Tracy Prowse

I am a Physiotherapist, Pain Practitioner, and certified Somatic Experiencing Practitioner (SEP™) with over 27 years of clinical experience. I specialize in bridging the gap between clinical neuroscience and body-based wisdom. My work centers on helping individuals navigate chronic pain, central sensitization, fatigue, dysautonomia, and the physical footprint of trauma and chronic stress. Whether you are struggling with persistent muscle tension, brain fog, digestive/gut distress, or finding yourself stuck in cycles of anxiety, fight/flight, or "freeze" responses, I offer an integrative space where your symptoms are understood through the lens of a sensitized nervous system. My Approach: Scientific Holism & Nervous System Regulation I describe my practice as Scientific Holism—combining the biological precision of evidence-based physiotherapy and pain neuroscience with the deep, restorative work of Somatic Experiencing. When we experience long-term stress, conflict, or trauma, our nervous system can become stuck in high-alert "alarm" states. Over time, this physical bracing turns into chronic pain, dysregulated sleep, fatigue, or a sense of feeling disconnected from your own body. Trying to "think" or talk your way out of these physical symptoms often feels like pushing uphill. My approach works from the bottom-up: * Safety & The Window of Tolerance: Healing cannot happen in an environment of overwhelm. We work gently within your "window of tolerance," using micro-steps (titration) to build nervous system capacity without pushing you into distress. * Body-Based Cueing & Resourcing: I teach practical, real-world somatic tools—from postural anchors and breath practices to interoceptive tracking—that send immediate "safety signals" to your brain to discharge stored survival energy. * Pain Reprocessing & Neuroscience: Using clinical tools like the Central Sensitization Inventory (CSI) and Pain Reprocessing principles, we untangle the brain's threat-response loops, shifting your tissues out of chronic protection mode. * Reclaiming Your Space: Beyond symptom relief, somatic work is about helping you reconnect with your body, set healthy boundaries, and step into your full physical presence with confidence. Specialized Focus Areas * Chronic Pain & Central Sensitization: Fibromyalgia, chronic neck/back pain, hypermobility/hEDS, and tension-based pain. * Dysautonomia & Complex Conditions: POTS, Chronic Fatigue Syndrome (ME/CFS), Long COVID, and digestive dysregulation. * Trauma-Stored Tension & Anxiety: Releasing locked "fight, flight, freeze, or fawn" responses, conflict-avoidance patterns, and somatic anxiety. * Neurodivergent & Young Systems: Supporting neurodivergent individuals (Autism/ADHD) and young patients in developing interoception and gentle self-regulation. How We Work Together In our sessions, you will find a warm, empathetic, and highly collaborative environment. You are the ultimate expert on your own live experience; my role is to serve as your skilled guide, helping you translate what your nervous system and body are communicating. I offer in-person consultations at my serene practice spaces in Constantia (The Gatehouse) and Stellenbosch, as well as global online consultations. Together, we work to move your system out of "survival mode" and back into a state of regulation, ease, and vital living.

• BSc (Physio)Hons
• Masters in Sports Physiotherapy
• Somatic Experiencing Practitioner®
• Post Grad Cert Pain Interventions
• Certification in Mindfulness Based Interventions