Unfortunately I can't do pregnancy massage anymore, I used to love it! I love working with pregnant women so I now use facial reflexology which can help with symptoms and preparation for birth, and also facial massage to relax the facial muscles, especially around the mouth and jaw, as the mouth has an associated correspondence to the "birthing organs". So it's always good to remember that relaxing the mouth helps to prepare for birth!

Years ago, after my wonderful natural home birth experience, I wanted to share some of the tools I had used to prepare myself and my body for the birth of my baby in the smoother way possible, stretching to avoid tears. My daughter Desta flew out like a super hero, with her arm outstretched and so the midwives were expecting a bad tear. To their surprise, they found my body intact and immediately asked me: "Did you do perineal massage?". Of course I did! I mastered it! And in view of its benefits I had decided to share this knowledge and skill with as many women as possible. After all, it's not really something that they teach us, as they are so used to performing a rather painful episiotomy that scars us for life. 

Antenatal Perineal massage
Perineal self-massage is very important to prepare for birth. We can avoid perineal tear and unnecessary episiotomy.   Perineal massage helps you to know your body and prepare you for the feeling of pressure and stretching that you may experience as your baby is being born. It will help you to relax and take active part in the birth of your child with increased body awareness. It can help easing pain during crowning: can ease the "ring of fire" so often experienced while baby's head is emerging. It helps to gradually soften and stretch the perineum, ready for birth. It can promote closeness between you and your partner.  

Veronica offer guidance in a easy to read, instructive e-booklet and a Perineal Massage Oil (order one directly with Veronica).
download Veronica's FREE E-BOOKLET Perineal Massage in Pregnancy for a smooth birth

Stepping into pregnancy here for the first time and I am being met with both the excitement and joy of new life and also all the different changes that are taking place in my body. Each day more or less comes with new experiences and I never really know what will come along. Glad I have my yoga practice to lean on and doing my best to take it breath by breath. 

Up to now I felt changes and pressure in my sacrum, chest, back (especially my upper back) and that tiredness that just keeps on coming. I haven't had any morning sickness which I am grateful for and have been doing my best to give myself the rest I need. I started to also change my working schedule so it is more sustainable during this time. On top of that I have been doing what I can to make sure I continue to give to myself what I give to others, because when there are so many changes happening, sometimes our good habits can fall apart. So I really had to make sure I got myself to those regular Cranio-sacral treatments cause the tiredness at times tried to convince me otherwise. Once I found myself in those sessions it just helped me tremendously. The pressure I can feel in the sacrum has a chance to be released, as well as the pressure in my upper back & chest and it just gives me some more room and space within my own body again. It has been such a relief to be taken care of and have a space where I can just be in. 

After the treatments here during pregnancy, especially after the one when I had a little longer time in between them, I just really wished that every pregnant woman could have the chance to get this support and space to be in. To help the body and systems in this way has just felt for me like such a freedom and gives me the chance to just be able to enjoy this journey of pregnancy more. Since the pregnancy is ongoing, more regular treatment just seems to be the way that works best for me, so that is what I keep on aiming for now. 

On top of treatments, I also want to learn as much as I can about this new chapter of my life. Especially when we live in a world that can so easily focus on the negative and so much drama. So for me during pregnancy it is so important to surround myself with doulas and birth educators that have a healthy, happier and natural view on it all. The more I do and the more I learn this way, it just gives me the ability to enjoy and look forward to both this pregnancy and also for the birth of my child. So far I have been blessed with hearing and seeing so many powerful birth stories that just uplift my heart in the best way. 

One of the books that has been really helpful for me is Natalie Meddings book How To Have A Baby and you can find it here: https://www.nataliemeddings.com/shop/p/books/how-to-have-a-baby I am also so glad that I get to have Natalie as my doula as well.

Another wonderful soul that I haven been drawn to is a woman by the name Bridget Teyler, who is a doula and birth educator in the US. She has a lot of free offerings online, which you can find here: https://www.youtube.com/@BridgetTeyler/videos. She also has a wonderful program you can join and have the chance to step into the possibility to learn even more and get to love your birth. Click here to check it out: https://www.builttobirth.com/ This is the program I joined and it has helped me a lot. 

During my journey of this pregnancy I have tried to do my best to bring in those tools that support me and that allows me to relax and enjoy. I can only assume if you are still reading this, you might be pregnant too. So asking yourself what support can you bring in right now? Are there treatments that can really help you? How often do you need them? How much rest do you need? Checking in also on what kind of souls allows you to be in this state during pregnancy of confidence and relaxation? And make sure to bring those in! 

Ups and downs are often unavoidable in pregnancy as well as in life and hormonal shifts, emotional fluctuations and physical discomforts can be part of the journey for you and your baby. I really recommend, wherever you can, making choices to treat yourself in the best way possible and bring in any support that makes you feel empowered to give you a chance to enjoy any moments you can on this precious journey. 

I turned 60 recently and was very excited to receive my wonderful London Oyster card and find out that I now qualify for free prescriptions but wanted to find out what other positives there are about reaching this milestone and while searching the internet was informed that it is a time of ‘celebration of resilience, wisdom and possibility’.                                                                              
 
As far as resilience and wisdom go this may be true, as by this age, we have had decades of experience dealing with sometimes challenging situations that we have hopefully managed to overcome.
 
Possibility however, will really depend on our financial security and physical ability. If we are fortunate to have a mortgage-free home, a good pension and with that, some spare cash, we can happily embrace a work-free future and spend more of our leisure time on hobbies, holidays and fitness. Ah yes. Fitness. This is the most important thing of all, as without it, possibilities may be limited.
 
From the age of 30 our bodies start to change. We start to lose lean tissue, muscles start to atrophy (3-5% per decade) and we see an increase in fat. Bones may start to weaken, skin starts to thin, joints start to stiffen and we start to lose height as the discs in our spine begin to dry out.
 
So what can we do about it?

I see a lot of clients who are over 60 and I am pleased to say that the majority of them have realised that they need to take their physical health more seriously.
 
According to current figures the average life expectancy is 81 for women and 79 for men (longer in more affluent areas) so when we turn 60, we can expect to live for another 20-30 years. Therefore we need to be able to move, have balance and be strong. Now is the time (if we haven’t already) to implement changes to save our bodies.
 
Fitness doesn’t have to be an expensive business.

• Walking. Walking is free, good for you and if you join a hiking or rambling club, also sociable.

https://www.ramblers.org.uk/go-walking/ramblers-groups/south-bank-group

• Running. No equipment needed apart from a pair of running trainers, love of the outdoors and some will power!

If you would like to start running and would like a very friendly beginners course, the Dulwich Park Runners run two courses a year in March and September. Members receive a 10% discount on Sports Massage at West Norwood Therapies.
https://www.dulwichparkrunners.co.uk/

• For something a little more challenging, why not look at Windrush Triathlon Club

Where you can run, cycle and swim with a friendly, encouraging bunch. They run weekly training sessions and also get a 10% discount at West Norwood Therapies.
https://windrushtri.co.uk/

• Cycling. A fantastic and inexpensive way to keep fit as you can always pick up a fairly decent second hand bike or borrow one from a friend if it’s for an occasional ride. Take a look at this website if you don’t know where to start.

https://tfl.gov.uk/modes/cycling/cycle-skills

• Gym. Join the local council gym who have vastly reduced swimming sessions, exercise classes, and gym access. Active Lambeth offers a 15% discount to over 60’s (£43.85 per month) while Better offer a discount from age 66. If you are unstable on your feet, Active Lambeth offers a couple of chair-based exercise classes and aqua aerobics.

 
If you can afford it, I would really recommend finding a Personal Trainer and seeing them twice a week. If only once, ask them to design a simple exercise programme that you can either do at home or in the gym (with a few bands or hand weights) a couple of times per week.
 
If you think you can’t, look for concessionary seniors classes connected to local libraries, hospitals and community centres.

• Swimming. Have a few swimming lessons if you need them and then take yourself to the local pool or to one of London’s fabulous lidos.

 

• Pilates. If you book a block it can be cheaper and you will be going regularly so it is worth the investment. I would suggest that if you are new to Pilates, you choose a mat class rather than a reformer class. The reason being, if you have a weak core, you will learn the foundations of how to engage and strengthen it in a mat class. Whereas, the reformer equipment moves on springs and if you have little core strength to start with, this can be challenging and occasionally dangerous (you could fall off).

It is a good idea to find out the qualifications of a practitioner. At least a Level 4 in mat and reformer.

• Yoga.  Again check the qualification of the instructor. Do some taster classes to find out what kind of yoga is for you as there are many types. Yin (more stretching) to Vinyasa Flow (faster moving) and others in between.

 
N:B if you have been diagnosed with, or suspect you may have, hypermobility please inform your teacher as it is very easy to over-stretch tendons and end up with injuries.
 
Class Pass gives access to many different classes from gym to yoga and a two week trial costs £1. https://classpass.com/walkthrough/getclasspass

• Walking Football and Walking Netball

Great for those who are new to the sports or have previously played but are returning from injury or want something less stressful on the joints.
There are a few teams in South London
https://thewfa.co.uk/directory/pride-of-lions/
https://www.englandnetball.co.uk/play/walking-netball/

• Tennis, Padel and Pickle Ball

All of these court based sports are a lot of fun but can be expensive (padel for sure). And, if you are a beginner, it is very easy to get over enthusiastic and play too often.
Although they are wonderful fun and great for aerobic fitness, they can cause knee, hip and shoulder issues as there is a lot of ‘stop/start’ movement which puts stress on the joints.
https://www.lta.org.uk/support-centre/competing/competing-in-padel/what-is-the-gb-seniors-padel-tour-and-how-can-i-enter/
 
By keeping strong we will have increased mobility and energy to really benefit from the free oyster card travel to galleries, museums, parks across London, visiting friends and family and trying different exercise classes. AND greatly reduced the need for those free prescriptions.
 
Tessa Glover
Clinical Sport and Remedial Massage Therapy
ISRM/BTEC (Level 5) Professional Diploma
07966 473738

I love having a variety of different tools in my 'life toolkit' and these are my favourite go to tools!  As I was writing them down it made me realise who the vast majority of them are for down-regulating my nervous system.  Sometimes my practices as higher energy, activating and releasing but more often than not they help me to balance the fast pace of juggling a busy London life 😆

Movement & Music - both of these, without fail, help me come back into my body and ground me.  Whether it's soothing music and yin yoga, something more uptempo and Vinyasa yoga or resistance training or an all out disco for one and shaking my tail feathers, EVERYTHING feels better afterwards!

Nature - plugging into Mother Earth always soothes my soul and settles my mind and nervous system 💚 I feel really grateful I live near a beautiful forest.   I love seeing the seasonal changes and how the little buds are starting to peek through now!  My go to 'happy place' is always the sea 💙. I can happily while away hours watching and listening to the sound of waves and contemplating the vastness of the oceans.
 
Pranayama & Breathwork - a topic I could talk about for days!  It's our most accessible 'tool' that has the quickest impact on our nervous system and it's totally free!!!  I regularly check in with how I'm breathing and where I'm breathing into.  I often catch myself when I'm in a stressful moment and take a moment to reset my breathing and take a long slow breath.   Here is a breathing meditation I shared a few years ago that always helps me.
https://youtu.be/Z00E7bFmua0?si=44XQPprHUwPUHJfm
 
Meditation - my main practice is Vipasanna but I also love Yoga Nidra and listen to a variety of wonderful teachers.  This particular Yoga Nidra is one I am currently recommending to my clients and friends as I find I always feel so present and calm afterwards. 
https://insig.ht/iyHo2EndERb
 
Journaling - The Morning Pages is a practice I come back to time and time again.  I was introduced  to this journaling practice via a yoga teacher mentoring program many years ago and found it to be a real game changer.   It helps clear the mental chatter and clutter and I notice improved mental clarity and feel much more spacious and clear.
 

How can Tai chi help to build resilience and confidence?
 
As a therapist of the Eastern arts, I have come across many modalities that help people grow, become more confident, resilient and overall content with their life.

I am generally fascinated by both psychology, medicine and eastern philosophy. Yet, what I would call the most powerful tool in my toolbox would -hands down- be Tai chi.
 
It is a martial art that goes way beyond the martial and directly creates a reflective experience where healthy resilience naturally grows.
 
Resilience is the fruit of effort. The work resulting in mental, physical and emotional strength and pliability, leading to self-confidence.
 
One of the fundamental aspects of Tai chi is the engagement of the mind within the body.
 
So how does it help us build resilience?
 
When you practice the art, you are asked to leave all other thoughts and feelings behind. Instead, allow the mind to saturate into the flesh. This develops mindfulness of the body.
 
When you go through the practice of body opening/loosening, it requires sustained mental effort to meet your discomfort. To look compassionately and intimately towards your own limits. Maintaining awareness and acceptance. This develops mental fortitude.
 
During the standing meditations, you first of all create a structure which you must hold for a period of time. Within this structure you relax and release the muscles, thus your habitual tensions. You experience sensations and connections that you have never felt before. This creates a change in your perception and gently pulls you out of your general one-sided thinking. Opening the mind and body.
 
In both seated and standing meditation, you work on maintaining your focus in one physical/energetic location. This develops attention and one pointed focus.
 
Whilst practicing the form/moves, your brain will keep shouting and shaming you for not doing it correctly. You are forced to face your critical self and develop a new, compassionate relation with it. This develops your character, balance and coordination.
 
The constant effort to maintain awareness in the body, whilst experiencing a multitude of sensations, both pleasant and unpleasant, builds a doorway to your nervous system, which you have control over once you have developed enough awareness
 
You can choose to fight it, flee from it or simply accept it for what it is. This builds direct resilience in the nervous system.
 
You see, it is very difficult to get through life without resilience.
 
But we are so lucky to have a tool (and I am sure there are others out there as well) which builds:
 
- the strength and resilience of mind,
- the fortitude and flexibility of the body,
- the stillness and openness of the heart
 
Whilst also balancing our energetic body and the nervous system.
 
Furthermore, throughout the partner drills we also have the opportunity to work on how we relate to one another. How we respond to the touch, emotions and thoughts of others. This is a big part of developing resilience.
 
Thus, we become strong and kind towards our internal and external environments. This is true resilience.
 
Maybe now you can understand why my passion lies so deep in this art.. :)
 
Looking to build resilience into your life?
I am currently running 2 beginner friendly courses in Crystal Palace:
 
Mondays: 18:30 – 19:30
Tuesdays 18:00-19:00
 
- Small groups of around 8-10 people
- Hands on corrections
- Always welcome to ask questions
 
Investment: £12.50 per class
Location: Kin Wellbeing studio and Crystal Palace Osteopaths

Excited to try something new to change and/or grow resilience in your life?
 
Please email me at
[email protected]
Or WhatsApp me on:
07308889603
 
Looking forward to meeting many of you at class,
Miha

With AI swooping in to take over many jobs and roles I feel lucky to be confident that there is nothing that compares – or could compare – to the interpersonal connection and physical contact of a massage. The relationship with your therapist is part of this, a person you share with and ask for help – this can be a vulnerable and fairly intimate action, especially when it is followed by undressing! You place your trust in the therapist and the therapist – good ones anyway – will respond by basing their massage on the information you gave them and the feedback you give them through the treatment, from direct questions about the pressure to intuitive sensing of where you are holding tension that you are not even aware of.

This relationship may be a one off or it may be one that lasts over many weeks, months and years. I have left massage sessions feeling enlivened, enthused, exhausted, delighted, excited, understood, supported, connected, soothed and sometimes pummelled 😊 Sometimes I am sore, sometimes I feel like I’m hungover the next day or two, sometimes I feel like I could run like a gazelle and sometimes like I could sleep for a week. I always get something from the session, often disproportionate to the hour that I spent having it. I learn about my body, I enjoy some rapport with some therapists and rare silence with others.
I will never stop getting massages from a good therapist and I am looking forward to getting back to the privileged position of giving them next year after a long hiatus having children and relocating.

In between massages I crave more and I also sometimes have to go longer periods between them when funds and/or time are tight so I have built up an array of things to see me through. I can do some self massage of course and often do on my forearms especially, but I often just wish it was someone else's hands and prefer to use tools, especially for getting into trickier to reach spots. These are my favourites (and links are just to show where I bought them, no affiliations!):

And now in getting the links from this blog I've spotted a foot massager so my birthday money might have a new purpose...that's one for next time!
Happy massaging!

I thought to share a few stories from my clinic so you can have a better understanding of what Acupuncture can help with. As well as to provide a gentle introduction to how it works.
Relief for constipation and other bowel issues is a remarkable and frequent outcome of such treatments.

Over the years I am starting to figure out that the body is truly amazing. It really is a wonderful ‘machinery’ that often needs only a little nudge in order to recover. As long as one has sufficient vital substances – Blood, Qi and Essence (talk about those in a later post) – it will recover rather quickly.

When it comes to treating bowel issues such as constipation, diarrhoea, inflammation and such Acupuncture can have a quick reliving effect – whilst it may take longer to re-establish proper internal harmony in case of chronic conditions.
One of my clients came to me recently complaining about the inability to empty their bowels properly for almost a week. Although their main complaint was different, something like this can often be incorporated into the treatment.
I used a combination of 2 points located on the Stomach channel, whilst other points were used to support the underlying conditions.

The acu-point, Stomach 37 was needled and gently stimulated. This is a point which has a strong effect on the bowels through the connection of the digestive organs of the Stomach and the Large Intestine, which is mainly responsible for the appropriate elimination and further absorption of nutrients.
As you can read in the other article -click on the link above-, it is also a majorly useful point to generally assist IBS and it’s related symptoms.

I also used acupressure on Stomach 25 which has been observed to have a very strong effect on the Intestines. Via the aforementioned connection, this point is able to strengthen and enhance the natural function of the Stomach and Spleen, which is responsible for the transportaion and transformation of nutrients.

Although I worked fairly gently on these points, the client reported having a ‘big clear-out’ the same day.
Of course, no 2 people have the exact same needs. The beauty of Chinese Medicine lies in its ability to show what needs to be done for the person in front of us in that given moment.
Sometimes the body only needs a few gentle yet precise inputs in order to start making steps towards equilibrium.

It’s summer (hurrah!) and this season’s theme at West Norwood Therapies is water.  I have been exploring water and the human body and why hydration is so critical.
 
Water is essential for life and for our bodies to function optimally.  On average water makes up around 60% of body weight in men and 50-55% in women (this can vary depending on age and body composition).
 
Drinking enough water each day is essential for the function of all the cells in the body, it helps us to: regulate body temperature, keep eyes and joints lubricated, helping to rid waste and transport nutrients, helps convert food into energy, protects the nervous system, prevents infection, and keeps organs functioning properly.
 
Some organs contain much more water than others and I found it staggering to learn that the brain and kidneys possess the highest percentage of water: a whopping 80-85%, followed by the heart and lungs 75-80%, muscles, the liver and skin are 70-75%, blood is 50%, bones are 20-25% and lastly teeth at 8-10%.   This helps to put into context how dehydration can have so many symptoms and consequences.
 
The current UK recommendation is to drink 6-8 glasses of fluid per day, more specific recommendations about the quantity needed at different ages are shown below:
(provided by the European Food Safety Authority (EFSA):

The EFSA assume that 20% of fluid intake comes from food and 80% comes from drinks.
It is also important to note that doing strenuous activity or living in hotter or more humid climates may need more than the above.
 
The body works hard to find balance and drinking too little or too much water can have severe consequences.  The warning signs of dehydration include:

• Feeling thirsty or lightheaded
• A dry mouth
• Headache, delirium
• Tiredness (fatigue)
• Having dark coloured, strong-smelling urine
• Passing urine less often than usual (less than 3 or 4 times a day)
• High heart rate and low blood pressure
• Muscle cramps
• Constipation

 
As mentioned above the brain contains 85% water, dehydration can also impact on cognitive function with difficulty in concentrating, impacting mood making us prone to feeling angry, anxious, and irritated.
 
It’s important to note that on the flip side at the extreme end of consuming too much water, can lead to hyponatraemia, a very serious condition that causes extremely low sodium levels in the blood.
 
It is more common for people to suffer with the symptoms of dehydration.
 
The best way to avoid dehydration is to keep track of how much fluid you drink and drink water throughout the day.  It’s ideal to avoid excessive caffeine drinks as they have a diuretic effect on the body, as does alcohol.  Of course, I am not staying to cut them out but to just be mindful of intake and ensure you’re having an adequate water intake too.
 
If you have been unwell with a fever or diarrhoea, playing sports or have been sweating a lot in high temperatures: drinking coconut water or a sports drink or rehydration drink can help to replenish your electrolytes and essential salts and minerals.
 
Swap sugary drinks for sugar-free or no added sugar and dilute squash drinks to reduce the sugar content.
 
If you don’t like the taste of water you can try sparkling water or try adding a slice of lemon or lime, some berries or cucumber.

At a recent party on a chilly evening in the garden I asked a friend in a strappy dress if she was warm enough, she lightly replied “Oh, yes, I have my own personal weather system”. Made me chuckle but menopause is no laughing matter. Some women sail through but for others the symptoms can be unbearable and debilitating and can take a huge toll on just about every aspect of life.  It can be a time when women feel at a loss with the changes that are happening to them, bewildered by them.  Getting the balance between seeing them as a medical issue and a transformative time of adjustment can be helpful in easing women through this phase of life with greater serenity and joy, with a combined approach offering great benefits.
 
Among the most common symptoms are hot flushes, night sweats, mood changes, tiredness, vaginal discomfort, loss of libido and brain fog, but it affects women very differently and you may experience a range of other physical, mental and emotional symptoms. They can start as women enter the perimenopausal phase, often in their mid 40s, sometimes earlier, usually but not always accompanied by changes in their menstrual cycle.
 
From a medical perspective getting diagnosed is the first step to understanding the changes you are going through and finding solutions that suit you, including HRT.  The options can be simple with far reaching benefits. Finding the right choices for you will not only help you to feel better but importantly also help to protect your future health, particularly cardiovascular and bone health.
 
From a lifestyle perspective nutrition, exercise, sleep, relaxation and strong social and emotional connections provide the foundations for your wellbeing, regardless of whether or not you take HRT. Acupuncture can also play a supportive role in helping women ease through the transition, connecting mind with body, with proven benefits for some of the associated symptoms including hot flushes, low mood and anxiety, poor sleep, aches and pain.
 
I have included a link to a resource with a wealth of info at the end, including medical, lifestyle, social and political info. Now, for an overview of exercise and then a brief focus on swimming, our topic for this summer newsletter, in relation to menopause.
 
Exercise
From perimenopause onwards physical activity can help to prevent muscle loss which occurs naturally as we age, support a healthy weight reducing the risk of chronic disease and improve cardiovascular, respiratory and bone health. Exercise will build strength, support the joints and alleviate the aches and pain, and the mood enhancing benefits of exercise can help in the way we perceive pain. Additionally, it can help with sleep and generally help you to feel better. If you have specific health issues that limit your activity then seek appropriate advice and support.
 
As a guide try to get about 30 minutes of moderate exercise 5 times a week but if you are new to exercise then start light with 10 mins a day and build up gradually.
 
Aim for a combination of exercise each week:

• Aerobic exercises for cardio (dancing, brisk or up-hill walking, jogging, cycling, swimming, water aerobics, tennis, climbing stairs)
• Strengthening exercises for muscles, bones and joints (weight machines, rowing machine, hand-held weights, resistance bands or body weight exercises like yoga, pilates, squats, lunges and press ups).
• Stability and balance exercises (yoga, tai chi and pilates, sitting on an exercise ball, standing on one leg)
• Stretching exercises to maintain flexibility of joints and fascia, maintain range of motion, improve posture and reduce pain (yoga, tai chi and pilates).

Cold water swimming is anecdotally very helpful to relieve hot flushes and some of the other symptoms of menopause.  It has proven stress relieving and anxiety reducing benefits which can last for several days, and also helps immunity.  We are fortunate to have Tooting and Brockwell Park lidos on our doorstep. During the winter especially, they are places with a strong sense of community and camaraderie. If you intend to swim into the winter months then start swimming during the warmer summer and autumn months so that you can gradually acclimatise. As the temperatures cool check out the cold water swimming guides so that you adjust safely and do not overdo your exposure to the cold.

More Information
If you are seeking more information the Balance-Menopause website, set up by menopause specialist Dr Louise Newson, is a good place to start for understanding more about the perimenopause  and menopause and finding support, with an app to track symptoms if you wish.  Their mission is to make menopause support inclusive and accessible to everyone globally, with some extremely useful free resources. If you have symptoms then seek out a menopause trained specialist to confirm diagnosis and guide you through treatment choices - HRT, alternative options and lifestyle advice all have a role to play.