Pierrette Richer, D.O.
Pierrette Richer, D.O.
My way to Osteopathy.
After suffering from intense migraines until the age of 39 due to a fall on the stairs to the basement 8 months after my birth. During my 9 year stay in England, I had the great privilege of being treated by Thomas Dummer D.O. who established the European College of Osteopathy at Maidstone in England. As a result of this specific treatment I have never had a migraine until today. After returning to Montreal, I studied and graduated in Osteopathy. Since then I practice here in New Brunswick.
- Founding member of the Association of Osteopaths of New Brunswick in 2003.
- President of the Association 2008 to 2016.
- In 2003 I started to go to Peru for Humanitarian missions treating families and children, as well as orphans in Arequipa.
- Ongoing training courses in Osteopathic techniques in Canada and the US.
- Specific training in endocranial spasms among other techniques.
- Treating people of all ages but passionate about children from birth to 16 years old.
WHO IS THE AONB?
The Association of Osteopaths of New Brunswick (AONB) is a not-for-profit organization founded in 2005 (Incorporated under the Companies Act #616834). It is the first organization to represent osteopaths who practice in New Brunswick. It groups together educated osteopaths who have received thorough training that meets world-wide training criteria. The AONB is an independent association that is not affiliated with any schools.
The AONB is committed to promote a safe and ethical practice of osteopathy in the province of New-Brunwsick. Our mission is to:
- Unite osteopaths who have graduated from different schools and who want to practice their art in the province of New Brunswick.
- Provide the public and patients with a reference framework. Protect the public and patients against the possibility of fraud or abuse.
- Represent osteopaths with insurance companies.
- Provide information about continuing education.
- Promote the quality, ethics, and dignity of osteopathy while respecting medical law.
- Encourage, help, stimulate, and inform all osteopathic practitioners to help them acquire what is essential to ethical practice.
- Create relationships with various professional and inter-professional associations on a provincial, national, or international level.
The AONB is the only provincial member of the Canadian Federation of Osteopaths (CFO). The Canadian Federation of Osteopaths (CFO) is the official national association for osteopaths. Its members are established provincial associations. For more information, please visit www.osteopathy.ca
CFO is also a partner of the Osteopathic International Alliance (OIA). The mission of the OIA is to encourage systems of education and regulation that will ensure high standards for safe and effective health care from osteopaths and osteopathic physicians. For more information, please visit oialliance.org.
The AONB requires that every member has completed a training that exceeds the criteria established by the World Health Organization (WHO) in the Benchmarks for Training in Osteopathy. You can consult this document here.
One important aspect of osteopathy education and training is the total amount of time in the program. The AONB requires a minimum of at least 4200 hours of training for every member, including at least 1000 additional hours for individuals who have no clinical training. Members of the AONB must also provide proof of continuing education on a regular basis.
There are many osteopathic schools all around the world, but the AONB does not recognize all of them. Because there is no legislation for the practice of osteopathy in New Brunswick, it is important to be vigilant when choosing your osteopath. Some therapist may use some osteopathic techniques or even pretend to be osteopath while their training is not considered safe and ethical by the AONB.
OSTEOPATHY REGULATION IN NB
The laws governing professional practice in Canada have provincial jurisdiction only. In New Brunswick, the Ministry does not recognize the profession of osteopath. At the federal level, the National Occupation Classification (NOC) lists osteopathy under code 3125 for “Other professional occupations in health diagnosing and treating.”
Since it has no legal power, the AONB must respect its mandate to protect the public by guaranteeing that its members are competent and qualified when they register with the AONB.
Osteopathy, like any health profession, involves risks of harm due to insufficient training and/or competency. For osteopaths who practice in New Brunswick, the creation of the AONB was necessary in order to guarantee the public and the public health care system that osteopathy will be practiced safely.
Extended health benefits paid by private health insurance companies, often include the services provided by osteopaths who are AONB members. Please contact your benefits administrator for information about your benefits coverage for the services of an osteopath who is an AONB member.
Osteopathy is a preventative and curative manual therapy that at its most basic level aims to optimise a person’s general health and function so that they may enjoy a better quality of life. With the aid of highly skilled sense of touch and mental map of human anatomy, an osteopathist performs a global evaluation to investigate the possible causes of neuro-musculoskeletal, visceral and cranial dysfunctions. Osteopathy seeks to conserve and improve the mobility, motility, and rhythms of all organic tissues of the human body, in order to favour homeostasis and the body’s autoregulatory capacities. It is as much of an art, that requires mastering precise palpation that is adapted to each patient and their state of health, a philosophy which incorporates a holistic approach, and a science that is built upon an understanding of human biology, anatomy, physiology, biomechanics, and their interrelationships.
HISTORY OF OSTEOPATHY
Osteopathy was founded in the United States in the tail end of the XIXth century by Andrew Taylor Still (1828-1917). His father, a medical doctor and Methodist preacher, mentored him in medicine, which Andrew would thus practice throughout his time as a soldier in the American Civil War. In this era, he would explore his interest in the anatomy through dissections of cadavers, allowing him to gain an advanced knowledge of anatomy.
In 1864, a portion of his family was decimated by a meningitis epidemic. The inability to save his own family with the aid of medicine catalysed deep skepticism of allopathic medicine. In 1874, Still moved to Kirksville, Missouri, to begin exploring and establishing the fundamental approach, concepts, and philosophies of osteopathy.
By 1892, graced by his initial therapeutic successes, he founded the first osteopathic college, the American School of Osteopathy in Kirksville, Missouri. In this establishment, he would dispense the first diploma of a doctorate in osteopathic medicine in 1897. To this day, Kirksville remains known as the “cradle of osteopathy”.
At the beginning of the XXth century, the practice of osteopathy was authorized everywhere in the states and would begin to make its way around the world.
The osteopathic procedure’s goal is to favour local, regional and global homeostasis by use of precise manual normalisation and adjustment techniques. These manual techniques are done with respect to the soft tissue, visceral and articular physiology of the patient
Structural osteopathy is applied to the musculoskeletal system using manipulative techniques. H. H. Fryette, who is considered the scientific father of these manipulations, that established the principle physiological laws of movement which served as the building blocs to structural techniques: the corrective movement applied must respect that of the articulation in normal conditions, one must never force an articulation.
The concept of the soft tissue osteopathic approach is to perceive and improve the mobility of all living tissue in the human body. With this approach comes an underlying concept that all trauma can leave an imprint or trace on the connective tissue (fascia), limiting their natural freedom of movement. The soft tissue mobilisation techniques aim to free the fascia of any hindrance and accumulated tensions.
Visceral osteopathy is the study of the physiological movements of the viscera so that one can appreciate and differentiate eventual perturbations. The entirety of the organs and viscera for a sort of suspended system, sheathed in an envelope known as the peritoneum, which its mobility depends (by a mechanical point of view) on the abdominal cavity walls, notably the thoracic diaphragm. This visceral mobility can be affected by adherence, visceral-spasms, ptosis and cause functional pathology. The manual techniques aim to remove such restrictions of mobility from the abdominal-pelvic cavity and prevent painful symptoms that are often not identified by conventional complementary examinations.
Developed by William G. Sutherland in the 1920s, cranial osteopathy is a treatment method that is inherently part of and works in conjunction with the general osteopathic approach. It is a fundamental approach that is part of an osteopath’s education and practice. Sutherland, a student of A. T. Still, proposed that the bones of the skull are functionally articulated and their movements respect precise axis. With precise palpation, the osteopath can locate zones of the cranial articulations with restricted mobility and act to release suture restrictions, intracranial and dura mater membranes and act on cerebrospinal fluid pressure, allowing a restoration of normal suture mobility. Because the continuity between the cranium and the sacrum is a fundamental concept of cranial osteopathy, the pelvis will also be investigated.
Cranial osteopathy treatments seek to alleviate and eliminate symptoms of headaches, burdens of the ENT region, congenital cranial deformations and torticollis of newborns, issues with sleep quality and some behavioural issues.
The mean amount of water present in the adult human body is 65Q%, reaching as far as 78% in babies. This approach in osteopathy focuses on the continuity between the different circulating liquids in the human body. Furthermore, the rhythmic motion perceived in the cerebral spinal fluid of the central nervous system is diffused in the entire body, independent of the arterial circulation. In fluid osteopathy, the concept of the body as a whole is preponderant. But the principal characteristic of this approach is that the osteopath does not use any technique to treat the patient: the osteopath is but a point of support for the fluid movements in the body of the patient. These fluid movements aid in normalising different structures of the body to their physiological position. However, the effectiveness of the approach depends solely on the patient remaining in a calm and neutral state.