Joints and Articulations

Getting to my last course reminded me of the movie ‘planes, trains and automobiles’  Towards the last leg of my journey, I suddenly thought how mad I must be traveling such a distance for three charged days, and double back to resume my life as if that pause never happened.  However, it’s hard attending such a course with like minded people, learn amazing things, challenge my knowledge, skill and confidence and walk out the same.  Some courses are transformational, and this one most certainly was.  The distance, the location, the course content, meeting old and new colleagues are always part of the experience.

‘Manual articular lower extremities’ was a continuation of the upper limb course I attended earlier this year.
Precision is key in this cutting edge technique, listening to the body, and following through.


 An often deep and profound technique which differs from other methods of therapy, and isn’t a three times a week event, but once every few weeks to allow natural body adjustment and communication with the brain.


I specialized in knees 20 years ago when it was mandatory to be a specialist in something.  I remember asking my uncle who was a doctor as to which joint would be best to specialize in, and he with great conviction said not the knee as it was one of the most complex joints and rehab wasn’t very successful due to its complexity.
I took it upon myself to challenge science and decided to approach knee injuries through protocols, biomechanics, fitness and alternative therapies.


After many years in this field, and especially after this particular course,  I believe that there’s a huge gap between anatomy books and this kind of work,  perhaps university courses need to be revised.   It’s very hard to get my hands so finely tuned to realise that they can be refined more and more leaving a big question mark and gaps over the years.
The current techniques not only address the joint, capsule, synovial fluid, tendons, ligaments but arteries, veins, nerves, and fascia.  I can’t address tissues as just soft tissue because each has a function, even the ones sheared during surgery and deemed unimportant.


I’m going all the way with this method not to offer yet another therapy, but to have the tools for that occasional case that could walk into my clinic once a year.  To have the tools to assist in a smooth transition. This type of therapy has just launched my knowledge in anatomy and physiology to a new level and am truly humbled to the intricacy of this very sophisticated vehicle we call ‘the body’. It is much more than that!

Published by Rawya El Gammal

I started my career in my late teens as a group exercise instructor and PT, then found my calling as a Sports Therapist where I worked with sports injuries and post op cases in the UK and Egypt. I found that people who came in needed support on a multitude of levels other than just return to sport, so I pursued my passion in studying more. Trained as a holistic therapist, hypnotherapy, homeopathy, Australian Bush flowers, then went onto a long journey of training at the Upledger Institute in craniosacral therapy followed by the Barral Institute in Visceral, Neural and articular manipulation. Over the years I developed my own techniques of work, incorporating the array of studies into sessions. A client would come in with complaints ranging from injuries, to random headaches and I'd take the time during a consultation to listen to what they have to say. Then I'd spend the rest of the session listening and assessing the body through biomechanical assessments, joint, visceral, neural etc assessments, listening techniques and by the end of the consultation will discuss with you what my opinion is and options. We'll set up a plan that works for you and take it from there. My intention isn't to keep you coming forever, but to get you up and going as quickly as possible. In 2000 my masters was on meditation vs exercise on blood pressure. Meditation was one of the things I had incorporated in my daily life since I was in my mid 20's but by the time I had teens, the practice became a little bit of a challenge with all other demands of life. For a series of consecutive years I took my family to a mindfulness retreat, and started reviving that aspect of learning into our lives, went onto to study SER (somatic-emotional release) and it was applied through my manual work practice. 3 years ago, I enrolled in a three year SE course, I'm completing year 3 and am now incorporating the work into my practice which doesn't necessarily require manual work. As an addition to the titles I'm also a life/wellness coach and behaviour change in practice coach in fitness, I added a few more bows to my tie by studying CBT (cognitive behavioural therapy through the Achology institute), NLP and Heart Math. The combination of all the studies and 30+ years experience in being a therapist helps me help you even more.

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