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Visceral Mobilisation 5

Kristin Gunn • Nov 20, 2018

This particular series of Barral post graduate learning really offers a way to get to the bottom of a problem- not just to the most recent symptoms or exacerbation.

Visceral Mobilisation 5

I would like to thank our wonderful locums Lizzie and Katie for all their excellent, hard work this season and for extending their stay to allow me to attend Jean-Pierre Barral’s 5th Visceral Mobilisation course in Sydney last week.

Clients often ask me why, in addition to all the physiotherapy courses I do, I also attend this series of osteopathic courses. One of my greatest frustrations after 30 years of physiotherapy is that we can get some great outcomes in the clinic or for a few weeks but clients come back with the same symptoms recurring shortly after. This particular series of Barral post graduate learning really offers a way to get to the bottom of a problem- not just to the most recent symptoms or exacerbation. Unfortunately it doesn't happen overnight!

Usually doing a Visceral Assessment we look for physical lines of tension from the head and locally to lead us to the primary tissue to work. This course delivered four days on a new kind of assessment technique using the changes in the temperature in the tissues and the projected energy field to extend the information we can gather on the tissue and how best to treat it. It certainly sounded on the borderline of “imaginative” therapy for me but as always the course structure was clear, evidence based and well supported by teachers and assistants that I really did feel the changes in tissues and energy fields!

So for those who are game, please don't be surprised if I am waving my hands about above as well as on the body during an assessment- there really IS method to the madness!

CASE STUDY

A 40 year old self employed woman presented with a ten year history of increasing diarrhea, bloating, lack of energy and poor sleep. She had tried a number of medical investigations, medication and diets without clearly resolving any of her symptoms. While there was clear physical triggers she had also identified stress and anxiety as exacerbating factors. Starting her own business coincided with the start of her problem.

Viewing this story from Barral’s visceral perspective, stress stimulates the vagus nerve in the brain which has direct connections to the stomach. We are all familiar with the acute ‘fight or flight’ sensation we get in our stomach with a near accident or impending exam. If this stress is ongoing it can affect other gut structures like the small intestine. Symptoms can become ‘ chicken or the egg’ as an irritated gut then feeds back panic messages to the brain via that vagus nerve connection.

In this case, six visits over four months, using Barral’s techniques, physical restrictions in the stomach and small intestine were identified and treated. There was also found to be an ‘emotional’ relationship between the two organs associated with unresolved grief as a child which had been ‘stored’ in the tissues. These techniques do not discuss this, express it within the clinical session or involve counselling. They simply allow the relationship between the brain and the organs via the hyperactive nerve tissue to release that stored energy and allow a normal relaxed baseline to be established.

This treatment does not replace good mental and physical health choices- diet, exercise, medical advice, relaxation and mindfulness. But it can be a valuable bridge to facilitate resolution of those irritating symptoms that don't resolve no matter how good you are! Come in to Contact Physio at the Medical Centre if you would like to try a session with Krissy, 3028 205.

Contact Physio Latest News

By Kristin Gunn 18 Dec, 2019
Season’s Greetings from all of us at Contact Physiotherapy. Thank you to our staff, clients and the wonderful community of Methven for another inspiring year of health and learning. I am grateful every day to be a part of this hard working, dynamic community and wish you all a very Merry Christmas and a Happy, Healthy 2020!
The festive season is traditionally a time of indulgence so I thought it might be an opportunity to reflect on a few wellness behaviours that I have written about over the course of this year. We MAY employ them over Christmas or perhaps consider them for the New Year’s Resolution list!
• ACTIVITY! Take a walk, play tennis, have a bike ride. The single most consistent health recommendation for EVERY health prevention and management is exercise. Do something- anything and endeavour to make it a habit
• Drink equal amounts of water to alcohol- at least if you are over indulging you may stay hydrated
• Sleep- it can be such a busy time with so much travel or farm work- add in lots of parties and sleep can go by the wayside. Sleep is important for health, performance and to keep you safe in a vehicle
• Be grateful- there is increasing evidence that positive beliefs, time spent with friends and thankfulness helps back pain, cancer, tendon and shoulder pain. The business and financial strain of the festive season can detract from what really matters. Take pleasure in the little things and don’t sweat the small stuff. Your body will thank you!
One of my greatest pleasures this year was to catch up with the last five years of physio staff! These girls have brought so much pleasure to us, our clients and the little town. So festive greetings to Philene in Singapore; Isabel in Sydney, Australia; Katie and Lizzie in London, UK and Anna who is celebrating in the Falkland Islands!! Merry Christmas- love you girls! And a very special thanks and Happy Christmas to Amy, Jude and Tania. I am lucky to have such an amazing team.
By Kristin Gunn 16 Dec, 2019
Merry Christmas Everyone!
Contact physiotherapy’s last day is Friday 20th December this year and we will re-open on Thursday 8th January 2020.
Thank you for your continued support this year and here’s to a Happy Healthy 2020!
Kind regards Krissy, Amy and Jude
Contact Physiotherapy
By Kristin Gunn 10 Dec, 2019
I have written about osteoporosis and falls before, but maybe it is a timely reminder as we catch up with relatives we may not have seen for a while. About a third of women and a fifth of men will sustain a fracture due to bone thinning. Improving bone density can also provide a range of Christmas gifts you may never have considered?! Who knew?
First we prevent Osteoporosis while we are young. Make sure your children are taking enough calcium and performing impact and resistance exercise. While this advice remains the same throughout your life, we achieve maximum bone density by our late teens. Maybe a yoghurt making machine and a skipping rope? Thanks Santa!
On the family holiday, get into the hills and carry a pack- thus incorporating load and impact, family fun and maybe a love for the outdoors which will give a lifetime of health benefits. And a love of the outdoors will ensure the wish list for gear will never be filled!
Alcohol reduces balance and inhibits the uptake of calcium and therefor reduces bone density. So if you are looking at a quick gift maybe don’t just grab a bottle- try a healthy hamper with canned salmon, cheese and ice-cream or a punnet of grow your own greens like spinach, kale, rocket and broccoli. Take drinks like orange juice or milk with added calcium or home baking with almonds, sesame seeds and figs served with greek yoghurt.
To optimise bone density the load needs to be progressive to keep the improvement going. Optimally it should be the highest tolerable intensity, regardless of age. A membership and supervised gym programme by a qualified professional would be a great gift for a loved one- weights are beneficial at any age, even if they have sustained falls or an osteoporotic fracture. Lining up a gym buddy can help with attendance- can you talk a neighbour into it aswell?!
Public exercise is not for everyone. Small hand and leg weights will also help with strength and bone density. Gift these with a physio or qualified personal trainer appointment at home and encourage exercise in a loved one’s comfort zone.
Balance is critical for prevention of falls. Generalised strengthening and balance specific exercises are required. Assessing the environment is also important. It can be a sensitive subject though- maybe not one for Christmas Day! If you are visiting family, check for lose carpets or uneven steps. Pop a rail up in the bathroom or by steps. Repeated and sustained bending is a risk- can you help to reduce injury by raising the washing basket or wood pile? Or tidy out the cupboards and shift the soup pot from the back-corner cupboard. Long handled gardening equipment makes an excellent gift. Balance disc’s can be a fun motivating way to challenge balance and are easy to store away.
If you visit a relative and hear they are having falls there are falls prevention programmes available around New Zealand. Check them out at the local community or medical centre. In Methven your nurse, GP or physio can refer seniors to a free Falls Prevention Service in your home. Stay on Your Feet is a community led exercise programme in Methven- contact Age Concern on 308 6817. Tai Chi also helps balance, contact Margaret Lee on 027 516 7549. Research has shown that improving leg and core strength can reduce falls by 30%. Our Pilates classes can assist with that and we have clients 8-80 years old- call Contact Physiotherapy 3028 205.
So think about bone strength and all the members of your family now and give a gift of health for Christmas.
Reference: Expert Consensus Statement on Physical Activity and Exercise for Osteoporosis- Draft (2018) National Osteoporosis Society, UK
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By Kristin Gunn 23 Oct, 2019
It is with a heavy heart that we will be saying farewell to our lovely winter locum Anna Fenton in a couple of weeks. She has been a breath of fresh air in our clinic over the cold winter months. Her physio skills are awesome but it is her warm heart, good humour, hard work and harder play which have won her a place in Methven’s heart.
I am especially grateful to her and Tania Wright to have inspired me with some new and truly nasty Pilates exercises to torture you lucky people with over summer! After six classes last week I am feeling great- but please don’t make me laugh!!
Anna is off to Nelson for the summer- we hope she really enjoys herself but doesn’t have TOO good a time …???! Much more we hope she will come back next winter- there are still so many slopes to ski and mountains to climb and perhaps the full Peak to Pub next year?! She is, for sure “the stuff we need!” So if you get the opportunity please add to Anna’s list of things still do in Methven for 2020!
If you have another appointment to fit in with Anna before she goes, there is still time! Give us a ring at Contact Physio on 3028 205.
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