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The Art of Living Pain Free

A COMO CONVERSATION WITH PHYSIOTHERAPIST KIM KOSTERS

Wellness 5 minute read

Renowned physiotherapist Kim Kosters frequently shares her expertise at COMO hotels and resorts through our wellness collaborations with COMO Shambhala. She will be at COMO Laucala Island in Fiji for an Easter residency on pain management. By Racquel Narciso.

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Kim Kosters

Kim Kosters holds more than 15 years of experience in the wellness region, with a certification from the University of Applied Science in the Netherlands. Kosters specialises in physiotherapy, massages, alongside pilates and yoga classes, which is used in her treatments to help clients manage and reduce pain. After her residency at COMO Cocoa Island Maldives this February, her expertise will be available to guests staying at COMO Laucala Island, Fiji from March 24th to April 7th 2024. 

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DESCRIBE YOUR APPROACH TO PHYSIOTHERAPY AND HOW YOU ARE ABLE TO BE SO SUCCESSFUL WITH YOUR CLIENTS?

I pay attention to what the body is telling me when I first meet with a client. What is their breath doing? Are they tensing up? How is the body moving? These are all important questions I first oversee. Working with someone is like a dance, we have to work together, whether it’s function pain or a more complex pain. I try to guide people through what they’re feeling or where the pain is really coming from.

COULD YOU TELL US ABOUT A RECENT CLIENT WHO YOU WERE ABLE TO HELP YOU WITH YOUR APPROACH?

During a recent session, a guest came in with back pain, neck pain and headaches. My experience led me to suspect there might be an issue with the guest’s jaw. My suspicion was correct. You learn that the body is all connected by the fascia and nervous system, so pain in one area can be caused by an issue in another seemingly unrelated area.

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As we age, we believe in many more myths and stories about our bodies and our health. Are there any truths to these?

I think that if there is one myth I would love to debunk, it would be the old adage of ‘no pain, no gain’. I need to emphasise the importance of working with ‘good pain’ rather than pushing through discomfort. Sometimes we need to lean into the discomfort, however excessive pain and exercise spikes cortisol and adrenal levels that can lead to longer recovery times and increased injury risk. Even massages require the right amount of pressure. Some people want more pressure, but if the body is tensing up against that pressure, it will create more tension and not help you recover as fast as if we were working with that ‘good’ pain.

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A lot of the work done involves vagus nerve activation, would you let us know more about this and how you incorporate it.

The vagus nerve is the longest of the cranial nerves, playing a crucial role in the parasympathetic nervous system. This carries information between our brain and our internal organs, controlling the body’s response in rest and relaxation and our immune system. I stimulate this in my treatments by breathwork, such as humming. Humming creates a vibration that stimulates the vagus nerve in the throat and activates the parasympathetic nervous system, it gets you out of your fight and flight stress response. I also use guided meditation and massage to stimulate the vagus nerve.

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Aside from the vagus nerve activation, what is another technique you use frequently with guests?

The vagus nerve treatments allow every guest into a relaxing, almost meditative state where the body can focus on rest, healing and digestion. Apart from this I practise pranayama, an exercise which the yogis have been doing for ages and the western world is just catching up on this. It is very powerful, as just after two minutes, you can feel the mind slow down and calm down. You feel the tension in the body reduce. It’s a very beautiful feeling.

HOW DO YOU MAKE SURE CLIENTS CAN KEEP UP THEIR PROGRESS AFTER THEIR SESSIONS WITH YOU?

I ensure that after the one or two sessions the guests have on holiday that I equip them with tips that they can continue to do when they go back home. This means they benefit from long term health benefits after my sessions, not just immediate relief.

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Read the original comoclub article here. Kim Kosters will commence her pain management residency at COMO Laucaula Island between March 24th to April 7th 2024.