Nexus Clinic – Expert Osteopath in Marylebone, London

About Nexus Clinic

Clinical expertise, genuinely personal care

Nexus Clinic was founded on a straightforward conviction: that quality osteopathic care must be genuinely individual. Not a sequence of standard appointments, but a clinical relationship built on careful listening, thorough assessment, and treatment that adapts to you — session by session, as you recover.

The clinic is based in the heart of Marylebone, London NW1, offering professional and comfortable appointments on Fridays at 8-10 Boston Place — just steps from Marylebone station, five minutes from Baker Street, and seven minutes on foot from Edgware Road tube (Bakerloo, Circle, District lines).

Every treatment begins with thorough assessment and clear communication. Whether you are dealing with back or neck pain, recovering from injury, or managing everyday strain, care at Nexus Clinic is centred on what you need — not a generic protocol.

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European School of Osteopathy (ESO)Master's Degree in Osteopathy — one of the UK's leading institutions

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GOsC Registered OsteopathGeneral Osteopathic Council — UK statutory regulator for osteopathy

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Bilingual — English & FrenchFull consultations available in French (consultations en français disponibles)

"I can't recommend Max highly enough. From the first session I felt I was in safe, knowledgeable hands. After several sessions the improvement has been huge. Incredibly grateful."

— Verified Google Review

🇫🇷 Consultations disponibles en français

The Team

Meet the clinic director

Maxence Clinic Director

Young but better than most experienced osteopaths I've seen over the years. I would highly recommend this gentleman for his work, expertise and professionalism.

— Verified Google Patient

Clinic Director & Osteopath

Maxence

GOsC Registered Osteopath · MSc Osteopathy (ESO) · Clinic Director, Nexus Clinic

Maxence founded Nexus Clinic with a clear purpose: to offer osteopathic care that is genuinely personal, rigorously evidence-informed, and delivered with the kind of attention that produces lasting results. With over 1,500 treatments and four years of clinical experience, he has at heart precision, patience, and real results.

Originally from France, Maxence completed his Master's degree at the European School of Osteopathy (ESO) in the UK — one of the most respected osteopathic training institutions in Europe. He is registered with the General Osteopathic Council (GOsC), the UK statutory regulator for the profession, and conducts full clinical consultations in both English and French.

As clinic director, Maxence oversees every aspect of patient care at Nexus Clinic. He leads each session personally — from the initial case history and physical assessment through to hands-on treatment and follow-up. Patients are never handed off; continuity of care is fundamental to how the clinic operates.

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MSc Osteopathy — European School of Osteopathy (ESO)One of the UK's most prestigious osteopathic institutions

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GOsC Registered — General Osteopathic CouncilStatutory registration with the UK's osteopathic regulator

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Bilingual Consultations — English & FrenchConsultations complètes disponibles en français

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Nexus Clinic — 8-10 Boston Place, Marylebone NW1Fridays · Marylebone station · Baker Street · Edgware Road (7 min walk)

Core Treatments

Expert care, tailored to you

Every treatment begins with a thorough assessment to fully understand your symptoms, lifestyle and medical background. From there, a personalised plan is built around your specific needs.

Osteopathy

Osteopathy is a regulated healthcare profession requiring a Master's degree and a minimum of 1,000 hours of supervised clinical training — covering anatomy, physiology, pathology, pharmacology, biomechanics and diagnosis. Practitioners must register with the General Osteopathic Council (GOsC) and meet ongoing continuing professional development requirements.

Each session begins with a detailed case history, followed by a physical assessment and hands-on treatment using techniques tailored to your presentation: joint manipulation, soft tissue therapy, myofascial release, visceral techniques, and cranial osteopathy. This holistic approach addresses current symptoms while building the longer-term resilience of your musculoskeletal system.

Back & Neck PainSports InjuriesPostural StrainChronic ConditionsPostpartum Recovery

Learn more about osteopathy →

Dry Needling

Dry needling is a precise, evidence-informed technique used within osteopathic sessions to target myofascial trigger points — localised areas of muscle that have become hyper-irritable and refer pain. Fine, single-use sterile needles are inserted directly into the trigger point, provoking a brief local twitch response that signals muscle release and initiates the body's natural repair process.

A 2023 umbrella review of 36 systematic studies confirmed that dry needling produces clinically meaningful reductions in musculoskeletal pain compared to no treatment or sham intervention. At Nexus Clinic it is combined with osteopathy in the same session at no additional cost — treating the muscular and structural components of pain together.

Muscle PainTension HeadachesTrigger PointsSports Recovery

Learn more about dry needling →

Conditions Treated at Nexus Clinic

Neck & shoulder pain

Back & lower back pain

Hip & knee pain

Headaches & migraines

Sports injuries

Thoracic Outlet Syndrome

Postpartum recovery

Musculoskeletal conditions

Postural imbalances

Chronic pain management

Sciatica

Joint stiffness & mobility

Disc-related back pain

Repetitive strain injuries

Work & office posture pain

Plantar fasciitis & foot pain

The evidence

What the research says about osteopathy

Osteopathy is not a complementary therapy — it is a regulated healthcare profession underpinned by a growing body of high-quality clinical evidence. Here is what the science says.

NICE Guideline NG59 · National Institute for Health and Care Excellence

Manual therapy is recommended for back pain

The UK's leading clinical guideline body — the National Institute for Health and Care Excellence (NICE) — formally recommends manual therapy, including spinal manipulation, mobilisation and soft tissue techniques, as part of treatment for low back pain with or without sciatica. NICE guideline NG59 specifically states that clinicians should consider manual therapy as part of a package that includes exercise, with or without psychological input. Osteopathy delivers exactly this combination: hands-on treatment supported by movement advice and postural rehabilitation guidance from the very first session.

View NICE NG59 →

General Osteopathic Council · UK Statutory Regulator

A protected title, regulated by law

Unlike many healthcare titles in the UK, "osteopath" is a protected title under the Osteopaths Act 1993. It is illegal to use the title without being registered with the GOsC. As of 2024, there are approximately 5,100 registered osteopaths in the UK, all of whom must complete a recognised degree programme of at least four years' full-time study covering anatomy, physiology, pathology, pharmacology, biomechanics and a minimum of 1,000 hours of supervised clinical practice — before they can register to practice. Registration also requires mandatory continuing professional development and professional indemnity insurance.

GOsC official register →

Journal of Bodywork & Movement Therapies · Overview of Systematic Reviews · 2025

27 systematic reviews confirm efficacy across multiple conditions

A 2025 overview of 27 systematic reviews published in the Journal of Bodywork & Movement Therapies (Zipp et al., Medical University of Graz) found that based on moderate-quality evidence, osteopathic treatment effectively reduces pain and improves physical function in adults with acute neck pain, chronic non-specific low back pain, pregnancy-related back pain, and chronic non-oncologic pain. This overview of overviews draws on RCT data across nine therapeutic indications and represents the strongest available synthesis of the current evidence base for osteopathy.

View on PubMed →

Diseases · MDPI · Sham-Controlled Systematic Review & Meta-Analysis · 2024

Clinically superior to sham — confirmed by GRADE evidence

A 2024 systematic review and meta-analysis published in Diseases (Alvarez-Bustins et al.) searched PubMed, PEDro, the Cochrane Library and Web of Science up to September 2024, applying the PEDro scale for methodological quality and GRADE for evidence certainty. By comparing osteopathic manipulative treatment directly against sham or placebo interventions — the most rigorous methodological design — the review found OMT to be clinically superior in reducing pain intensity and disability in patients with neck pain and low back pain. This sham-controlled design rules out non-specific effects and placebo response, isolating the genuine clinical contribution of osteopathic technique itself.

View on PubMed →

At Nexus Clinic

What happens in a session

Every appointment at Nexus Clinic begins with a thorough case history — exploring your symptoms, medical background, lifestyle and goals. This is followed by a physical assessment, combining postural observation with orthopaedic and neurological tests where appropriate. Treatment begins in the same session. Depending on your presentation, techniques may include high-velocity low-amplitude thrust techniques (HVLAs), articulation, myofascial release, visceral work, cranial techniques, and dry needling. Each plan is entirely individual — no two patients receive the same treatment.

Core techniques — and much more besides

Joint Manipulation (HVLA)

Short-lever, high-velocity, low-amplitude thrusts that restore joint mobility, reduce local muscle guarding and improve pain signals. The familiar "click" is cavitation — a gas bubble releasing in the joint fluid, not bones cracking.

Soft Tissue Therapy

Rhythmic stretching and pressure applied to muscles and fascia to reduce hypertonicity, improve local circulation and prepare tissue for deeper structural work.

Myofascial Release

Gentle, sustained pressure into connective tissue restrictions — working with the whole fascial network rather than isolated muscles. Particularly effective for chronic pain and postural dysfunction.

Articulation

Repetitive passive joint movement through its range of motion to restore fluid mechanics, reduce stiffness and stimulate synovial fluid production. Low-force and well-tolerated.

Cranial Osteopathy

Extremely gentle, subtle techniques applied to the skull and sacrum to address the craniosacral rhythm. Often used for headaches, jaw pain, stress-related tension and post-concussion presentations.

Visceral Osteopathy

Targeted assessment and treatment of the mobility of internal organs and their connective tissue attachments — influencing musculoskeletal function through the body's interconnected systems.

Dry needling explained

Precision treatment for muscle pain

Dry needling is frequently misunderstood or confused with acupuncture. Understanding how and why it works helps set realistic expectations — and explains why it is so effective when used as part of an integrated osteopathic approach.

What is dry needling?

Dry needling uses the same fine, sterile, single-use needles as acupuncture — but is rooted in Western anatomy and neuroscience rather than traditional Chinese medicine. The needle is inserted directly into a myofascial trigger point: a localised, hyperirritable spot within a taut band of skeletal muscle that causes a predictable pattern of referred pain when compressed or stimulated.

The term "dry" distinguishes the technique from "wet needling" — injections of local anaesthetic or corticosteroid. The needle itself is the therapeutic instrument, with no substance injected.

How does it work? The mechanism

When the needle reaches a trigger point, it typically provokes a brief involuntary muscle twitch — called a local twitch response (LTR). This twitch is a positive clinical sign: it indicates precise needle placement and is associated with the desensitisation of the trigger point. The proposed mechanisms include mechanical disruption of dysfunctional motor end-plate activity, modulation of nociceptors (pain-sensing nerve endings) and stimulation of the body's own endogenous analgesic systems via the release of enkephalins and other neurotransmitters.

The result is a reduction in local muscle tension, improved blood flow to previously ischaemic tissue, and a lasting decrease in referred pain.

What does the evidence say?

A 2023 umbrella review synthesising data from 36 systematic reviews — published in the Journal of Clinical Medicine by researchers at Ghent University — concluded that dry needling produces clinically meaningful reductions in musculoskeletal pain compared to no treatment or sham intervention across multiple body regions.

A separate systematic review published in Disability and Rehabilitation (2024, Tufts/Duke collaboration) found that dry needling produced similar outcomes to cortisone injections and platelet-rich plasma (PRP) for musculoskeletal pain disorders making it a clinically viable, non-pharmacological alternative for many patients.

Dry needling vs acupuncture — what is the difference?

Both techniques use the same type of needle, but they differ in their theoretical framework, target and intent. Acupuncture is grounded in Traditional Chinese Medicine, targeting specific meridian points to balance the flow of qi (life energy). Dry needling is grounded in Western musculoskeletal anatomy: needles are placed into identifiable anatomical structures — trigger points within specific muscles — based on physical examination findings rather than a meridian map.

At Nexus Clinic, dry needling is practised as an adjunct to osteopathic assessment and treatment. The trigger points targeted are identified during the same clinical examination that guides all manual therapy decisions — making it a seamless, integrated part of care rather than a separate modality.

Safety profile

Dry needling, when performed by a trained and regulated practitioner, is considered safe. Adverse events are typically mild and transient — localised soreness, occasional minor bruising, or brief light-headedness. Serious complications are rare. Single-use, sterile needles are used in every case. Contraindications include active infection at the needle site, blood-thinning medication (discussed at assessment), needle phobia and certain medical conditions — all screened during the initial case history.

Pricing

Transparent, straightforward fees

Osteopathy

Marylebone clinic · Dry needling included if needed

Initial Appointment

45 min

£100

Follow-up Appointment

45 min

£90

✦ Package — Save more

6-Session Package Payable upfront

£510 Save £30

All packages are payable upfront. Sessions valid for 6 months.

Dry Needling Only

Dedicated session · multiple body areas treated thoroughly

Initial Appointment

45 min

£90

Follow-up Appointment

30 min

£80

Ideal for patients wanting dry needling across several body regions in one appointment — the full session time ensures each area receives thorough treatment without compromise.

✦ Package — Save more

6-Session Package Payable upfront

£450 Save £30

All packages are payable upfront. Sessions valid for 6 months.

💳 Card & cash · bank transfer available · 🗓 Fridays · 8-10 Boston Place, Marylebone NW1 6QH · 🏥 Recognised with AXA · Vitality · WPA · Aviva · Allianz Partners — receipts on request

Patient Reviews

What patients say

★★★★★

5.0 · Google Reviews ↗

I can't recommend Max highly enough. I came to him diagnosed with Thoracic Outlet Syndrome — incredibly debilitating, chronic pain affecting my day-to-day life. Prior to seeing Max, physiotherapy had made my symptoms even worse. From the first session I felt I was in safe, knowledgeable hands. After several sessions the improvement has been huge — the sensations that were once constant have significantly died down, and I've started enjoying my life again. Incredibly grateful.

Verified Google Patient

★★★★★

I would like to wholeheartedly recommend Maxence — a young but exceptionally talented professional who has helped me tremendously with long-standing issues I had been struggling with for years. His expertise, professionalism, and deeply empathetic approach immediately made me feel safe and well cared for. Today, I move freely and live without the pain that once felt like a permanent part of my life.

Verified Google Patient

★★★★★

Maxence is absolutely brilliant — super knowledgeable, flexible, and really takes the time to tailor the treatment to your individual needs. I felt genuinely heard and cared for, which made such a difference especially coming in for postpartum recovery. I started seeing improvements quickly, which was honestly such a relief. Would definitely recommend.

Verified Google Patient

★★★★★

Young but better than most experienced osteopaths I've seen over the years. I would highly recommend this gentleman for his work, expertise and professionalism. Recently moved to the area with back and hip issues — Maxence has been brilliant and has helped me with my recovery. Thoroughly recommend.

Verified Google Patient

★★★★★

Your reviews help the clinic grow and raise the quality of care. Thank you for your support.

⭐ Leave a Google Review

FAQ

Common questions

Your initial appointment (45 mins) begins with a detailed case history — I'll ask about your symptoms, lifestyle and medical background. A thorough physical assessment follows, and hands-on treatment begins in the same session. I'll explain my findings clearly and outline a personalised treatment plan.

This varies depending on your condition. Acute issues often resolve in 2–4 sessions. Chronic or complex conditions may require more. I'll give you an honest estimate at your first appointment and reassess regularly — I never recommend more sessions than necessary.

Many private health insurers — including AXA, Bupa International, Vitality and Simply Health — cover osteopathy. It is ultimately your responsibility to confirm your entitlement to reimbursement with your insurer before booking. Nexus Clinic provides a detailed invoice containing all the information your insurer will need to process a claim — simply forward it to them directly.

Dry needling uses fine, sterile needles inserted into tight muscles to release trigger points and reduce pain. You may feel a brief twitch or dull ache — this is normal and positive. Most patients find it very tolerable and notice significant relief quickly.

Yes — Maxence is a native French speaker and conducts full consultations in French. This is particularly valued by French-speaking patients in London. Oui, les consultations sont disponibles entièrement en français.

Nexus Clinic currently runs on Fridays at 8-10 Boston Place, NW1, while Maxence builds his independent practice. Availability is planned to expand — contact us to be notified when new appointment days open up.

8-10 Boston Place, Marylebone, London NW1 6QH — directly adjacent to Marylebone mainline station, 5 minutes from Baker Street tube (Bakerloo, Jubilee, Metropolitan, Circle lines), and 7 minutes on foot from Edgware Road tube (Bakerloo, Circle, District lines). Buses and street parking are also available nearby.

Find the Clinic

Conveniently located in Marylebone

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Address8-10 Boston Place
Marylebone, London NW1 6QH

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Getting HereAdjacent to Marylebone mainline station
5 min from Baker Street tube (Bakerloo, Jubilee, Metropolitan, Circle lines)
7 min walk from Edgware Road tube (Bakerloo, Circle, District lines)
Buses: 2, 13, 30, 74, 82, 113, 274

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Opening HoursFriday: 9:30am – 2:00pm
By appointment only

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ContactPhone / WhatsApp: 07902 143 685
maxence.osteopathy.uk@outlook.com

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Get in Touch

Take the first step towards feeling better

Book your Friday appointment at Nexus Clinic in Marylebone, or contact Maxence with any questions. Consultations in English and French.

📞 07902 143 685 💬 WhatsApp ✉️ Email

Book Online Now Find the Clinic

Expert Osteopathy at Nexus Clinic, Marylebone

Clinical expertise, genuinely personal care

Meet the clinic director

Maxence

Expert care, tailored to you

Osteopathy

Dry Needling

Conditions Treated at Nexus Clinic

What the research says about osteopathy

Manual therapy is recommended for back pain

A protected title, regulated by law

27 systematic reviews confirm efficacy across multiple conditions

Clinically superior to sham — confirmed by GRADE evidence

What happens in a session

Core techniques — and much more besides

Precision treatment for muscle pain

What is dry needling?

How does it work? The mechanism

What does the evidence say?

Dry needling vs acupuncture — what is the difference?

Transparent, straightforward fees

What patients say

Common questions

Conveniently located in Marylebone

Take the first step towards feeling better