Integrative Somatic Physiotherapy

Bridging the gap between the Body, the Nervous System, and Healing.

I help individuals with complex physical conditions—chronic pain, fatigue, and dysautonomia—as well as those experiencing emotional dysregulation manifesting as physical symptoms of a Fight, Flight, Freeze, or Fawn response. Together, we renegotiate your relationship with your nervous system to find a path back to resilience and ease.

Practice No. 0499277

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A Nervous System-Led Approach to Physical Health

Traditional physiotherapy often focuses solely on the structure—muscles, joints, and ligaments. While these are vital, your Autonomic Nervous System (ANS) is the conductor of this orchestra. When the nervous system is stuck in states of survival due to persistent stress or trauma, the body cannot effectively repair itself.

As a Somatic Experiencing (SEP™) Practitioner and Physiotherapist, my work is “Scientific Holism” in practice. I integrate the biological precision of clinical physiotherapy with the wisdom of somatic processing. We don’t just treat the symptom; we work with the physiological “felt-sense” to resolve the underlying dysregulation.

A Trauma-Informed, Person-Centered Approach

Healing happens when the body feels safe enough to let go. My practice is built on the pillars of trauma-informed care:

Safety & Regulation: We work within your “Window of Tolerance,” ensuring your system is never overwhelmed.
Collaborative Partnership: You are the expert on your body; I am your guide in navigating its signals.
Titration: We move in small, manageable steps to ensure lasting physiological change.
Empowerment: Shifting from “fixing” a problem to “renegotiating” how your nervous system responds to the world.

Supporting Young Nervous Systems

Children and adolescents often experience physical pain as a direct manifestation of nervous system overwhelm. I have a special interest in supporting neurodivergent children (Autism/ADHD) and those living with chronic conditions such as Juvenile Idiopathic Arthritis (JIA) or Amplified Musculoskeletal Pain (AMPS).

By focusing on interoception and gentle regulation, I help young patients:

Understand their body’s unique “language” and signals.
Manage sensory overwhelm that manifests as physical pain.
Build the resilience needed to navigate school transitions and social milestones.

"We are incredibly grateful for the impact Tracy has had on our daughter’s life. Our 12-year-old—who is on the autism spectrum—was experiencing significant overwhelm which often manifested as physical pain. Through Tracy’s thoughtful, compassionate approach, there has been a remarkable change... We unreservedly recommend Tracy to families seeking support."

Parent Review

Clinical Expertise for Complex Conditions

I specialize in conditions where the nervous system and physical body intersect:

Dysautonomia & POTS: Regulating the ANS to manage heart rate and systemic instability.
Chronic Pain & Hypermobility (hEDS): Using Somatic Experiencing to decrease the “threat response” in over-sensitized tissues.
ME/CFS & Long COVID: Pacing and titration to expand your “Window of Tolerance.”
Trauma-Stored Tension: Gently discharging survival energy that manifests as physical restriction.
Chronic musculoskeletal pain, headaches, “failed” surgeries: “Parts” work, combined with somatic experiencing and pain reprocessing & “re-wiring” of pain neural pathways.

Expert Care Rooted in Experience

With over 27 years of clinical experience, Tracy blends advanced medical training with deep somatic wisdom.

Beyond her clinical practice, Tracy is a board member for the Institute for Mindfulness in South Africa (IMISA) and a lecturer for the Train Pain Academy. She facilitates courses for health professionals on the intersection of mindfulness, pain, and fatigue neuroscience.

Credentials:
Somatic Experiencing Practitioner (SEP™)
MPhil Sports Physiotherapy (UCT)
HCPC Registered Physiotherapist (UK)
Certified Mindfulness Teacher (IMISA/Stellenbosch University)
Pain Practitioner (Train Pain Academy)

Conditions Treated

Conditions Treated:

• Persistent Pain Conditions, Headaches, IBS, Pelvic Pain Syndromes, Vaginismus
• Chronic Fatigue Syndrome, Long Covid, ME, Auto-Immune Disorders
• Dysautonomia, POTS, Connective Tissue Disorders, Ehlers Danlos
• Chronic back and neck pain, Rotator Cuff tears & pain, frozen shoulder, Tennis elbow, golfers elbow, Shoulder, elbow and wrist tendonitis, Post surgical back or neck persistent pain
• Chronic and repetitive sports injuries, Severs, Osgood Schlatters, Osteochondroses, hip dysplasia, bursitis, ITB, Patellofemoral pain syndrome, Shin Splints, Unresolved ankle sprains, Achilles Tendonoses, amongst other painful conditions
• Juvenile Idiopathic Arthritis, Osteoarthritis, Rheumatoid Arthritis, SLE, spondyloarthropathies
• Functional Neurological Disorders
• Any acute or recent injury or new painful condition

Fees:

Tracy is a registered service provider to all medical aids. She runs a cash practice which means that the client is responsible for their bill and can claim back from medical aid. Medical aid will pay around 60% of the bill, depending on the cover available. However, please do not hesitate to ask for financial support, or a student discount, should the fees prevent you from accessing help. Tracy will do her utmost to accommodate your needs, in a way that is acceptable to both parties.

For reviews and testimonials, please go to the Testimonial page as well as the Google Review Site for “Tracy Prowse Physiotherapist.”

Consultations: Online & In-Person

I offer global online consultations as well as in-person sessions at the following locations:

Constantia: The Gatehouse, Brommersvlei Rd (Monday – Friday)
Stellenbosch: Saturday Mornings
Online: Serving clients globally, including the UK (HCPC Registered)

Ready to begin?

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"I have been on an extraordinary journey of recovery with Tracy over the past few months. Her depth of knowledge and insight is beyond compare. I arrived with a wrist I could barely move and constant pain. Now, I am almost pain-free and avoided surgery. It's hard to fully capture the process in an online review, but I can confidently say that if you have chronic pain, booking an appointment with Tracy has the potential to be life-changing!"

Andi Norton, Stellenbosch

"Tracy helped me tremendously to find my way to recovery from CFS/Long Covid when I was really struggling and needed the help and guidance. She is warm, loving and supportive and gave the guidance and support I needed. She worked with me exactly where I was and gave me the space I needed to find my way. Truly grateful to have found her when I did and for the role that she played in my recovery."

Kyle, Langebaan

"My 12-year-old daughter was referred to Tracy by her rheumatologist to help her understand and manage her pain. Tracy was our 'Aha!' person after years of dealing with complicated pain issues. She simplifies and clearly explains concepts. From the first week, we saw a shift in my daughter's mindset - becoming proactive and positive about her pain. Tracy empowered her to take charge of her own experience. We are incredibly grateful."

Taryn, Cape Town

"Tracy is an incredibly empathetic therapist who is very adept at addressing current issues with empathy in the here and now. Despite only interacting through video calls, she manages to create an incredible sense of closeness. Working with Tracy has enabled me to improve my long COVID symptoms and gradually return to life, step by step."

Lena, Germany

Get in Touch

(+27) 083 408 8582
tracy@prowse.org

Visit Us

Mondays - Fridays: Online Consultations
Mondays, Wednesdays, Fridays: The Gatehouse, 91 Brommersvlei Rd, Constantia, Cape Town, 7806
Saturdays: 6 Krige Street, Stellenbosch, 7600

Open Hours

Mon., Wed. & Fri.: 9:00 - 18:00 (Constantia)
Sat.: 9:00 - 17:00 (Stellenbosch)