I started my journey in physiotherapy after qualifying over 20 years ago. During that time I have covered almost all aspects of physiotherapy, including orthopaedics, women's health, plastics & burns, oncology, paediatrics, musculoskeletal etc.
Today I have narrowed my focus into pelvic health and sports and spinal injuries, treating acute and chronic presentations in recreational as well as professional athletes and often in performing arts professionals. My approach in understanding individual's presentation includes understanding the whole body, not just complaining symptoms and, the treatments may include as little as breathing exercises or as much as sports coaching and functional behavioral approaches. I use ultrasound in evaluating the pelvic health function and I observe my clients in action to understand when and why the body perhaps took too much toll. You will find me treating and coaching everywhere where my clients are performing and needing help, not only in a clinic room (clinic rooms are too small for jumping, running, weight lifting and not sound proof for singers and stage performers).
I'm also a clinical post graduate educator on pelvic health both in Switzerland and abroad as well as a Master Trainer for the Australian Physiotherapy and Pilates Institute (APPI) where I instruct professional physiotherapists on the use of pilates in rehabilitation and recovery programmes.
I'm an avid follower of the trends and developments in scientific research on physiotherapy and pelvic health, pieces of which I share here on this site. In 2018 I was delighted to be appointed Assistant Editor of the Journal of Pelvic, Obstetrics and Gynaecological Physiotherapy (POGP) which keeps me in touch with the forefront of academic research.
To date I've published a literature review "Is pelvic floor muscle training enhanced by supplementary transversus abdominis recruitment in the treatment of female urinary incontinence? A review of the evidence and reflection on current practices" in the Journal of Pelvic, Obstetrics and Gynaecological Physiotherapy, and a case study on return to high impact sport following Anterior Crucial Ligament (ACL) rupture in post-partum female. and several book reviews in the field of pelvic health "Intégration de la méthode Pilates modifiée dans la réadaptation d’une femme active et en post-partum, souffrant d’une lésion du LCA : étude de casIntegrating modified Pilates method in the rehabilitation of an active postpartum female with an ACL injury: A case study".
I enjoy reviewing reserach and am a peer-reviewer for few international journals and a book reviewer for both, professional material and patient publications.
In December 2022, I completed my studies and a research project at Brunel University, London - receiving MSc award in Advanced Clinical Practice in Pelvic Health.
I have more than 20 years´ experience supporting patients´ recovery from injuries and illness from the Imperial College group of hospitals (Chelsea and Westminster Hospital, Charing Cross Hospital, Hammersmith Hospital) and St George´s hospital in London and as a private practitioner in Switzerland. During that time I´ve provided physiotherapy support in women's health, orthopaedics & muskuloskeletal, burns & plastics, oncology, paediatrics, neurology, intense respiratory, cardio-thoracics as well as providing care in the community. Today, I provide my patients with international best practices from both the public and private sectors.
With my experience and passion for academic research, I carefully develop specialised and specific programmes that target the best possible rehabilitation outcomes for my patients. I work on both sides of the lake in Zurich and I am particularly interested in the following areas:
Pelvic, obstetric and gynaecological rehabilitation (especially incontinence, antenatal issues, post natal return to work and fitness, pelvic girdle pain, pelvic organ prolapse and pelvic pain)
Spinal rehabilitation (such as low back pain and scoliosis)
Using Pilates to support rehabilitation and strengthening, backed by the most up to date scientific research.
Pilates is just one form of training for the prevention and treatment of many musculoskeletal injuries. Pilates method has been modified and our practices changed over the last decades and today this approach is a real mix of neuromotor control approach and Pilates exercise repertoire. I often add a flavour of CrossFit spirit and add running movements or jumping to Pilates training to make it functional. And all this without continuously enagaging deep muscles, but rather tease their automatic response. Although Pilates is not a superior method in rehabilitation, research has demonstrated some positive results of different Pilates approaches in many areas that I cover, such as:
Antenatal preparation/postnatal rehabilitation
Spinal stabilization following an episode of low back pain, neck pain or in postural and structural scoliosis
Functional pelvic floor rehabilitation and treating incontinence