O is for Osteopaths and Orthotics

O is for Osteopaths and Orthotics | Thierry Payet

Osteopaths deal with the whole body. From the head right down to the toes, they treat specific conditions as well as working towards improving your overall health.

While orthotics are shoe inserts that correct biomechanical foot issues.

For the past 25 years, Osteopath Robin Kiashek has treated a number of ailments –  including those relating to feet. And, over the years, he has been able to work with a range of healthcare professionals to place his patients at the forefront of care.

 

Referring a specialist

 

One professional in Robin’s network is Christophe Champs, a consultant in Podiatry and Biomechanics and founder of London-based PODO, which specialises in same-day orthotics.

Robin refers patients to Christophe should their lower limb issues require additional expertise or when he feels they could benefit from some orthotic help.

That’s because, as Robin puts it: “There is a relationship between the biomechanics of the feet and the pelvic region, as there is a ‘closed chain’ between feet and pelvis.

“If there are imbalances in the pelvis, it is important to check the feet for dropped arches and/or a change in foot biomechanics. Or if someone is suffering with achilles tendinitis, I can refer them for specialist orthotic advice.”

 

So what does PODO specialise in?

 

Christophe says: “Essentially, PODO centres on same day orthotics, creating bespoke orthotics within a single 90-minute appointment using a range of thermo-mouldable materials.”

Rather than sending foot casts over to factories, Christophe moulds the orthotics, layer by layer, directly onto a patient’s foot, so you can walk away with them at the end of your appointment.

Christophe continues: “I think of the PODO Clinic and Workshop as a garage for the human body, offering a full MOT to ultimately result in a healthier, and pain-free lifestyle.”

 

How can orthotics help you?

 

Christophe tells us: “Orthotics don’t solely affect your feet, but your knees, hip, back, and neck too, positively impacting your entire body.

“Depending on your requirement, and lifestyle we have two different types of orthotics. This includes:

  • Short orthotics (3/4 length)

“This leaves the toe area free,” Christophe says. “Short orthotics are deal for dressy or casual shoes with little or no volume inside available. I’d recommend these for golfers and weightlifters.”

  • Long orthotics (full length)

“This is ideal for casual shoes and sport trainers,” Christophe tells us. “It tends to be runners, cyclists, and skiers’ favourite set type.”

 

A final word from Robin

 

“It’s fantastic to have Christophe’s expertise as part of my patient care toolbox. Sometimes patients present with problems relating to their knee, calf or pelvis. These are in fact because of the biomechanics of their foot.

“They might have too much pronation, or a collapsed arch. But with some osteopathic treatment and orthotics, we can get them back on their feet again.”

 

Get in touch

If you are looking to restore the normal function of your body, get in touch with Robin. Whether it’s a head, back or foot problem, Robin is able to improve a range of ailments.

Robin Kiashek, Osteopath, but not lone wolf!

Robin Kiashek, Osteopath, but not lone wolf! | Thierry Payet

You could be forgiven for thinking that working as a sole practitioner in Osteopathy is a lonely job. And for much of his day, experienced Osteopath, Robin Kiashek, is in individual patient consultations.  But that doesn’t make him a lone wolf!  In fact, during his 25+ years in practice he has built a network of valuable contacts and relationships with other medical professionals.

Part of a pack!

Which is particularly useful if he needs to refer a patient for further diagnostic tests.  Or get a valuable second opinion.

Equally, this wider network can (and does) also call on Robin’s skills.  Particularly around referred pain, the impact of stress and lifestyle on the body and understanding the root cause of an issue.  And this collaborative approach has certainly been in evidence in the past week.  As Robin explains:

“A Neurologist contacted me to see if I could be part of a multi-disciplinary team to review a very complex high-profile case.  Of course, I was delighted to be involved.”

The team comprised experts from several fields,  These included Neurology, Pain Management, Orthopaedics and Rheumatology.  This breadth of involvement and expertise was incredibly helpful.  It was immediately possible to see what had already been ruled out.

A new perspective

Luckily, Robin’s experience of working with complex cases – specifically those slow to respond to treatment  – enabled him to bring a new perspective to the process.  And he was delighted to subsequently receive an acknowledgement for his contribution from the Medical Director responsible for coordinating care.

Robin added: “It was so nice to be part of a wider collaborative team.  Also to have my contribution heard and valued by my peers.  I’m confident that our combined efforts will help towards a reduction in pain for this poor patient.”

Ask your Osteopath

When you choose an Osteopath, do ask about how and when they work with other professionals.  An open and collaborative approach can really enhance the care they provide.

As Robin says: “I am great fan of seeking out new opinions and working with others where necessary to provide the best outcome for my patients.

“Plus, whilst we professionals might like to pigeonhole issues under titles like Orthopaedics or Neurology, unfortunately humans are complex.  So, sometimes our issues need to sit across several disciplines if they are to be resolved effectively.”

If you’ve been struggling with an issue for a while, why not speak to Robin?  He can be contacted here. Or you can call 020 8815 0979.

 

 

newborn breastfeeding

Video Blog: Why treating newborn neck strain can help breastfeeding | Thierry Payet

Osteopath Rebecca Baxter talks about how neck strain in a newborn can make breastfeeding difficult on one side.

Osteopathy doesn’t help breastfeeding specifically, but treatment may help if your newborn has a preference to only look in one direction. This strain, called torticollis can make latching on one side very difficult. This may present with painful feeding , or your baby fussing a lot more on one breast, or the baby may not want to stay on one breast for very long.

To help you understand, if your baby has a neck preference to look to the right they will feed more easily from your left breast because they can easily lay on their back and look to their right.  Once you get them on your right breast though, if you use cradle hold they will almost need to have their body facing your lap if their neck strain is very severe just to get their mouth facing towards your breast.  In these cases it can be easier feed in the football hold or one of the more baby led holds where you lean back and allow the baby to lay on you to feed.

Torticollis is a tension in the muscle that runs from behind your ear down to your collar bone. If your baby is looking to the right, the left one will be very tight.  Sometimes babies are born with this and sometimes it presents in the first few months of life. Some newborns may even have a small thickening in the muscle that can be felt as a lump.

When I see babies with this problem I teach the parents how to stretch their baby’s neck each time they change the nappy (mainly as a prompt so they remember to do the stretching regularly). I do this stretch for the babies while they are having their treatment and I also work with the small muscles and joints of their neck, shoulders, upper back and ribs to make sure there is no extra tension making it difficult for them to move their neck.

I also encourage the mother to see a lactation consultant to help them get their positioning and attachment optimal as this makes a huge difference to the baby’s ability to suck efficiently.

For other breastfeeding related osteopathic information, check out my osteopathic Approach to Poor Latch page for more information. And if you’d like to know more about me, check out my practitioner profile page – Rebecca Baxter.

I wish you all the best with your breastfeeding journey.

 

 

The 10 Best Exercises for Relief.

The 10 Best Exercises for Relief. | Thierry Payet

It’s that time of year where (if we are lucky enough) we spend most of our time in flip flops or enjoy walking on the beach. But unfortunately, it is also the time of year where some of us will experience pain in in the base of our foot. The most common cause of this pain is PLANTAR FASCIITIS! So what is it? What Causes it? How Do I Treat it? and Can I stop it from coming back? All of these questions will be answered in the blog as we will give you the background and give you the best 10 exercises to help treat, rehabilitate and prevent it reoccurring.

Plantar Fasciitis

Plantar Fasciitis is an overuse condition affecting the plantar fascia (tensile tissue under your foot) at the point where it attaches to your heel. Most people describe it as a sharp stabbing pain in the base of the foot. The area of pain is usually down the build up of inflammation at its attachment point. Plantar faciitis is responsible for around 80% of heel pain complaints in the UK.

So, What Causes it?

There are a few possible causes for Plantar Fasciitis, with the possibility of one or a few of the causes actually causing the problem. These possible causes are;

  • Lack of Support from shoe (Most common cause, usually flip flops or sliders in the summer)

  • Running on Hard Surfaces

  • Arch problems (high arches or flat feet)

  • Training Errors (Incorrect technique when training legs)

  • Overuse (Are you walking/running excessive mile, especially in the heat)

  • Over Pronation (Does your foot roll in?)

  • Poor flexibility in your calves

  • Tight Achilles tendon

What Can I Do if I have it?

Immediate treatment – Rest and Ice are your best friend, as this will allow the inflammation to reduce. Anti-inflammatories are also key in this phase.

What Next?

After the immediate treatment – Rehabilitation and Prevention

  • Massage Therapy – this allows the plantar fascia to relax and also loosens the calf muscles and Achilles tendon.

  • Stretches/Exercises – these help to relieve pressure on the plantar fascia and to strengthen the surrounding structures to help prevent it from coming back.

  • Manipulation – Manipulations can help with any bio-mechanical dysfunctions and joint malpositions in the foot, knee, pelvis and low back.

  • Taping – this can be used to support the foot and decrease the pressure on the plantar fascia.

  • Heel Pads or Orthotics – These help to support the foot (Consult a Health Care Practitioner before buying).

  • Acupuncture – This has been proven to release the tension in the plantar fascia.

The 10 Best Exercises and Stretches fot Plantar Fasciitis:

*If you experience any severe pain during these exercise stop immediately and seek advice from either us or your local healthcare provider*

1. Ice Bottle or Ball Release.

This can be performed using a bottle or frozen water (better in intial stages) or using a hard ball (tennis, hockey, cricket even a golf ball). Ideally barefoot, roll the bottle or ball on the soft arch part of the foot. DO NOT push onto the heel bone (Sore bit). Start lightly and increase the pressure gradually. You should feel less soreness and/or tightness when getting up to walk.

2. Marble Pick-Ups

This is another enjoyable exercise where you can stand or remain seated. You should aim to spend 5 minutes a day doing this exercise with each foot.Place a bowl on the floor and some marbles or similar sized small balls or objects (such as stones) in front of you.Pick up each marble using just your toes and transfer them to the bowl.

3.Towel Scrunch

This exercise is one of the easiest to do as you remain seated for the whole duration of it. Aim to complete two sets of this exercise with each foot a day.Begin by laying out a towel on the floor and place your foot flat on top.Now draw the towel towards yourself as you scrunch your toes (make sure that your heel remains in contact with the floor throughout the exercise).

4.Heel Raises

Weakness of the calf muscle can contribute to the development of plantar fasciitis, as it directly affects how the foot moves. Heel raises can strengthen calf muscles and are simple to carry out. Aim to complete 3 sets of heel raises and 10 repetitions a day.Start by standing and resting both your feet flat on the floor. If you require support feel free to hold onto something.Push up with the balls of your feet and raise your heels off the ground. Hold this tip-toe position for a couple of seconds then lower yourself back down slowly.

5. Tip Toe Walking

Spend a couple of minutes every day walking around on your tiptoes to strengthen your calf muscles as well as improve the control and stability you have around your ankles. It may help to use a support such as a walking frame or walking stick.

6.Single Leg Standing

You can easily build this simple step into part of your daily routine. Just lift one foot off the floor and balance on the other foot, for 5 minutes twice a day. This can help you improve your balance and the control you have in your feet and ankles, which makes it an excellent exercise for preventing plantar fasciitis.

7. Towel Stretch

This is an easy stretch you can do while sitting on the floor or on your bed.Sit down on the floor or bed with both your legs outstretched in front of you.Place a towel which is rolled up underneath the balls of your feet and hold the towel from both ends.Gently pull the towel towards yourself while keeping your knees straight.Hold this position for half a minute and you will feel some instant pain relief, as well as being able to stretch out your muscles and ligaments on the base of your foot.

8.Toe Stretch

Aim to do this stretch twice per session, several times a day.Sit on a chair and extend the leg of the foot which is affected by plantar fasciitis, make sure that your heel is on the floor.Reach down and pull your big toe upwards and back towards yourself away from the floor.Hold this position for up to thirty seconds.

9. Heel Raises on the Stairs

This is very similar to the exercise as above, however a little more challenging. Do this in sets of 10, 3 times a day.Stand on a step with your heels over the edge of the step.Push up on the balls of your feet and complete a heel raise.As you lower yourself back down make sure that your heel does not drop below the level of the step.

10. Calf Rolling (Foam Roller or Ball)

Start sitting on the floor with legs extended out in front of you. Place the roller or ball under left calf. Rest right foot on the floor or cross right ankle over left for extra pressure. Use your hands to press hips off floor, then roll from the ankle to below the knee. Rotate left leg in, then out. Repeat on right calf.

#PainRelief #PlantaerFasciitis #HeelPain #Exercises #Osteopathy #Stretches #FlipFlops #FootPain

Back Pain From My Child

Back Pain From My Child | Thierry Payet

In clinic I have seen an increased number of new (and returning) parents with back pain, this is no coincidence as it is common for mums (and Dads) to develop back pain from lifting, carrying and moving their baby or child.

When you become a parent your focus changes from you to your child. Caring for your child becomes your life, however caring for your ever growing baby/child can put added strain on your body. Many parents don’t have the chance, or as I can remember the mental capacity due to tiredness, to think about the positions that they are putting the bodies into, these positions become repetitive as that is the easiest way to feed, carry and care for your child. These repetitive positions/stresses can cause a repetitive strain injury (RSI).

In effect you are lifting, carrying and moving an ever increasing weight several times a day. If you were in a gym environment you would lift weight with good technique and gradually increase the weight as your muscles develop and get stronger, BUT, unlike the gym environment your baby/child can wriggle and moving putting your body into awkward and unfamiliar positions therefore causing injury. A prime example of this is carrying your child on your hip.

What Can I Do To Help?

Well there are a number of things that you can do to help yourself:

#1 Seek advice from a professional such as an Osteopath. Osteopaths use a variety of techniques such as mobilisation, massage, manipulation and give advice on appropriate exercises to help relieve your pain.

#2 Alternate the hip you chose to balance your child on. Don’t always use the same side as your body becomes unbalanced and this causes an increased chance of injury.

#3 Mild or moderate back pain may respond favourably to over-the-counter pain relievers, such as acetaminophen or ibuprofen. Talk with your doctor if your pain does not improve; prescription-strength pain relievers or muscle relaxants may be appropriate in some cases. Inform your doctor if you are breastfeeding so she can prescribe a medication that is safe for your baby.

#4 Ice or heat packs can help reduce back pain. Soaking in a hot bath may also provide relief. If you had a c-section birth, make sure your doctor has given you the go-ahead to resume tub baths.

#5 Don’t try to return to normal activity too quickly after your baby is born. It isn’t easy to find time to rest when you are caring for an infant. A little self-care, however, can help your household run more smoothly. Women should remember that shifting hormone levels in late pregnancy cause ligaments and joints to relax; these areas remain more flexible even in the weeks after birth and are more prone to injury.

#6 Try to avoid standing for long periods because this puts extra pressure on your back. If you need to stand, rest one foot on a raised surface such as a stool. Use a footstool to elevate your feet while sitting.

#7 Use proper body mechanics when lifting your baby and other objects. The proper technique is to use your legs instead of your back. Do not bend from the waist. Instead, squat down by bending your knees and use your legs to lift. You may be lifting many heavy, unfamiliar objects, such as car seats and strollers. Move slowly and pay attention to your lifting technique to avoid injury.

#8 Keep your back straight while breastfeeding and raise your baby to the breast. Do not lean over to bring the breast down to your baby. Sit in a chair with a firm back and use pillows to aid in proper positioning. This may take some time to learn; a lactation consultant can help you assess discomfort and make recommendations for different feeding positions.

#9 Bring your baby close to your chest before lifting. Back injuries can occur if you pick him up with your arms outstretched or while twisting or turning to the side.

#10 An exercise program can help you build the muscles that support your back. Get your doctor’s permission before beginning any new exercise regimen. Start with gentle exercises, such as pelvic tilts and a few minutes of mild stretching.

#11 Exercises to rebuild muscles to improve your posture and help you avoid back pain. Your abdominal muscles provide critical support to your spine back muscles. During pregnancy, the abdominal muscles may weaken or separate. In a c-section birth, an incision is made through the muscle layers of the abdomen.

#12 A front-pack style carrier is helpful while walking or accomplishing tasks around the house. Follow the manufacturer’s instructions carefully and observe good body mechanics. A carrier is a better alternative than carrying your baby on one hip, which strains your lower back muscles.

Are There Any Exercises or Movements I can do to Help?

Elbow Curls: From a seated or standing position, place your hands behind your head with your elbows pointing out to the sides. Press your elbows forward (left) until they touch in front of your face, then squeeze your shoulder blades together as you pull your elbows back until they’re behind your ears. Do up to 10 reps.

Cat-Camel Stretch: Get down on all fours with your hands beneath your shoulders and your knees beneath your hips, neck in line with your spine. Slowly round your back by tightening your abs and tucking in your pelvis (above); hold for five seconds. Then allow your back to sag toward the floor as you lift your chest and head; hold for five seconds. Repeat the combination 10 times.

Hip Flexor Lunge: Come into a lunge position with your left leg forward, knee over your ankle, and your right knee on the floor. Press your hips forward so you feel a stretch in the front of your right thigh (but not so far that your left knee travels beyond your toes). Hold for 30 seconds and repeat two to three times, then switch legs and repeat.

Glute Bridges: Lie on your back with your knees bent and your feet hip-width apart, heels slightly in front of your knees. Rest your arms palms-down at your sides. Inhale and pull your belly button in toward your spine as you slowly curl your back off the floor, pressing your feet into the floor to engage your glutes (below). Exhale at the top and press your pelvis toward the ceiling. Hold for up to five seconds, then slowly roll down to starting position. Repeat two to four times.

#osteopathy #parenthood #backpain #bodyposition #aches #pain

Daily Stretches To Improve Your Health

Daily Stretches To Improve Your Health | Thierry Payet

Stretching Daily to Improve your Overall Health

Sore, stiff and aching muscles? Stretching is essential for flexibility and muscle care. But chances are, a quick stretch isn’t included in your daily routine. Whether you run out of time, don’t feel you have sufficient twinges to warrant testing your flexibility, or simply don’t have the know-how, squeezing in some TLC is more important than you realise.

The benefits of daily stretching

Stretching before exercise is useful for preparing the body for exercise or daily activities and helps to reduce injury. Dynamic stretching (those stretches that involve movement) are considered better than static stretches (those that you hold) pre-exercise – as using range-of-motion is better for warming the body up for exercise. Stretching comes with the following benefits:

Boost your mobility

Stretching can improve your range of movement and mobility if practised regularly.

Improve your posture

Stretching can help to improve posture. Muscle groups such as hamstrings and those found around the chest can get progressively tighter by being forced into the same position for hours on end, as is often the case after a day at the desk. Stretching these muscles out regularly can help to counteract some of the effects of those hours spent sitting.

Minimise injury risk

Stretching can help to reduce the risk of injury and alleviate certain injuries (such as lower back pain), particularly if lack of flexibility is an issue in the surrounding muscles.

Relax

Stretching can be very relaxing! Unlike your cardio or strength routine, there is no real burn involved with stretching so it’s a perfect time to sit (or lie) back and focus on breathing deeply, allowing tension to disperse and collect your thoughts for the day.

Try these 7 daily stretches

1. The neck stretch

This neck stretch can be performed seated or standing and is a great way to ease built up neck tension.

From a seated position, place your left hand on the right side of your head, with your right arm behind your back. Gently pull your head to the left side until you feel a gentle stretch in your neck. Hold for 20-30 seconds. Repeat on the other side

2. The standing quad stretch

This can help to ease tension that builds up in hip and thigh muscles over the course of the day. Keeping these muscles flexible may help to keep both knee and back pain at bay.

From a standing position, using a wall or door for support if needed, bend your right leg, grab the top of your right foot towards your right buttock, knee pointing down at the floor. You should feel a stretch right down the front of your right thigh. Tilt hips forward to feel the stretch at the top of your thigh. Hold for 20-30 seconds. Switch to left leg.

3. The chest stretch

This chest stretch is one of the easiest ways to stretch out your chest muscles which can get tight and overworked if you spend a lot of time seated or on devices, and can contribute to poor posture.

Stand tall and clasp hands behind your back, squeezing your shoulder blades as you raise arms. Hold for 20-30 seconds

4. The cat stretch

This is a great little stretch to do at the end of the day. It’s good for stretching out both upper and lower back and subtly works your core muscle too.

Begin in an all fours position with back flat before rounding spine and arching back your back and dropping chin to chest. Gently contract your abdominals as you do this taking care not to hold your breath. Hold for five seconds, relax and repeat. Do a total of five arches.

5. The hamstring stretch

A lying hamstrings stretch is a great way to stretch out backs of legs and a chance to lie down at the same time! Maintaining flexibility in the hamstrings is important, particularly if you’re active and/or deskbound as tight hamstrings can place additional stress on the lower back, aggravating or even causing lower back pain.

Lie on the floor with both legs bent and wrap a resistance band, or towel, around the base of one foot (your other foot should remain on the floor). Slowly extend your leg upwards and aim to reach a right angle – you should feel a stretch but no pain. Once you feel a decent stretch, hold for 30 seconds before repeating on the other side.

6. The bum stretch

A glute (buttock) stretch shouldn’t be overlooked either – this can also help to ease any hip or lower back stiffness.

Lie on your back with legs bent, feet flat on the floor. Lift your legs off the floor and cross your right leg over the thigh, above your knee, of your left leg. Pull your left thigh and push your right foot (keep your right foot straight) towards you until you feel a stretch in your right buttock. Hold for 30 seconds. Repeat on other side.

7. The hip stretch

Finish your stretching sequence with the dreamy hip roll exercise. More of a mobility exercise, the hip roll also stretches out muscles around the hips, lower back and chest.

Lie on your back with legs bent at the knee, feet flat, arms out to the side. Roll your hips and legs to the right, keeping feet flat on floor, as you roll head to the left. Hold for a count of three seconds, before returning to centre and repeating on the other side. Perform a total of 10 rolls.

01 - Raid-Mada-team

Racing Madagascar – Course Trail à Madagascar | Thierry Payet

Un nouveau bébé va naître à MADAGASCAR en 2016 : le RACING MADAGASCAR. Une course de 150 km pour un dénivelé de 1270D+ … sur 6 jours !!!!

Vous l’aurez compris cette course est avant tout un format accessible et innovant liant sport et tourisme mais qui reste néanmoins qualificative pour UTMB® 2017

Une course par étape ou chaque participant en prendra plein les yeux à travers les plus beaux sites de l’île.

Pour sa première édition en juillet 2016, RACING MADAGASCAR se tourne vers un public sportif, axé à la fois sur l’endurance, la vitesse et désireux de concilier le tourisme avec un comportement responsable et solidaire de HANDISPORT MADAGASCAR-DIEGO et du Comité Paralympique Malgache (CPM)

L’épreuve :

RACING MADAGASCAR est une course en autonomie complète (les coureurs doivent emporter chaque journée ce qu’ils veulent manger ou boire) qui aura lieu du 19 au 24 juillet 2016. L’organisation fournit de l’eau potable à chaque checkpoints.

Infos courses :

  • 150 km, 1 270D+, 1 690D-
  • 6 jours : 19kms / 20kms / 20kms / 44kms / 30kms / 9kms
  • Villages, parcs nationaux et plages sur le parcours
  • Nuits et repas dans les villages-étapes du circuit
  • Stations de ravitaillement sur les étapes longues
  • Temps limite : de 1h30 à 6 heures par jour
  • Départ : 19 juillet 2016
  • Course limitée à 100 coureurs
  • Course qualificative pour l’UTMB 2017 (4 points)

DU 19 AU 24 JUILLET 2016 – 150 km répartis sur 6 jours :

  1. Mardi 19 juillet 2016 – Étape 1 de la cascade Beamalona (Proche d’Anivorano) à Marovato : 19 km ; 560 D+ ; 560 D- ; Temps limite 3h00
  2. Mercredi 20 juillet 2016 – Étape 2 de Marovato à Boriravina : 20 km ; 150 D+ ; 460 D- ; Temps limite 3h00
  3. Jeudi 21 juillet 2016 – Étape 3 de Boriravina à Ankerika : 20 km ; 70 D+ ; 190 D- ; Temps limite 3h00
  4. Vendredi 22 juillet 2016 – Étape 4 de Ankerika à Ampondrafeta : 44 km ; 300 D+ ; 310 D- ; Temps limite 6h00
  5. Samedi 23 juillet 2016 – Étape 5 de Ampondrafeta à la Baie des Sakalava : 30 km ; 120 D+ ; 130 D- ; Temps limite 4h30
  6. Dimanche 24 juillet 2016 – Étape 6 de la Montagne des Français à Diégo-Suarez : 9 km ; 70 D+ ; 40 D- ; Temps limite 1h30

Plus d’infos sur la course : http://www.racing-madagascar.com/

L’organisation :

C’est BOOGIE PILGRIM qui lance cette course au format innovant pour 2016 !

BOOGIE PILGRIM, c’est avant tout une petite équipe malgache soudée, dirigée par Sonja Gottlebe, qui a grandi à Madagascar.

01 - Raid-Mada-team

Fort de plus de 25 ans dans le tour operating à Madagascar, BOOGIE PILGRIM et Sonja Gottlebe se reposent sur leur expérience acquise de 2014 lors de l’organisation de Racing The Planet®.

« Nos expériences passées sont notre inspiration pour la création de cette course accessible et touristique. »

BOOGIE PILGRIM est membre ITRA (International Trail Running Association)

Le Trail Travel prend son sens ici :

Les accompagnants sont les bienvenus pour suivre et vivre la course en supportant leurs coureurs !

« Au-delà du sport »

L’autre particularité de cette course : RACING MADAGASCAR propose également d’intégrer le reste de la famille, les amis afin d’accompagner les coureurs et de partager l’expérience de l’intérieur tout au long du parcours.

Les accompagnants font partie intégralement de l’évènement mais aucune assistance n’est autorisée sur chacune des étapes. Une prise en charge des accompagnants sur la course est prévue pour suivre les coureurs au départ et à l’arrivée au campement suivant, ainsi qu’à certains checkpoints.

L’organisation propoe de suivre la caravane de l’organisation au jour le jour en véhicule 4×4 avec chauffeur/guide. Les accompagnateurs pourront partager l’ambiance des campements aux étapes tout en visitant les incroyables sites touristiques sur le parcours.

En effet la région de Diego Suarez est variée et riche en Parcs Nationaux : les plages sauvages des Baies intimes, une mer émeraude, des Tsingy gris aux Tsingy rouges, des paysage volcaniques et Baobabs uniques à cette région.

Les fameux Lémuriens et Caméléons sont visibles tout autour bien entendu.

Les bivouacs sont confortables et placés dans des sites magnifiques : tentes sud-africaines pour 2 personnes maximum, des toilettes de brousse, douches de camping, groupes électrogène et restauration ambulante (repas chaud le soir).

L’organisation offre aussi des séjours pré- ou post course pour ceux qui veulent découvrir d’autres parties de Madagascar.

Alors Réunionnais amoureux du Trail et d’aventure n’hésitez pas à vous inscrire à cette course et de profiter de votre passion en famille tout en visitant une île magnifique pas loin de la Réunion 😉

Tous les renseignements ici : http://www.racing-madagascar.com/

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Traitement de la constipation par l'ostéopathe

Constipation : comment l’ostéopathe peut-il m’aider ? | Thierry Payet

La constipation est un problème fréquent. Elle peut être causée par une déshydratation, une alimentation pauvre en fibres, ou une activité physique insuffisance. En quoi consiste le traitement de l’ostéopathe dans le cadre d’une constipation chronique ?

Traitement de la constipation par l'ostéopathe

On parle de constipation chronique lorsque :

  • une personne va moins de trois fois à la selle par semaine
  • les selles sont dures
  • et/ou que cette personne éprouve des difficultés à les évacuer

La constipation peut être à l’origine de violentes douleurs abdominales et ballonnements.

Constipation de transit et constipation d’évacuation

Il existe deux types de constipation, pouvant ou non être associés :

  • la constipation de transit : qui correspond à l’envie rare d’aller au toilettes
  • la constipation d’évacuation : qui elle correspond à la difficulté à aller à la selle. Efforts de poussée, la sensation d’une gêne au passage des selles et d’une évacuation incomplète accompagnent la constipation.

L’échelle de Bristol

L’échelle de Bristol est une échelle visuelle qui qualifie les selles et les répartit en sept types. La forme des selles dépend du temps qu’elle passe dans le système digestif.

Travail viscéral par l'ostéopathe quelque soit le type des selles

On parle de constipation uniquement pour les deux premiers types💡

La fausse diarrhée du constipé

Une personne constipée peut présenter une diarrhée : c’est la fausse diarrhée du constipé.
Elle correspond à l’accumulation de selles qui forme un bouchon dur. Une fois le bouchon évacué, des selles liquides impérieuses peuvent suivre.
Dans ce cas, il ne faut surtout pas prendre de traitement anti-diarrhée !

Examens à effectuer en cas de constipation :

Les examens sont à effectuer devant une constipation d’apparition récente et qui ne s’améliore pas.

Conseils de votre ostéopathe pour limiter la constipation

Pour éviter ce trouble :

  • S’hydrater suffisamment
  • Pratiquer une activité sportive régulière
  • Adopter un régime riche en fibres (légumes verts, soja, pain blanc, riz blanc, pâtes blanches, lentilles…), et réduire les graisses et viandes
  • Bannir les laxatifs stimulants, qui peuvent entrainer par exemple dépendance, une accoutumance et une déshydratation
  • Essayer d’aller à la selle quotidiennement et à heure fixe
  • Adopter une position naturelle aux toilettes
  • Consulter un ostéopathe pour qu’il travaille sur les viscères et leurs points d’attache

Votre ostéopathe vous conseille une position naturelle à adopter pour aller aux toilettes

En position assise sur les toilettes, le muscle pubo-rectal n’est pas complètement relâché et un pli se forme au niveau du rectum et de l’anus.

Orientation différente en fonction de la position aux toilettes

La position naturelle aux toilettes 🚽 : 
✔ Pieds remontés : l’angle entre les cuisses et le buste doit être inférieur à 90 degrés 
✔ Dos droit

relever les jambes pour aller aux toilettes

Le traitement de l’ostéopathe en cas de constipation chronique :

L’action de l’ostéopathe dans le cadre de la prise en charge de la constipation vise à travailler sur ces articulations viscérales et ces ligaments et ainsi améliorer le transit et diminuer les ballonnements et les douleurs abdominales.

Traitement viscéral par l'ostéopathe de la constipation

Le pharynx, l’œsophage, l’estomac, le duodénum, l’intestin grêle et le colon sont les viscères qui composent le système digestif. Des articulations viscérales et des ligaments, des fascias, permettent de maintenir et attacher, de glisser et de nourrir chaque viscère du système digestif.

Les axes de traitement de l’ostéopathe sont la prise en charge :
1) des troubles musculo-squelettiques des zones en rapport avec le système digestif : principalement le bassin, les lombaires et la cage thoracique incluant le diaphragme
2) du système viscéral pour travailler la mobilité des organes
3) du système nerveux pour lever les potentiels points de conflits des nerfs qui permettent la digestion
4) du système circulatoire pour améliorer l’apport sanguin au niveau des viscères permettant la digestion

Enfin, la fréquence des séances ostéopathiques dépend du degré de constipation, de la demande du patient et des tensions corporelles au moment de la consultation.
A titre indicatif, au départ une à deux séances ostéopathiques sont préconisées pour apporter un soulagement et un mieux-être à la personne présentant une constipation. Puis une séance tous les deux à trois mois est conseillée jusqu’à obtention d’une amélioration stable.

Vous pouvez contacter votre ostéopathe à Paris, Mathilde Locqueville, pour toute question concernant la prise en charge ostéopathique de la constipation ou pour prendre rendez-vous au 07.69.03.41.41.

Pour aller plus loin : Emission AllôDocteurs

Ostéopathie : comment choisir son ostéopathe ?

Ostéopathie : comment choisir son ostéopathe ? | Thierry Payet

L’ostéopathie est une profession ancienne, naissant il y a plus d’un siècle. Cependant, elle est reconnue officiellement seulement depuis le début des années 2000 en France. Le monde ostéopathique se bat depuis des dizaines d’années pour faire de l’ostéopathie une discipline à part entière dans le milieu médical/paramédical.

Le succès de l’ostéopathie a aussi été sa faiblesse car le manque de cadre juridique relatif à notre profession a permis l’ouverture de nombreuses écoles et la formation était très disparate d’un établissement à l’autre. Ainsi, le nombre d’ostéopathes a doublé sur le marché du travail saturant la profession. Du côté des patients, il est difficile de s’y retrouver tellement la pratique de l’ostéopathie et les thérapeutes sont nombreux.

Pour le bien de la profession et pour la sécurité des patients, il devient nécessaire d’agir. L’Etat commence à prendre conscience de ce problème et l’actualité ostéopathique ne cesse de bouger dans le bon sens. Cette semaine, la liste des agréments a été publiée et de nombreuses écoles ont fermé leurs portes.

Ce fait d’actualité nous questionne : Comment choisir son ostéopathe ? En effet, il est important de consulter en toute confiance. Voici quelques conseils pour éviter les mauvaises surprises.

1. La qualité de la formation sanctionnée par le Diplôme d’Ostéopathe reconnu par l’Etat

Une formation d’ostéopathie sérieuse se déroule en 5 années d’études. Le diplôme est obtenu après la validation d’un clinicat devant un jury d’ostéopathes et de médecins et l’écriture d’un mémoire de fin d’étude. Il est important de demander à votre thérapeute s’il possède bien ce Titre.

Voici la liste des établissements agréés au 9 juillet 2015

2. Ostéopathie : l’agrément pour être remboursé par les mutuelles

Votre ostéopathe doit être inscrit à l’Agence Régionale de Santé qui lui délivre son numéro ADELI. Lorsque vous demandez une facture pour vous faire rembourser par votre mutuelle, votre thérapeute se doit de vous la délivrer.

3. La durée de la consultation

Une bonne consultation ostéopathique dure en générale entre 30 min et 1h. Méfiez-vous des consultations trop rapides.

4. Le suivi ostéopathique

Un bon ostéopathe ne fera jamais de traitement sur 10 consultations pour répondre à votre motif de consultation. Il prendra le temps de comprendre vos attentes et votre schéma global lors de la première consultation. Puis, il peut envisager raisonnablement un suivi ostéopathique sur 2 à 3 séances. Sauf cas très particulier, et sauf si votre ostéopathe vous l’argumente très clairement (par exemple un suivi ostéopathique tous les mois pour soulager des douleurs liées à de lourdes pathologies) méfiez-vous des prévisions de traitement trop longues.

5. Le prix

En général, les consultations sont tarifées entre 50 et 100 euros. Globalement, le prix s’élève actuellement autour de 60 euros.

6. La réputation et le bouche à oreille

Enfin, en dehors d’un diplôme d’état, le plus important à prendre en compte est la réputation de votre ostéopathe. Son investissement dans le monde ostéopathique et la confiance de ses patients sera le meilleur gage de qualité pour consulter sereinement. N’hésitez-pas à vous renseigner autour de vous, à votre famille et amis.

Natacha Hulak, Ostéopathe DO

origine-thorax-syndrome-cyriax

Le syndrome de Cyriax ou syndrome de subluxation des côtes | Thierry Payet

Le syndrome de Cyriax correspond, comme dans bien des cas, au nom de la première personne à avoir décrit ce phénomène. Ici on parlera d’Edgar Ferdinand Cyriax, médecin Britannique (d’origine suédoise) du 20 ème siècle.

L’origine du syndrome de Cyriax

Pour bien comprendre l’origine de cette douleur, un rappel anatomique s’impose.

Rappel anatomique du thorax

Le thorax est une cage composée entre autre:

  • De cotes: de 12 cotes (dont deux flottantes),
  • Du cartilage costal (situés entre les cotes et le sternum)
  • Du sternum en avant,
  • Des clavicules en haut
  • Des vertèbres dorsales en arrière

NB: les cotes 8 à 10 sont appelées fausses cotes car leur point d’attache au sternum est indirect. En effet, elles s’attachent par le cartilage costal commun aux trois dernières cotes (ici on ne compte pas les cotes flottantes (K11 et K12).

Par exemple: la 10 eme cote s’attache sur le cartilage de la 9 ème cote qui elle même s’attache sur celui de la 8 ème cote.

origine-thorax-syndrome-cyriax

Bon du coup c’est quoi ce syndrome ?

 

Le syndrome de cyriax correspond à une subluxation des cartilages antérieurs de certaines côtes qui deviennent alors très douloureuses.

La douleur est provoquée par la compression du nerf intercostal ( situé entre les cotes).

Les cotes les plus souvent touchés sont les fausses côtes donc les 8-9 et 10 ème cotes à cause de leur point d’attache particulier au sternum.

Une des cotes va donc venir sur celle du dessus et pincer le nerf intercostal correspondant.

Rappel sur la subluxation:

C’est une luxation incomplète qui se caractérise par le déplacement d’un seul des deux os entrant en jeu dans une articulation (contrairement à la luxation qui est le déplacement de deux extrémités osseuses d’une même articulation).

Les signes clinique et les causes:

  • La douleur sera le plus souvent spontanée et intense
  • La douleur augmente aux mouvements du haut du corps, lors de l’inspiration forcée ou même lors d’un éternuement.
  • Les causes sont souvent traumatiques:

– soit directes: choc sur les cotes

– soit indirectes: effort musculaire violent, effort de traction, mouvement violent ou lors d’un éternuement.

Traitement:

  • Des antalgiques permettant de soulager la douleur.
  • Du repos
  • Un bandage élastique avec anesthésique, possibilité d’injecter un anesthésique local au niveau du point douloureux.
  • Si vous pensez souffrir de ce syndrome allez consulter votre médecin pour la pose du diagnostic.

Quelle approche ostéopathique du syndrome cyriax

L’ostéopathie à un rôle prépondérant pour le traitement de ce syndrome. En effet, les techniques manuelles permettent la remise au neutre de ces articulations et donc de faire disparaitre une grande partie de la douleur. Pour le reste un peu de patience sera le maitre mot.