Our services

The SIRPA programme

This approach is based on the work of Dr John Sarno, a pioneering doctor in the United States and author of ‘Healing back pain’ who diagnosed people with ‘Tension Myositis Syndrome’ (TMS). Since then, a UK based physiotherapist, Georgie Oldfield, has developed and adapted the programme in the UK under the diagnosis of ‘stress illness’ (SIRPA).  In 2012 Matt Kinal trained with Georgie in the effective application of this approach and has since become an accredited SIRPA practitioner.

The programme begins with an initial 90 minute assessment with an experienced Physiotherapist specialising in chronic pain. Prior to the assessment you will have already received a pre-assessment form, which asks various questions about the onset of the pain and what was going on in your life at the time the pain started. During the assessment a detailed history about the pain you are experiencing and any other conditions is taken, followed by a full physical assessment related to the condition. Following this, associations will be made and feedback given based upon your completed questionnaire to help you become aware of the links between emotional, cognitive and lifestyle factors and the pain you are experiencing from day to day.  At the end of the assessment an explanation about the cause of the pain is given, including the neurophysiological adaptions that can occur, so you have a good understanding of why the pain has continued for so long and also how to progress from here. Advice will then be given about the best techniques to help you move forward and begin to reduce your pain. Following the initial assessment, treatment combines the latest neurophysiological education with therapeutic techniques recommended by the SIRPA approach.

If you would like further information about this approach please visit the SIRPA website: http://www.sirpauk.com/

Physiotherapy and Psychological Therapy

Our specialist team of Physiotherapists and Psychologists can provide treatment programmes that are holistic, person centered and tailored to meet the individual. We can also provide combined Physiotherapy and Psychology assessments and treatments, as well working separately with each clinician.

Physiotherapy programmes can involve manual therapy, functional rehabilitation and pain education. The aim is to help people get back on track physically, to rebuild strength and gain confidence to become more active.

Our psychologists use a range of therapeutic models and techniques, tailoring therapy to the individual needs of their clients. The aim is to cultivate self-awareness and insight through collaborative therapeutic relationships and to work together on strategies for positive change.

Neuro physiotherapy

On occasions when someone also has a neurological conditions such as a stroke or brain injury as well as a chronic pain condition, we can also organise a neuro assessment, through our colleagues Bristol Neurophysio. Follow the link to their website: https://www.bristolneurophysio.co.uk/

If you would like further information you can contact us by phone: 07976 926347 or email Info@bristolpainreliefcentre.co.uk to book a free 30 minute telephone consultation.


Our experienced team regularly present talks, courses and workshops. Content includes our approach to long-term pain, understanding the neurophysiology of pain, working as a multi-disciplinary team and stress management techniques. We provide talks to patient groups, healthcare practitioners and to businesses looking to help their employees with stress management techniques.


Upcoming talks/events:


There are currently no talks book in. Please keep an eye on the website for dates of future talks




What people have said about previous talks:


“Matt’s talks are very thought provoking. He has an excellent understanding of the role of psychological factors in the development of chronic pain and nicely explains the physiological mechanisms. If you are new to working with people with chronic pain or an experienced clinician you will always get something out of the talks that will improve your practice.”

Dr Abby Tabor, Centre for Pain research, Bath University.

“I recently went to one of Matt Kinal’s presentations and I thought it was brilliant. It has improved my understanding of pain which I find helpful when working with neurological patients. I especially liked some of the studies, I thought they were a great eye opener and challenged some of the myths around pain. I feel that it’s important for healthcare professionals to gain a better understanding of pain to improve the quality of holistic care.”

Ulrike Barth, Occupational Therapist in Neurology

‘I heard Matt speak in 2012 and he could have been describing me!  I had had chronic pain -back, feet, shoulder, hip for 16 years since arriving in the UK. I became hooked on the SIRPA approach. It has changed my personal and professional life beyond recognition for the better’

Dr Lynn Thompson, NHS GP