Shoulder impingement — Full Circle Osteopathy

Shoulder impingement — Full Circle Osteopathy | Thierry Payet

A common shoulder complaint that we see is shoulder impingement, otherwise known as subacromial impingement. Say ‘shoulder’ and most people think of a ball and socket joint. This joint does indeed make up a large part of the shoulder, but there is much more to it than that. Over the top of the ball and socket joint sits a bony ‘bridge’ which is made up of the collar bone (aka the clavicle), shoulder blade (specifically the ‘acromion’ part of the shoulder blade) and a joint which connects the two (aptly named the ‘acromio-clavicular’ joint). Beneath the bridge and above the ball and socket joint is a small gap called the sub-acromial space (sub = underneath).

It is within this space that the abovementioned impingement occurs and if present, may cause pain when moving the arm.

 

Why does impingement occur?

 

Well, there are quite a few soft tissues which run through this space that help keep the shoulder functioning. These parts include the tendons of the biceps and one of the rotator cuff muscles, a ligament and a fluid-filled sac called a ‘bursa’. Bursi allow smooth, frictionless movement around joints and can be found all over the body. Any of these body parts can be involved in shoulder impingement if they become inflamed. Repeated, overhead arm use in throwing sports, or chronic poor positioning of the shoulder and posture in desk workers can lead to these soft tissues becoming irritated and inflamed. For example, a cricketer who spends a large part of their career throwing a ball could lead to increased stress placed on the rotator cuff tendon that passes through the space, leading to inflammation, wear and tear, and poor movement. This then has a direct effect on other surrounding structures, so a person may end up with an inflamed bursa too.

 

Signs and symptoms

 

When someone has shoulder impingement, they may experience any or all of the following:

 

•           Pain when moving the arm (e.g. our cricketer above may feel pain when throwing)

•           Decreased range of motion in the shoulder

•           Weakness when using the arm on the affected side

•           Reduced ability to perform everyday tasks such as reaching up high in a cupboard, doing up a bra, putting on a coat or holding/lifting a child

 

Get to the osteo quick sharp!

 

If you want to get on top of your shoulder pain quickly, then we recommend a trip to see us here at Full Circle Osteopathy. After some thorough questioning and assessment, we will work out what lifestyle or movement factors are responsible for your pain. We’ll get to work with our hands straight away. Using a combination of soft tissue massage, joint mobilising, and many other techniques, we will aim to reduce your pain and get you moving better. Someone with a shoulder problem nearly always has an issue related to neck or back movement, so don’t be surprised if we go looking further afield on the body for answers to your problem.

 

If you are a thrower, we may ask you to demonstrate a throw so we can see how you are moving (don’t worry, we won’t ask you to do this if you are in acute pain). Likewise, if you are a desk worker, we may ask to look at your desk set up and sitting posture. Getting you to take a photo of yourself at your desk is often helpful for us to see if you need to make some changes that may be affecting your posture day-to-day. When it comes to any lifestyle advice, whether it’s the hobbies you have or the way you sleep, we’ve also got you covered!

 

 

We pride ourselves on awesome treatment, but shoulders are often tricky to treat, and some cases may take longer than others. To ensure you get back on the right path as quick as possible, always follow our advice between treatments, and please do your exercises! If you have weakness somewhere which is leading to your pain, a few treatments are not going to resolve this. Weakness and instability need strengthening, and strength takes time to build. Consistency is key with exercise. We will educate you on what you need to do, but you need to be the one to do it at the end of the day. It’s a team effort. We know it’s hard to keep motivated, but rest assured we will always be there on those days when you need a hand!

 

If you have shoulder pain, then don’t stand on ceremony, book an appointment today by contacting our clinic on 0452 249 379 or by visiting our website here. We’ll have you back throwing balls from the boundary quicker than you can say howzat! And if you have no idea what howzat means, then we suggest you ask the audience or phone a friend! 😉

References:

1.     Brukner, P. and Khan, K. 2017. Clinical Sports Medicine. 5th ed. McGraw Hill Education : Australia

2.     Umer, M. et al. 2012. Subacromial impingement syndrome. Orthopedic Reviews. 4 (2). e18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3395987/

3.    Bennett, S. et al. 2017. The use of osteopathic manual therapy and rehabilitation for subacromial impingement syndrome: A case report. Explore. 13 (5). 339-343. https://www.sciencedirect.com/science/article/abs/pii/S1550830717300149

Staying healthy this Christmas — Full Circle Osteopathy

Staying healthy this Christmas — Full Circle Osteopathy | Thierry Payet

Be a hydration station: As the sun and your social calendar begin to heat up, there’ll be plenty of occasions where you might find it tempting to have that extra beer or glass of wine with your friends. It’s always good to have nice drink and a catch up, but everything is healthier in moderation. Combine alcohol with lots of sunshine and you are destined for heatstroke. Make sure you stay hydrated this holiday period to avoid any unwanted illness. Try breaking the alcoholic beverages up with a refreshing glass of water or fruit juice when you are at your Christmas party this year.

 

Don’t overload on sugar: With Christmas comes an exorbitant amount of lollies, cakes, chocolate and other sugary treats hitting the supermarket shelves. We like a gummy bear and a mince pie as much as the next, but to avoid getting hit with endless sugar highs (and the lows that follow), make sure you get plenty of nutritious food into your diet every day. Fruit and vegetables will provide you with heaps of essential vitamins, minerals and fibre needed to keep you functioning well. Why not try some antioxidant-rich dark chocolate rather than the milk or white alternatives? Yum!

 

Don’t burn the candle at both ends: It’s easy to get carried away over Christmas with social events and work parties. There are so many people to see and catch up with, that sometimes we sacrifice some of our sleeping hours for party hours. This is okay occasionally, but try to keep it to a minimum. Our bodies won’t make allowances just because it is Christmas. In order to steer clear of illness, keep yourself working and able to attend those social events, you’ll need to pamper yourself with plenty of sleep. Get those Zzz’s in!

 

Take time away from the hustle and bustle: In between all the craziness of Santa coming, make sure you give yourself time to breathe, relax and recuperate from what has probably been a very busy year. Read a book, try some meditation or attend a local yoga or aqua-aerobics class. Your body and mind will thank you for it, and come New Year, you’ll be ready for the year ahead.

 

Do a good deed for those less fortunate: This is by no means a must, but Christmastime is a very lonely time for many people. Think about those without family, a roof over their head, or little money to enjoy the festive period like some may be able to. There are many ways to help out… You could donate to a food bank or charity or volunteer your time at a shelter. It all helps. Remember to smile and be kind when out in the community. You never know when someone is having a bad day. Your smiling face may be just what they need to turn their day around. Good deeds don’t have to cost anything, and they will make you feel awesome. Win-win for the world!

 

Give these a go and we’re sure you will have the healthiest, happiest Christmas of all. Come January you’ll be feeling refreshed and ready to take on the world (and continue to spread joy of course) for another year! Have a great Christmas and we’ll see you in 2020. Tis the season to be jolly, tra-la-la-la laaa, la-la la la!

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.

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

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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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

Ventouses thérapeutiques ou cupping thérapie et ostéopathie

Ventouses thérapeutiques ou cupping thérapie et ostéopathie | Thierry Payet

Vous vous demandez peut être en quoi consiste cette nouvelle “thérapie par les ventouses” dont votre voisin vous a parlé? Pourquoi revient-il de chez son praticien avec des marques sur la peau? Est-ce douloureux, et surtout qu’elle en est l’utilité? Pas d’inquiétude, nous allons tout vous expliquer dans cet article.

La minute culture : histoire des ventouses thérapeutiques

La médecine des ventouses ou cupping thérapie a vu le jour il y a des milliers d’années. Créées par nos grands oncles en Egypte, elles ont traversé l’histoire, les continents (asiatique puis européen), pour enrichir leurs fonctionnalités.

On peut retrouver des écrits d’Hippocrate, utilisant les ventouses dans les maladies rhumatismales, les encombrements bronchiques, et certaines affections gynécologiques. 

Puis des écrits romains, arabes, et chinois, certainement les plus connus et utilisés. Voilà pourquoi l’abus de langage “ventouse chinoise” s’est mis en place. Mais redonnons aux Égyptiens, ce qui leur appartient !

Cependant, comme toutes célébrités, après être passées par de longues périodes dans l’anonymat, ces petites ampoules ont connues un regain de notoriété qu’elles n’attendaient plus.

Grâce à un certain Michael Phelps (nageur multiple médaillé olympique), elles nous font un retour en force sur le devant de la scène. Lors des Jeux Olympiques de Rio en 2016, il exhibe ces marques étranges sur les épaules, suscitant l’interrogation internationale, avant de remporter pas moins de 6 médailles olympiques (dont 5 en or).

Et là vous vous dites que c’est bien beau, mais que ça ne vous avance en rien sur l’histoire du voisin…patience, toutes les explications arrivent en suivant.

Cupping thérapie, comment ça marche ?

Il faut d’abord savoir que l’homme est un monde en miniature. Son état de santé résulte d’un équilibre très fin entre forces biologiques, énergétiques et psychiques. Quand l’individu est en phase avec ces forces, une homéostasie se crée. Son énergie, les liquides du corps et les émotions circulent alors librement dans le corps. 

Mais lorsqu’un déséquilibre apparaît, ces différents constituants se « bloquent », occasionnant des stases ou dysfonctions. Les ostéopathes, ainsi que beaucoup d’autres thérapeutes, cherchent donc ces « stases » afin de les libérer et permettre au corps de recouvrir un bon état de santé.

La ventousothérapie, communément appelée cupping thérapie à la façon anglo-saxonne, permet de proposer une alternative originale mais surtout efficace et indolore aux patients. 

La science médicale est en mesure, aujourd’hui, d’expliquer et de prouver l’efficacité de cette technique. 

Le procédé mécanique de la ventouse s’explique par la création d’un vide partiel à l’intérieur de la ventouse. Cette différence de pression devient le vecteur de mouvement des liquides, dans le sens des hautes pressions vers les basses pressions. On aura donc les tissus qui seront comme aspirés par la ventouse.

La congestion cutanée qui se met en place élimine les facteurs pathogènes. Ainsi les ventouses génèrent des micro-traumatismes contrôlés qui se manifestent par des hématomes cutanés. 

Dans de rares cas, les ventouses peuvent également occasionner des cloques qui sont le signe d’une inflammations sous-jacente. Ce n’est pas grave, c est même plutôt bon signe. Cela montre l’efficacité des ventouses sur la zone inflammée.

⇒Loin d’être une « technique de grand-mère », les ventouses possèdent les propriétés médicales suivantes :

CIRCULATOIRE et DECONGESTIVE : La création d’une différence de pression détoxifie le corps. Les ventouses drainent les toxines de l’intérieur vers l’extérieur. Des capillaires sanguin vers les pores de la peau. En dilatant les vaisseaux sanguins, elles permettront également un dégagement de chaleur sur la zone.

ANTI-INFLAMMATOIRE : Le micro-choc généré par la ventouse provoque une décharge d’histamine, un vaso-dilatateur alvéolaire naturel qui libère les stases et permet la libre circulation des liquides. 

DECONTRACTANTE : En déprimant la peau, elles vont travailler sur les fascias et les adhérences. Elles vont de ce fait redonner de l’élasticité à la peau et une meilleure adaptation des tissus sous-jacents. La ventouse est un outil redoutable sur les cicatrices. Elles stimulent la production de collagène. Elles améliorent aussi la circulation au niveau des muscles, l’aspiration des ventouses lève les spasmes musculaires ou/et tissulaires.

ANTALGIQUE : Lors de la pose, elles génèrent une douleur transitoire (de l’ordre de quelques secondes) qui favorise la production d’enképhalines. Cette hormone est un antalgique naturel qui va endormir la douleur.

– Elle agit également sur le système neurologique. Notre peau est le reflet superficiel de ce qu’il se passe en dessous. Elle est innervée par les mêmes nerfs qui innervent les organes. Ainsi en agissant sur la peau, on agit sur les organes associés. On parle de « boucles réflexes ».

ENERGISANTE : Placées sur des points d’acupuncture, elles favorisent la libre circulation des énergies.

IMMUNO-STIMULANTE :Selon leur emplacement, elles peuvent avoir une action positive sur le système immunitaire et favoriser la production de cellules saines.

 

En bref, les ventouses ne sont pas magiques, mais permettent quand même de diminuer l’inflammation, détendre les muscles, détoxifient le corps, favoriser la cicatrisation, stimuler le système immunitaire, endormir la douleur et génèrer une sensation de relaxation et de bien-être. (Rien que ça)

 

Dans quel cas les utiliser ?

Cette médecine peut être pratiquée aussi bien sur les jeunes enfants que sur les séniors et ce, de façon indolore et efficace.

Les différentes techniques de pose des ventouses (ventouses à froid ou à chaud), demandent une connaissance et une pratique rigoureuse. 

Les champs d’applications de la médecine des ventouses sont multiples :       

  • En rhumatologie (gonarthrose, coxarthrose, lombalgie, arthralgie diverses…)
  • Migraines, céphalées, névralgies (vous pouvez également lire cet article sur l’ostéopathie et les migraines)
  • Pathologie sportive (entorses de cheville, tendinites, claquages, …)
  • En pneumologie (asthme, emphysème, bronchites, toux, problème ORL, …)
  • Au niveau du psychisme (dépression, décalages horaires et saisonniers, fatigue…)                                                                       
  • En viscéral (constipations, douleur, …)
  • Douleurs musculaires
  • Névralgie (sciatalgie, cruralgie, névralgie cervico-brachiale)
  • Etc

Plombier-Bordeaux-sourire-audace-bonne-humeur-tenue-consultation-ostéopathie

 

Pendant une séance d’ostéopathie, nous pouvons être amené à faire usage de ventouses comme outils thérapeutique de soins. En amont de la séance pour les cas très algiques, pendant ou en fin de consultation. 

Attention, il existe tout de même quelques contre-indications (ce serait trop beau sinon) :

  • insuffisance cardiaque et cardiopathie sévère.
  • Sujet hémophile
  • Chez la femme enceinte, prudence avant le 3ème mois de grossesse, et au-delà du 3e mois, pas d’application sur l’abdomen.
  • Plaies ou ulcères chroniques.
  • Phlébites
  • Tumeur malignes
  • Pas de ventouses sur l’enfant de moins de 4 ans.

 

Les ventouses que nous utilisons :

Il existe différentes techniques de pose et d’utilisation des ventouses (ventousothérapie sèche, humide, à chaud, à froid, etc). Dans notre cas, on vous rassure, aucune entaille, nous utilisons des ventouses dites «sèche à froid ». Elles sont posées sans flamme, en utilisant une pompe qui vient créer le vide à l’intérieur de la ventouse. Il n’y a de ce fait pas de risque de brûlure pour les plus inquiets.

 

Si vous souhaitez en utiliser plus régulièrement, il peut être intéressant d’avoir votre propre matériel. Après avoir testé plusieurs marques, la team Cycl’ostéo s’est arrêtée sur le pack de ventouse Hansol ci-joint (meilleur rapport qualité/prix selon nous). Vous le retrouverez à l’achat en suivant ce lien.

Et si vous tombez amoureux de cette pratique, nous vous conseillons tout de même de vous documenter : “La médecine des ventouses par Daniel Henry”

Le temps de pose pourra varier selon le motif et l’effet recherché, allant de 5 à 20 minutes.

Pour finir (après vous saurez tout sur les ventouses), parlons des fameuses marques…

En favorisant la circulation sanguine, les ventouses créent des hématomes qui peuvent être un peu douloureux pendant les deux à trois jours qui suivent la séance. 

Les marques provoquées par les ventouses peuvent être considérées comme des micro lésions contrôlées qui par la suite favoriseront la cicatrisation des tissus. Elles peuvent rester visibles pendant plusieurs jours, parfois quelques semaines. 

PAS D’INQUIETUDE à avoir : Les ventouses ne laissent jamais de traces définitives.

 

Sur ce, à vos ventouses, prêt, feu, aspirez

 

Article rédigé par Pierre-Louis Billant – Ostéopathe D.O. – Cycl’ostéo Nice

Treating children is simple and deep

Treating children is simple and deep | Thierry Payet

Treating children is simple and deep Newborns tell their pre-, peri- and postnatal history, possible trauma experiences and dysfunctions through gestures, posture, facial expressions and other signs. A trained perception enables treatment approaches, as well as the sequence, progression and termination of therapeutic touch sequences. This treatment can be further deepened by the integration of […]

Healthy habits for 2020 — Full Circle Osteopathy

Healthy habits for 2020 — Full Circle Osteopathy | Thierry Payet

This sounds easy, but for many it’s a big struggle. We are a sedentary world compared to the past. We have everything at our fingertips with supermarkets, stores and online shopping providing everything we need. Phones, tablets, TV, gaming and desk jobs mean people tend to sit a lot, even during leisure time. There is a huge obesity issue in our world. Did you know that since 1975, obesity rates have tripled and continue to rise?! That is a very worrying stat. If you want to do all you can to avoid becoming overweight or obese, then one very simple thing to do is move more. Your bodies are designed for it and will love you for it. We suggest going for a short walk or bike ride on a regular basis to keep the heart healthy and the waistline in check. If you get the train or bus to work, try leaving a bit of extra time and get off a few stops early to walk the rest of the way. Park at the back of the car park and walk that little bit further into the shops. You’ll soon get your steps in. Better still, go with a friend or family member… After all, exercise feels less of a chore when you have company.

Have a routine

This follows on nicely from our last point. As part of your promise to move more, why not have a little exercise routine that you can bust out on those nights you choose to stay in and watch your favourite show or movie. It doesn’t matter what you do, but doing something is better than just sitting there vegging out. We’re all for chill time, however, aim to work on your body a little every day and the results will be seen in no time. Have a yoga mat, resistance bands, light weights and a foam roller nearby and get to work on them whilst you are enjoying an episode or two. Fifteen minutes is all that is needed. If you want help working out a suitable routine, speak to us next time you are in for a session.

See your osteo regularly

So, you are in for a session with us, good work! Who better to ask for help than an professional expert in body and health? We know a lot of people go to osteo’s when they are in pain, but we’re here for you in the pain-free times as well. Osteopathy is a way of life – it’s not just about bones and backs! Yes, we love to work with people to perfect their bodies, but we also love to give lifestyle advice too. Whether it’s dietary, exercise, sleep or working out which sofa to buy (OK, the last one is all you, but feel free to ask us anyway!), we can help. If you have some new year aches and pains, then don’t let them build. Come and see us right away and we’ll get you on the path to full health. Lifestyle advice included!

Less screen time

Here’s some lifestyle advice for you. Aim for less screen time this year. It’s so easy to get dragged in to being on your phone or tablet all the time. They travel round in our pockets, we use them to talk, email, check the news, play games… The list is endless! How many of you wake up and the first thing you do is check your phone? How many of you also put the phone down last thing at night before closing your eyes? The long-term effects of increased screen time are not yet known and probably won’t be for years to come, but some recent research shows that increased screen time correlated to lower scores in thinking and language tests in children. Other negative effects include sleep disturbance, lack of creativity and becoming disconnected from your social circle. We don’t think any of this is particularly good, so why not vow to reduce screen time and instead dust off the board games. You’ll get awesome family time, lots of laughs (hello happy hormones!) and a happy brain. Win win win!

Cut down on treats

We had to include something dietary here. At the end of the day, you get out what you put in. So, put in more good stuff than bad stuff (we’re not against treats altogether) and your body will shine. The body loves plant-based foods as they are easy to digest, low in calories, and full of good nutrients. We won’t tell you to cut anything out altogether, but try substituting a few treats for some fruits, veggies or yummy yoghurt. Your insides will thank you forever, and you’ll be ticking one more box towards a healthier, happier you.

There you have it. Five easy steps to take in 2020. Let’s make this a winning year! If you would like to discuss any of the above points in detail, please ask us next time you are in and we will be happy to chat and offer our top-notch advice. Happy New Year people!

References:

1.     World Health Organization. 2019. Obesity and overweight. [Online]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. [Accessed 11 Dec 2019]

2.     National Institute of Mental Health. 2016. Adolescent Brain Cognitive Development (ABCD) Study. [Online]. Available from: https://www.nimh.nih.gov/research/research-funded-by-nimh/research-initiatives/adolescent-brain-cognitive-development-abcd-study.shtml. [Accessed 11 Dec 2019]

3.    Harvard Medical School. 2019. Screen time and the brain. [Online]. Available from: https://hms.harvard.edu/news/screen-time-brain. [Accessed 11 Dec 2019]