Osteopath Aylesbury, Princes Risborough, Thame, David Gray Osteopath, Medical Acupuncture

Neuromuscular-Rehabilitation

CONTACT 07973 297 438, David Gray Osteopath-Medical Acupuncture-Cranial Osteopathy

REHABILITATION -TREATMENT- SELF HELP


Rehabilitating the movement control after; joint and muscle

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injuries, operations and time in hospital.

David supports by integrating;

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Neuromuscular Rehabilitation

Rehabilitation sessions are tailor made to your requirements, enabling full recovery of movement, power & control.
  • David provides optimal clinical management integrating your motor & sensory function.
  • Providing neuromuscular rehabilitation post-surgery (hip, shoulder, lower back and more)

Reducing Physical Stress

By using appropriate training modalities to encourage/challenge the posture, nervous system and muskuloskeletal system he can facilitate your;
  • Body to become well balanced for daily functional movement and more.

Nervous System Damage Repair

Treating patients with central nervous system damage (stroke, MS, head injuries).
Osteopathy is very much a joint effort between David and you, restoring better function and movement, further to alleviating pain.

Movement Rehabilitation

  • Developing & providing specific exercise and functional activities to support movement rehabilitation.
  • Preventative education is integrated further too detailed understanding, using rehabilitation retraining.

Core Stability 

Core stability-exercises for multifidus and transverse abdominus.


N.B. Abdominal Breathing very important.
  • After an episode of low back pain, up to 80% of patients suffer further episodes of pain within the following year.
  • Research indicates this is partly due to the muscles multifidus and transverse abdominus being inhibited (shutdown) as a reflex response to the original injury. 
  • These muscles combine to support and stabilise the lower spine, and having being inhibited by the original injury, they often do not switch back on easily.   
Core Stability

  • Multifidus is a series of small muscles being part of the deepest layer of muscles running the length of your spine.
  • Transverse abdominus is the deepest layer of the corset of muscles that pass around your abdomen attaching to your spine, lower ribs and pelvis. 
  • These 'inner unit' muscles contract fractions of a second prior to contraction of other muscles used in normal daily activity, thus providing a stable muscular 'core'. 
Before working these muscles it is necessary to find your position of neutral spine.
  • Lie on your back with your knees bent. 
  • Slowly tilt your pelvis so that the upper part moves toward the floor, then tilt your pelvis in the opposite direction with the upper part moving toward the celling.
  • This should be a short range of movement, and should not cause discomfort. 
  • Select the most comfortable point between the two extremes of movement, this is the neutral position.
  • This position should be maintained while performing the following exercises;
To make active transverses abdominus gently draw your navel toward your lower spine and hold the contraction, continue abdominal breathing while holding the neutral spine position and contracting transverses abdominus.
  • Hold for up to 10 breadth cycles, slowly exhaling whilst holding each contraction.
To make active multifidus (in the same pose), gently draw your very lower spine toward the floor and hold the contraction, continue abdominal breathing while holding the neutral spine position and contracting multifidus.
  • Hold for up to 10 breadth cycles, slowly exhaling whilst holding each contraction.
To remind you of the simple illustration I give in teaching these exercises, using an imaginary glass on the navel;
  • exercises for transverses abdominus spills the glass on your thighs
  • exercises for multifidus spills the glass on your chest
These exercises are very precise targeting the particular muscles, that David has helped you to identify.
  • The use of larger muscles in the area, is easily done, but not helpful.
All exercises are intended only as reference for patients of David, taken through specific exercises devised for them especially.

Contact David : 07973 297 438 or email him:

There is no doubt that treatment is successful in alleviating pain.
As a professional Osteopath, David appreciates that patients may require support, to prevent relapse.

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Neuromuscular Rehabilitation