Who I Work With Beyond the Stage

I’m a very lucky practitioner. I get to work with people across every walk of life: musicians and performers, yes, but also the 74-year-old woman who can’t walk without pain, the person rebuilding after cancer, the person recovering from surgery who thought they’d never move the same way again.

These are the clients who taught me something profound: the nervous system doesn’t care about your age or your diagnosis. It cares about whether it feels safe.

Take Julie. She came to me three months after an accident with severe hip pain. She couldn’t walk without support. Her doctors were already talking about hip replacement. And she was the one considering selling her house, installing an elevator, reshaping her entire life around the limitations.

When she looked at me, I could see the resignation. The acceptance of a new, smaller life.

But here’s what I knew: even if she eventually needed surgery, her body still needed to be strengthened. Her nervous system still needed to learn that movement was safe. That she was capable.

What I also knew was this: her mind was part of the problem. Fear was telling her story. Anxiety was writing her future. Her thoughts about what her body could no longer do were as much a barrier as the pain itself.

After two weeks of working together,  not pushing, not forcing, but gently reinstalling trust in her own body, her own mind and making lifestyle adjustments, she started walking again. The pain began to shift. But more importantly, her relationship with her body changed.

Months later, Julie wrote to me: “When I started with Hélène, I was considering selling my house. Now my legs work. I accept that my body requires maintenance. And Hélène makes that process inspiring, effective, and sustainable.”

This is the pattern I see across my practice.

The elderly client afraid of falling. The cancer survivor rebuilding identity and trust in a changed body and a changed mind. The post-surgery person waiting for pain that should have healed but hasn’t. The person with chronic pain that no scan can explain.

They all arrive with the same underlying question: Is my body still mine? Can I trust it again?

Sometimes, there are issues that I see need referral. But the answer, 90% of the time, is yes, But not because we fix them. Because I help them understand what their nervous system has been trying to protect them from, and how their mind is participating in that protection.

That’s where the real work begins.

What Working With Performing Artists Has Taught Me

My work has involves supporting classical and jazz musicians and performing artists across Canada and Europe. Depending on the individual and their needs, I also often work in coordination with physicians and other healthcare professionals as part of a broader care team.

Performing artists develop remarkable levels of discipline, focus, repetition, and commitment to their craft. They learn to perform under pressure, manage demanding schedules, and maintain a high level of consistency even when conditions are not ideal.

For many, travel schedules are exhausting. Time zone changes add further strain, sleep becomes fragmented. Some weeks, simply figuring out what day it is or which country you’re in, can feel like part of the job description. Routines that normally anchor the body become harder to maintain. Balancing performance, rehearsals, recovery, and personal life requires constant adaptation.

In many ways, this ability to adapt is one of their greatest strengths.

At the same time, I have noticed that the same capacity for adaptation can sometimes make it difficult to recognize when the body or nervous system has been carrying more than it can comfortably sustain.

Tension becomes normal. Fatigue becomes expected.

A constant background effort develops , often so familiar it no longer registers as unusual. Discomfort is managed, worked around, or pushed through in order to meet the demands of performance, rehearsal, travel, teaching, or daily practice.

Over time, these adjustments can become so familiar that they no longer stand out as separate concerns. They simply become part of how life and performance are experienced.

What I find particularly interesting is that many of these patterns are not unique to musicians.

I see similar adaptations in people living with chronic pain, ongoing stress, anxiety, caregiving responsibilities, and other forms of long-term demand.

The environment may be different, but the underlying process is often similar: the body and nervous system adapt in order to keep functioning, often without the person fully noticing how much has been normalized along the way.

For musicians, however, these patterns are often easier to observe because performance creates such a direct relationship between their body, attention, emotion, and nervous system.

For many performers, the body is not simply something they use. It is the instrument through which they express their craft.

Over time, this has become an important part of how I understand both performance and recovery.

What Chronic Pain Does to Identity and Daily Life

Over time, chronic pain does not only affect the body. It begins to influence how you move through daily life and how decisions are made moment to moment.

At first, these changes can feel subtle. How you plan your day, how you pace your energy, and how you interpret sensations in your body all begin to shift in response to your pain.

Gradually, life can become more cautious, more calculated, and more centred around managing what might happen next. Confidence can begin to change as trust in your body, and in yourself, slowly erodes over time through this constant adaptation.

For many of the people I work with, this process is already well established by the time they seek support. There is often a background experience of ongoing tension, fluctuating fatigue, heightened awareness of symptoms, and a reduced sense of ease or spontaneity in movement and in daily life. Frustration and fear often become part of the experience as well.

Because these changes happen gradually, they are not always recognized as symptoms in themselves, but rather as a general change in how life feels to live.

It becomes the new baseline.

From a nervous system perspective, this process makes sense. Your system learns from experience. When your body has been exposed to prolonged pain, stress, or overload, it begins to organize itself around protection and predictability.

As time passes, even the anticipation of movement or symptoms can begin to trigger protective responses, reinforcing cycles of tension, vigilance, and avoidance.

This is where chronic pain becomes more than a physical experience. It becomes a lived pattern of perception, behaviour, and internal expectation.

These adaptations, with time, can begin to feel less like responses to a situation, and more like part of an identity.

This is where my work begins to support change. We begin to redirect the process. Not by forcing change in your system -recovery is not about intensity- but by gently rebuilding capacity for movement, resetting your baseline of calm and trust.  Through small, consistent shifts which your system can gradually integrate.

This is where change often becomes sustainable.

Small shifts in regulation.

Small returns of ease.

Small experiences of expansion that begin to accumulate.

Trust, confidence, and a calmer relationship with your body can begin to return.

Many of my clients arrive feeling worn down by pain, nervous system overload, fatigue, anxiety, or a long-standing sense of disconnection from their body.

This work meets you exactly where you are.

Often, all that is needed is an openness to take the first small step.