Physiotherapy Services

Susannah, a professional therapist, working hands-on with a male client lying on a therapy table.
Susannah attentively engages in a hands-on therapy session with a male client.


Visceral Manipulation

Visceral Manipulation is a form of manual therapy that involves gentle manipulation and mobilization of the body’s internal organs. French osteopath Jean-Pierre Barral developed it in the 1970s.

The therapy is based on the principle that the body’s internal organs, such as the liver, stomach, intestines, and kidneys, have a natural rhythm and movement that can be disrupted by physical or emotional trauma, poor posture, or other factors. When this happens, it can lead to various health problems, such as chronic pain, digestive issues, breathing difficulties, and other symptoms.

During a session, the organs, fascia, and other connective tissues in the thorax, abdomen and pelvis are treated. Treatment can help to restore the natural movement and balance of the organs, and improve blood flow and lymphatic drainage.

By targeting the soft tissues around the organs, visceral manipulation helps the organs function optimally. This leads to the release of restrictions in other parts of the body, including the musculoskeletal system, by addressing compensation patterns that may cause pain or dysfunction. The majority of muscular pains also have a visceral component, and until the visceral component is treated, the muscular tension persists. Additionally, the muscles often act to protect the organs.

Visceral manipulation has shown to be helpful in treating a broad spectrum of conditions, ranging from heartburn and irritable bowel syndrome to endometriosis, dysmenorrhea, gallstones, asthma, incontinence, constipation, and general abdominal or pelvic pain. It is important to note that there are some contraindications, particularly for individuals who have undergone surgical interventions such as mesh or stents.


Vascular Manipulation

Vascular manipulation is a branch of visceral manipulation that focuses on treating the soft tissues around the arteries. Vascular manipulation is done by palpating the pulses and identifying areas with weaker or irregular pulses. These are then treated with fascia techniques to regulate the arterial flow in the affected area.

Vascular manipulation can be very useful in nerve impingements and conditions such as thoracic outlet because these techniques promote better blood supply to support healing. Vascular manipulation is also useful in those post infection such as COVID due to the effects of the virus on the linings of the blood vessels.

Physiotherapist gently assessing a male patient's back alignment on a treatment table, with a calm and serene clinic ambiance highlighted by a potted plant on a cabinet.
Therapist performing neck adjustment on a client.
Susannah carefully performs a neck adjustment on a relaxed client, aiming for relief and alignment.


Neural Manipulation

Neural manipulation is a gentle manual therapy that aims to release tension in the nerves and surrounding connective tissue, including the dura mater and the cranium bones around the brain. By doing so, neural manipulation can facilitate optimal functioning of the nervous system, which is crucial for almost all bodily processes.

When the nervous system becomes dysfunctional, the body will often compensate and protect that area, similarly to other tissues and systems in the body. Neural dysfunction can also reduce the nervous system’s ability to regulate other tissues, which hampers the body’s natural self-corrective capabilities and makes it more challenging to maintain equilibrium.

Neural manipulation has been found to be beneficial for various conditions, such as headaches, migraines, concussions, vertigo, insomnia, nerve restrictions, whiplash, herniated disks, sciatica, thoracic outlet syndrome, joint pain, carpal tunnel, golfers or tennis elbow, as well as neck or back pain.


Craniosacral Therapy

Craniosacral therapy is a gentle hands on treatment addressing the fascia which is the connective tissue that surrounds every structure in the body. In Craniosacral therapy the bones of the skull, the spine and the sacrum at the pelvis are used as only handles to influence the movement of the fascial membranes within. Craniosacral targets the dura which is a specialized fascial membrane that surrounds the brain and spinal cord and forms sleeves that extend over every nerve in the body. The dura is important because it supports the distribution and production of cerebrospinal fluid.

Having a healthy and mobile dural membrane ensures that nutrients are able to be delivered and wastes cleared. The dura also has a shock absorbing function that can be affected by trauma, therefore it is important to treat in cases of high speed falls or collisional forces. When the dura becomes restricted in one area the whole system is put under strain and the symptoms experienced can be far away from the dural restriction. Craniosacral work can have a powerful effect throughout the entire body, via the central nervous system. 

Craniosacral therapy is useful to treat concussions, vertigo, dizziness, headaches, migraines, neck or back pain, concussions, whiplash, long COVID, insomnia, and many more.

Therapist Susannah gently assesses a patient's head and facial region while he rests in a supine position on a therapy table.
Susannah displays precision and care during a cranial examination, ensuring the comfort and well-being of her patient.
Susannah performing a hands-on therapeutic treatment on a client's arm.
Susannah, using protective gloves, applies precise pressure during a therapeutic session to assist her client’s arm recovery.


Dry Needling

Dry needling is a therapeutic technique used by physical therapists to alleviate pain and muscle tension in the musculoskeletal system. It involves the insertion of thin, solid needles into trigger points or taut bands of muscles, without the injection of any medication. The needles are targeted at specific points in the muscle tissue, aiming to stimulate the body’s natural healing mechanisms and promote muscle relaxation.

The benefits of dry needling include pain reduction, increased range of motion, and improved muscle function. Additionally, it can help improve blood circulation and release tension in surrounding soft tissues, which can contribute to better overall health and wellness. For individuals suffering from chronic pain or musculoskeletal disorders, dry needling can be a safe and effective treatment option to manage symptoms and improve quality of life.


Manual Articular Techniques

Manual articular techniques are gentle hands on manipulations for the joints as well as their ligaments, capsules, nerve and blood supply. This integrated approach supports long term joint health. The goal of these techniques is to improve joint movement so that you can do what you love.

Therapist Susannah assessing a patient's back while the patient lies prone on a therapy table.
Susannah utilizes her expertise to perform a thorough back assessment, ensuring the well-being of her patients.
Susannah guiding a client through a stretching exercise with the help of a pilates ring.
Susannah assists a client in perfecting a lunge stretch using a pilates ring, ensuring proper form and alignment.


Clinical Pilates

Clinical Pilates is a type of physical exercise that focuses on strengthening and stabilizing the body’s core muscles, including the muscles of the abdomen, back, and pelvis. It involves performing specific exercises on a mat or using specialized equipment, such as a reformer, chair or Cadillac. Clinical Pilates is prescribed and supervised by a physiotherapist to address a variety of musculoskeletal conditions, including back pain, neck pain, and joint injuries.

Pilates can improve posture, flexibility, balance, and coordination, while reducing stress and enhancing mental clarity. By building core strength and stability, Clinical Pilates can also improve athletic performance and prevent future injuries. Whether used as a standalone treatment or as part of a comprehensive rehabilitation program, Clinical Pilates can be an effective and safe exercise option for individuals of all ages and fitness levels.


Pelvic Health

Pelvic health physiotherapy is a specialized type of physical therapy that focuses on treating pelvic floor conditions, such as urinary or fecal incontinence, pelvic pain, and sexual dysfunction. Pelvic health assessment may include an internal exam and treatment can include pelvic floor muscle exercises, manual therapy, and biofeedback. Additionally, education on lifestyle modifications and self-care strategies to manage symptoms and prevent future problems are given.

Pelvic health physiotherapy can improve bladder and bowel function, reduce pain and discomfort, and enhance sexual function. It can also improve overall quality of life by restoring confidence and independence in daily activities. Pelvic health physiotherapy is a safe and effective treatment option for individuals of all ages and genders, and can be particularly beneficial for those who are pregnant, have recently given birth or experienced menopause.

A close-up of a pregnant woman's belly with her hands gently cradling it, wearing a soft pink blouse.
Susannah working with a client during a therapeutic session in a calm setting.
Susannah assisting a client on a therapy table, ensuring comfort and proper positioning.


Visceral Emotional Release

Visceral emotional release facilitates letting go of emotion stored in the body’s organs. The techniques involve gentle manual manipulation of the cranium, abdomen and other visceral organs to promote emotional release in specific areas of the body. By releasing emotional tension stored in the body, individuals may experience a greater sense of relaxation and calm, as well as improved mental clarity, focus, improved digestion, reduced pain and discomfort, and enhanced emotional wellbeing.

Visceral emotional release can be beneficial for individuals who have experienced emotional trauma or chronic stress, as well as those with digestive issues or other health problems related to organ dysfunction.


Vestibular Therapy

Vestibular therapy is a type of physiotherapy that focuses on the treatment of vestibular disorders, which are conditions that affect the inner ear and the body’s sense of balance. Vestibular therapy includes exercises that are designed to improve gaze stability, enhance balance, and reduce symptoms of motion sickness. Vestibular therapy can also be indicated post-concussion and post COVID-19. Vestibular therapy can reduce the risk of falls by improving balance and stability. It can also improve spatial awareness and coordination, making it an effective treatment option for athletes and individuals who want to improve their physical performance. 

Vestibular therapy always starts with an oculomotor assessment to check how your eyes are moving and see if they are working together with your neck muscles and the structures of the inner ear.

Person walking on a fallen log amidst a forest pathway covered in fallen leaves.
A moment of balance and reflection as someone walks along a fallen log in a serene forest.
Susannah, guiding a male client through a fitness exercise at a gym.
Susannah assists a client during a workout session, ensuring proper form and technique.


Corrective Exercise

Corrective exercise refers to a specialized form of physical activity aimed at correcting muscular imbalances, poor movement patterns, and postural deficiencies. It typically involves a combination of mobility, stability, and strengthening exercises that target specific muscles and movement patterns. The benefits of corrective exercise are numerous, including improved posture, increased joint mobility, reduced pain, and decreased risk of injury.

Corrective exercise can also enhance athletic performance and overall physical fitness by improving muscle activation, neuromuscular control, and movement efficiency. It can also help individuals with chronic conditions such as arthritis, back pain, and neck pain to manage their symptoms and improve their quality of life. Overall, incorporating corrective exercise into one’s fitness routine can help promote long-term health, wellness, and optimal physical function.


Concussion Rehabilitation 

Concussion rehabilitation is a structured and personalized program designed to help individuals recover from the effects of a concussion, or mild traumatic brain injury. This rehabilitation typically includes a combination of physical therapy and gradual return-to-activity protocols tailored to the individual’s symptoms and needs. The goals of concussion rehabilitation are to alleviate symptoms such as headaches, dizziness, and cognitive deficits, restore normal function, and prevent long-term complications.

Benefits of concussion rehabilitation may include improved balance and coordination, enhanced cognitive function, reduced risk of persistent symptoms, and a quicker return to daily activities and sports. Additionally, rehabilitation can provide education and strategies to minimize the risk of future concussions.

Physical therapist Susannah performing a focus and coordination test with a patient during a concussion rehabilitation session.
Susannah assessing a patient’s visual focus as part of concussion rehabilitation.
Susannah, a professional therapist, working hands-on with a male client lying on a therapy table.
Therapist Susannah conducting lymphatic drainage to enhance circulation and immune function, reducing swelling and promoting healing.


Lymphatic Drainage Therapy

Lymphatic drainage is a gentle hands on technique that stimulates the body’s lymphatic system. The lymphatic system is the body’s filtration system and is responsible for removing metabolic waste and toxins from the tissues, regulating fluid balance, and supporting the immune system. Light pressure and rhythmic movements are used to encourage lymphatic circulation, helping to reduce swelling, improve detoxification, and enhance immune function. The benefits of lymphatic drainage include reduced swelling in cases of acute injury, reduced pain and inflammation, improved healing after surgery or injury, and a boost in overall well-being.

Lymphatic drainage therapy also is beneficial for chronic eczema and acne as it supports the circulation to the skin. Cases of orthodontic/ dentistry pain/swelling, headache, migraine, nerve injury and nerve paralysis, such as Bell’s Palsy also benefit from lymphatic therapy. Lymphatic therapy can also be beneficial in cases of premenstrual pain, chronic sinusitis and laryngitis, vertigo, constipation, chronic colitis, chronic gastritis, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD) such as crohn’s disease.