I look at the body as a whole

My work is not about treating the spot that hurts, but about understanding why it ended up hurting. Close attention to how posture, tissues, the nervous system and overall balance work together.

Posture is not about sitting up straight

In the morning one leg folds up in bed. At breakfast it tucks under the chair. On the train the knees draw together. At the desk one thigh crosses over the other. In the evening a leg ends up under the hip. Then comes the night, in the favourite position. Always on the same side.

None of these positions is bad, and sitting up straight has never relieved anyone. What counts is duration and repetition: weight taken on the same side, hours a day, ends up shaping what moves and what no longer does. I see you for forty-five minutes. Your sofa sees you for three hours an evening.

That is why I ask a lot of questions before I place my hands. A shoulder that has been pulling for six months almost always tells a story about ribs, about breathing, or about a side that quietly became the practical side for carrying, leaning and sleeping.

Where the nervous system comes in

The body does not pick its tensions at random. Under sustained strain it settles into a watchful posture: the breath rises and shortens, the jaw clenches, the shoulders stop coming back down. These adaptations are useful for a few days. Held for months, they become the pain itself.

I do not act on what is weighing on you, but on what your body has kept of it. And that is a great deal: in practice, it is almost always where the relief happens.

Where my scope ends

I work on the functional: mobility, tension, how you carry your weight. Not on disease. That limit is not a reservation I accept grudgingly, it is what makes the rest solid.

In practice: I treat no disease, I question no prescription, and I will never ask you to stop medical care. When what I find falls outside my scope, or when two or three sessions have changed nothing, I send you back to your doctor rather than adding appointments.

Deborah Serezo at the practice

What a session looks like

Five stages, always in this order. Nothing happens without you understanding why.

  1. 1ListeningWe take the time to understand what brings you here, your history, your background.
  2. 2AssessmentMobility testing, postural examination, locating the areas under tension.
  3. 3ExplanationI connect what I find to what you describe, and I explain it to you.
  4. 4TreatmentManual techniques adapted to you, never the same from one patient to the next.
  5. 5AdviceWhat you can do at home, and when you should see a doctor.

The full run of a session