain.
That means pain is a protective response, not just a reflection of damage.

• Here’s the key:

Your brain weighs up context before deciding how much danger you might be in.
If you’re relaxed and calm, it might quiet the alarm.
If you’re anxious, uncertain, or already stressed, it might turn the volume up.

So when we assess pain, we have to look beyond the pain itself.

- What is the person afraid might be wrong?
- What are they avoiding because of it?
- What do we think is going to work best for the person in front of us?

Protective habits feel safe but can actually slow recovery. Your nervous system learns patterns of movements and remembe...
20/10/2025

Protective habits feel safe but can actually slow recovery.

Your nervous system learns patterns of movements and remembers what may have caused pain in the past, which can make normal movements feel uncomfortable long after the tissue has healed.

How do we change these subconscious patterns?

Observe your posture and movement.
Start with small, intentional corrections and gradually increase freedom of movement.

Know someone who moves like they’re still hurt long after the injury has healed?

Share this and let’s get people back to doing what they love doing!

At the beginning of the year  and I decided to see if we could do the magic   challenge and we have done it!!! We just l...
18/10/2025

At the beginning of the year and I decided to see if we could do the magic challenge and we have done it!!!

We just logged our 200th unique bird species for the year!!! And most of them we managed to photograph too 🙌🏻

Everywhere we went we took our cameras and photographed everything we could.

We have been to some pretty cool places this year. Some for holiday, some for sport, and some just because we want to see more birds,😂 but wherever we went we took a camera!

From our holiday with the boys in the Eastern Cape in January, where we logged our first birds for the year (the beautiful blue crane and secretary birds) to Cape Town & Cinsta for 2Oceans, Umbogavangu, Springside, and Iphithi nature reserves, Mt Edgecombe, Botanic Gardens, Karkloof, the Drakensberg & surrounds, and even our own back yard/forest!

It’s been so awesome to be able to do this together and spend the time in nature just enjoying each other and what we have on our doorstep.

If you enjoy nature then get out there and see how many birds you can find, it takes walks to a whole different level 🫣

There are many birding apps around but we really enjoyed using . It’s super easy, has an image of most of the birds, logs lifers and yearly counts, lets you know what you can expect to see in the area you are in, and also has a really cool AI bird identifier for those tricky ones that you just have no clue about.

Happy birding!

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2 Meyrickton Place
Hillcrest
3650

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Tuesday 07:30 - 16:30
Wednesday 07:30 - 16:30
Thursday 07:30 - 16:30
Friday 07:30 - 16:30

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