Tel : + 91 99110 43694   |   + 91 96436 46861

Dr. Ravinder Kumar

The journey of Dr Kumar's academics started from (CAEHS) and continued to accomplish his higher education from the most reputed Physiotherapy department of Post Graduate Institute (IAMR) & ICRI (Cranfield University) U.K.

Osteopathy Treatment


Osteopathy is a complete system of diagnosis and treatment for a wide range of musculoskeletal conditions.

Osteopaths take a case history in detailed manner and perform a thorough clinical examination to help and understand the nature of your pain and symptoms so that they can be diagnosed . Physiotherapist use touch, physical manipulation, stretching and massage to help increase in the mobility of joints, to relieve muscle/joint tension and pain. Osteopaths often combine a range of various other treatment techniques in their approach, such as rehabilitation exercises, advice about how person can self-manage their condition and educational approaches to help and understand their pain and the factors which influence them. Dr. Ravinder Kumar, Ortho Neuro Physiotherapy Clinic, Ghaziabad having many facilities in clinic like Physiotherapy at Home, chiropractic/chiropractor, Dry Needling, Osteopathy & many other modern medicine like Manual Therapy, Nerve Mobilization, Manipulation etc.

Who can avail the benefits:-

Osteopathy is a form of complementary and alternative medicine. Patients can use osteopathy at the same time as they are taking other medical care (this is the complementary approach) or on its own (the alternative approach). You do not need a referral from your Doctor to consult an osteopath but you are encouraged to keep your Doctor informed so that your medical records are completed.

Osteopathy is also suitable for newly born babies, toddlers, children and adults, including pregnant women and the elderly people. Doing the same activity frequently can lead to symptoms and patients can often include dancers, musicians, factory workers, those who sit at a desk or in the same position for long periods of time and sports people.

Treatment are always based on the patient’s age and body.

For more information on osteopathy treatments please select a (.pdf) leaflet from the list below:

  • Osteopathy for the elderly
  • Treatment for back pain
  • During pregnancy
  • Common sports injuries
  • Work and driving related pain

Osteopathy treatment with below symptoms

Osteopathy is complementary to other conventional medicines and many patients are referred to by their Doctors.

It treats what are known as “functional” problems.

Below are some Examples of symptoms:

  • Generalised aches and pains
  • Backache
  • Back pain (acute and chronic)
  • Lumbago
  • Sciatica
  • Neuralgia
  • Mechanical neck pain
  • Muscle spasms
  • Arthritic pain and rheumatic pain
  • Minor sports injuries and tensions
  • joint pains, muscle spasms, hip and knee pain from osteoarthritis
  • arthritic pain and rheumatic pain, neuralgia
  • minor sports injuries and tensions
  • joint pains, muscle spasms, frozen shoulder, shoulder pain, elbow pain
  • tennis elbow (lateral epicondylitis)
  • arthritic pain and rheumatic pain, neuralgia, minor sports injuries and tensions
  • HEAD
  • headache arising from the neck, migraine prevention
  • Circulatory problems, cramp, digestion problems
  • OTHER- fibromyalgia, inability to relax

Techniques Use in Ortho Neuro Physiotherapy, osteopathy & Chiropractor Clinic, Ghaziabad

One method often used by DOs is called osteopathic manipulative treatment (OMT). Your doctor will use his hands to move your muscles and joints with stretching, gentle pressure, and resistance.

The osteopathic belief is that OMT improves circulation, which may help trigger the body’s power to heal.

Spinal Misalignment

Osteopathy considers the patient from a mechanical and functional point of view to allow the body to work with minimal stress, strain and energy. The mechanical problems occuring within the body can create imbalances within the normal tension of the spine. Misalignments of spinal vertebrae may cause irritation to the nervous system and affect not only the functioning of the musculo-skeletal system but also the organs that drive our bodies.

Below is an overview of ailments that a patient can present with spinal misalignment.

Below is an overview of ailments that a patient can present with spinal misalignment.

C1 Headaches, nervousness, insomnia, head colds, high blood pressure, migraine, chronic tiredness, amnesia, dizziness
C2 Sinus trouble, allergies, eye troubles, earache, fainting spells, deafness
C3 Neuralgia, neuritis, acne or pimples, eczema
C4 Hay fever, catarrh, hearing loss
C5 Laryngitis, hoarseness, sore throat
C6 Stiff neck, upper arm pain, tonsilitis
C7 Bursitis, colds, thyroid conditions
T1 Asthma, cough, difficulty breathing, pain in lower arms & hands
T2 Upper back pain
T3 Bronchitis, pleurisy, pneumonia, congestion
T4 Gall bladder conditions, jaundice, shingles
T5 Liver conditions, fevers, low blood pressure, anaemia, arthritis
T6 Stomach troubles, nervous stomach, indegestion, heartburn
T7 Ulcers, gastritis
T8 Hiccoughs
T9 Allergies, hives
T10 Kidney troubles, hardening of arteries, chronic tiredness, nephritis
T11 Skin conditions such as acne, pimples, eczema
T12 Rheumatism, gas pains
L1 Constipation, colitis, diarrhoeas, hernias
L2 Cramps, difficulty breathing, acidosis, varicose veins
L3 Bladder troubles, menstrual troubles such as irregular or painful periods, bed wetting, knee pains
L4 Sciatica, low back pai, frequency of urination
L5 Poor circulation in the legs, swollen ankles, weak ankles, cold feet, leg cramps
SACRUM Sacco-iliac lesions, spinal curvatures
COCCYX Haemorrhoids (piles), pruritis (itching), coccyx pain when sitting


A living curve - an osteopathic approach

Give a prescriptive list of areas to treat when faced with a patient with scoliosis is to do an injustice to both osteopathy and the scoliosis. After all, a scoliosis is a general term for a lateral curvature of the spine but a variety of scolioses exist, all of which have unique characteristics that are necessary for the osteopath to consider when assessing, diagnosing and treating.

Idiopathic scoliosis is a scoliosis that has no known pathological cause. Of all the scolioses it is the most worrisome due to its potential compression of the viscera; the lungs and pericardium. The scoliosis begins normally during childhood or adolescence and stops once spinal growth ceases. The scoliosis can be either thoracic, thoraco-lumbar or lumber. It is normally thoracic and is identified by the involvement of the ribs which which produce a so-called "high-side", a phenomena in which the ribs are thrust backwards on the side of the convexity.

Compensatory scoliosis is one where there is nothing intrinsically wrong with the spine per se but rather external forces affect the spine, such as a tilted pelvis from shortened adductor or abductor muscles, a leg-length difference or a fixed abduction or adduction deformity of the hip. Usually, once the cause has been removed, the scoliosis dissappears unless the scoliosis has been left untreated for many years and resulted in tissue shortening around the spine.

Secondary scoliosis is normally secondary to an underlying pathology such as poliomyelitis or cerebral palsy where unequal muscular contracture as a result of the pathology results in extreme angulation of the spine.

Sciatic scoliosis is a temporary form of scoliosis which is normally a person's attempt to protect oneself by reducing pressure on an irritated nerve. Once the acute phase is over the scoliosis normally disappears.

First Phase of Consultation

In the First phase of osteopathic consultation, Dr. Ravinder Kumar will start with a few questions to understand what has made you to the practice. In discussing your symptoms, the osteopath will firstly ensure that osteopathy is the only correct therapy for you. Otherwise you may be referred to another therapy like osteopathy, Chiropractor, Physiotherapy or health professional.

The osteopath may also carry out a physical examination, If you prefer, you can also wear shorts or loose trousers and a thin top. Don’t hesitate to contact to the osteopath if you have any concerns. The osteopath will perform various tests including blood pressure or neurological tests if he needs to be sure that osteopathy is safe for you and the only best option. He might then perform other orthopaedic and mobility tests on your symptomatic area and possibly at other parts of your body as the source of the symptoms may lie elsewhere.

After his examination, he will explain his researches to you and will work with you to prepare for best treatment plan. You can also ask questions any time during the consultation.

Examination guide for the osteopath:

The osteopathic examination should focus on assessing the movement of the axial skeleton. The osteopath should try and determine to what extent the axial skeleton, that is, the sacrum, the spine, the ribs, the sternum and the cranium are being dragged away from the mid line. The osteopath needs to examine these areas both passively and actively in order to assess which of these areas show most restriction of mobility. It is often the case that the thoraco-lumber area and the cervico-occipital junction display most restriction.

Once the osteopath has observed the axial skeleton, the peripheral areas should be observed. For example, observation of the foot-arches, knees, hips, the pectoral girdles. Osteopathic examination should involve comparing the shoulders and the pelvic girdles, assessing inequality. The osteopath should be aware of the Adam's test, a test which involves flexing the spine forward as if to touch the toes. This test exaggerates the high-side and shows the extent of the scoliosis.

Factors for the osteopath to consider:

The pelvis - The osteopaths needs to observe the pelvis for tilting. A tilted pelvis will result in a lateral curvature of the lumber spine. Therefore the osteopath needs to decide what is causing the imbalance in the pelvis and if necessary to treat the muscles that connect to the pelvis such as the hip adductors and abductors. Similarly the osteopath should check for a leg-length difference.

Pelvic and Shoulder girdles - The osteopath can develop a good understanding of how the body is adapting to the scoliosis by observing the pelvic and shoulder girdles. Any raised shoulder could well be coming from a lateral curvature in the spine. So too a raised posterior superior iliac spine could be causing an imbalance in the spine and shoulders.

Occipital protuberance - The occipital protuberance should be directly above the gluteal crease. Any deviation from the line indicates a lateral curve in the spine.

The diaphragm - The diaphragm should be observed both passively and actively as the patient breaths. The osteopath should check the lower 6 ribs and the upper lumber spine where the crura of the diaphragm attach. A lateral curvature of the spine that involves rotation through the thoracic spine will inevitably affect the ribs and the diaphragm.

From a cranial-osteopathy view much emphasis is placed on a few areas:

The spheno-basilar-symphisis - the body's attempt to overcome the scoliotic changes in the spine results in the cranium shifting in order to keep the vestibular and optic senses balanced. This may mean that the cranium is tilted slightly, causing alteration in the natural position of the occipital condyles. This will then be reflected in the movement of the spheno-basilar-symphisis. The osteopath needs to assess each person individually to check to what degree and in which direction the occipital condyles have adapted and so too, what type of strain is reflected through the spheno-basilar-symphisis.

The abdominal muscles are a doorway to palpating the viscera. So often the lateral curvature of the scoliosis results in compression and compensation of the visceral contents. Using cranial and visceral osteopathic techniques in particular, the abdominal muscles give a good indicator as to the internal changes occurring from the change in weight bearing.

Treatment guide for the osteopath:

The osteopath should mainly focus on the somatic dysfunction that occurs as a result of the scoliosis, paying particular attention to the postural decompensation that occurs. The treatment should then be aimed at focusing as much as possible on restoring the biomechanical changes and helping them do compensate. The osteopath should try to reverse the postural decompensation and try and strengthen any areas that will help strengthen the curve and prevent it from collapsing. Similarly, the osteopath will do well to pay attention to balancing the sacrum and pelvis and as much as possible restoring symmetry. Finally, the osteopath should include work around the neck and cranium in order to remove any possible dysfunction in the proprioceptive units within the cranium.

The Osteopathic Approach to the Child with Scoliosis

In Dr. Ravinder Kumar,Ortho Neuro Physiotherapy, chiropractic/chiropractor, Osteopathy Clinic, Ghaziabad The term scoliosis means a distortion of the body structure into a curvature. This is usually recognized in the spine but may also be found in the pelvis, and occasionally in the mechanism of the cranialbones. Spinal scoliosis may be structural dueto a bony developmental defect as for example the absence ofa rib on one side, or an incomplete development of a vertebra. It may be the result of a neuromuscular isease such as cerebral palsy in which the spinal muscles are more spastic on one side than the other or a paralytic condition in which the muscles are much weaker on one side. In these conditions the spinal muscles exert a greater contraction or side-bending force on one side of the spine than the other. Abdominal surgery in infancy or childhood may leave a scar on one side of the abdominal wall which may, as the child grows, cause a curvature in the back because the soft tissues around the scar are hardened with fibrous tissue and cannot lengthen equally with those of the other side.

But these structural causes of scoliosis are rare. Far more common are the idiopathic adolescent functional spinal curvatures. “Idiopathic” means that the cause is unknown, “adolescent” implies that it is most commonly found as the child enters the adolescent or teenage years; and functional indicates that there is no bony deformity.

There are however some causative factors recognized by the osteopathic physician that are responsive to osteopathic manipulative treatment. In order to appreciate them regard this patient as a dynamic unit of function from head to feet and not merely a vertebral column with an unusual curve in it. Examining the standing patient from the back the level of ears, the shoulders, the scapulaeor shoulder blades, the crests of the ilia are noted for their symmetry, is one side higher than the other. If the patient then bends one knee but keeps the weight equally on two feet it is possible to observe side-bending in the lumbar area – do they move symmetrically or is the side bending greater to one side. Next ask the patient to balance on one leg and note how far the pelvis drops on the opposite side. Is the range of motion equal to that when standing on the other leg. Less motion indicates restriction of physiological motion in the sacroiliac joint. How far can the patient bend forward toward touching the toes without bending the knees. As the patient uncurls note whether the rib cage is symmetrical on the two sides. Aprominence of one side may be the earliest evidence of a scoliosis of the spine. Is there freedom of motion to permit elevation of the straight arms beside the head.

Is the scoliosis still evident when the patient is seated? Standing behind the seated patient place hands on the front of the chest or the sides of the chest to note whether the ribs move symmetrically.

Asymmetric expansion on one side may be due to scoliosis. The patient is then examined lying on the back, to evaluate leg length symmetry, pelvic balance, symmetrical motion of the sacrum within it, and to evaluate the spinal muscles for symmetrical tension or vertebral rotation.

The cranial mechanism is then palpated for distortion of position or asymmetry of motion. The question may be asked, what has the head to do with a spinal curvature. From a functional point of view the body hangs from the head and distortion of the cranial mechanism, commonly from a long or traumatic birth, predisposes to curvature in the spine by way of unequal fascial drags on the body. Orthodontic treatment which endeavors to change and intends to improve the relationship of the jaws may also induce or aggravate spinal curvatures.

The diagnosis will also include a standing X-ray which not only evaluates the nature anddegree of the spinal curvature, but also provides a study of the equality of leg lengths.

The treatment will include osteopathic manipulative treatment to the pelvis and the head, the rib cage, the abdominal wall and the fascial mechanism of the body as well as the area manifesting the spinal curve. If there is an anatomical shortness of one leg a corrective lift might be added to that shoe. In addition to, but not in place of the manipulative treatment some simple exercises may be given to perpetuate the benefit of the treatment.

Carrying a backpack must be carefully monitored. If used it must not be overloaded and must be equally balanced across both shoulders.

The fitting of a brace may be indicated in a severe structural scoliosis. Surgery may be indicated if the condition has rapidly deteriorated or structural anomalies exist. But in our experience if osteopathic treatment is administered first these more drastic measures are needed less frequently.

Stress and Osteopathy

Many of know what stress is and know that it is detrimental to our health. It raises blood pressure, weakens the immune system and can result in headaches and IBS, but how does it affect our musculo-skeletal system (muscles and joints) and nervous system?


When you breathe, do you take long calm breaths or short shallow ones? Many of us breathe shallowly from our upper chest, rather than from the diaphragm. If we're breathing correctly, as we breathe in our tummy should expand and the diaphragm (the domed muscles under your ribs) should flatten as it contracts and pushes downwards on our abdominal cavity. This downward pressure helps with lymphatic drainage and circulation, stretches our lungs and draws in more air and also helps to massage and push food along the gut.


Stress also results in a tightening of the circular sphincter muscles which line the gut which, in turn, restricts the ability for materials to pass along the gut. Gas and matter then builds up behind these restrictions leading to bloating and alternating constipation and diarrhoea and potentially Irritable Bowel Syndrome (IBS).

The nervous system

When you're stressed the parasympathetic nervous system (part of the autonomic, non-voluntary, nervous systems) is switched off or dulled down together in favour of the sympathetic, fight-or-flight, nervous system, which slows down or halts the action of the reproductive and digestive systems. This happens because, when we perceive a threat, the body needs to focus on responding to the perceived threat with a fight-or-flight response – whether it's a long or short term stress. Short term adrenaline is released as an appropriate response by the body. The problem is that a lot of us hold on to that perceived threat for a lot longer and continue on to a chronically stressed state. This weakens the immune system and, ultimately, can lead to adrenal fatigue where the adrenal glands become unable to respond, digestion problems like IBS and reproductive issues like infertility.


You raise your shoulders up to your ears, hunch forward, clench the muscles around your jaw, neck, shoulders, back and arms when you're stressed. This long term tension requires a lot of energy throughout the day which leads to muscle fatigue and aching.

What's the answer?

we get used to a certain level of stress and the adrenaline 'hit' it gives us and find it very difficult to slow down – perhaps by introducing exercise and relaxing things like reading and meditation into our lives. The key to effective stress management is to look at the situation long term and deal with the both the physical and mental aspects via a multidisciplinary approach. Osteopathy can help by rebalancing the fight-or-flight sympathetic nervous system and vegetative state parasympathetic nervous system mentioned above, to reduce muscle tension (particularly of the diaphragm), encourage joint mobility and improve motility in the digestive system which, in turn, leads to a better state of mind. You may not need that many sessions to 'reboot' the body and mind to a calmer, more contented, state. More advice and exercises can then be given for you to do at home to maintain the more peaceful equilibrium.


Every week at the Not Just Backs clinic, we get patients complaining of headaches, neck strain, shoulder aches, tennis elbows, mid and lower back pain… but would you believe it if I said the most common root-cause is quite simply work stress?

Annually, 5 million people report suffering from work-related stress, which has physical as well as psychological effects. Combine this with poor work posture and it’s no wonder so many of us suffer pain.

Despite many people choosing to ignore or diminish the seriousness of stress, it is very much a real condition with numerous causes and symptoms.

Consider this scenario: you’re sat at your desk, and you have an important deadline looming at close of business today, which you and your colleagues have been straining towards for an entire week. Long days, short nights, breakfast on the go, packed lunches at your desk, late dinners, loads of coffee to keep you awake, water only when you think of it… sound familiar?

How does your body react to this pressure?

Maybe somewhat like this: your head is peering forward, neck craned and extended, your shoulders thrust up and forwards. Your ribcage is compressed as your back hunches, your lower back and pelvis compressed into the cushion of your chair, and maybe even your legs are crossed to relieve some pressure in the lower back…

Then add a layer of uneven muscle tension: extremely tight in the back of the neck, chest, abdominals and groin area; stretched and weak across the middle and lower back.

Osteopathic treatment is highly effective at addressing the symptoms of body stress at any point in time.

However the real challenge is managing these symptoms long-term, which shapes the way we help and support our patients here at Not Just Backs.

So if you suffer from workplace stress and it is manifesting itself as pain, do not put up with it any longer.

Headaches, Migraines & Osteopathy

Headaches and osteopathy

Many people suffer from headaches and migraines, often for many years without finding a solution. A large proportion of these people also resort to headache pills and migraine preventatives which can build up stress within the digestive tract such as the liver and stomach.

The ‘mechanical’ causes of various types of headache are frequently overlooked. Muscular tension in the neck and shoulders can be a major factor and is often the underlying cause. This is usually a symptom of a joint problem in the neck that creates chronic muscular tension and can easily develop into a full blown headache. A history of neck pain is usually also present.

Stress and tiredness can also be a factor but this is more likely to lead to a headache when there is an underlying problem in the neck which has never been treated.

Causes of neck problems

  • Trauma (whiplash, for example)
  • Childhood injuries such as a fall on the head
  • Lower back problems which create neck problems over years due to asymmetry
  • Occupational - such as manual labour or poor ergonomics at the work desk
  • Eyesight - particularly true when lenses are not properly adjusted and cause protruding of the neck
  • Postural - rounding upper back and shoulders causing a kinking in the back of the neck

How Osteopathy can help

Osteopathy can make a big difference to a long term neck problem and alleviate a headache, even ones that have been troublesome for years. A medical history and osteopathic examination can discover problems in the body and check on spinal alignment. Treatment is then aimed at improving alignment, muscular imbalances and posture.

How osteopathy works

Osteopathy works by restoring normal mobility to joints and reducing muscular tensions. These two problems usually go hand in hand. This why massage on its own can be limited in its effects.

Long term joint stiffness also can compress or ‘pinch’ nerves which can then be the major source of a headache or migraine. By releasing pressure on a compressed nerve, the results can be almost immediate in relieving neck pain and stiffness.

What does osteopathic treatment involve?

You can expect some or all of the following during an osteopathic treatment:

  • Soft tissue massage and stretching
  • Joint mobilisation and/or manipulation to stiff areas
  • Exercise advice – this can be what to avoid as well as what to do
  • Postural advice
  • Dietary advice when relevant (for example, avoiding foods that may trigger migraines)
  • Suggested amount of treatment needed and optimal intervals between treatments
  • Treatment addresses the body as a whole, not just the neck

So why not try it out? In one visit to an osteopath you can find out if your headaches or migraines have a deep cause from a neck problem.

At The Chelsea Osteopathic Practice, we have three registered osteopaths with appointments available from Monday to Friday. Early mornings and late evenings are available.

Migraine and osteopathy

Migraines, we never know what might set one off, but once it’s there, it’s persistent.

More than 80% of those with migraines never seek treatment although there are simple and quick solutions to be found!

It has to be said, are migraines doing your head in?!

Well today we will teach you the osteopathic methods to treat this very common condition

Symptoms of migraine

  • Only on one side, the right or the left
  • Who evolves by crisis
  • That changes with each event and can last up to 72 hours if left untreated
  • The migraine is pulsatile, meaning that you can feel your heart beating in your head
  • The pain increases during physical activity
  • This pain can be accompanied by nausea or vomiting
  • You become more sensitive to light or noise

5 common causes of migraines

Biomechanical cause

You can suffer from a migraine following a severe trauma such as a car accident, a concussion, or a fall from a bicycle.

This, or these traumas create muscular, joint or skeletal biomechanical tensions in the regions of the spine or skull.

These biomechanical tensions are equally found in osteopathy after a series of wrong moves, poor posture, poor ergonomics that can in the long-term cause you to have recurring migraines.

Nervous cause

Because of a pinching of the nerve

This is the case in occipital neuralgia, which, if it is pinched, will create a burning sensation or electric discharges that go from the nape of the neck to the top of the skull and sometimes to the eye.

Other nerve compressions can also be found in the origin of neurological migraines such as:

• Great auricular neuralgia

• Neuralgia of the lesser occipital nerve

Biochemical cause

In women, menstruation can bring on head pains due to hormonal changes, most notably in response to a lowering of oestrogen levels and/or tensions in the lower pelvic organs (via the fasciae).

Vascular cause

This cause is linked to a reduction in intra-cranial circulation of blood. Remember that the arteries and veins play an important role in the distribution of oxygen and the nutrients necessary for proper functioning of the organism.

Ophtalmic cause

In this case there are visual symptoms that appear first and foremost. There is usually a spot of light that slowly gets bigger and occurs in both eyes. This can last for anywhere between 10 minutes and a half-hour.

Osteopathy treatment

Osteopathy is used to treat the patient in a holistic manner, that is, globally. This takes into account the symptoms evoked by each individual and adds to this the results of a manual examination to propose an optimal therapy that is customized to the patient.

The aim of the treatment, if it is complete and well done, is to avoid recurrence or to increase the period of time between events.

For migraines, a belief that was handed down from the founder of osteopathy, Andrew Taylor Still applies “The Rule of the Artery is Supreme”. In fact, migraines are generally linked to defective cranial vascularization. The intention is therefore to reset the circulation at the level of the various arteries by various methods.

The treatment can also be multidisciplinary with the intervention of another discipline to best optimise treatment; notably the neurologist or the orthoptist.


Whether it be posture related issues or pain, spinal injury, bulging disc or pain in the spine or from the nerves originating at the spine our osteopaths are your spinal technicians and we can help.

Our Osteopaths will work to assess your problem area by performing any relevant tests and examination in the consultation. This will allow them to come to a diagnosis and they will then provide relevant hands on treatment during your consultation, which may include massage, stretching, joint mobilisation or loosening, and ligament work.

You may then be given some tips or further rehabilitation exercises for at home to speed up your recovery.

Our Osteopaths are able to refer you for X-ray or MRI if required to get the answers needed.

Things the osteopath will consider when working with you are:

  • Why did this problem start?
  • Is there other areas in the body affecting or contributing to the issue?
  • How can we resolve the pain or problem area and help the results to last?

Cervical spine (neck)

“Ipad neck” forward head carriage

Forward head carriage or as we like to call it “ipad neck” is the posture of the head jutting forwards in front of the shoulders from hours spent everyday looking down at mobile phones and ipads or sitting at a computer based work station. This in turn stretches the spinal cord, nerves, important ligaments and muscles which can then refer pain to the head.

. Neck pain/strain, Disc bulge, Wry neck, Pins and needles or numbness in the arms or hands

. Headaches associated with neck,Muscle tightness

Thoracic spine (mid back)

. Pain, Rib pain, Disc bulge, Postural tension, Muscle tightness,Pins and needles


Lumbar spine (lower back)

Pain, Strain, Sciatica, Muscle tightness, Disc bulge/slipped disc

Pins and needles or numbness in legs, Arthritic pain

AS- Ankylosing spondylitis

Back Pain

Back pain is very common and is the main reason patients consult osteopaths. We see a lot of low back pain patients. Jerry has a particular interest in it and completed his Doctorate on it and the different factors that may influence it.

What is SI joint Dysfunction?

What does SIJ Dysfunction mean and how does it affect me?

SIJ - stands for the sacro-illiac joint, and is the joint in the pelvis between the sacrum (lowest part of the spine) and the ilium (pelvic bone). There are actually two SI joints, located either side of the sacrum.

There are a number of strong muscles and ligaments that surround the SI joint. The muscles that surround the SI joint don’t actually act directly to produce active movement of the joint as its primary function is to act as shock absorber and transmit forces from the upper body and spine sideways into the pelvis and then into the lower limbs.

Causes of SIJ Dysfunction:

Alteration in the normal motion of the SI joint will result in pain. This can be too much movement (hyper-mobility) and too little movement (hypo-mobility). People that have suffered from SI joint dysfunction know how excruciating it can be and how it can manifest itself in the low back, the hip, and even down the leg. It can make simple daily activities such as getting in and out of a car; turning over in bed; standing up from a sitting position difficult and troublesome.

A common example of SI joint hyper-mobility is during pregnancy as the muscle and ligamentous structures stabilising the joint get affected due to altered hormone levels. The hormones released during pregnancy relax the ligaments of the body to allow the pelvis to enlarge, in preparation for childbirth. Due to the growing uterus, some of the core muscles around the pelvis get ‘stretched’ and weakened. The additional weight gain and altered gait lead to an increased mechanical strain on the SI joints which may cause pain over the joint and can manifest itself as low back pain, hip pain or even sciatica.

Hypo-mobility can result from direct trauma to the joint, such as a fall onto the buttocks, motor vehicle accident or even as simple as missing step when walking downstairs.

Abnormal movement from sports can directly injure the SI joints by stretching/straining the SI ligaments. An interesting study undertaken by Dr

An interesting study undertaken by Dr Stuart McGill looked at the forces transmitted to the SIJ during a 27kg squat. He found the total force transmitted to this SI joint during this activity was 6.5 kN – which is surprisingly enough to lift a small car off of the ground! No wonder SI dysfunction can lead to significant pain…

Our Osteopaths treat this condition by working on the soft-tissue and ligamentous structures around this joint, along with joint mobilisation and manipulation. This can often give immediate relief. We would also work on optimizing your posture and working on your core and hip stability. Appropriate self management advice would also be given.

If you would like further information about SI Joint Dysfunction or if you think you might suffer from this condition, please do not hesitate to contact our clinic and speak to one of our Osteopaths:

Why is it so common?

There is probably no one answer to why you have back pain. 85% of patients with back pain are diagnosed with non-specific low back pain. There are lots of possible contributors, including:

• physical factors such as heavy lifting, twisting or bending

• psychological factors. These do not imply that the pain is “in the head” of the patient! We know now that the way we process information is more complex than just “I knock my knee against the table. Ouch! I feel pain”. The context in which we are is going to influence how we process information and our sensibility to painful events. In broad term, the same person facing the same painful event may experience more or less pain depending how tired, stressed, anxious or sad they are.

• previous back pain. Low back pain has recently been compared to asthma. Not in the sense that they are related to each other but more because their recurrence pattern is somewhat similar. If we look at asthma to start with, patients tend to have asthmatic episodes (for which they probably have an inhalator – or two – to help with the symptoms) separated by symptom-free periods. The same happens with low back pain where patients may have symptoms, manage the symptoms (through self-management or seeking help from a healthcare professional) and then have a period symptom-free. We know that there is a high chance for that patient to develop a new episode of low back pain in the future.

• lifestyle. There are several factors that are related with low back pain. One of them, when patients have or have had experienced back pain is the lack of activity. It can be related to a fear to provoke pain or to injure him/herself but we know that it is a contributing factor to back pain. Another one is smoking. The underlying mechanism is not clear: is it because someone is stressed that he/she smokes and the stress is the one responsible of the low back pain or is it the effect of smoking on tissue health (muscles, discs, back joints to name just a few) that is responsible of the low back pain? There are other factors that were believed to be strong predictors of back pain, such as obesity, which in fact when researched are not. I always enjoy when research challenges conventional wisdom.

The main thing is not to worry too much about why we have back pain but more find a way to make it better.

What to do?

There are many things you can do to help with your pain. If you have begun to experience pain recently (acute pain), the most important thing is to remain as active as possible. Perhaps surprisingly, rest actually increases pain! You can also use ice packs and of course seek help from an osteopath. Click here for more information on an initial consultation and the techniques used during treatment.

If you are experiencing long term pain (what healthcare professionals call “chronic pain“), the advice is pretty similar but will probably be more specific to your own history and experiences. Your osteopath will talk to you about this to find out what will suit you best. Click here for more information on an initial consultation and the techniques used during treatment.

Info on how to seat comfortably.

Osteopathy in Sports

Osteopathy has much to offer professional and amateur sportsmen and women.

Sporting activity is of benefit to body functions such as breathing, the working of the heart and circulatory system, movement of joints and muscles. Sporting activities differ, and their impact on the body varies accordingly, but all have a beneficial effect on these areas to a greater or lesser degree.

A range of factors will have a bearing on the wellbeing of the sportswoman/man: the sport itself (perhaps involving strenuous use of a particular part of the body such as the arms or the legs); the level to which the sport is performed (professional, semi-professional, or amateur, and the frequency of training); where it is performed (indoors, outdoors, a mix) and the nature and quality of the equipment used (footwear, type of racquet). All of these are important factors.

Osteopathic advice can be of help – frequently in connection with simple factors usually known about but not always acted on appropriately. Proper consideration and application of this advice can make a big difference to health and comfort in sport and lead to the avoidance of most sports injuries. Typically these will include consideration of warming up before exercise and stretching afterwards, appropriate fluid intake before, during and after sport, and the correct approach to physical symptoms which may arise during and after sporting activity, such as pain, aches and stiffness.

Osteopathy is frequently of benefit following physical problems in sport and exercise. During an initial consultation Jerry would perform tests on the area where pain is experienced in order to find out what provokes the symptoms, and might also carry out an assessment of the whole body in order to try to establish what other factors may be involved. He would also be likely to discuss with you your approach to sport and training, and might offer advice if he thought changes could help you.

Osteopathy and babies

Osteopathy uses gentle manual techniques to test the mobility of different parts of the body, and to improve and give back mobility when needed. The gentle techniques used may include cranial osteopathy, visceral osteopathy and gentle mobilization of joints.

From what age?

Osteopathy is a gentle treatment suitable for children and babies. Gentle manipulation could help soothe and relax your baby.

Is osteopathy appropriate for babies?

Undergraduate training for osteopaths includes paediatrics and osteopaths are qualified to work with babies and children. Osteopaths are trained to screen for medical conditions and will tell you if you need to see another health professional such as your doctor or midwife.

What happens during a consultation?

I will check over different parts of your baby’s body. Babies’ skeletons are softer than an adult’s: I will therefore use gentler techniques such as cranial osteopathy when treating babies. I can also talk over any worries you may have and give you helpful advice.

Osteopathy and pregnancy


A woman’s body changes during pregnancy. Those changes include the softening of ligaments, weight increase and changes to posture. That can lead to additional pressure on joints in various parts of the body, including the spine or pelvis.

What for?

Osteopathy may help relieve the stresses and strains on your body during pregnancy and after birth. Pregnancy can cause general aches and pains including joint and back pain and osteopathy could help.


Osteopathy may provide relief from pain and symptoms throughout pregnancy. It can also help with any discomfort that may arise from looking after the newborn.


Osteopathic practice is a healthcare approach that provides a package of care that can include one or more of the following: manual therapy, health information, self-management advice and support, and/or exercise therapy, as determined by the individual needs of the patient.

Treatment Techniques

Osteopathic practice is a healthcare approach that provides a package of care that can include one or more of the following: manual therapy, health information, self-management advice and support, and/or exercise therapy, as determined by the individual needs of the patient.

Osteopathic techniques are never painful. If pain is already present, techniques which will exacerbate that pain can be avoided and an alternative technique can be used.

The manual therapy techniques include:

  • Stretching muscles
  • Articulatory techniques involving movement and manipulation of joints.
  • Techniques performed on the abdomen for organs such as the stomach or intestine (also called visceral techniques or visceral osteopathy).
  • Techniques performed on the fascia (the membranes which envelope all structures in the body), including the fascia of the head (also called cranial techniques or cranial osteopathy).

These are gentle and non-manipulative. They are often used when treating young children and newborn infants


This range of techniques enables the osteopath to provide patient-centred care, aimed at answering the individual patient’s needs and expectations. For this reason two patients attending with the same condition may not have the same treatments and advice after the consultation, but will benefit equally from the experience.


When is rehabilitation useful?

When you can’t do a movement easily because of:

  • A condition (such as osteoarthritis)
  • Surgery
  • An injury

What is Osteopathic Neuromuscular Rehabilitation?

It is a painless form of rehabilitation that uses exercises developed from specific challenges you face in your daily life to encourage movements/activities that are lacking.

We call exercises or specific movements from specific activities or sports that are outside your everyday movement extra-functional. It’s difficult and sometimes impossible to use movements learned from extra-functional exercises in daily life, i.e. if you just lift weights to build up a muscle, it’s difficult to learn to do this movement in your daily life.

Osteopathic neuromuscular rehabilitation uses only functional movement to make the rehabilitation more effective.

“Functional rehabilitation [i.e. Osteopathic neuromuscular rehabilitation] is defined as the process of helping a person to recover their movement capacity by using their own movement repertoire (whenever possible). Hence, for a person who has motor losses at the knee and is unable to walk or run, the rehabilitation will be in walking, then running, jumping and stair-climbing, etc. If this person plays tennis, this activity will also be used in the rehabilitation programme. However rehabilitation is likely to be less effective if the remedial movement patterns or tasks are outside the individual’s experience (extra-functional). For example, it would be less helpful for a tennis player with a leg injury to be given rehabilitative exercise such as football, or leg presses in the gym or leg exercise lying on the floor.