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Follow @DavidOsteopath OSTEOPATH TREATMENT D Gray Osteopath 01844 354 737 OX39 HP27 OX9


01844 354 737
07973 297 438
01844 354 737
07973 297 438
or email him:



David as an Osteopath works with human biomechanics.


Mechanics is now identified as the common denominator, in so many important chronic conditions, as opposed to just disease or trauma.


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    What symptoms with a lower back disc problem?

    -Severe immobilising lower back pain, (or upper back, neck & arm pain). After a day or so the pain may radiate into one buttock, down the thigh & calf & into the foot. (Sciatica NB Sciatica is a symptom not a diagnosis. It means pain radiating down the leg, why is this?)

    -Not exclusively, but pain is often more predominate first thing on waking, present for over 1.5 hours.

    -Tingling and numbness may be felt in the calf and foot of one leg. There may also be weakness in one foot.

    A professional should always diagnose the condition when one experiences severe back pain for more than 2-3 days.

    How can osteopathy help?

    • Osteopathic treatment will decrease the recovery time, enabling the patient to get back on their feet quickly.

    • The manual treatment (i.e. – soft tissue massage, joint release techniques,etc.) provided by the osteopath reduces the muscle spasm, inflammation, and nerve pressure, the primary pain producers.

    • By mobilising the joints and soft tissues, osteopathic treatment aids in the prevention of scar tissue formation around the disc, a factor associated with recurring back pain.

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    Click for Back Pain Info

    David your osteopath will not just treat the area of pain but also the surrounding areas to alleviate pressure on the injured disc.

    What can I do at home?

    At the onset of acute back pain you should:

    - rest for 1-2 days in the foetal position (side-lying) or lying on one's back with knees bent and feet raised with 2 sofa sized pillows under the calves.

    - apply an ice pack to the back for 15 minutes (not the leg) , every 2-3 hours for a period of 48-72 hours.

    - inquire about anti-inflammatory tablets which can be taken under the guidance of one's family doctor.- avoid lifting or sitting on low chairs or sofas and bending as these activities stress the injured disc. After 24-48 hours manual treatment your osteopathy should be started.

    Long-term bed rest has been shown to hinder the healing process.Spinal manipulation is effective for low back pain (BEAM trial, 2004) Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)


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    Hip Pain

    There are a number or reasons for hip pain some of which can be helped by visiting David as an osteopath.

    Pain can come from a tight, strained or overused muscle in the hip or from the joint itself.

    Pain in the hip can sometimes be the result of an injury, it can be referred from the back or related to the way you move, stand and/or use your hip.

    Pain from osteoarthritis or wear and tear in the hip joint is also common.

    Osteopaths can’t cure the arthritis and it depends on the severity of the wear and tear but treatment and advice from an osteopath can often help ease the symptoms.

    Osteopaths can look at the patient as a whole, assess the way the hip moves, strengthen and stretch the muscles, gently massage the hip muscles and stretch the hip joint to reduce tension and improve the mobility of the joint and work on the secondary problems like backache.

    X-rays, scans and other tests are sometimes required to make a diagnosis and your osteopath may refer to your GP or a specialist for any additional investigations or treatment.

    Spinal manipulation is effective for low back pain (BEAM trial, 2004)

    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)


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    Migraines & Headaches


    Based on research an estimated 20% of the population suffers from daily, or weekly, headaches.

    Occurring more often in women than men, approximately 25% of women and 8% of men suffer from one some time in their lives.

    Migraines are different from other headaches because they occur with symptoms such as nausea, vomiting, fatigue & sensitivity to light. An episode can last hours, days, or weeks, which can leave the sufferer virtually disabled for that particular time duration.

    • An attack can be induced by various triggers, including bright light, certain food items, and alcohol.


    They can cause depression & psychological problems, however are not often caused by psychological factors. In severe cases your G.P. may refer you to a neurologist in order to rule out other causes of headache, such as sinus inflammation or a brain mass.

    • The headaches tend to start between the ages of 10 & 46. Normally having some genetic components. The genetic factors are due to skeletal imbalance problems that are passed on from generation to generation. It is these skeletal imbalance problems that are often missed and if correctly diagnosed and treated go a long way in reducing the chronic pain.

    • Osteopath myofascial release treatments, have resulted in fewer tension headaches, Ajimsha MS. 2011.

    Available studies suggest that acupuncture is at least as effective as, or possibly more effective than, prophylactic drug treatment, & has fewer adverse effects in Migraine's.


    Acupuncture should be considered a treatment option for patients willing to undergo this treatment. Linde K, et al. Acupuncture for migraine prophylaxis. Cochrane Database Syst Rev 2009.

    • Acupuncture could be a valuable non-pharmacological tool in patients with frequent episodic or chronic tension-type headaches, concluded by studies; White AR, et al.

    • Acupuncture for tension-type headache. Cochrane Database Syst Rev 2009;(1)

    • There are many causes of this muscular imbalance, a genetic component as mentioned above, a history of trauma or even an undiagnosed jaw problem.

    Spinal manipulation is effective for low back pain (BEAM trial, 2004)
    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)

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    The treatment of older people requires as special approach. Considering needs stemming from ageing physiology, the psychological impact of ageing together with age related diseases.

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    Osteopathy is ideally suited to the pursuit of these goals as diet & nutrition. Exercises will be used alongside gentle hands on treatment, targeting stiff & painful joints in the neck, spine & other joints such as the shoulders & hips.

    Many older patients worry about the safety of manual therapy, & whether the treatment may be too forceful for them.

    Osteopaths, however, have a wide range of gentle and non-invasive techniques available to them. David is careful to choose techniques that are safe for older patients.

    Spinal manipulation is effective for low back pain (BEAM trial, 2004)

    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)

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    Using gentle techniques David can treat immediately after a plaster cast is removed, within a few days of arthroscopy & a few weeks following joint replacement.

    Osteopathy delivers a supportive role which is available throughout the life time of all people, as required. Any person with changing needs & circumstances, will be provided with reviews, to enable these to be assessed.

    Regular assessment & goal planning are tools by which David involves each patient in their own treatment plan. The following areas are where David can provide osteopathic input & support:

    • Following complications, such as pressure sores, fractures, surgery, contractures, operations etc.

    • Changing circumstances, hospital move, change in carer, stage of life, change in environment etc.

    • Gait Training

    • Maintenance programs & exercise regimes.

    Initially treatment reduces the swelling, stiffness & addresses the trauma to the joint as a result of surgery.

    We then look at restoring the quality of movement to the joint & then look at;

    • stretching the muscles

    • exercises to increase range of movement & strengthening the surrounding muscles.

    David also looks at the rest of the body ensuring that balance is restored, treating helps to;

    • Optimise the patient's functional status

    • Prevent complications

    • Promote Patient's whole Health

    • Promote healing and recovery

    David considers that rehabilitation allows for the preparation & support of an individual, to enjoy the life they choose to follow.


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    In the UK, one in two women and one in five men over the age of 50 will fracture a bone, mainly due to poor bone health.

    But osteoporosis is often a silent condition, giving no pain or other symptoms to alert you to the fact until the worst happens and a bone breaks.

    As such, many people living with osteoporosis are unaware that they have fragile bones until this happens, sometimes with devastating consequences.

    There is a lot you can do to prevent the condition, and to reduce your chance of breaking a bone if you do get it.

    Osteopaths are often seen by the general public as experts in the field of bone health, and as such, they are well placed to screen patients for this condition and offer practical advice on risk factors, prevention and treatment.


    David your local osteopath can screen you for the condition using a special online screening tool called the FRAX questionnaire.

    The FRAX tool has been developed by World Health Organisation (WHO) to predict the 10-year probability of hip or other major osteoporotic fracture in patients based on determinants generally accepted to be the key risk factors.

    Prevention Advice:

    Once a person who is at risk of developing osteoporosis or sustaining a fracture as a result has been identified, there is a lot they can do to reduce the chance of breaking a bone.

    Patients who are assessed as being at risk of osteoporosis will be given dietary, exercise and lifestyle advice to help manage risk factors to reduce the impact of the condition on their lifestyle.

    Those that are found to be at moderate to high risk will be advised to consult their GP.


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    Symptoms of Rheumatism
    Rheumatism is not a specific medical condition but the term used to describe symptoms of pain and inflammation in joints, muscles and connective (soft) tissue. As well as pain and swelling the sufferer may also experience stiffness of joints and limited movement in the affected limb or joint.

    Although rheumatism can affect any part of the body it most commonly affects knee, hip, back and neck joints.

    Why is Osteopathy Effective In Treating Rheumatism?

    Although osteopathy cannot cure rheumatism, the emphasis on the role of the musculoskeletal system in maintaining well-being means that osteopath is treatment for rheumatism is extremely effective in treating symptoms of rheumatism such as joint pain, lack of mobility and stiffness as well as swelling and inflammation.

    Gentle exercises and pain management techniques may also form part of the treatment enabling the patient to manage their rheumatic symptoms away from the clinic.

    Although the type of osteopathic treatment used is dependent upon the needs of the individual and their symptoms, treatment of rheumatism may use a variety of osteopathic techniques.


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    Knee Pain

    Knee pain can be the result of local knee problems, including continual wear & stress on the knee joint, as well as injury or a sudden movement that strains the knee.


    Below are a few of the more common causes:

    • Sprained or strained knee ligaments and/or muscles

    • A sprained or strained knee ligament or muscle is usually caused by a trauma to the knee or a sudden movement (usually twisting) of the knee. Symptoms often include pain, swelling & difficulty in walking.

    • Torn cartilage

    • Trauma to the knee can tear the menisci (pads of tissue that act as shock absorbers between the two large bones). Any compression & or twisting movement can cause pain, plus "locking" of the knee occurs.

    • Tendonitis

    • Inflammation of the tendons resulting from overuse of the tendon during certain activities such as running, jumping, or cycling.

    • Arthritis

    • Osteoarthritis is the most common type of arthritis that affects the knee

    (click here to view article on Arthritis), particularly if there is excessive weight on the joint for a period of time (i.e. being overweight).

    Medical Acupuncture is found to provide great pain relief with knee Osteoarthritis. (Witt CM, Jena S, Brinkhaus B, Liecker B, Wegscheider K, Willich SN. Acupuncture in patients with osteoarthritis of the knee or hip).Rheumatoid arthritis (click here to view article on Arthritis) can also affect the knees by causing the joint to become inflamed and by destroying the knee cartilage.

    However, apart from the local knee problems, frequently knee pain is a result of problems in areas above and/or below the knee, i.e. the hip, pelvis or foot.

    For example, an over-pronated foot (fallen arch) causes the whole leg to rotate abnormally, which, over time can lead to pain in the knee through a developed stress pattern.

    Osteopaths are in a great position to diagnose & treat knee problems as they not only have the anatomical knowledge, but they take a global approach to dealing with the complaint.

    This means they will exam areas above & below the knee, in order to ascertain the cause of the problem.

    For a thorough examination & effective treatment, contact David Gray directly, on 07973 297 438.


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    David is experienced in treating sciatica, and as an Osteopath is able to diagnose the tissue causing the symptoms.

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    Sciatica is a set of symptoms rather than a diagnosis for what is irritating the root of the nerve, causing the pain.

    This point is important, because treatment for sciatica or sciatic symptoms will often be different, depending upon the underlying cause of the symptoms.


    Spinal manipulation is effective for low back pain (BEAM trial, 2004)

    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)


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    Sports Treatment

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    Treatment that loosens up tight muscles, breaks up adhesions in muscle fibres & generally focuses on restoring and/or maintaining the full functionality of your muscles. It can help your muscles perform better and prevent injury.

    What is Sports - Treatment

    Therapeutic and Trigger Point treatment being suitable for all individuals with injury & is adapted to their current problem. David uses his experience as an Osteopath to deliver comprehensive treatments.

    There are four types

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    To prepare the body for peak performance. It is vigorous & deep to the body's tissues & should be done at least a day before the competition.

    Preparation (Pre Training)

    Just before event. It is fast, light and pleasant inducing stimulation of the muscles.


    Break Massage

    During event to accelerate changes of fluid in muscles thus restoring & rebalancing their energy.

    Anti-fatigue (Post Training)

    After event to drain wastes away & restore a proper level of oxygen in the muscles & promote relaxation. Again it works vigorously and deeply into the tissues of the body.


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    Many people work sitting in front of a computer.

    • Make your computer back-friendly Sitting badly in front of a computer for hours on end

    • is storing up trouble.

    • The body can tolerate being in one position for only a short period of time before you feel the need to adjust.

    • Positioning monitor, keyboard & mouse correctly

    • Can help to ensure good computer posture & the proper chair is essential.

    • Repetition – performing the same movement over & over again – can also lead to muscle fatigue or injury, especially if your body is badly positioned.

    Here are some ways to keep your computer and back in harmony.

    The Mouse Syndrome:

    The mouse syndrome is a series of signs and symptom that a desk worker tends to develop.

    Neck pain

    Upper Back pain

    Shoulder pain


    Thoracic outlet syndromeCarpal tunnel syndromeStress...

  • SHOULDER PROBLEMS incl. Frozen arising from associatted conditions

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    Shoulder Pain, Adhesive Capsulitis, Frozen Shoulder

    • The specific approach to osteopathic treatment is dictated by the diagnosis at presentation, following a thorough examination and detailed history of each individual patient.


    • Not every pain felt in the shoulder region is actually caused by a problem in the shoulder joint.

    • When the problem is in the shoulder joint the pain is often felt over the front of the shoulder or in the upper part of the arm. It can appear to spread down the arm to the elbow (known as referred pain).

    • If the pain spreads further, or if there is tingling or pins and needles, the pain probably comes from a problem in the neck.

    • Each shoulder problem has its own pattern. Most conditions cause pain with use and movement, and it is worth noting which movements give most pain because this will be a good indication of where the problem lies.


    Most shoulder problems do not give much pain when the shoulder is at rest, other than at night, which can be a particularly difficult time. Some people cannot lie on the affected side and find it better to be propped up in bed.

    • The causes of frozen shoulder are not fully understood. The process involves thickening and contractures of the capsule surrounding the shoulder joint.

    • Frozen shoulder occurs much more commonly in individuals with diabetes, affecting 10 percent to 20 percent of these individuals. Other medical problems associated with increased risk of frozen shoulder include: hypothyroidism, hyperthyroidism, Parkinson's disease & cardiac disease or surgery.

    • Frozen shoulder can develop after a shoulder is immobilised for a period of time. Attempts to prevent frozen shoulder include early motion of the shoulder after it has been injured.

    • Osteopathy is also frequently recommended for patients with adhesive capsulitis, (frozen Shoulder). Multiple controlled clinical trials have documented the effectiveness of conservative physical treatment for patients with adhesive capsulitis in improving range of motion.

    • Pain due to frozen shoulder is usually dull or aching. It can be worsened with attempted motion. The pain is usually located over the outer shoulder area & sometimes the upper arm.

    • The hallmark of the disorder is restricted motion or stiffness in the shoulder.

    • Some physicians have described the normal course of a frozen shoulder as having three stages:

    • Stage one: In the "freezing" stage, the patient develops a slow onset of pain. As the pain worsens, the shoulder loses motion. This stage may last from six weeks to nine months.

    • Stage two: The "frozen" stage is marked by a slow improvement in pain, but the stiffness remains. This stage generally lasts four months to nine months.

    • Stage three: The final stage is the "thawing," during which shoulder motion slowly returns toward normal. This generally lasts five months to 26 months.

    Spinal manipulation is effective for low back pain (BEAM trial, 2004)

    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)


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    Your body spends its lifetime in the gravity field of the earth & it is your posture that resists the constant pull of gravity.

    • Good posture results from structural alignment of the body.

    • Support is provided by the bones & ligaments with minimal energy wastage.

    • However, posture changes throughout life & develops from environmental factors, habits & trauma.

    • Living in the modern world, sitting at desks & using computers for extended periods brings our bodies out of alignment.

    Postural examination is a fundamental part of the osteopathic examination carried out in David's clinics. Why not make an appointment today?

    With our heads carried forward, shoulders hunched & backs flexed. The body can no longer be held upright by its own alignment.

    The body tries to compensate by laying down connective tissue. Stiffness & restricted joint movement are the result.

    The spine loses its shock absorbing ability & there is a greater risk of joint degeneration & arthritis.

    Eventually the bones & joint surfaces re-model & the postural changes become largely fixed.

    Osteopathy can help with these problems & help prevent them.


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    Providing information with treatment about minor mechanical neck pain is likely to be helpful.

    • It is extremely important, however that if you have a violent accident & you are suffering from intense pain, you should go to Accident & Emergency, to ensure that there is no serious damage.

    • Although the pain can subside after a few days, it is the damage to the muscles & ligaments that an osteopath can help with.

    • Osteopaths such as David, have the knowledge & skill to assess your neck & also will investigate how the rest of your body has coped with any changes. David will be able to advise you on the appropriate course of action to take & help your body cope with the recent stresses it has suffered.

    Spinal manipulation is effective for low back pain (BEAM trial, 2004)

    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)


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    Running Injuries


    There often frequent aches & pains that are associated with running, whether that is on track, road, treadmill or on softer ground.

    In addition there are injuries which result from running. The more common of these are listed below:

    1: Pes Planus: Also known as flat feet, this condition can be congenital or can develop over a period of time.

    • The collapse of the longitudinal (medial) arch of the foot is the reason pes planus occurs.

    • Running increases the force of weight through the foot, which can develop this condition.

    • In runners pes planus leads to overuse injuries such as Achilles tendonitis or plantar fascitis.

    2: Achilles tendonitis: An overuse injury involving the Achilles tendon, (the tendon connecting the muscles of your calf in the back of your lower leg to your heel bone). The Achilles tendon becomes inflamed or irritated, often at the point of attachment of the tendon to the heel bone.

    3: Plantar fascitis: An overuse injury effecting the sole of the foot, the plantar fascia is a tough, fibrous band of tissue (fascia) connecting your heel bone to the base of your toes which helps to maintain the arch of the foot. When the plantar fascia becomes over stressed as a result of excessive running tension builds up along the fascia, leading to pain & inflammation. This can more commonly be felt on the sole of the foot towards the heel.

    4: Shin Splints: Although it is listed here, it is in fact a symptom rather than a diagnosis and refers to tears in the tissues that hold the muscles on to your shin bone (tibia). It is usually seen in athletes who suddenly increase their duration or intensity of training, or first time runners who have been running excessively in the early stages. It is one of the most common running injuries.

    If you are serious about running, it is always advisable to seek advice from David as an osteopath, who will be able to support you to ensure that your body effortless adjusts to your new regime.

    In addition to this, regular osteopathic treatment can increase a runner's performance, by simple measures such as increasing range of motion & by reducing the risk of a injury.


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    Golf injuries & limitations to playing; by David Gray - Osteopath

    Osteopathic manual work can accelerate healing.

    • Regain joint stability & mobility using isometric strengthening & control exercises.

    Balancing muscle tone, length & strength using appropriate techniques, moving onto more functional dynamic strengthening exercises, as soon as appropriate.


    Promoting good postural & movement patterns to reduce risk of recurring injury.

    Lower back or lumbar spine:

    • Among professional & amateur golfers, low back pain has been cited as the most common golf-related injury.

    • It is estimated that 10-33% of LPGA & PGA touring professionals are playing whilst injured at any given time & that half the group will develop chronic problems.

    • In the modern swing, the golfer finishes in a lordotic 'reversed c' position. This 'reversed c' leads to hyper-extension of the lower back which adds increased stress on the joints & paraspinal muscles of the lumbar spine.

    • Increased loads to the lumbar spine during the golf swing, as well as the large forces generated by these muscles, predispose the golfer to;

    • muscular strains,

    • Possible spondylosis (degenerative spine condition)

    • & the associated risk of herniated discs.

    The Mid Back or Thoracic Spine:

    • The middle of the upper back or thoracic spine can make or break the golf swing.

    • A flexible and supple T-spine will allow for smooth swing mechanics while restrictions will inevitably lead to poor performance &/or injury.

    • The ribs need to be able to expand, contract & rotate.

    • This allows the diaphragm to move freely. Rotation can be restricted if the muscles between the ribs (the intercostal muscles) are tight. You may have felt something similar to a sharp, stabbing pain in your ribs after a day of hitting balls.

    • This could be your intercostal muscles telling you that they have worked too hard. This is particularly important when associated with general arthritic spinal conditions.

    The Neck or Cervical Spine:

    • As well as having similar spinal restrictions, this area is one of the most important for golf.

    • Good stable mechanics for the golfer's eye-to-ball connection is fundamental in allowing the whole body swing to work correctly.

    • Shoulder injuries:

    Shoulder pain in golfers is a relatively common occurrence compared to other sites of the body, accounting for approximately 8–18% of all golf injuries.

    The shoulder goes through a large range of movement during the golf swing. Consequently, excessive practice can produce problems of the shoulder due to overuse.

    Injuries to the shoulder in golfers are mainly restricted to the lead shoulder, i.e. the left shoulder in right-handed golfers.

    Studies have found that shoulder pain may be localised to the acromioclavicular (AC) joint, with the potential for either osteoarthritis or distal clavicle osteolysis.


    Wrist/Hand injuries:

    The wrist is one of the most common sites of injury in golfers. The wrist accounts for 13–20% of all injuries in amateurs & 20–27% of all injuries in professionals in golf.

    Elbow injuries:

    Elbow injuries are common in golfers, especially in amateurs & particularly in females. This is thought to be due to the increased carrying angle seen in the female population. Elbow injuries account for 25–33% of all injuries in amateurs and 7–10% of all injuries in professionals.

    The importance of proper warm-up & stretching routines prior & most importantly after play, is important. David your Osteopath will devise specific exercise routines for your own golfing needs.


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    This is perhaps one of the most commonly used words by patients with any joint pain.


    More often than not it is used without a clear understanding of what it is. Arthritis refers to inflammation of a joint.

    What Type of Arthritis?

    The types of arthritis include:

    osteoarthritis, rheumatoid arthritis, gout, ankylosing spondylitis, scleroderma & systemic lupus erythematosus.

    There are two main types, osteo & rheumatoid:


    Osteoarthritis is often explained as "wear & tear" to the joint, which is true to a certain extent.

    Arthritis_Bend” title=

    But what has brought on this "wear & tear" & why only that joint? Well, it can be put down to occupation (i.e. the body being used repetitively in the same way) as well as obesity (more pressure on the joint surfaces), however, sometimes it is due to altered postural & biomechanics (movement of the body).

    This can be caused by a past trauma, growth patterns and even as far back as the most traumatic experience in any ones life – the birthing process. Symptoms include tenderness & stiffness, which are somewhat relieved after a period of movement.

    Osteoarthritis is degenerative joint condition sometimes called 'wear & tear' affecting the spine, hips, knees, feet, & hands.

    Rheumatoid arthritis is a more complex, it is an autoimmune condition, i.e. one in which the body's immune system attacks the body's own tissue. It usually affects the whole body, particularly the membranes of the joints.

    The joints typically affected are the hands & feet, wrists, ankles & knees. These tend to be warm, tender & swollen, & the skin over the joint will take on a ruddy purplish hue. Joint deformities occur in the hands & feet, as the disease progresses.

    David as an Osteopath is highly skilled in helping patients with the effects of conditions appropriately.

    As the symptoms are produced largely by the inflammation around the joint, specific movements & treatment techniques can be extremely effective. By encouraging the movement of fluid around the joints & tissues, this helps to remove the inflammatory substances.

    In the elderly, minimal treatment can often have profound effect in reducing the pain.David as an Osteopath will also address diet & lifestyle in order to help control the symptoms experienced.

    Arthritis may be hereditary but is generally caused by poor posture, heavy manual work & previous injury. Osteopathy is an effective way to manage arthritis & the associated symptoms:

    Neck Pain

    Low back pain

    Hip/Knee Pain

    Early morning stiffness

    Joint Pain

    Swelling & Inflammation

    Referred muscle pain

    Lack of mobility

    Why Osteopathy?

    • There is no cure for arthritis however osteopathic treatment can do a great deal to reduce pain, ease swelling and improve mobility & range of joint movement.

    • Management focuses on eliminating symptoms through early diagnosis & improving lifestyle to prevent further degeneration.

    • Osteopathic treatment involves gentle manual osteopathic techniques on joints, muscles & ligaments. This may involve gentle stretching, mobility, and traction techniques.

    Exercises to do at home may also be prescribed, to improve joint function & to reduce muscle spasm.

    • Provide immediate relief from symptoms

    • Reduce pain & swelling

    • Promote range of joint movement

    • Improve mobility

    • Assist in rehabilitation after surgery such as hip replacement

    • Educate on how you can improve your quality of life through diet & nutritional support, posture, & exercise.

    Spinal manipulation is effective for low back pain (BEAM trial, 2004)

    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)


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    Work Place Assessments

    • Due to health & safety directives, employers are faced with ever increasing demands for professional & thorough work place assessments.

    • It is common for HR departments to have trained staff who perform these assessments.

    • Although there is an understanding of what is required, essentially every employee is different and therefore the same rules cannot be applied to every person.


    The following are the more common conditions resulting from poor work station setups:

    • Repetitive strain injury: Generally this is described as symptoms of the neck, arm and wrist. However please see article of RSI for a more detailed explanation.

    • Eye strain: This is often a result of VDU work and is a particular problem for workers who concentrate on the screen for long periods.

    • Symptoms can range from sore eyes or head aches to visual disturbances.

    • Badly positioned screens & poor lighting are contributors to this.

    • Back problems: These are the most common form of ill health at work.

    • If workstations are not set up correctly for the individual employee, they are at risk of pain & discomfort.

    • Often ensuring that regular breaks are taken to walk around can be all that is needed.

    • The lack of fluid movement through body tissues (i.e. sitting in one place for a long time) can have huge impact on the working structures of the body.

    • For more information regarding back pain, please refer to the article on back pain.


    Although the above has been focused on the office environment, it does not matter whether work is at a computer terminal or in heavy industry, pain & injury can develop if proper work place assessments are not carried out.

    • So if you feel that by the end of your working day you are experiencing aches and pains it may well be due to your working environment.

    • It is advisable to seek professional advice as soon as possible to ensure it does not develop further.

    David as an osteopath has expert knowledge, on what the body needs for optimal functioning.

    Further still, he tailors treatment & advice to the individual, based on their occupation & lifestyle.

    He can work within companies, working alongside staff as required, to ensure expert advice is available.

    Spinal manipulation is effective for low back pain (BEAM trial, 2004)

    Government guidelines recommend osteopathy for persistent low back pain (NICE, 2009)


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    Repetitive Strain Injury (RSI)

    This condition is commonly given to a group of injuries affecting the muscles, tendons and nerves primarily of the neck and upper limbs.

    However it actually covers much more, namely:


    Tendon damage


    Many of the above can be traced back to poor posture & repetitive actions, (i.e. typing), whilst sitting at a computer desk, for more than a few hours a day.

    Having said this many people taking part in certain sports as well as playing a musical instrument or working on a factory production line can suffer these conditions from repetitive actions.

    Symptoms can range from mild to severe and include: a dull ache, throbbing, numbness, tingling, swelling, weakness, cramps & tightness in the affected area. It is not a life threatening injury, but it has the potential to cause crippling pain & disability, and perhaps more importantly hinder the action it stems from.

    David's Osteopathic in-depth knowledge, make useful allies in combating RSI. Treating with a range of techniques & advice they are able to support you with the recovery process.


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    Back pain sufferers are often advised to exercise & keep moving.

    But how do you know what is the most suitable form of exercise, for your particular problem?

    Should you jog, swim or do Pilates?

    Are certain stretches useful, relevant or likely to cause more pain?

    To obtain optimal healing & in order to heal damaged tissue we must use exercises & treatment, appropriately as a repair stimulus – mechanotherapy.

    Osteopathy is a method of treatment which assesses the body's muscle and skeletal system as a whole. The spine, muscles and joints are looked at from a postural, mechanical and structural standpoint. That is to say, how your body functions as a whole and how it responds to movement.

    • Usually, by the time people go to see an Osteopath they are already in pain, which is the body's natural alarm bell to say that all is not well.

    • The aches & pain experienced are often a sign that muscles are pulling the body out of proper or comfortable alignment. Certain areas become tight and stiff while others may have weakened. This will put strain on the spine & joints. Over time, it can lead to inflammation & even wear & tear, which then maintains the aches.

    • An assessment can be very beneficial if you have been suffering from back or joint pain for a while, have recently had a baby or are about to take up or change an exercise regime.

    • As a consequence of the assessment, David your Osteopath will not only be able to treat the current discomfort/pain through gentle manipulative treatment, but also be in a position to note how your body will respond to exercise. That is, which areas may need stretching or strengthening & which form of exercise may be the most suitable to cause your body least strain & most gain.

    • Everyone has a different body, different routine & slightly different cause of back pain.

    Healthy fitness is about optimising your body's ability & potential without causing excessive stress or strain. Everyone will have different needs & a different level of ability.

    • An Osteopathic assessment with David & he will be able to assist you professionally.


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    Our bodies are unique & are able to cope with the stresses & strains forced upon them as a result of poor postural habits at work or physical activities such as playing sport or gardening.

    • Not only do our muscles and joints have to cope with external influences as we age, our muscles also progressively become tighter.

    • The flexibility within our joints reduce, thus decreasing the body mechanism to cope.

    • Ageing effects parts of the body differently & slows an active lifestyle & even hinders day-to-day activities.

    • Some people develop tight hamstrings, while others have tight neck & shoulders muscles.

    • If you have tight hamstrings this can affect your back & cause lower back pain, & tight neck muscles can lead to headaches & even dizziness.

    • Stretching helps to balance muscle groups that might be overused during exercise or physical training or as a result of bad posture.

    • When a joint has limited range of motion, muscles, tendons & ligaments are at risk to strains & sprains.

    • When you stretch on a regular basis the length of your muscles & tendons is increased.

    • As a result of this, muscle tension is minimised & normal range of movement is increased thus improving muscle balance & posture.

    • The more flexible & pliable your muscles, the less chance you will be prone to injuries.

    • Everyone can learn how to stretch & it is great for all ages & levels of flexibility.

    • It's not only great for the body but also good for the mind as it induces a sense of well-being & relaxation.

    • Whether you are at work in front of the computer, just finished your exercise program or watching your favourite TV show, there is no excuse! Stretching can be done almost anywhere & at anytime. It may be is easily incorporated as part of your daily routine.

    Visit David Gray the osteopath who will be able to assess the quality of the muscles and their respective functions.

    This allows the osteopath to advise which stretches are more beneficial & specific to you & the environment you are in.


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    Exercise Hints & Tips

    • Occasionally, you may feel some increased tenderness after treatment.

    • This is not unusual and is a result of the changes induced by treatment. Some people liken the feeling to the effects of unaccustomed exercise.

    • If you are worried or would like any advice please do not hesitate to call David. In the mean time, see the following for some useful tips. Cold Packs

    • These are very helpful reducing pain & assisting the inflammatory (healing) process. They are most effective when used as follows:

    • In the first 24 hours after any injury apply hourly for 5 minutes at a time.

    • Subsequently apply for 15 minutes every 3 - 4 hours

    • Never place the ice pack directly on the skin. Cover the area to be treated with a thin cloth.

    • Apply the cold pack (frozen peas, gel pack).


    • If you have low back pain avoid sitting for more than 30 minutes where possible.

    • If sitting is unavoidable, use an upright chair.

    • Use a cushion to raise your hips a little above your knees.

    • Stand up and move around every twenty minutes.

    • Driving involves sitting & long journeys should be broken up.

    Lying on your back with a pillow under your knees; or,

    • On your side, knees bent with a pillow between them.

    • Placing a duvet under your sheet may make a hard bed more comfortable.

    • A collar or rolled towel around your neck may help relieve neck pain.

    • Avoid repetitive movements (reaching stretching & twisting, even for small items).


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    Osteopathy is a method of treatment which assesses the body's muscle & skeletal system as a whole.

    The spine, muscles & joints are looked at from a postural, mechanical & structural standpoint.

    That is to say, how your body functions as a whole & how it responds to movement.


    Usually, by the time people go to see an Osteopath they are already in pain, which is the body's natural alarm bell to say that all is not well.

    The aches & pains experienced are often a sign that muscles are pulling the body out of proper or comfortable alignment. Certain areas become tight & stiff while others may have weakened.

    This will put strain on the spine & joints. Over time, it can lead to inflammation & even wear & tear, which then maintains the aches.

    An assessment can be very beneficial if you have been suffering from back or joint pain for a while, have recently had a baby or are about to take up or change an exercise regime.


    As a consequence of the assessment, David your Osteopath will not only be able to treat the current discomfort/pain through gentle manipulative treatment, but also be in a position to note how your body will respond to exercise.

    That is, which areas may need stretching or strengthening & which form of exercise may be the most suitable to cause your body least strain & most gain.

    Sacroiliac Joint Dysfunction SymptomsTypical cases of sacroiliac pain behave similarly to many other lower back pain & sciatica conditions. Pain in the back, buttocks and legs is common.

    Sacroiliac Joint Dysfunction DiagnosisDavid as your Osteopath is qualified and experienced in the diagnosis of this physical problem, which unfortunately occurs regularly effecting many of the other lower back tissues.


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    We may predominantly be pressured by stressors being;


    • spending periods driving in the same position,

    • increasingly suffering from the effects of the tense sedentary posture.


    Resulting in protracted shoulders, slouching back, extended neck & the many muscle, ligament & joint dysfunctions that underpin it.

    • David as an osteopath, takes a very practical approach to these conditions.

    Professionally, checking you carefully, & then providing an individual treatment & exercise regime to eliminate; symptoms & maintaining factors, to improve posture & reduce the risk of any reoccurrence.

    • Stress & tension are commonly expressed through the muscles in the neck.

    In certain cases, problems in the neck can lead to compression, which produces pain, pins & needles & even weakness in the arms.

    • Tension in the neck is also responsible for the majority of headaches.

    • There is evidence that breathing rehabilitation & Breathing Pattern Disorders BPD, negatively influences motor control, neurological sensitisation, muscle behaviour, pain threshold & balance.

    • Especially at risk are people who push themselves too hard at work, study, or sport. Or simply burn the candle at both ends.

    • It is also evidenced that reversing these tendencies, by restoring more normal breathing patterns, has positive effects in many individuals.

    • How can Osteopathy help with breathing changes due to stress?

    • Osteopathy can help improve the mechanics of breathing by releasing the tension held in the diaphragm & other respiratory muscles & ensuring that the ribcage & mid-back has optimal movement & flexibility.

    • Due to chronic poor breathing, standing or sitting in a slumped position, rounded shoulders & tension within the neck can be treated by addressing the postural issues that develop as a result of breathing pattern changes.

    • David may also suggest to helping to release tension in the jaw & sinus areas allowing breathing through the nose to become easier.

    • David your osteopath may treat you using traditional osteopathic treatments such as rib-stretching techniques & thrust techniques directed at the ribs and thorax, in addition to soft tissue work; David may also use functional osteopathy to provide the body with additional flexibility & exercises to help in the long-term. Both of these avenues are extremely effective at alleviating the restriction that results from over breathing.

    Contact David Gray - Osteopath, 07973 297 438


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    A referred posterior leg pain condition described as a compression or irritation of the sciatic nerve by a contracted or stretched piriformis muscle.

    The syndrome is six times more common in females than in males.

    Pain Pattern

    Pain & some times pins & needles, may travel the course of the sciatic nerve. Either deep boring or dull ache down the posterior thigh to the knee, occasionally extending to the foot, occurs.

    Differential Diagnosis

    Sciatica/ Referred pain;

    • Compression of the posterior femoral cutaneous nerve

    Sacro-iliac joint strain

    • Innominate Fracture

    • Gluteal or Hamstring tear / strain

    • Lumbar Prolapsed Intervertebral disc (PID)


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    Myofascial pain refers to soft tissue pain usually arising from trauma, repetitive activities, or poor posture.

    Trigger points (MTrP) are a hyper- irritable spot in skeletal muscle that is associated with a hypersensitive palpable nodule in a taut band. Myofascial trigger points can be inactivated by osteopathic manipulative treatment (OMT), together with the other methods in Osteopathic Care, as well as needling (acupuncture).

    Trigger points involve a self-perpetuating cycle, (pain leading to increased tone causing more pain), & will almost never deactivate, unless adequately treated.

    It is usually associated with muscle spasm and is most often seen in the region of the neck.

    Patients may complain of neck pain, pain across the top of the shoulders, sleep difficulties & occasionally, headaches.

    • Distressed tissues tend to involve a major degree of ischemia – inadequate blood and oxygen supply. [1]

    • Such tissues are a natural breeding ground for myofascial trigger points which are a major feature in all chronic, and much acute, musculoskeletal pain. [2]

    • While it is well-known that trigger points can produce pain, it is a less appreciated fact that trigger points also alter the function of the tissues to which they refer [3]

    1.    Baldry P. Acupuncture, Trigger Points and Musculoskeletal Pain. Churchill Livingstone. Edinburgh. 1993.

    2.    Wall PD and Melzack R (eds). Textbook of Pain. 2nd edition. Churchill Livingstone. Edinburgh. 1990.

    3.    Simons D, Travell J and Simons L. Myofascial Pain and Dysfunction: The Trigger Point Manual. Vol 1. Upper half of body. 2nd edition. Williams and Wilkins, Baltimore 1999 .


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    Did you know you can experience pain anywhere around the foot and ankle as a result of a sprain to the ankle's ligaments?

    You may not even recall going over on your ankle for there to be a problem, but there is usually a background of joint flexibility for this to be the case.

    All the constituent joints of the ankle & foot are stabilised by over one hundred ligaments.

    Mobility & stability is also facilitated by over thirty foot & leg muscles.


    Ankle strains are very common & usually resolve completely after 2 or 3 weeks with ice & rest, but often retained muscle spasm & joint restrictions can lead to chronic injury. When an old injury hasn't resolved fully, it can lead to a recurrence or injury elsewhere.

    With care in manipulating the joint & relaxing the muscles, David can help the joint resume normal motion much quicker & more completely.

    Thus relieving the pain & swelling.

    • Taping to restore control & allow normal function is used in the early stages of your recovery.

    • Osteopath treatments for ankle & foot injury can be very beneficial.

    • David's Osteopathic examination of lower limb biomechanics, may lead to a faster recovery, from an ongoing or potential foot or ankle problem.

    • The foot & ankle joint are made up of many small bones & a network of complex tendons & ligaments.

    • These can become strained, torn & inflamed when excessive force is applied to the foot through trauma or constant use, when compromised.

    The foot & ankle complex also provides stability & mobility, as well as a strong base to assist with the repetitive impact & muscular activity that is required of it, during walking & running.

    It assists with efficient energy transfer from ground reaction forces, into the musculoskeletal system.

    Further, through the long bones force is dissipated via the muscles, in doing so this also facilitates efficient use of available energy stores.

    Balance with treatment, provides the most efficient movement.

    Call David on 07973 297 438.


DAVID: Risborough_Osteopath

01844 354 737

07973 297 438

or email him: Chinnor_Osteopath


D GRAY - OSTEOPATH Professional Treatment for;

Treatment Chinnor

'he is committed to his patients and his goal is to address issues as quickly as possible'

There are many causes of low back pain. An assessment can be very beneficial if you have been suffering from pain for a while, or have recently had a baby, or are about to take up or change an exercise regime.

Nearly always people can be helped, by carefully prescribed GENTLE, Osteopathic treatment & advice.

The most appropriate integrated treatment, is always discussed, understood & agreed, before we begin.

Where conditions are named in this site, it is either because there is research into that particular condition, or to serve to illustrate the kinds of symptoms which might respond to treatment.

Ankle & foot Treatment with David benefits from his professional experience to identify & treat all problems of the feet, ankles & hips as well as treating the many causes of knee pain.

David will explain to you what treatment you'll need, how to speed up your recovery & when you can return to your regular activities & sports.

He may prescribe special exercises together with treatment to increase your joint mobility & performance.

Together with stretching your muscle groups accordingly, strengthening weak muscles, to restore muscle balance.

David will explain to you what treatment you'll need, how to speed up your recovery so you can best return to your regular activities.

'His helpful exercises between appointments have contributed to an overall sense of well being and decrease in back pain.'

There are many causes of pain. An assessment can be very beneficial, especially if you;

• have been suffering from pain for a while • have recently had a baby • or are about to change an exercise regime

David consults & cares, for all walks of life professionally treating from; young to older people, also manual workers, office professionals, sports people, pregnancy & babies or children.

'The Support you have given me through the last 2 years, helped my body cope with the enormous strain of 2 very close together pregnancies Thank You.'

Shown to be effective & safe Medical Acupuncture for:

The most appropriate integrated treatment, is always discussed & agreed, before we begin.

David provides optimal clinical management, integrating your motor & sensory function.

Providing neuromuscular rehabilitation; post-surgery (shoulder, hip, lower back, feet & more)

DAVID GRAY - OSTEOPATH_____________Caring Professional Treatment

David does not rely on isolated therapeutic interventions.

Having good experience, enables him to provide an integrated & effective treatment. Being the most appropriate for you.

David's excellent diagnostic abilities and his holistic approach to treatments have benefited all my family tremendously, whether the consultations have been for sports injuries, work related strains or chronic ailments.

Osteopathy together with Acupuncture, is available as a system, of diagnosis & treatment, for a wide range of conditions.

‘I am now walking and living pain free for the first time in 3 years’


In regard to pain, David takes a thorough history with consultation, guiding his examination. This determines for any individual the quality, duration & origin of this condition, how it uniquely affects you & how best to provide treatment.

After 35 years of back pain and severe sciatica I am now trouble free and just go back to him for a top up every six months or so

He has sorted out various ad hoc (eg cycling/laptop related) back, hip and neck problems

TEL: 01844 354 737 / 07973 297 438

Spinal manipulation is effective for low back pain (BEAM trial, 2004)
Government guidelines recommend osteopathy for
persistent low back pain (NICE, 2009)

Where conditions are named in this site it is either because there is research into that particular condition, or to serve to illustrate the kinds of symptoms which might respond to treatment

DAVID: Risborough_Osteopath

01844 354 737

07973 297 438

or email him: Chinnor_Osteopath

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