lunedì 30 aprile 2018

How does Manual Therapy treatment work:

Lymphatic Drainage Bristol 

What is Manual Lymphatic Drainage?

Lymphatic drainage is a highly specialised massage technique which is designed to achieve and maintain proper functioning of the lymph system. There are several different methods of lymphatic drainage – Chikly, Leduc, Casley-smith and the more frequently used and best known, Vodder.  

Romyna Menendez qualified physiotherapist and qualified in Vodder Manual Lymph Drainage (MLD) techniques. 

What it the lymph?

The lymphatic system is part of our immune system which helps to cope with infection by detoxifying and cleansing the body’s tissues. Lymph vessels rely upon hundreds of tiny muscular units called lymphangions which contract throughout the lymph vessels to help the flow of lymph fluid which allows the transport of substances such as proteins, toxins, hormones, fatty acids and immune cells to the lymph nodes, which process them. There are 400-700 nodes in the human body with nearly half of them located in the abdomen.
There are also many nodes located in the neck. The main groups of nodes are found in the major articulation folds of the body such as armpits and groin. Lymph nodes have the following functions:
removal of toxins and dead cells
concentration of the lymph fluid
filtration and purification of lymph fluid
producion of lymphocytes (immune cells).
Once it has passed through these nodes, the lymph fluid will then drain into the venous system and will be removed from the body as urine via the kidneys. If there is damage anywhere along the lymph system because of surgery or trauma, the circulation can stagnate resulting in an accumulation of fluids, proteins, cells and toxins.
Manual Lymph Drainage (MLD) –This became known in 1935 as a result of Dr Emil Vodder and his wife’s time in Cannes, France who were working as massage therapists. They had English patients who were recovering from persistent colds, whom they discovered had swollen lymph nodes in their necks. At that time massage therapists did not treat the lymphatic system, but Vodder treated the swollen nodes and the colds vanished. As a result, he developed MLD.
Lymphatic drainage is a careful and gentle technique. Lymphatic vessels are less than 1mm in diameter on average. As a result, lymphatic drainage must be performed slowly and gently although be strong enough to stretch the skin gently in the desired drainage direction but never compress the lymphatic vessels.
Benefits of Lymphatic Drainage

Lymphatic drainage can prove beneficial in a number of ways:
immune system stimulation
reduction in oedema (swelling)
regeneration of tissues (e.g., from burns and pre & post surgical scarring)
reduction of symptoms of chronic fatigue syndrome and fibromyalgia
pain relief
deep relaxation to aid insomnia, depression and stress,
treatment and control of lymphoedema
Lymphatic drainage for pre and post surgery
Lymphatic drainage can encourage tissue regeneration, so reducing the formation and severity of scars which can be unsightly and sometimes painful. Treatment can be as soon as 24 hrs after surgery, with consent from the doctor and no contra-indications. After surgery, lymphatic pathways will be distinctly different – studies show that it takes between seven and ten days for natural functioning of the lymphatic vessels to be re-established. Probably the most significant benefit of applying lymphatic drainage after surgery is to prevent or alleviate oedema or swelling. Swelling can cause pain and encourage infection.
Pre and post surgical applications of lymphatic drainage
Pre-surgery: 1-3 treatments recommended. Benefits may include:
preparation of tissue for surgery,
reduction in oedema and swelling- may allow surgery sooner,
stimulation of immune system,
Post-surgery: As soon as 24hrs after surgery. Benefits may include:
reduction in post-surgical oedema,
encourages lymphatic ‘re-routs’,
reduction in pain,
body tissue detoxification to help reverse build-up of toxins that are secondary to effects of medication,
fluid circulation stimulation,
immune system stimulation and prevention of post-surgical infections,
improvement in skin regeneration and wound healing to optimises the scarring process.
What are the results?
Postoperative lymphatic drainage can require between two and eight sessions. Good results in reduction of oedema will be noticed in the first 2 sessions, as long as there is no other untreated factor stimulating swelling. Lymphatic drainage can ease patient’s recovery from surgery and enhance overall health and wellbeing. 

You will be advised on your consultation as to the appropriate number of sessions that would suit you best.
MLD is particularly recommended for the following Surgery Procedures:
Breast Augmentation
Facial Surgery
Total knee and hip replacement 

If you have had treatments at the hospital and your doctor told you that you are ready for post surgical lymphedema treatments, please feel free to call me and schedule a consultation and appointment. When you come in for your appointment, you will want to bring/wear a sports bra, shorts, compression hose and/or sleeve. If you have any other questions you are welcome to ask me during your first consultation.
If you would like this service to go towards your insurance, I am a physiotherapist certified. 
Bristol and Cheltenham. 

sabato 7 marzo 2015

Romyna Menendez #physiotherapist #Bristol #NHS #Hospital


NIN: SR 382118C

04/2015  Physiotherapist, Emersons Green  Community NHS Hospital. Bristol, England

10/2014 Physiotherapist, Shepton Mallet Community NHS Hospital. England.

02/2014 Senior Physiotherapist, Practitioner Feldenkrais method® and touchpro method,  11, Regent Street Cheltenham.
02/2006 – 08/2013: Therapist at “Israelite  Hospital of Rome”  -Geriatric Department.
Diseases treated: Stroke, multiple sclerosis, Parkinson, osteoarthritis, cancer, cardiac and pulmonary diseases. Alzheimer, dementia, coordination and balance disorders, joint replacements,  hip fractures,  functional limitations related to mobility , orthopaedic or sports injuries. I worked with people individually and in groups, with exercises to improve a person’s coordination, muscles strength, flexibility, teaching them to exercise on their own. I worked with manual therapy to improve the person’s circulation and restore mobility. This therapy includes manipulation of the person, as well as massage and Lymphatic Drainage.  I used to work  with  other health care providers to coordinate the person’s care.
10/2011 – 04/2013: Therapist at “Villa clinica del Rosario” –Prof Giuseppe Costanzo.
Diseases treated: Pre-Post spine surgery, neck and lower back pain, hip and knee replacement.I worked with people individually, improving their movements with stretching and a range of motion exercises, pain-relief exercises, low impact aerobic conditioning and manipulation. I also worked in educating patients on the principles of stretching, proper posture and ergonomic principles to preserve the spine. Moreover, I taught them how to maintain new postures and prevent future re-occurrences.
06/2010 – 06/2011: Therapistat“Studio di Terapia Fisica e Riabilitazione Fonte”
Diseases treated: Pre-Post spine surgery, neck and lower back pain, hip and knee replacement, scoliosis in children.
I worked with people individually, using Electro therapy techniques including ultrasound, trans-cutaneous electrical nerve stimulation (TENS) and tecartherapy.
01/2005 – 02/2006: Therapistat “Studio di Terapia Fisica e Riabilitazione Lab delle Valli - Sanem Group”
Diseases treated: Pre-Post spine surgery, neck and lower back pain, hip and knee replacement, I worked with people individually, improving their movement by stretching and a range of motion exercises, pain-relief exercises, low impact aerobic conditioning, and manipulation. I also used Electrotherapy techniques including ultrasound, transcutaneous electrical nerve stimulation (TENS) and tecartherapy.

2-3 february 2015 Introduction to thermoplastic splinting, London, UK  Conducted by Nicola Goldsmith
15-16 march 2014 :  “touchpro ® UK :    Seated Acupressure Techniques. Course Instructor:  Alisdair Burcher
18-19 may 2013: “Schiena Libera” Prato, Florence. How to keep your back free of pain, conducted by Isabella Turino.
23 October 2010: Rehab Latarjet “Luci e ombre” Rome – Seraphicum Auditorium conducted by Dr. Di Giacomo
2009: Diploma of Lymphatic Drainage Manual “Vodder” method, finished in Rome conducted by Vittorio Becci, Israelite Hospital,  Rome.
2009: “Ossa Per la Vita” (bones for Life) the dynamics of the movement, is essential to stimulate the generation of bone tissue, with Isabella Turino in Prato Italy. (
2008: Ingenious Alternatives for specifics dysfunctions: Basic procedures efficient. Improvement course of Feldenkrais method conducted by Ruthy Alon in Florence Italy.
2005-2008: Posturology Feldenkrais Method, four Years, in Florence Italy, organized by the International Feldenkrais Federation, conducted by Ruthy Allon from Israel
2005: Shoulder impingement and instability pattern recognition and management in Rome conducted by Mark Jones
2003-2004: Postural Re-education Mézieres, two years, Scuola Cittone I e II Stage, Rome
2001-2004: Degree in Physical Therapy at “Universita Degli Studi La Sapienza”  II facoltà di Medicina Thesis in VERTEBRAE, Comparison of Different Therapeutic Approaches
1996-2001: High School Diploma at “Istituto Tecnico Statale di Edmondo de Amicis”  - Technician in Dental Prostheses.  Rome Italy.
Voluntary experience
2010 – 2012 Member of Very Special Arts Italy (VSA) Association promoting the inclusion of people with disabilities in the arts, education and culture around the world: Theater director assistent  (Reference Maria Luisa Sinibaldi)
Other competencies
Languages: native speaker of Spanish, extremely fluent in Italian, upper intermediate skills in English and basic language skills in French.
IT skills: proficient in Microsoft Office and internet

European driver licence

mercoledì 4 febbraio 2015

How to Correct Your Posture #Cheltenham #Bristol #physio

What is Posture?
Posture is the position in which you hold your body upright against gravity while standing, sitting or laying down. Good posture involves training the body to stand, walk, sit and lie in positions where the least strain is placed on supporting muscles and ligaments.
Good Posture makes you look great, feel more energetic and project confidence. It also helps prevent injury and reduce pain.
We all want good posture... but it can be so hard to achieve if you have poor posture. That's because acquiring good posture involves not only learning new movements and positions, but changing life-long habits as well.
How to Correct Your Posture
Just knowing how to correct your posture is not enough to achieve a change in your actual habit. Our body uses learnt motor patterns to perform everyday activities. When we sit, stand, walk or move - our body follows previously learnt motor patterns. If your body has learned to slouch - that's what it will do. 

Posture Assessment
The first step to discovering how to correct your posture is to have your posture type assessed. Your physiotherapist is an expert at posture assessment.

Your physiotherapist is the ideal health professional to identify your posture style and provide you with hands-on treatment, posture correction exercises and helpful home products for you to achieve great posture again! And… you're never too old to start. It just gets harder to change your old ways.

If you need posture correction advice, please contact your physiotherapist.