Mr Gerry Gajadharsingh DO
Osteopath and Diagnostic Consultant in Integrated Medicine
Mr Gerry Gajadharsingh DO is the founder and clinical director of The Health Equation, with practices in central London and Alton Barnes, near Marlborough in Wiltshire.
Gerry qualified from the British School of Osteopathy—now part of the Health Sciences University—in 1987, where he was awarded the prize for Osteopathic Technique. Since qualifying, he has maintained a clinical practice in central London and has accumulated nearly four decades of experience assessing and managing patients with musculoskeletal, complex and persistent health problems.
Alongside his work as a regulated osteopath, Gerry has undertaken extensive postgraduate education in clinical nutrition, applied pathophysiology, breathing assessment and retraining, functional physiological measurement, exercise rehabilitation and the interpretation of clinical investigations.
His work is characterised by detailed history-taking, careful examination, pattern recognition and integrated clinical reasoning. He aims to help patients understand how the different aspects of their health may be connected and to identify appropriate next steps in collaboration with their existing healthcare professionals.
Clinical Approach
Gerry’s clinical approach has developed through nearly four decades of practice, postgraduate study and collaboration with clinicians across conventional medicine, osteopathy and other regulated healthcare disciplines.
He works particularly with patients whose symptoms are complex, persistent or difficult to explain within a single diagnosis or medical specialty. Many have already undergone investigations or consulted several practitioners but remain uncertain about how their symptoms, diagnoses and test results fit together.
To support this work, Gerry developed the Integrated Regulatory Systems Framework (IRSF). This provides a structured method for considering how the respiratory, neural, circulatory, endocrine, immune and inflammatory, metabolic and musculoskeletal systems interact within an individual clinical presentation.
The framework helps distinguish between established pathology, possible underlying pathology and disturbances of function or physiological regulation. It does not replace conventional diagnosis or specialist medical care; it supports clinical interpretation, proportionate investigation and collaborative decision-making.
Where appropriate, Gerry communicates with GPs, consultants and other regulated healthcare professionals to help coordinate further investigation, treatment, rehabilitation or referral.
Professional Standing and Registration
Gerry is registered with the General Osteopathic Council, the statutory regulator for osteopathy in the United Kingdom.
- General Osteopathic Council registration: 1/441/F
- Profession: Registered Osteopath
- Qualified: British School of Osteopathy, 1987
- Founder and Clinical Director: The Health Equation
- Former Privy Council appointee to the first General Osteopathic Council
Gerry has lectured at undergraduate and postgraduate level in the United Kingdom and internationally. His teaching has included osteopathic manipulative techniques, integrated clinical reasoning, interpretation of blood-test results, clinical nutrition, breathing assessment and retraining, capnometry and heart-rate variability.
He holds a City & Guilds teaching qualification and has contributed to osteopathic education and professional development throughout his career.

https://www.osteopathy.org.uk/register-search/registrants/1515-mr-gerry-gajadharsingh/
Areas of Clinical Interest
Gerry’s clinical work spans traditional osteopathic practice and the integrated assessment of more complex health presentations. His principal areas of interest include:
- Complex, persistent and multisystem health problems
- Osteopathic assessment and treatment of musculoskeletal pain and dysfunction
- Clinical reasoning and interpretation of previous investigations
- Breathing-pattern disorders and respiratory physiology
- Capnometry, heart-rate variability and autonomic regulation
- Functional interpretation of blood-test results
- Clinical nutrition and metabolic health
- Headache and migraine
- Chronic pain
- Exercise, rehabilitation and physical resilience
- Functional and medically unexplained symptoms
The emphasis in every case is on careful assessment, appropriate clinical boundaries and identifying the level of care best suited to the individual patient.
What Clinicians and Patients Say
“Gerry has been my family’s osteopath for many years. We first went to see him following a recommendation from our doctor and have since called upon his expertise for a wide range of problems.
Gerry is not simply a ‘back doctor’. His approach is holistic, and over the years he has been brilliant in helping my family and me. We cannot recommend him highly enough.”
I first met Gerry when he treated me for my frozen shoulder. It had been troubling me for 2 years and physio was making it worse. I immediately felt in safe and capable hands. Gerry is a meticulous clinician. He assesses patients in a holistic way that others simply don’t do. Because of this his results are excellent. He goes the extra mile and leaves no stone unturned. I’m very glad that I met him and so are my patients.
Publications, Education and Digital Health
Books and Professional Publications
Gerry is the author of The Health Equation: A Way of Life, an interactive multimedia book published through Apple Books in 2014. It explores nutrition, metabolic health, breathing, exercise, sleep, stress physiology and preventative healthcare, supported by practical educational material and ten professionally produced cooking videos.
He was a contributor to Competences Required for Osteopathic Practice (CROP), published in 1994, which helped inform the development of professional standards for the first statutory register of osteopaths in the United Kingdom. His particular contribution addressed contraindications to osteopathic manual treatment.
Gerry has also contributed to Sports Injuries, edited by Cynthia Tucker DO, and to the forthcoming Elsevier textbook Sports Osteopathy, including material on respiratory regulation and athletic performance.
His new book, Clinical Reasoning for Complex Patients: The Integrated Regulatory Systems Framework—The Patient Who Doesn’t Fit the Textbook, will be published by New Generation Publishing in October 2026. The book draws together nearly four decades of clinical experience and introduces the IRSF as a practical framework for clinicians working with complex patients.
Since 2014, Gerry has published more than 450 evidence-informed healthcare articles through The Health Equation. Many of these have subsequently been adapted into the Gerry at The Health Equation podcast series on Spotify.
Digital Health
Gerry has also co-developed the forthcoming Deep Balance mobile application with Dr Robert Kissner. The app combines guided breathing and relaxation programmes with physiological feedback using heart-rate variability and respiratory sinus arrhythmia.
Following final technical refinements, the app is intended to proceed to structured beta testing with approximately 50 users across the United Kingdom and Canada before wider release. Feedback from this stage will be used to assess usability, programme reliability and the clarity of the physiological guidance before general availability.
Outside the Clinic
Gerry has maintained a lifelong involvement in sport. In his youth, he represented Trinidad and Tobago in fencing at the World Youth Championships and Commonwealth Championships. After returning to competitive fencing following a 20-year absence, he became Great Britain Veterans Foil Champion in 2010 and subsequently represented Great Britain at World and European Veterans Championships.
Gerry now represents the Republic of Ireland in veterans’ foil. In 2025, he placed tenth in his category V3 at the World Veterans Fencing Championships in Bahrain.
He is also a lifelong skier and a keen club tennis player. His personal experience of training, competition, injury and rehabilitation has contributed to his longstanding clinical interest in movement, physical resilience and sports-related musculoskeletal care.
Earlier in his career, Gerry ran the multidisciplinary sports clinic at the British School of Osteopathy, one of the first clinics of its kind in the United Kingdom, established by Ms Cynthia Tucker DO. He also served for eight years as Consultant Osteopath to the London and South Division Rugby Colts.
