IT Autumn 2021

i n t e r n at i o n a l

The leading magazine for professional therapists

Autumn 2021

fht.org.uk

Issue 138

Ruck and Tumble Supporting clients with rugby injuries

Autumn 2021

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Taking your business online - the essentials Aromatherapy for the long haul - supporting clients with symptoms of long COVID International therapist 1

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Autumn 2021

Contents i n t e r n at i o n a l

The leading magazine for professional therapists

Autumn 2021

fht.org.uk

Issue 138

Inside...

38

Autumn 2021

21

Ruck and Tumble Supporting clients with rugby injuries

Autumn 2021

+

Taking your business online - the essentials Aromatherapy for the long haul - supporting clients with symptoms of long COVID International therapist 1

Cover feature Ruck and tumble

34

Features

14

Ruck and tumble Sarah Catlow and Dr Lance Doggart look at common injuries in Rugby League

20

An interview with...

Monica Price, FHT's new Chief Executive Director, who talks about her professional background, her work during COVID and aims for the future

22

Aromatherapy for the long haul Kate Mulliss, MFHT, looks at how essential oils can help to support clients with symptoms of long COVID

28

Taking care of you Three therapy experts share different tips and techniques to help you take good care of yourself

34

Going online – the essentials 2021 FHT Virtual Congress speaker and business mentor Gemma Went shares tips on how to take your offline business online

38

Supporting transformation Rani McMurran, MFHT, talks about her electrolysis work with transgender patients prior to surgery Autumn 2021

22

Members' pages

41

Learning

Coming soon!

A brief introduction to a brand new section on the FHT’s website, dedicated to International Therapist magazine

42

‘Tis the season We take a look at a range of Christmas stocking fillers from some of our favourite product suppliers

48 Members news 54 New products 55 Competition

45 2021 FHT Virtual Congress write-up 50 Research 56 CPD questions 57 Reading room and spiral quiz 58 FHT learning 60 FHT accredited courses

Regulars 8 News 10 Things for Summer 11 Seasonal nutrition 12 Viewpoint 18 Ask an expert 21 Essential oil profile - patchouli 26 Top blogs 31 6 ways to 32 Here for you 46 Local groups 52 Medical A-Z – chronic fatigue 53 International Therapist podcast 65 Industry news 66 Guest column... Caroline Nokes MP

28 International therapist 3

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4 International therapist

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Autumn 2021

Letter from the editor

Federation of Holistic Therapists 18 Shakespeare Business Centre Hathaway Close Eastleigh Hants SO50 4SR T. 023 8062 4350 E. info@fht.org.uk W. fht.org.uk Editor Karen Young Deputy Editor Leanne Sheill Creative Director Peter Davies Designer Caitlyn Hobbs Advertising Leanne Rowley T. 01727 739183 E. leanne@centuryone.uk Deadlines – Winter/January 2022 (Issue 139) Editorial – 3 November Display adverts – 29 Dec Published – 21 Jan 2022 Chief Executive Officer Monica Price Senior management team Beverley Bartlett, Trevor Cleal, Cassim Gibbs, Julie McFadden, Annie Walling This magazine is wrapped in carbon neutral polythene called PolyAirTM It is the only 100% recyclable carbon neutral material currently available. Please dispose of this in your plastic recycling bin.

International Therapist is printed on FSC© responsibly sourced paper. If you can bear to part with your copy please pass it on to a friend to read or recycle.

F

or some, the word autumn conjures up images of frosty mornings, leafy woodland walks, squirrels harvesting nuts, mugs of hot chocolate by the fireside and pumpkin carving. For others it simply means: rugby season!

If you’re an avid rugby fan or sports therapist, you’ll no doubt enjoy yet another great contribution from Sarah Catlow and Lance Doggart, which is our lead article in this issue of International Therapist. In ‘Ruck and tumble’ (page 14), they walk us through some of the more common injuries seen in rugby – from dislocated shoulders and rotator cuff injuries, to muscle haematoma and hamstring injuries.

They also cover the short-term symptoms of concussion, as the quicker this can be picked up, the quicker a player can be removed from play and assessed by a medical professional.

And while we know how much you all care for your clients – rugby players or otherwise – can you say, hand on heart, that you also make time to care for yourself? If not, you’ll find some great little self-care tips from Mary Dalgleish, Kate Beaven-Marks and Clare Riddell on page 28 – please have a read and aim to give one or two of these a try.

On the topic of inclusivity and diversity, if you are like me and have the occasional wobble about your appearance and what others might think about you, let’s take a step back together for just a moment and consider what it must feel like to be born into a body that doesn’t reflect the gender you identify with on the inside.

The road for transgender people can be

long and extremely challenging, emotionally, mentally and physically, and especially if they make the decision to medically transition.

But whether they are transitioning socially or medically, it is vital that they feel listened to, supported, and respected by those around them. A chance conversation between myself and member Rani McMurran during one of the lockdowns has happily led to her writing an article about her electrolysis work with transgender clients in preparation for surgery.

It’s an extraordinary insight into the topic and the client testimonials at the end, while brief, make you appreciate how important Rani’s work is in helping them to reach their ultimate goal. Read more on page 38.

As always, I hope you enjoy this issue and if you have any comments or feedback, please get in touch!

Karen Young, Editor

Useful FHT contacts Accreditation – Annie Walling E. accreditation@fht.org.uk W. fht.org.uk/accreditation

CPD requirements – Heidi Hinton E. cpd@fht.org.uk W. fht.org.uk/cpd

Marketing – Cassim Gibbs E. cgibbs@fht.org.uk W. fht.org.uk

Membership and insurance – Beverly Bartlett E. info@fht.org.uk W. fht.org.uk

International Therapist – Karen Young E. kyoung@fht.org.uk W. fht.org.uk/it FOLLOW FHT on FACEBOOK, TWITTER, LINKEDIN & INSTAGRAM

FHT is a trading name of the Federation of Holistic Therapists, which is authorised and regulated by the Financial Conduct Authority (FCA) under fi rm reference number 502095. You may check this on the Financial Services Register by visiting the FCA’s website, register.fca.org.uk or by contacting the FCA on T. 0800 111 6768. Registered in England and Wales, No. 02864349. Registered offi ce: Chilworth Point, 1 Chilworth Road, Southampton SO16 7JQ. This issue of International Therapist has been published on behalf of the Federation of Holistic Therapists by Century One Publishing, Alban Row, 27-31 Verulam Rd, St Albans AL3 4DG. The Federation has taken all reasonable steps to ensure the accuracy of the information contained in the magazine. Except in respect of death or personal injury caused by the Federation’s negligence, the Federation shall not be liable, by reason of any error in or omission from the information contained in this or any previous editions of the magazine, for loss or damage whatsoever arising therefrom. Neither FHT, Century One Publishing nor the authors can accept liability for errors or omissions. Neither the Federation nor Century One Publishing necessarily associates itself with any views that may be expressed in this magazine, to which readers are invited to submit articles of general interest for publication. Responsibility cannot be accepted for unsolicited manuscripts or photographs either as prints, digital or transparencies. No part of this magazine may be reproduced in any form or by any means, whether electronic, mechanical or optical without written permission from the Federation.

Autumn 2021

International therapist 5

President's welcome

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As FHT approaches its 60th anniversary next year, keep an eye out for announcements about our plans to celebrate this incredible milestone.

s we draw towards the close of 2021, I’m sure you would agree that we all have lots to reflect on, with many of us making changes to the way we operate our businesses and balance our home and work life. I would encourage you all to make use of the FHTs public survey, ‘How complementary therapy has helped me…’ (fht.org.uk/public-survey), which allows your clients to feedback directly on a number of matters, such as how your therapy service has helped to improve their health and prompted them to make other positive lifestyle changes. We will be using the data from this survey to lobby the government and health authorities, but the results will only be as strong as the number of FHT members and other therapists willing to throw their weight behind it. Thank you in advance for your support and an even bigger thank you if you have already been providing your clients with a link to the survey.

I’m sure by now, lots of you will be seeing more clients with potential symptoms of long COVID. Many therapists are exploring the benefits that their treatments can give and I’m sure this is an area we will all continue to gain and share more knowledge about, as and when research becomes available. Meantime, you might be interested to read the feature

by Kate Mullis in this issue, about how aromatherapy can potentially help a number of symptoms associated with long COVID. In terms of work we’ll be doing to support and promote our members in 2022, I’d like to take this opportunity to welcome Monica Price on board, FHT’s new Executive Director.

With her professional background and passion to do all she can to champion the difference professional therapists can make to people’s lives, we’re confident that Monica’s the right person to take the FHT and its members to the next level and ensure the organsation’s continued success. You can read more about Monica on page 20 and as a nutritional therapist and expert adviser to the media, no doubt we’ll be seeing more contributions from her in future issues.

Finally, as FHT approaches its 60th anniversary next year, keep an eye out for announcements about our plans to celebrate this incredible milestone.

Meantime, I wish you all a peaceful Christmas and a very happy 2022.

Christopher Byrne, President

FHT Governing council President

Vice presidents Christopher Byrne ICAT (International Council of Acupuncture Therapists)

To learn more about the work of the FHT Governing Council and the individual board members, please visit fht.org.uk/about-us

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Gerri Moore IFHB (International Federation of Health and Beauty Therapists)

Herman Fenton HFST (International Council of Health, Fitness and Sports Therapists)

Mary Dalgleish ICHT (International Council of Holistic Therapists)

Judith Hadley ATL (Association of Therapy Lecturers)

Maria Mason HBEF (Health and Beauty Employers Federation)

Dr Kaur Thandi Birinder PACT (Professional Association of Clinical Therapists)

Lay member

Helen Chambers (representing the interests of the public) Autumn 2021

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Autumn 2021

International therapist 7

News

NEWS

The latest health, therapy and business news...

Consultation on social prescribing to ‘uncover physical activity sector’s full potential’ A consultation launched by ukactive in July aims to understand the scale and impact of healthcare links through social prescribing within the physical activity sector.

Open to organisations that deliver social prescribing and similar health programmes, it is hoped the consultation, called ‘Leading the Change’, will help increase sector support for health provision at a time when the NHS and social care systems are coming under increasing pressure.

NHS workforce more diverse than at any point in its history, say NHS England A report on the number of doctors in England from Black, Asian and ethnic minority (BAME) backgrounds in the NHS has found that numbers are the highest on record.

Data shows that 53,000 doctors were from a BAME background, up by more than 9,000 since 2017. This rise cements the increasing diversity of NHS staff, with 42% of NHS staff being from a BAME background.

Despite this, it is reported that there is still work to be done to improve the representation of minority backgrounds in senior positions. The percentage of BAME staff is currently at 20.3% but to be representative, these figures need to rise to 42%. n Read more at fht.org.uk/IT-138nhs-workforce

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The findings of the consultation will be published in a ukactive report in October, including recommendations to members, partners and policymakers for growing the sector’s role in the health system and improving existing social prescribing services.

The report will also explore the sector’s understanding of social prescribing and reveal best practice to inform a series of ‘test and learn’ sites across the country. n Read more at fht.org.uk/IT-138-social-prescribing

Eating processed meat raises risk of a range of diseases Research carried out by the University of Oxford indicates that processed meat is linked to a range of common diseases and that it can raise the risk of heart disease by a fifth.

As part of the large-cohort study, almost 475,000 UK adults were monitored for 25 major causes of non-cancerous hospital admissions. At the start of the study, participants completed a questionnaire that assessed their dietary habits (including meat intake), after which they were followed-up for an average period of eight years.

Overall, participants who consumed unprocessed red meat and processed meat regularly (three or more times per week) were more likely than low meat-eaters to smoke, drink alcohol, be overweight or obese, and eat less fruit and vegetables, fibre and fish.

However, even after taking these factors into account researchers found that higher consumption of unprocessed red meat and processed meat combined was associated with higher risks of ischaemic heart disease, pneumonia, diverticular disease, colon polyps and diabetes. For instance, every 70g red meat and processed meat intake per day was associated with a 15% higher risk of ischaemic heart disease and a 30% higher risk of diabetes. n Read more at fht.org.uk/IT-138-processed-meat Autumn 2021

News

Instagram pushes weight loss messages to teenagers Algorithms on Instagram are pushing teenage girls who engage with fitness content towards weight loss content, according to ‘mystery shopper’ style research.

Aiming to recreate the experience of being a child on social networks, researchers mirrored the same accounts as volunteer teenagers. They found that the Instagram ‘explore’ tab began pushing substantially more content relating to weight loss journeys and tips, exercise and body sculpting.

Researchers also replicated the behaviour of a real 14-year-old boy which led to his explore tab being filled with models with heavily edited body types.

The research was commissioned by the 5Rights Foundation which campaigns for tighter online restrictions for children. Chair of the charity, Lady Beeban Kidron, said she felt disturbed by the existence of ‘automated pathways’ that lead children to such images. n Read more at fht.org.uk/IT-138-instagram

in brief Being active for 30 minutes a day not enough for those who spend time sedentary A study by Columbia University has found that physical activity for 30 minutes per day, five days a week is not enough for those who spend the rest of their time sitting.

Researchers analysed data from six studies involving more than 130,000 adults from the US, UK and Sweden.

Keith Diaz, from the Department of Behavioural Medicine at Columbia University, said, ‘For decades, we’ve told people that the way to stay healthy is to exercise for at least 30 minutes, five days a week. But even if you’re one of the few adults who can stick to this advice, 30 minutes is only 2% of the day. […] A healthy movement profile requires over 30 minutes of daily exercise. It is also important to move around and not sit all day.’ n Find out more at fht.org.uk/IT-138-exercise

Waking up an hour earlier could cut depression risk by 23%

A third of people with a skin condition say it negatively affects their mental health A survey published by the British Skin Foundation in June 2021 found that 35% of respondents who have, or previously had, a skin condition said it affects their mental health.

A further 83% said their appearance is important to their general wellbeing, 53% feel judged by others due to their skin condition and 20% feel unhappy with their skin.

Matthew Patey, Chief Executive Officer at the British Skin Foundation, says, ‘It’s clear from the results of our latest survey that skin and appearance play a huge part in our mental health and happiness. Whilst the skin is the body’s largest organ, most people underestimate its importance, dismissing skin issues as simply cosmetic. They wouldn’t downplay disease concerning other organs in the body so easily.’

Dr Anjali Mahto, Consultant Dermatologist and British Skin Foundation spokesperson, adds, ‘Sadly, I don't find these statistics a shock or surprise as this data very much mirrors what many of us see in clinic. We can no longer ignore the growing links between the skin and mind; skin conditions are not simply cosmetic or beauty issues and those who are suffering need to be taken seriously.’ n Read more at fht.org.uk/IT-138-skin Autumn 2021

A study by the University of Colorado has found that setting your alarm clock an hour early could improve a person’s risk of major depression by nearly a quarter.

Researchers assessed de-identified genetic data from 840,000 participants, 85,000 of whom had worn wearable sleep trackers for seven days and 250,000 had filled out sleep-preference questionnaires. This gave experts a more granular picture of how variants in genes influence when we sleep and wake up.

With this information in hand, the researchers turned to a different sample which included genetic information along with anonymised medical and prescription records and surveys about diagnoses of major depressive disorders.

Each one-hour earlier sleep midpoint (halfway between bedtime and wake time) corresponded with a 23% lower risk of major depressive disorder. n Read more at fht.org.uk/IT-138-bed-time

Ingredients of beauty products sold in UK tested on animals A new analysis published in August 2021 suggests that hundreds of cosmetic products sold in the UK may contain ingredients that have been tested on animals.

In a news article featured in The Guardian, it is suggested that at the heart of the matter lies two sets of competing legislation: ‘The EU ban on animal testing of cosmetic ingredients came into force in 2009. But another law regulating chemicals was introduced in 2007, placing the burden of proof on companies to identify and manage the risks linked to chemicals they manufacture and market in the EU to ensure worker safety. This can include chemicals being manufactured exclusively for use in cosmetics, eclipsing the animal testing ban for cosmetic ingredients, according to the European Chemicals Agency (ECHA).’ n Read more at fht.org.uk/IT-138-beauty-animal-testing

International therapist 9

Things for Autumn

Things for Autumn “Autumn is a second spring, where every fallen leaf is a flower”

Try a new recipe. Introduce some warming meals to your weekly menu by trying a new recipe. Did you notice our new regular on seasonal eating in the Summer 2021 issue of International Therapist magazine? On the page opposite, nutritional therapist Claire Hunter, MFHT, shares a recipe using Brussels sprouts.

Join a community. Did you know that you can join a community of therapists by attending an FHT local group meeting? Since the lockdown, more meetings are being held online which means anyone can join, no matter where you are in the world!

See our full list of upcoming free meetings at fht.org.uk/virtual-localgroup-meetings

Colour therapy. This season, bring awareness to colour. What colours make you feel happy, calm or energized? Try wearing these colours more often or bring them into your home through soft furnishings.

Read an article on colour therapy by Shirley O’Donoghue, MFHT, at fht.org.uk/colour-therapy

Make a mandala. A mandala is a geometric symbol of the universe in Hinduism and Buddhism. On an Autumn walk, pick up fallen leaves, cones and twigs, or even objects washed up on the beach and make your own mandala!

Did you know? The word mandala itself simply means circle in Sanskrit, the Buddhist and Hindu language.

Pumpkin challenge. Why not think outside the box this halloween and try to make a pumpkin display with a difference? Make the venture all the more fun by picking your own pumpkin from a local farm.

Different donations. One of Action for Happiness’s ‘key things for happier living’ is to do things for others. Charities across the UK are often looking for donations that you could make yourself, from hand-knitted baby hats to face masks or blankets for the homeless. Think outside the box and take the time to create something special.

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Autumn 2021

Nutrition

Bring on the Brussels WARM BRUSSELS SPROUT CAESAR SALAD (Serves 2)

INGREDIENTS

A

s the temperature begins to drop and the nights start drawing in, farmers' markets are plentiful with produce from the harvest, signifying abundance and prosperity. The word ‘harvest’ comes from the old English word hærfest meaning ‘autumn’, aptly named as the season for reaping ripe crops from the land.

In-season vegetables to celebrate at the moment include Brussels sprouts, butternut squash, celeriac, leeks, parsnips, pumpkin and turnips. Representing autumn fruits, we have apples and pears, while blackberries, apricots and plums have their last hurrah.

For the Caesar dressing: n 4 tbsp tahini n 2 tbsp lemon juice n 2 tbsp water, boiled and cooled n 2 tsp Dijon mustard n 1 tbsp capers, finely chopped n 1 garlic clove, minced n A few twists of black pepper For the salad: 1 400g can (1.5 cups) of cooked chickpeas n 1 tbsp extra virgin olive oil n 1 tsp dried oregano n 500g Brussels sprouts n 1 garlic clove, minced n 1 tsp garlic and herb seasoning n 6 tbsp of Caesar dressing n

BRUSSELS SPROUTS

METHOD

Although the vegetable most of us will associate with this time of year is pumpkin, I’ve chosen to focus on something a little different, the divisive Brussels sprout.

Love them or loathe them, Brussels are a nutritional powerhouse and excellent source of vitamins C and K. They are also high in heartand gut-healthy fibre. What’s more, Brussels sprouts are a surprising source of the omega 3 fatty acid, ALA. Cruciferous vegetables, like Brussels sprouts, produce a potent antioxidant, anti-inflammatory and cancer-fighting compound called sulforaphane. In order to form sulforaphane, a chemical reaction first needs to occur with the help of the enzyme myrosinase. Chopping and chewing cruciferous vegetables releases this enzyme and activates sulforaphane. However, there is one small problem – myrosinase is heat-sensitive and is inactivated by cooking.

Thankfully, there are ways we can enjoy the health benefits of raw crucifers in their cooked form. The first option is to wait at least 40 minutes after chopping the vegetables before cooking as this allows sulforaphane to develop. If you don’t have time to spare though, another option is to add some myrosinase back to the vegetables after cooking.

You can do this by including additional raw, chopped crucifers in your meal, or my favourite method is to serve sulforaphane-rich vegetables alongside some mustard (another cruciferous plant).

And that’s exactly what we’re going to do in this recipe…

1. Preheat oven to 200⁰c fan (400⁰f).

2. Drain and rinse the chickpeas, then pat dry.

3. S pread chickpeas out on a baking tray lined with baking paper and cook them for 15 minutes.

4. A ssemble the dressing by whisking all ingredients together in a small bowl, then set aside.

5. R emove chickpeas from oven and drizzle over half a tablespoon of extra virgin olive oil and the dried oregano. Shake to coat, then return to the oven for a further 15 minutes, or until the chickpeas are golden and crunchy.

6. W hile the chickpeas continue to cook, remove the outer leaves of the sprouts, thinly slice them, then rinse and drain.

7. A dd the sprouts to a frying pan with the remaining half tablespoon of extra virgin olive oil and sauté for two to three minutes over a medium heat.

8. A dd the minced garlic, and garlic and herb seasoning to the sprouts, and cook for a further minute before removing the pan from the heat.

9. L eave the sautéed sprouts to cool for a few minutes before adding four tablespoons of the Caesar dressing and mixing to combine.

10. D ivide the sprout mixture between two plates, then top with the roasted chickpeas and an extra drizzle of the dressing - serve warm.

Claire Hunter, MFHT, is a nutritional therapy practitioner. Since qualifying in 2020, she has been helping people living on plant-based diets optimise their nutrition and maximise their gut health. gonutsaboutnutrition.com

Autumn 2021

Notes: The dressing recipe makes about twice as much as you need for this Caesar salad, but the remaining dressing will keep in the fridge for seven days. T International therapist 11

Have your say

Viewpoint Raising therapy awareness in Ellesmere, Shropshire Aromatherapy Awareness Week (7-13 June) is now behind us, but I’m pleased to report that some of our activities were very successful. Firstly, we organized a ‘women’s health’ pop-up clinic in a room kindly donated to us by Pauline Jones, the owner of hair salon, JS Hair At 10, in Ellesmere, Shropshire. It was a real turning point for many women in our local area, encouraging them to become more aware of their own needs and just as importantly, how they can look after themselves by taking an integrated approach to their health going forward. The event was advertised through Pauline’s salon and various social media sites, with a combined following of over 1,000. Many of the women we spoke to at the pop-up clinic have asked for more events in the future, which is encouraging.

I also initiated a ‘wellness in education’ event for students and staff at Ellesmere College. With thanks to college staff, all of the parents were informed about the new therapeutic massage service and it’s been a hit from the start. A poster was also designed and displayed around the college and an internal email distributed, allowing teachers to book an appointment. After a little negotiating, the management team at the college allowed me to incorporate this role for one hour a week, while I’m on duty as a specialist community public health nurse and nursing school sister. Over the last year a wellbeing team, led by student counsellors, has created the Mental Health at Ellesmere Support System (MHESS). The aim of this charity is to monitor, help and advise students, to help safeguard their health and wellbeing. I’m

pleased to say the massage service has further strengthened that provision. n Suzy Goss, MFHT

2020 FHT Student of the Year opens wellness centre I’m really excited to report to the FHT that I have finally realized my dream of opening Ayrshire Healing Centre, a multi-disciplinary healing centre based in Maybole, South Ayrshire.

The centre covers everything from workshops and classes, to complementary therapies, meditation, yoga and retreats. I also have another therapist on board for the days when I am not at the centre, as I am now studying a BSs (Hons) in Integrated Healthcare at the University of the Highlands and Islands.

My most recent news is that a Community Wellbeing Hub I set up has been granted funding from the National Lottery, which I’m over the moon about! The hub is based within the Ayrshire Healing Centre and will be running mental wellbeing workshops aimed at teenagers struggling with low mood, anxiety and stress.

The workshops will include coping techniques, meditation, yoga, art therapy, wood crafts, mindfulness and much more. In addition we will be supporting the whole family, as other family members often get forgotten about. They will be able to access counselling, support groups, complementary therapies and guidance. Thanks to the lottery funding, all of the workshops and sessions will be free of charge to the teenagers and their families.

Winning FHT Student of the Year in 2021 was a huge confidence boost and meant so much to me, plus I used the logo on all my 12 International therapist

leaflets and I proudly display my certificate.

If it’s of any interest please let me know and I can provide further info, if not, no worries at all, I believe in the saying nothing ventured, nothing gained. n Anya Rae, MFHT, 2020 FHT Student of the Year

Autumn 2021

Have your say

Online chat

Please keep in touch with us...

Email kyoung@fht.org.uk Facebook facebook.com/fht.org.uk Instagram @internationaltherapistmag Twitter @fht_Org FHT website fht.org.uk Write to 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hants, SO50 4SR

Autumn 2021

International therapist 13

Sport

Ruck and Tumble Sarah Catlow and Dr Lance Doggart look at common injuries in Rugby League.

R

ugby League is an invasive contact sport played competitively across the world.

For the first time in Rugby League history, the men's, women's and wheelchair tournaments will take place together in 2021. There will be 61 matches which will be played at venues across England between Saturday 23 October and Saturday 27 November.

Rugby League games consist of two teams of 13 players, played over 80 minutes, predominantly on a grass field. Each team is given six tackles or chances to score. If, after six tackles, they have not scored, the ball is handed over to the other team who then get the chance to score with their six tackles.

The game is intermittent, involving frequent bouts of high intensity activities such as tackling, running and sprinting, and then separated by low intensity periods of active recovery (jogging, walking and standing). Due to the intense nature of the game and high number of collisions, there is an inherent risk of musculoskeletal injury (Gabbett et al, 2011).

Rugby League teams are made up of two main groups of participants: forwards (ie. all players involved in the scrum) and backs (ie. all players not

14 International therapist

involved in the scrums). The demands on individuals vary according to the specific positions played, with forwards (two props, one hooker, two second rows and one lock) more predominantly involved in large numbers of physical collisions and tackles. Backs (one halfback, one stand-off/five-eighth, two centres, two wings and one fullback) spend more time in free running but are also involved in tackles and collisions (King et al, 2011). These positions are often interchangeable, therefore players need to be able to adapt to the physical demands of the game as it unfolds.

Common injuries and prevention strategies Injury trends within Rugby League have changed over the years due to the changes in match rules (defensive line back to 10 metres and ball stripping in the tackle). Early research in 1993 identified that 54% of injuries were ligament and joint injuries and 24% of these occurred within the knee (Gibbs, 1993). Due to the rule changes the anatomical location has changed and more injuries are now seen within the head and neck regions as well as the shoulder.

The majority of injuries occur in the match environment (tackles and physical collisions), with 46% to 90%

of injuries resulting from tackles, and injury rates typically increasing as the playing level increases. Lower limb muscular injuries are being seen more within a training environment. Players have on average 41 physical collisions per match and nearly 100% of recorded head and neck injuries (concussion) were from these collisions (tackles).

Forwards were more likely to be injured than backs within both a training and competitive environment as they have an increased time ball carrying and tackle/collision involvement (Johnston et al, 2014). These injuries normally take place at the tackle situation and forwards have a higher rate of head, neck, face and knee injuries.

A combination of muscle fatigue and accumulative microtraumas throughout the season will also contribute to injury rates. Increasing injury rates as the season progresses have been well documented within literature with more injuries in the second half of the season at both the amateur and semiprofessional level. This could be down to an increase in match intensity towards finals or it could also be the result of players carrying injuries that have not fully resolved (Hoskins et al, 2006).

Additionally the competitive season in the UK often takes place during the spring and early summer months of Autumn 2021

Sport

the year and this can influence injury rates with not only the physical contact/ collisions between players but also landing on the ‘harder’ playing surface.

The change in the injury site and type reported in the research literature reflects the changing match and training styles seen in the modern game of Rugby League. Changes in injury site and type could be used to promote the development of new types of injury reduction programmes to readdress the issue of injuries that occur as a result of participation in Rugby League activities.

Injuries are seen at the beginning of the season as well as within the later

INJURY

SHOULDER DISLOCATION

stages of the season. Furthermore, most injuries are sustained during the second half of any given match (fatigue mechanism), with tackle techniques being compromised due to fatigue, which will also have an impact on injury (Gabbett, 2008).

Injury prevention strategies within rugby league to reduce the incidence and severity of injuries can be developed within two areas - coaching techniques and specific injury prevention programmes. Coaching areas often focus on defensive skills, correct tackling technique, correct falling technique and methods to minimise the absorption

of impact forces in tackles. Injury prevention strategies and management for common injuries seen in Rugby League are explained below.

SHOULDER INJURIES Between 6-28% of injuries within Rugby League are located around the shoulder region (Fitzpatrick et al, 2017). Direct blows (collisions) are common and soft tissue bruising of the trapezius, the deltoid and the pectoralis major muscles, and other soft tissue around the shoulder, occur regularly. Examples of injuries seen within the shoulder are:

DESCRIPTION

MANAGEMENT

Anterior dislocation is when a player falls forward with the elbow flexed, and the elbow contacts the ground first; as the body falls forwards, the arm is forced posteriorly and this results in an anterior dislocation. Posterior dislocations of the humeral head do also occur but are less common.

There are several key factors that must be addressed – pain-free range of motion, joint stability and joint strength. Joint stability is a particularly important component to address – as there is damage to the ligaments and possibly the muscles surrounding the joint, the ability to sense joint stability is negatively impacted and needs to be corrected with targeted stability exercises. If left untreated, dislocations will re-occur and the risk of more complicated injury will increase.

NB: the above injury management only applies after reduction of the dislocation by a medical professional and significant damage has been excluded (labral tears and bony lesions of the glenoid).

ACROMIOCLAVICULAR (AC) JOINT INJURY

ROTATOR CUFF INJURIES

AC joint injuries are common and could be one of the most frequently occurring shoulder injuries in rugby.

It usually results from a fall directly onto the shoulder, usually with the posterosuperior aspect of the shoulder striking the ground. This may result in either a sprain or dislocation of this joint due to rupture of the ligaments stabilising the joint (conoid, trapezoid, and AC ligaments).

The therapist needs to reduce pain, improve range of motion and encourage a return to normal function. Conservative management with a comprehensive rehabilitation programme is paramount.

Establishing scapula stability with exercise will provide the best possible chance of preventing injury reoccurrence and further complications. Shoulder movement patterns will be altered to ensure the joint is stable.

The rotator cuff tendon is injured when the abducted or extended arm is forced downwards or backwards especially during a fall or a tackle.

The majority of rotator cuff injuries in rugby players are sprains/tendonitis. The therapist needs to identify movement limitations, the severity and number of structures injured. Treatment will target pain and inflammation management.

Once movement returns, a comprehensive rehabilitation programme will be developed to improve muscle weakness and imbalance. The primary goal is to have the joint mobile but stable. 

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Sport

ANKLE INJURIES Rugby League requires explosive power for jumping, quick changes of direction and changes in pace when running and in tackle or close-contact situations. Ankle injuries are common when the players are involved in these types of activities.

The lateral ankle ligament complex (ATFL) is the most vulnerable to injury, with 85-95% of all injuries to the ankle occurring here (Mellet and Steward, 2013). There is a 27% recurrence of ankle injuries in rugby, which suggests links between previous injury and future injury predispositions, attributed to continued joint dysfunction, pre-existing anatomical and biomechanical factors, or inadequate rehabilitation (Santos and Lui, 2008).

To prevent ankle sprains, ankle taping, braces, modified footwear, associated supports, adapted training regimens, including ankle exercises and injury awareness, can all be utilised (Handoll et al, 2001). Prevention of re‐injury or recurrence can include neuromuscular training aimed at enhancing coordination and retraining proprioception (sense of joint and muscular position).

Neuromuscular training typically involves the use of 'wobble boards', with this type of training also referred to as balance training, proprioceptive training or sensorimotor training. Secondary prevention is a common treatment goal in the management of ankle sprains.

HAMSTRING INJURIES Hamstring injuries (HSI) are usually caused by a sudden burst of high intensity movement and are common in Rugby League, exemplified in sprinting and quick changes of direction. The major cause of HSI originates from an imbalance between the quadriceps and the hamstring muscles. The quadriceps are a large, strong

16 International therapist

group of muscles which help to extend (straighten) the leg. These muscles may forcibly overstretch the hamstring, placing excessive tension on the hamstring muscles. Acute hamstring strains occur due to a sudden movement or force being applied to the hamstring muscles.

normal sporting activities. Full stretch and strength should be achieved in addition to the ability to perform full speed training.

Assessment of sport-related activities, such as twisting, jumping and changing direction suddenly should also be evaluated before returning to play.

Proven risk factors for HSI

HEAD INJURIES

nP revious hamstring injury n I ncreasing age of player nS udden change in direction (acceleration

There are a variety of head injuries that can occur within Rugby League including concussion, superficial facial injuries, scalp lacerations and broken noses.

Sport-related concussion is a common injury within Rugby League, normally seen within a tackling mechanism (Hendricks & Lambert, 2010). This injury may be more prevalent than initially thought because some concussions go unrecognised (McCrea et al, 2004). Approximately 90% of concussions in sport occur without loss of consciousness (Guskiewicz et al, 2000), thus they can be difficult to detect and might be underdiagnosed or indeed undiagnosed.

Concussion is an injury to the head or brain as a result of high impact to the area or a forceful movement forwards and backwards in a singular movement causing trauma/damage. The true impact of concussion in Rugby League players is still unknown, however there is growing evidence demonstrating the impact this injury is having on cognitive function, emotional regulation, memory and behaviour, and that it can lead to shortterm and long-term neurodegenerative conditions and electrophysiological abnormalities (Miller et al, 2021).

There is still a growing concern regarding head injuries and concussion and its long-term impact, which has resulted in an increase in research in sports such as rugby, equestrian, American football, cycling and ice hockey (Theadom et al., 2020). Long-

or deceleration).

Suspected risk factors for HSI nP oor flexibility nP oor strength nP oor core stability nH amstring muscle fatigue nM uscle strength imbalance between the

quadriceps and hamstrings n I nappropriate, inadequate or no warm up.

Timeframes for hamstring rehabilitation and return to sport vary depending on the nature and severity of the injury. Hamstring strain injuries remain a challenge for both athletes and therapists, given their high incidence rate, slow healing and persistent symptoms. Nearly one-third of these injuries reoccur within the first year following a return to sport, with subsequent injuries often being more severe than the original (Heiderscheit et al, 2010).

Eccentric exercises are the most common and applied programme for the rehabilitation of HSI with good outcome results. One common problem of rehabilitation programmes that emphasise eccentric strength training is the lack of attention to musculature adjacent to the hamstrings. It has been suggested that neuromuscular control of the lumbopelvic region is needed to enable optimal functioning of the hamstrings during

Autumn 2021

Sport

term consequences are more likely to occur with factors such as under reporting, false reporting of symptoms, misunderstandings around concussion consequences, low awareness, inadequate management and premature return to play (Theadom et al, 2020). Around 80-90% of concussions resolve in a 7-10 day period with a gradual improvement of symptoms. Common shortterm symptoms of concussion include: nH eadaches nT emporary memory loss nF eeling of fogginess nN ausea nV omiting nF atigue nB lurred vision nS ensitivity to light and sound.

Players suspected of having concussion should be removed from play/training immediately. nA ll players suspected of having concussion should be assessed by a healthcare professional. nP layers suspected of having concussion or diagnosed with concussion should go through a graduated return to play programme (GRTP). nP layers should be reviewed by a healthcare professional before returning to play.

Concussion injury risk can be decreased by implementing correct training techniques for tackling safely and ensuring rules are followed in terms of tackling height.

MUSCLE HAEMATOMA A muscle haematoma is a severe bruise caused by a direct hit to an area causing damage to the blood vessels. The most common area for this injury within Rugby League is the quadricep. These are also referred to as a Charley horse/cork thigh/ dead leg. On examination there will be an

area of swelling and tenderness with (extreme) pain on passive stretch and active contraction, which will indicate a quadriceps contusion with resultant hematoma.

Several physiological responses may occur after a deep thigh contusion including: nB roken blood vessels resulting in bleeding (hematoma) into the injured area nC rushed muscle tissue resulting in hip and knee dysfunction.

If there is major untreated and/or unresolved bleeding deep in the muscle tissue a serious condition known as myositis ossificans can occur. Myositis ossificans is when bone or bone-like tissue formation takes place in skeletal muscle.

It occurs mostly in large skeletal muscles such as quadriceps, brachialis and the adductor of the thigh. The main goals of treatment with a player with quadriceps muscle contusion are relieving the pain and improving the range of movement. nR est, ice, compression nA ctive and passive quadriceps muscle stretching with emphasis on knee flexion nF unctional rehabilitation can begin when pain-free and active knee flexion of at least 120° is attained n I mprove the functionality and a return to sport when full motion and strength are achieved.

In summary Injuries in Rugby League are most notably the result of collisions either through a tackle situation and/or impact with the surface. The resultant injury can occur in the upper and lower body as well as in the head and neck region. This potential ‘double-impact’ has far-reaching implications on not only describing the mechanism of injury, as a risk factor, but the immediate severity of the injury

and the long-term effects of concussion as a complementary injury. As a therapist, treating an upper body injury in a Rugby League player, it may be helpful to assess not only the primary injury site but be aware of the risk of delayed or undiagnosed concussion within the assessment process.

Indeed it could be suggested that when treating any form of injury in Rugby League, due to the potential for ‘doubleimpact’, head injury assessment (HIA) would be good practice and support full recovery of the athlete/player.

RISK FACTORS FOR RUGBY LEAGUE INJURIES nF atigue nL ack of proper equipment nW arm ups and cool downs are skipped nP oor physical conditioning, lack of

training and sprinting speed nP oor Rugby League skills and techniques such as tackling and side-stepping nP oor rehabilitation after a previous injury.

PRACTICAL IMPLICATIONS n Th erapists should be aware of the

periods of significantly elevated incidence of injury both during matches and during the season to assist with player preparation n Th erapists should be aware of the most common injuries, and most severe injuries in terms of time-loss and develop injury prevention programmes n Th erapists should undergo CPD in head injuries/concussion.

For references and further reading, visit fht.org.uk/IT-references

Sarah Catlow, MFHT, MSc, is the Programme Area Lead of Sports Therapy and Rehabilitation in Sport and Exercise at Plymouth Marjon University. Sarah holds qualifications in manual therapy, acupuncture, kinesiology tape (Rockdoc certified) and is a tutor for the RFU Level 2 Pre-hospital Immediate Care in Sport course. Lance Doggart, MFHT, PhD, is Head of Department in Sport and Exercise at Birmingham City University and is a Fellow of the British Association of Sport and Exercise Sciences.

Autumn 2021

International therapist 17

?

Q&A

Ask an expert

Q I

n the Accessible to All article (Autumn 2020, Issue 134), you kindly provided links to free stock images of people from BAME and LGBTQ+ backgrounds.

I’m struggling to find free images that show older people having massage. Can you help?

A: Karen Young, FHT’s Editor and Communications Manager, says: There are a number of websites that offer free images that you might like to explore. Ones that we sometimes use at the FHT include freepik.com, pexels.com, pixabay.com and unsplash.com.

When searching, consider different words and phrases that may be used to describe the image. For example, if searching for someone older, also try the words ‘senior’ and ‘mature’, and if you are browsing for photos that might be suitable for reflexology, it’s worth typing in the phrase ‘foot massage’ to see what pops up. Just by way of example, the picture

Q

Why can’t I add new qualifications to my FHT Directory listing?

A: Bev Bartlett, FHT’s Membership and Insurance Services Manager, says: When you complete any new training, we need to see a copy of your certificate before this can be added to your membership record and directory listing. This is important from an insurance point of view (if you have insurance through the FHT), but also so that we can check the training standards and whether you hold a relevant prerequisite qualification, if applicable.

You can send a photocopy of your

18 International therapist

above was sourced from pexels.com, after searching for ‘senior woman massage’. When using the words ‘mature woman massage’, this image did not come up in the results.

Some image libraries, such as freepik.com, will expect you to include a picture credit if you want to use their images. Others may display ‘sponsored’ or ‘premium’ images that meet the same search criteria, but need to be purchased from either the same website or from image libraries such as iStock (Getty Images). Usually you can spot these sponsored images because they appear at

certificate to our head office in Eastleigh (our address is at the top of page five) or email a clear photograph to the team at info@fht.org.uk – please be sure to include your full name and membership number to help us process your request.

Alternatively, you can upload a copy to fht.org.uk/update-yourqualifications. This form is available in the Members’ area of the FHT website (fht.org.uk/members-area) under the ‘Manage your membership’ section. Here you will also be able to renew your membership; update your membership details and FHT Directory profile (including your username and password); set up an annual direct debit and apply for FHT Fellow status.

If you are training in a new therapy

the very top or the bottom of the results page, or they have a little symbol in the corner, to suggest they are ‘premium’. But it will certainly become evident when you come to download the image, as you’ll be expected to pay.

Before using any images, doublecheck that it is free to use and/or whether you need to give a picture credit. This information should be somewhere obvious on the website, either alongside the image you have selected or under a separate section about licences and terms of use.

and already hold insurance with the FHT, we can provide cover for your case study work at no extra charge, providing the course meets our membership and insurance criteria and we are made aware that you are undertaking this training (please see the membership and insurance section of our website for more details). You can use the same form to let us know about your training (fht. org.uk/update-your-qualifications) or send details to info@fht.org.uk, including when you are due to complete the training. (Please note this does not apply if you are an FHT Affiliate or hold your insurance with another provider.) Once you have completed your training, please send in a copy of your certificate, as outlined above. T

Autumn 2021

The WaveStone is a Hand Crafted Jade Massage Stone which has been ergonomically designed to protect the Therapists hands and fingers from RSI. Its Mineral properties allow it to be used warmed or cooled using only tap water whilst giving a unique massage experience for you clients.

To get the best results form using the WaveStone. Why not attend one of our FHT Accredited courses. New dates will be advertised on our training page and on Social Me-

It can be used in Spas, Beauty Salons and the Sports Massage industry as well as many more.

For more information on the WaveStone and the other Massage Products Visit ww.thewavestone.co.uk

WaveStone Therapies are looking for Accredited Course providers and venues to host or deliver courses on out behalf please contact us via the website for further information.

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Autumn 2021

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admin@clinicalaromatherapynetwork.com

International therapist 19

Profile

An interview with

Monica Price

In September, the FHT was delighted to welcome on board a new Chief Executive Director, Monica Price.

Here Monica talks about her professional background, her work during COVID and aims for the future.

Q. Tell us a little bit about you...

My background is in health and safety but with a real love for all things food and health, it wasn’t long before I progressed into teaching food safety and then went on to study nutritional therapy at the University of Worcester.

After completing my degree, I set up a consultancy business, supporting Blue Chip companies, SMEs, local authorities, and the education and health and social care sectors. A lot of this work involved developing health and wellbeing programmes for employees.

Q. You also do a lot of work with the media. Tell us more...

When I completed my degree, my ambition was to work with the media and spread the word about the importance of nutrition.

The ball started rolling when a foodrelated topic came up on BBC Hereford & Worcester radio and I phoned in to comment. I became their go-to expert for anything relating to health and nutrition and I now also make regular appearances on Sky News, BBC, GB News, Times Radio, talkRadio, as well as in the local media.

I really love seizing any opportunity to talk publicly about nutrition and other natural approaches to health, which was a key reason I applied to work for the FHT. This is such an exciting time to be working in our sector - the pandemic has made people more aware of their health and they are willing to try new approaches, especially if they’ve been struggling to see their doctor.

20 International therapist

Q. What are your plans for driving the FHT and its members forward?

For me it’s about maintaining high standards and ensuring our members get the recognition and work they deserve. I also want to ramp up our engagement with students, colleges, universities and private training providers, so that as an industry, we are able to meet the growing demand for professional therapists.

Q. Tell us about your aim to encourage more therapists to work with older clients...

Throughout the pandemic, I’ve worked as an NHS Volunteer Responder, vaccinator and I also continue to volunteer for St John Ambulance. Almost every elderly person I’ve met has deteriorated as a result of shielding, government restrictions, or struggling to access health care. They’ve developed aches and pains where they’ve been less mobile.

They’re more anxious, depressed and lonely. Some have sadly died, including my own mum, who we lost to COVID this January. I think it’s an area where all of our members can really make a huge difference, and particularly where people are living on their own.

Q. How else did COVID impact you?

Like our members, I had long periods where I could only work remotely, but I was already used to offering seminars and other services online. On a consultancy basis, I did some work for a number of large organisations, providing

webinars on the impact of COVID and how to protect employees’ health and wellbeing while working.

Q. Do you have any regular therapies?

I enjoy acupuncture, reiki, reflexology and many beauty treatments. My 19-year-old daughter and her friends are huge fans of beauty therapy, too. I think times have changed and more teenagers are aware of the benefits of looking after their skin and general health at a much earlier age.

My daughter’s boyfriend has recently qualified as a sports therapist, which I also think is a great vocation to be in right now. When we hosted the Olympic games the nation really took to exercise, so I’m sure there will be lots of opportunity to support a similar spike of interest with the Commonwealth Games coming up in Birmingham next year.

Q. How else do you look after your health and wellbeing?

I make sure I walk as often as I can and that I get some fresh air every day. I was brought up in Brighton, so I love the sea and enjoy going for a dip in any season. Talking with my friends and family every day is also very important for my health and wellbeing.

Q. What’s your favourite saying or quote?

‘Education is empowerment.’ If you educate someone, you empower them to make healthy choices.

If you’d like to reach out to Monica, she can be contacted at mprice@fht.org.uk Autumn 2021

Essential oil profile

Patchouli

(Pogostemon cablin)

Patchouli essential oil is steam distilled from the large, often fermented, leaves of this perennial shrub, which also bears white to pinky-purple flowers. The oil is dark orange to brown and has a sweet earthy aroma and base note.

Key uses Soothing, balancing, grounding

Botanical family Lamiaceae

Chemical composition Hydrocarbons – Sesquiterpenes (up to 50%): α-bulnesene, α-guaiene, α-patchoulene, α-patchoulene, seychellene, β-caryophyllene Alcohols – Sesquiterpenols (up to 45%): patchoulol, pogostol

The chemical composition of any essential oil can vary greatly, according to the plant species; climate, altitude and soil where the plant is grown; and when it is harvested. Refer to the manufacturer’s safety data sheet for a breakdown of an oil’s chemical profile.

Autumn 2021

Therapeutic properties Antidepressant, antifungal, antiinflammatory, antiseptic, aphrodisiac, astringent, bactericidal, balancing, calming, carminative, cicatrisant, cytophylactic, decongestant, deodorant, diuretic, febrifuge, insecticide, sedative.

Indications Acne, anxiety, dandruff, depression, diarrhoea, eczema (seborrhoeic), fatigue/lethargy, fissures, fungal infections (athlete’s foot), insect bites, insecurity, nervous tension, palpitations, scars, skin (dry, dehydrated, inflamed, mature), stress, water retention, wounds.

Safety data No known major hazards or contraindications when applied topically and appropriately.

Research Stress and compassion A study published in the Journal of Alternative and Complementary Medicine investigated the effects of patchouli inhalation by emergency nurses on their stress, compassion satisfaction, compassion fatigue, burnout, blood pressure and heart rate (Shin et al, 2020). Fifty nurses took part in the

study and were randomly allocated to inhale 5% patchouli oil in sweet almond oil (patchouli group) or pure sweet almond oil (control group) at the end of an afternoon shift and at the same time the following day. Although the results showed there were no significant differences in blood pressure, heart rate, compassion fatigue and burnout, levels of stress were significantly lower and compassion satisfaction significantly higher in the patchouli group compared to the control group. T

NB: Only members who hold an appropriate aromatherapy qualification, accepted by the FHT for membership and insurance purposes, can make, use and supply aromatherapy blends and other products containing essential oils.

Blends with Bergamot, clove, myrrh, sandalwood, vetivert.

For references and further reading, visit fht.org.uk/IT-references International therapist 21

Illustrations: Shutterstock

P

In Asia, the patchouli plant has been used throughout history as a traditional medicine, perfume and insect repellent, with the leaves often interspersed in textiles to provide protection from moths and other bugs while in transit and storage. Some sources also indicate it has been used to treat poisonous snake and insect bites.

In aromatherapy, patchouli oil is considered soothing, balancing and grounding. It is often used to help address stress, anxiety, depression and nervous tension, and to calm an overactive mind. All of these factors make it the ideal companion for meditation and similar practices.

Thanks to its anti-inflammatory, antiseptic and cell regenerating properties, it is good for a variety of skin complaints, ranging from acne and eczema to sores and scar tissue. It may also be effective against fungal infections such as athlete’s foot.

Patchouli is reported to be an aphrodisiac but Davis points out in A-Z of Aromatherapy, ‘this would certainly depend […] on whether both partners found the perfume pleasing’ as ‘a lot of people find the smell unpleasant’ (Davis, 2005).

Aromatherapy

Aromatherapy

for the long haul

Kate Mulliss, MFHT, looks at how essential oils can help to support clients with symptoms of long COVID. 22 International therapist

Autumn 2021

Aromatherapy

M

any of us are aware of the term ‘long COVID’ but may not realise that it is in fact a patient-created term to describe a multitude of symptoms that persist after the typical recovery period following COVID-19 infection. Long COVID is also referred to as postCOVID syndrome, chronic COVID syndrome and long-haul COVID. In December 2020, the National Institute of Health and Care Excellence (NICE) published the COVID-19 rapid guideline: Managing the long-term effects of COVID-19 which provided an outline for the clinical definitions for acute infection and post-COVID-19 syndrome, as outlined below. n Acute COVID-19: signs and symptoms of COVID-19 for up to 4 weeks. n Ongoing symptomatic COVID-19: signs and symptoms of COVID-19 from 4 to 12 weeks. n Post-COVID-19 syndrome: signs and symptoms that develop during or after an infection consistent with COVID-19, continue for more than 12 weeks and are not explained by an alternative diagnosis.

In addition to the clinical case definitions, 'long COVID' is commonly used to describe signs and symptoms that continue or develop after acute COVID-19. It includes both ongoing symptomatic COVID-19 and postCOVID-19 syndrome (NICE, 2020).

While this provides a working definition for infection with COVID-19 at different times, there is currently considerable difficulty outlining and defining the precise symptoms of long COVID as almost any organ system can be affected. This includes the respiratory system, nervous system together with neurocognitive disorders, mental health disorders, metabolic disorders, cardiovascular disorders, gastrointestinal disorders, malaise, fatigue, musculoskeletal pain and anaemia (Al-Aly et al, 2021).

Some of the most common symptoms experienced by COVID-19 long haulers appear to be extreme tiredness (fatigue), shortness of breath, chest pain or tightness, problems with memory and Autumn 2021

concentration (‘brain fog’), difficulty sleeping (insomnia), heart palpitations, dizziness, pins and needles, joint pain, depression and anxiety, tinnitus, ear aches, feeling sick, diarrhoea, stomach aches, loss of appetite, a high temperature, cough, headaches, sore throat, changes to sense of smell or taste, and rashes (NHS, 2021).

Such is the concern about effects of long COVID that the NHS, supported

by The Long COVID Taskforce, has committed £10m to set up a number of regional long COVID clinics to assess clients with various symptoms and refer them where necessary. At present, there are 89 initial NHS assessment services listed to support clients with long COVID (NHS England and NHS Improvement, 2021).

One of the problems experienced by some people who have symptoms of long COVID is that recovery is not a straightforward path. This is confirmed by data collected from the ZOE COVID Study, supported by King’s College London, which has shown that patients may feel that their health is improving, but subsequently find they go on to develop an entirely new set of symptoms (COVID Symptom Study, 2021).

At present there is no objective diagnostic test for long COVID, which makes treatment planning somewhat difficult. However, researchers at Imperial College London recently announced that they are working on developing a test which identifies particular auto-antibodies observed in patients with long COVID, but not in those who have recovered or not tested positive for the disease (Imperial College London, 2021).

In the meantime long haulers have found they have needed to adapt and adopt lifestyle changes to support their long-term recovery. Aromatherapy, along with other lifestyle changes, is one such therapy that can be used to support clients with various complaints.

There has been particular interest in the use of essential oils to support people with long COVID as many are known to have anti-viral, antiinflammatory and immunomodulatory properties. The potential of anti-SARSCoV-2 activities has been discussed

by Asif et al but concluded that while many components did indeed exhibit

such activities, further studies were necessary to establish the safe dose and clinical efficacy of essential oils (Asif et al, 2021).

A scientific literature review (Valussi et al, 2021) also reinforces the idea that while particular essential oils and their isolated compounds can be useful for symptoms of COVID-19 they are not an alternative to medical treatment.

As professional aromatherapists we would certainly never contemplate using essential oils as an alternative to medical treatment in any situation, and particularly as the first line treatment for COVID-19. However, many individuals at home with mild to moderate issues of long COVID could benefit from appropriate use of essential oils for persistent symptoms.

Selecting essential oils to support clients In view of the complex and fluctuating nature of long COVID symptoms, the key to supporting such clients is to firstly obtain as much information as possible at the consultation and not just on physical symptoms, but other emotional and psychological issues. We can then select and blend our essential oils, not just to help with symptom relief but also include psychoneuroimmunological benefits.

One of the great benefits of aromatherapy intervention is that it can be provided not only in the form of massage, but also through the use of inhalation sticks, roller balls, room diffusers and topical application such as balms and lotions, bath preparations and as a spritz, which clients can use for self-support at home.

On the following pages are some suggested essential oils for a number of long COVID complaints. As qualified aromatherapists we all have our own personal approach to blending, whether this is based on chemical constituents, botanical blending or more psycho-therapeutic approaches. As experienced therapists we recognise that there is no ‘ultimate blend’ for any given condition. The overall aim is to select appropriate essential oils for the individual client and ensure they are blended safely for the relevant method of application.

International therapist 23

Aromatherapy

Essential oils: suggestions for various symptoms of long COVID GENERAL FATIGUE

POOR SLEEP QUALITY/ INSOMNIA

Aromatherapy considerations: Fatigue that is not relieved by adequate rest or sleep will undoubtedly lead to other healthcare issues such as reduced physical activity and inability to focus or concentrate, so it’s important to obtain a full picture of how fatigue affects our client. Note that over 57% of long COVID patients report fatigue as a symptom (Wong and Weitzer, 2021). The general suggestions for essential oils below are those that are invigorating or harmonising but building a clear picture of how fatigue affects the client will allow for a more selective choice of oils.

Aromatherapy considerations: Are there any issues that are resulting in poor sleep quality (for example, blocked sinuses, cough, headaches, anxiety)? Does the client have a bedtime routine? Consider sprays, inhalers, diffusers that clients could use to help with sleep and sleeping patterns.

Basil (Ocimum basilicum CT linalool), palmarosa (Cymbopogon martini), coriander seed (Coriandrum sativum), scots pine (Pinus sylvestris), frankincense (Boswellia sacra), plai (Zingiber cassumunar), ginger (Zingiber officinalis), rosemary (Rosmarinus officinalis), lemon (Citrus limon), sweet thyme (Thymus vulgaris CT linalol), lime (Citrus aurantifolia), thyme (Thymus saturoides)

LOW MOOD AND DEPRESSION Aromatherapy considerations: There are lots of oil choices for supporting clients with low mood and depression. Is the client’s mood associated with feelings of lethargy and tiredness or is the client ‘tired but wired’? Does the client need energising at particular times or sedating?

Relaxing/calming/sedative Bergamot (Citrus bergamia), clary sage (Salvia sclarea), frankincense (Boswellia sacra), melissa (Melissa officinalis), rose (Rosa centifolia / Rosa damascena), sandalwood (Santalum spicatum), sweet orange (Citrus sinensis), ylang ylang (Cananga odorata), yuzu (Citrus junos) Stimulating/energising/revitalising Basil – exotic (Ocimum basilicum), basil – holy (Ocimum sanctum), combava (Citrus hystrix), grapefruit (Citrus paradisi), lavandin super (Lavandula x burnatii), lemon (Citrus limon), mandarin (Citrus reticulata), peppermint (Mentha piperita), spike lavender (Lavandula latifolia)

MEMORY AND CONCENTRATION Aromatherapy considerations: When does the client notice issues with memory and concentration (morning or later in the day)? Do they participate in particular activities that make these symptoms worse? How does this affect their daily life and activities?

Basil (Ocimum basilicum CT linalool), lemongrass (Cymbopogon citratus), combava peel (Citrus hystrix), palo santo (Bursera graveolens), eucalyptus 1,8-cineole types, Scots pine (Pinus sylvestris), frankincense (Boswellia sacra), rosemary (Rosmarinus officinalis), grapefruit (Citrus paradisi), sage (Salvia officinalis), lemon (Citrus limon)

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Angelica root (Angelica archangelica), Roman chamomile (Anthemis nobilis), bergamot (Citrus bergamia), sweet marjoram (Origanum marjorana), green myrtle (Myrtus communis), sweet orange (Citrus sinensis), may chang (Litsea cubeba), true lavender (Lavandula angustifolia), melissa (Melissa officinalis), ylang ylang (Cananga odorata), neroli (Citrus aurantium amara), yuzu (Citrus junos), petitgrain bigarde (Citrus aurantium amara)

COUGH Aromatherapy considerations: What type of cough does the client have – dry or productive? Do they require something soothing to help them relax/sleep, or do they need something to assist with the removal of phlegm? For the latter, consider which chemical constituents are more appropriate (for example, 1,8-cineole, anethole, menthol, camphene, thymol and so on).

What self-help products/techniques could assist the client at home? What is the most appropriate form of application?

Clary Sage (Salvia sclarea), lemon (Citrus limon), cypress (Cupressus sempervirens), myrtle (Myrtus communis), elemi (Canarium luzonicum), sandalwood (Santalum spicatum), eucalyptus (Eucalyptus radiata), saro (Cinnamosma fragrans) frankincense (Boswellia sacra), thyme (Thymus vulgaris CT linalool)

RESPIRATORY CONGESTION Aromatherapy considerations: What symptoms does the client present with? Is congestion more upper or lower respiratory?

Which antiviral essential oil/s would be the most appropriate for the client? What other oil/s can be blended to support its action and help the client with their general recovery (for example, antiinflammatory oils)?

Atlas cedarwood (Cedrus atlantica), petitgrain bigarde (Citrus aurantium amara), balsam fir (Abies balsamea), ravintsara (Cinnamomum camphora), black spruce (Picea mariana), rosemary (Rosmarinus officinalis), CT cineole and verbenone, clary sage (Salvia sclarea), sandalwood (Santalum spicatum), combava peel (Citrus hystrix), saro (Cinnamosma fragrans), cypress (Cupressus sempervirens), Scots pine (Pinus sylvestris), frankincense (Boswellia sacra), spike lavender (Lavandula latifolia), kunzea (Kunzea ambigua), sweet bay (Laurus nobilis), lemon (Citrus limon), sweet orange (Citrus sinensis), myrtle (Myrtus communis), tea tree (Melaleuca alternifolia), niaouli (Melaleuca quinquenervia), thyme (Thymus vulgaris), CT thymol, thujanol, geraniol, borneol, linalol

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Aromatherapy

HEADACHES

ANOSMIA

Aromatherapy considerations: Can the client identify the cause of the headache? Is it related to stress and tension or possibly to an infection, such as sinusitis? Is the headache constant or worse at different times of the day? Is there anything that brings relief from the headache?

It is well known that numerous viral infections result in the loss of sense of smell (and taste). Anosmia is one of the key features of infection with COVID-19 and post-viral anosmia/hyposmia appears to be a common complaint of many individuals. Smell training is a treatment suggested by the NHS (NHS, 2021).

As aromatherapists we generally have a wide selection of oils that can be used in this way to assist our clients with re-training their sense of odour perception. Using a fragrance strip to ‘experience’ the aroma of a variety of essential oils is certainly something which we can advise our clients about. Research studies in this area often quote rose, lemon, clove and eucalyptus but many other essential oils can be used (Pekala et al, 2015).

Basil (Ocimum basilicum), rosemary CT 1,8-cineole (Rosmarinus officinalis), eucalyptus 1,8-cineole types, sweet orange (Citrus sinensis), German chamomile (Chamomilla recutita), tangarine (Citrus reticulata), peppermint (Mentha piperita), true lavender (Lavandula angustifolia), Roman chamomile (Anthemis nobilis)

ANXIETY, FEAR AND/OR PANIC Aromatherapy considerations: Is there any particular trigger? Is the client able to identify any particular situation which definitely makes things worse? What, if any, coping strategies are they using?

Angelica root (Angelica archangelica), melissa (Melissa officinalis), atlas cedarwood (Cedrus atlantica), neroli (Citrus arurantium amara), bergamot (Citrus bergamia), Roman chamomile (Anthemis nobilis), frankincense (Boswellia sacra), true lavender (Lavandula angustifolia), geranium (Pelargonium graveolens), ylang ylang (Cananga odorata), mandarin (Citrus reticulata)

MUSCULOSKELETAL PAIN

We are still living through and learning about the effects of coronavirus on a global level. Our understanding of COVID-19 infection and subsequent development of long COVID in some individuals is constantly being updated and the vast amounts of data collected to date will undoubtedly be analysed for years to come. While some support is available to individuals with symptoms associated with long COVID, this is by no means equally accessible to all. In view of the difficult recovery pathway, many individuals may decide to look towards various complementary therapies for support in that recovery. Aromatherapy provides access to a wide range of essential oils and other aromatic products that may certainly be able to assist in that process.

Aromatherapy considerations: How does the client refer to and describe the pain? Is it constant or worse at different times of the day? Does it ease with movement or is it made worse, for example, by coughing? Do we need to consider any skin issues with using our oil and our method of application?

Atlas cedarwood (Cedrus atlantica), lavender (Lavandula angustifolia), basil CT linalool (Ocimum basilicum), lemongrass (Cymbopogon citratus), black pepper (Piper nigrum), plai (Zingiber cassumunar), clary sage (Salvia sclarea), ravintsara (Cinnamomum camphora), cypress (Cupressus sempervirens), Roman chamomile (Anthemis nobilis), Douglas fir (Pseudotsuga menziesii), rosemary CT 1,8-cineole (Rosmarinus officinalis), eucalytpus (1,8 cineole types), rosemary CT Camphor (Rosmarinus officinalis), frankincense (Boswellia sacra), spike lavender (Lavandula latifolia), ginger (Zingiber officinalis), sweet marjoram (Origanum marjorana), juniper berry (Juniperus communis), yarrow (Achillea millefolium)

Kate Mulliss, FFHT, qualified in aromatherapy in the early 1990s and has worked as a complementary therapist for over 25 years. She has taught various complementary therapies at her local college of further education in Somerset and for private training providers in London. She currently provides FHT accredited CPD courses in aromatherapy and reflexology at TEACH Therapy in south Wales (teachtherapy.co.uk).

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FHT Blog

Top blogs

FHT regularly shares blog posts to keep members updated with the latest in the industry. We look at the most popular posts in recent months...

TIPS FOR PROTECTING YOUR SKIN AGAINST UV RADIATION Around 90% of skin cancers can be avoided by adopting simple sun-safe strategies. When UV levels reach three or above, take action to protect your skin by following Skcin’s Five S’s of Sun Safety: Slip on clothing n Clothing can be one of the most effective barriers between our skin and the sun and should be considered the first line of defence. n Clothing should always cover shoulders, but ideally as much skin as possible. n A closer weave fabric will provide better protection. n A high UPF rated fabric provides best protection.

Slop on sunscreen n Always use a sunscreen with a Sun Protection Factor (SPF) of 30 or above. n Make sure it’s broad-spectrum and carries a UVA symbol (ideally 4-star). n Store in an accessible, cool place and remember to check the expiry date. n Apply a generous amount to clean, dry, exposed skin 20 minutes before going outdoors. n Regardless of the instructions, all sunscreens should be re-applied at least every two hours (more often if perspiring) and straight after swimming. n Remember to protect your lips with an SPF 30+ lip balm.

Slap on a sun hat n Always wear a hat with a wide brim that shades the face, neck, ears and cheeks. n A close weave or UPF rated fabric will provide better protection.

n Ensure they are close fitting and wrap-around to stop UVR entering the top and sides. n Remember price has no reflection on the quality of protection.

Slide on some sunglasses n Solar UV radiation can be damaging to the eyes, so wear quality sunglasses. n Overall protection depends on the quality of the lens as well as the design. n Look for the European CE mark, which indicates a safe level of protection. n Those labelled with a high EPF (which ranges from one to10) will provide best protection.

Shade from the sun n Shade can provide a good barrier between our skin and the sun. n Seek shade whenever possible, particularly during peak UV hours, 11am to 3pm. n Keep toddlers and babies in the shade at all times.

Visit skcin.org for more information on protecting yourself from skin cancer.

YOUNG LGBT+ COMMUNITY ARE THREE TIMES MORE LIKELY TO HAVE AN EATING DISORDER New research suggests that one in five young people in the LGBT+ community (20%) have experienced or are currently experiencing an eating disorder. This is compared to just 7% of people who consider themselves heterosexual.

The study by charity, Just Like Us, found that a quarter of bisexual girls (24%) and young lesbians (23%) have had eating disorders, compared to 9% of heterosexual girls. The research found that 18% of gay boys and 13% of bisexual boys have had eating disorders, compared to 3% of

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heterosexual boys.

The LGBT+ young people’s charity surveyed 2,934 secondary school pupils (including 1,140 LGBT+ young people) in Years 7-13 (ages 11 to 18) across 375 UK schools and colleges in December 2020 and January 2021.

Chief Executive of Just Like Us, Dominic Ardall, said, ‘It is devastating to discover that LGBT+ young people are three times more likely to have an eating disorder and this highlights how society’s lack of acceptance can impact on your mental health and wellbeing’.

Autumn 2021

FHT Blog

Advice

THE LONGEST NERVE

Advice

The longest nerve

Jane Johnson, FHT accredited course provider and physiotherapist, gives an insight into sciatica and how therapists can support clients living with the condition.

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ciatica is a term used to describe irritation or compression of the sciatic nerve. This is the largest nerve in the body, running from the lower back to the buttock, down the leg and into the foot. It is formed from the lumbar nerves L4 and L5 plus the sacral nerves S1, S2 and S3. Irritation or compression of the nerve affects its function (see item A in Table 1).

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Spring 2021

Spring 2021

Anyone can get sciatica but the condition mostly affects people in their 40s or whose jobs require working in physically awkward positions. The most common cause of this condition is a herniated disc in the lumbar spine but anything that compresses or irritates the nerve can cause it to occur (see item B in Table 1).

It is a painful condition, but pain is not the only symptom (see item C in

Table 1). Whilst radicular (radiating) pain can occur from the lower back running to the bottom, down the back of the leg and even into the foot or the toes, in severe cases people may also experience muscle weakness and problems walking. The pain is often described as ‘shooting’, or as 'a painful numbness’. It can significantly  affect a person’s quality of life, for

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In International Therapist Spring 2021 (Issue 136), FHT accredited course provider and physiotherapist Jane Johnson contributed an article on sciatica which looks at how therapists can support clients living with the condition.

Jane gives an insight into the function of the sciatic nerve, common causes of sciatica, symptoms and medical/nonmedical support that can be given. She writes, ‘Sciatica is a condition for which hands-on treatment of the local area may not be appropriate. However, there are many other ways in which a therapist can support someone living with sciatic pain.

Read the full article at fht.org.uk/IT-136longest-nerve

FHT GIVES TIPS TO NATURAL HEALTH READERS ON ESSENTIAL OILS FOR TRAVEL In an article published on Natural Health website, aromatherapist and FHT Vice President Mary Dalgleish offers tips on how to use essential oils safely to tackle some common health complaints associated with travelling.

In Essential Oils: Natural Travel Companions For Your Health, Natural Health readers learn: n how sniffing one or two drops of ginger essential oil can help to tackle nausea, vomiting and motion sickness; n that neroli can help to reduce holiday anxiety; n which essential oils make useful insect repellents; and

n how chamomile and rose hydrosols can be used to soothe mild sunburn.

At the end of the article, Mary covers some important safety advice when using essential oils and readers are directed to FHT’s Directory to find a registered, qualified and insured aromatherapist in their area.

To help promote our members to those with an interest in natural approaches to health and wellbeing even more, we also have a direct link to the FHT Directory on the Natural Health website homepage throughout July, as well as a full page advert in the July issue of the printed magazine.

Read the article on Natural Health’s website at fht.org.uk/blog-NH-Eos

OH MAGAZINE READERS ENCOURAGED TO TRY REFLEXOLOGY This September, we encouraged visitors to Oh Magazine’s website to treat their feet to some reflexology and highlighted five great reasons why they should try this gentle but powerful therapy: n Reflexology can help to reduce anxiety, improve sleep and mood, and relieve tension. n Many people use reflexology to help them manage long-term health conditions. n People of all ages can potentially benefit from reflexology and the power of positive touch. n Reflexology can help to mobilise stiff or tired toes, ankles and feet. n As reflexology usually only treats the feet, it can be enjoyed just about anywhere!

At the end of the article, readers are Autumn 2021

encouraged to visit FHT’s website to find a professional reflexologist in their area.

And for those who enjoy the print version of Oh Magazine, we have also promoted our members with a full-page print advert in the September issue.

If you’re not familiar with Oh Magazine, this beautifully illustrated publication has a readership of 120,000 and offers a fresh perspective, covering new ways of looking inside ourselves and out. Oh offers mindfulness for everyday living, with mindful activities and adventures for readers who want to live ‘on purpose’.

Read the article on Oh Magazine’s website at fht.org.uk/blog-Oh-reflex International therapist 27

Self-care

Taking care of

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herapy work is extremely rewarding but it can also be physically, mentally and emotionally draining at times. As a professional therapist, it’s really important that you ‘walk the talk’ and carve some time out to look after your own health and wellbeing. Taking just 10 minutes out of your busy schedule for some self-care can

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you

“Take care of your body.

It’s the only place you have to live.” Jim Rohn

make a huge difference to both you and your clients, who will continue to benefit from a high level of service.

In this article, a few of our favourite therapy experts share different tips and techniques to help you take good care of yourself. Please feel free to pass these on to your clients, friends and family, too – simply download the article at fht.org.uk/IT-138self-help or share the link online.

Autumn 2021

Self-care

Straight to the point FHT Vice President, Mary Dalgleish, shares a simple reflexology technique to help relieve stress and anxiety…

The adrenal glands, which are directly affected by stress, are responsible for the ‘fight-or-flight’ response we feel when under pressure. Although designed to be short-lived, if this response is prolonged or happens on a regular basis, it can lead to overworked adrenal glands.

In reflexology, the adrenal reflex point is found just below the ball of each foot as well as the fleshy area below the thumb on the palmar side of the hand. Gently pressing the adrenal reflex points for a few minutes can help calm the adrenal glands and reduce tension.

More online… Watch a short video by Kate Mulliss, MFHT, which covers more reflex points on the hands to help ease stress and anxiety. Visit fht.org.uk/video-hand-reflex

Scents for the senses The average professional aromatherapist will have around 40 different essential oils at their disposal. Below are five of Mary Dalgleish’s favourites, along with some tips on how to use these safely at home…

Bergamot is a member of the citrus family and can be both calming and uplifting, making it ideal for stress, anxiety or depression. It’s also useful for urinary tract infections, such as cystitis.

German chamomile contains a compound known as chamazulene, which has a powerful anti-inflammatory action, and is particularly useful for aches and pains.

Eucalyptus is a stimulating oil and powerful decongestant that can help to

*SAFETY NOTE Never ingest oils or apply neat to the skin. If you have a history of allergies, are taking medication or you are pregnant, speak to a professional aromatherapist before using essential oils. If ordering essential oils online, use a reputable supplier to ensure you are the buying high-quality oils, for example Absolute Aromas, Base Formula, Neal’s Yard, Penny Price, Purple Flame or Tisserand.

Autumn 2021

relieve catarrh and blocked sinuses.

Lavender has a calming, balancing effect on the mind, and is particularly good for anxiety, headaches and sleep problems.

Rosemary is considered one of the most stimulating essential oils and is perhaps best known for its ability to boost memory and concentration, making it an ideal study aid. Like eucalyptus, it is also a useful decongestant.

There are a number of ways essential oils can be used at home including*:

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Simple inhalation – One to two drops of essential oil can be added to a tissue or pillowcase and gently inhaled when required. It is also possible to buy jewellery and aroma-sticks that can hold drops of oil for inhalation.

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Steam inhalation – To help clear the head and sinuses, add three to five drops of an essential oil such as eucalyptus (which is a key ingredient in Olbas® oil) to a bowl of hot water and inhale for up to 10 minutes.

Placing a towel over the head and bowl is helpful, but keep your eyes closed to reduce the chance of irritation.

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Diffusers – There are now an array of different ways to diffuse oils into the home, from traditional burners and aromatherapy reeds, to ultrasonic diffusers and atomizers. The amount of essential oil added will depend on the diffuser – always follow the manufacturer’s recommendations.

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In the bath – Essential oils are not water soluble, so will create a film on the surface if added directly to bath water, which can irritate the skin. Add 5 to 8 drops to Solubol or Castile soap, which you can buy online. Both of these products help to disperse oils but ensure you follow the instructions.

More online…The above is an excerpt from an aromatherapy article originally published by CalmMoment (calmmoment. com). View the full article at fht.org.uk/ calm-moment-aroma

Breathe in, breathe out, and imagine…

FHT Fellow and accredited course provider, Dr Kate Beaven-Marks (hypnotc. com), shares two hypnotherapy techniques to help you rebalance and recharge…

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The HypnoTC rebalancing shield technique This technique is ideal for daily emotional rebalancing, although it can be used as often or as infrequently as desired. It is particularly helpful at times of stress or anxiety but can also help to address any other unhelpful emotions or thoughts. While the technique can be conducted with your eyes open, it is generally easier if you close your eyes, as this will aid your focus.

Start by sitting or lying comfortably.

Take a deep breath and close your eyes as you breathe out. Focus for a few moments on your breathing; breathing in a sense of calmness and releasing any unnecessary tension as you breathe out.

Now imagine that you have a mental and emotional shield around you, like a strong and sturdy forcefield. Notice any areas in your shield that would benefit from repair and imagine that with each breath in and out, the shield repairs itself and becomes stronger.

Now imagine a door set into the shield, to which you have the key. Imagine unlocking and opening the door widely.

Scan your mind and body for any unhelpful thoughts, feelings or emotions that no longer benefit you or are not in your best interests, such as sadness, irritations or stress. Gather these together and send them outside of your shield.

Now allow yourself to absorb anything positive that is presently outside of your shield, such as successes and achievements, or even the sight of a beautiful sunrise. Allow these to enter, creating a new positive and helpful balance as the door then closes.

Take a deep breath and open your eyes.

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The HypnoTC renewal technique This technique is ideal for daily recharging and revitalising. It is particularly helpful at times of tiredness or if you have low levels of physical or mental energy. This technique is generally better if you close your eyes, as this will aid your focus.

Start by sitting or lying comfortably.

Take a deep breath in and close your eyes as you breathe out. Focus for a few moments on your breathing; breathing in a sense of calmness, and releasing any unnecessary tension as you breathe out.

Now imagine that you are standing outside a beautiful country house, facing  International therapist 29

Self-care

a glorious garden, which is designed exactly how your ideal garden would appear. It may be that you can clearly picture the garden but if not, simply imagine what it would be like to clearly picture it.

Notice that there are 10 steps leading down to the garden. Slowly move down each step, one per out-breath, as you find yourself relaxing with each step.

Once you are in the garden, you can become aware of a small fire area with stones around it, with some large stones acting as seats. Take a seat and notice a stick of wood nearby. Imagine picking up the stick and as you hold it, any negative thoughts or feelings can transfer into the stick. Throw the stick into the fire and notice the sparks as those negative thoughts and feelings disappear.

Now take a stroll around your garden and find a gentle flowing stream. Sit and rest with your feet or a hand in the water.

Notice how the running water infuses you with a refreshing sense of vitality. When you feel fully recharged, make your way back to the steps. Then, ascend the steps, one per in-breath, finding yourself fully alert at the top.

Take a deep breath and open your eyes.

Prevention, posture, pacing and a good stretch FHT Member, accredited course provider and 2021 FHT awards finalist, Clare Riddell (pressurepoint. me) shares three top tips and a stretching technique…

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Prevention is better than cure We spend our working week helping all types of clients with different conditions, aches and pains, and repetitive strain injuries. Ask yourself, when was the last time you had a massage? If we are suggesting to our clients to book in every three to six weeks, if the last time you had a treatment was more than this, then it’s time to get your diary out! You need to be fit and healthy to provide a 100% service to your paying clients.

can have the same effect and if performed correctly, the client will not know the difference. Just because you are using your elbow, doesn’t mean you have to increase the depth of stroke – control it with your free hand and use your elbow as a tool. Also try to keep your wrist and elbows straight, which will reduce the pull at your elbow and allow you to use your body weight more effectively.

Warm up and stretching

Good practice for any therapist is to warm up your hands and arms before your first client of the day. By ‘warm up’ I mean encourage the blood flow and stretch your muscles, as opposed to sitting near a radiator – however I’m sure clients would appreciate warm hands being placed on them! As most of you are aware, stretching a cold muscle is ineffective. Use active isolated stretches (AIS) on your forearms to pump blood to the area and with dynamic movements, gradually build up the stretch and warmth in the area. Have a go at the following example for wrist extensors:

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Place your forearm on a table/ couch with hand hanging off the end (palm down).

working on a few clients a day and then gradually take on more bookings as your body becomes used to the workload.

I consider myself lucky to have a job where I can walk to work, spend six hours massaging and then walk home. There is no sitting down in my life and my hands and forearms have grown in strength to accommodate my active lifestyle.

3

Working posture Depending on where you studied and how long ago this was, things have changed a bit over the last 20 years. Body and sports massage techniques should avoid the use of thumbs where possible.

Too much pressure on the thumb joint can cause long-term problems – try other parts of your hand and arm, such as the fist, knuckles, forearm or elbow. These

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Use your other hand to take the wrist into flexion for less than two seconds - you will feel a mild stretch of your wrist extensors.

3 4 5

Release the pressure and your hand should spring back.

Repeat this 10 times and with each hold, take the hand slightly further.

Now do the same with your wrist flexors – palm up and repeat.

More online… Read an article about some self-help myofascial release techniques by FHT Member and accredited course provider, Amanda Oswold, at fht.org.uk/MFR-at-home. T

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Build up slowly If you have just qualified and are not used to working on six to eight clients a day, it takes a while to build up your strength. Do this progressively,

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Autumn 2021

Advice

A

s clients return for much needed treatments it is important that, as professional therapists, we work to rebuild their confidence in close contact services. Although many of your clients will have been eager to return, others may have a range of concerns about returning to ‘normality’. We share some suggestions to help you boost your clients’ confidence when they return to the treatment room...

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Whether it’s regular emails, text messages or a phone call, keep your clients up to date with all safety measures you have put in place to protect them. It is key that within these updates you highlight the client's responsibility for keeping themselves safe too, from wearing a face covering to touching fewer surfaces and using hand sanitiser.

Calmness

As therapists, we know that creating a sense of tranquillity is part of your everyday. Given the heightened safety measures we all now need to consider, it is easy to feel flustered or as though your mind is elsewhere. A couple of ideas for maintaining calm within your practice are to allow a few minutes between clients to gather your thoughts and playing relaxing sounds for when your client arrives.

Regular updates Government guidance has been changing frequently during the pandemic and we are proud to have seen so many of our members engaging with updates provided by the FHT. Nothing will give your clients peace of mind like showing you’re on the ball when it comes to implementing government guidance - when new changes are made, make these a part of your company policy and share this with clients as seamlessly as you can.

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4

Sharing your approach

Clients are likely to read your policies around keeping safe and understand your approach but a nice way to Autumn 2021 2021 Autumn

ways... to build client confidence

In this regular, we’ll be offering six top tips to support you, personally and professionally.

add a little personality into your communications is to speak from a personal perspective. Write a blog or e-newsletter item about the PPE you wear and explain your cleaning regime and any changes you’ve made within your practice. Make it fun by adding in that you ‘clean to music’ or ‘wash your hands mindfully’. Most importantly, leave your clients knowing why you’re doing these things because you care!

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Sharing client experiences

Just as your clients will want to be aware of your approach to safety, sharing other client experiences will also give them a boost of confidence to returning. If after a treatment a client seems particularly happy with their experience, ask if you can write down their thoughts, take a quick picture and share this with your client base or on social media, with their permission. It can be daunting to ask for a picture but is also quite important, as it shows the person

behind the comment and gives other clients someone they can relate to.

Normality

6

We all miss that feeling of normality that was ‘pre-COVID’. Although no longer a legal requirement at the time of writing, we are pleased to hear that so many therapists are following FHT's guidance on continuing to wear PPE. However, we are aware of the challenges these safety measures can bring when it comes to creating a sense of normality. When a client visits, try to welcome them in the same manner as usual and take them away from the current stresses of the world by having a conversation with them about something completely different. T

For references and further reading, visit fht.org.uk/IT-references

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Illustration: ©Shutterstock

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Communication

Support

Here for you On these pages, we highlight some of FHT’s activities that aim to get you and your therapies the recognition they deserve.

New apprenticeship in Wellbeing and Holistic Therapy set to support the nation’s health A new Level 3 Wellbeing and Holistic Therapist Apprenticeship is now available from the Institute for Apprenticeships and Technical Education, which will help to boost the number of competent and professional therapists available to support the nation’s health and wellbeing as we recover from the pandemic.

Those completing the apprenticeship will be able to deliver a range of holistic therapy treatments and wellbeing experiences including Indian head massage, lymphatic drainage massage, aromatherapy, energy-based therapies and treatments, manual acupressure, zone therapy and holistic massage.

FHT Vice Presidents, Judith Hadley and Gerri Moore, have been involved in developing both the Level 3 Wellbeing and Holistic Therapy and Beauty Therapy apprenticeships, alongside other key industry stakeholders in the Steering and Trailblazer Groups.

Judith says, 'The new suite of NOS / Apprenticeship qualifications are the most exciting and innovative programmes for many years - not only for our future therapists, but also for our extraordinary and everchanging industry.

'The extensive and all-encompassing provision will help our future generation of therapists to cultivate ‘multi’ skills, competencies and services to meet today’s standards and level of requirements within the Wellbeing and Holistic and Beauty Therapy sectors. The FHT feels privileged to have been an integral part of this most significant development in moving forward. In the wake of a pandemic that has truly taken its toll on the nation’s physical, mental and emotional wellbeing, the timing of these new apprenticeships couldn’t be better.'

View a copy of the standards at fht.org.uk/IT-138-NOS 32 International therapist

2021 FHT Excellence Awards finalists announced Thank you to everyone who entered and nominated in the 2021 FHT Excellence Awards. It’s never been more important to showcase your work and the different ways you help to improve your clients’ health and wellbeing, as well as supporting others in the industry and your local community.

On 9 August, we were delighted to announce our finalists for each of the following categories…

FHT Complementary Therapist of the Year n Basma Gale n Malminder Gill n Caroline Purvey n Stephanie Quigley n Alexandra Skanderowicz n Angela Vigus FHT Beauty Therapist of the Year n Alison Day n Geraldine Flynn n Nima Shah FHT Student of the Year n Tracy Butler Simmons n Suzanne Julian n Anya Rae FHT Tutor of the Year n Marie Duggan n Sally Kay n Sandy Newbigging n Clare Riddell n Elaine Wilkins FHT Local Group Coordinator of the Year n Alison Brown

n Janet Cairnie n Jackie Hamilton n Sarah Holmes FHT Green Therapy Business of the Year n Glynis Finnigan n Philippa Lee n Hannah Lovegrove n Melanie Price n Rima Shah n Lucy Stevens FHT Inclusive Therapy Business of the Year n Hinna Bashir n Ana Bott n Farrah Idris n Beverli Taylor The winners will be announced in November in a special online presentation and each will receive a certificate, trophy, logo for marketing materials and PR support to help spread the word in their local area and nationally.

We wish you all the best of luck!

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Support

FHT joins MPs in writing to Skills Minister for therapies to be added to the National Skills Fund The FHT joined forces with politicians and other industry stakeholders in writing a letter to the Minister for Apprenticeships and Skills, Gillian Keegan MP, asking her to add a number of complementary therapy qualifications eligible for the National Skills Fund, to help address the significant skills gap the industry is facing due to the COVID-19 pandemic.

The letter highlighted that a number of Level 3 diplomas, including massage, aromatherapy, reflexology and sports massage, are not currently eligible for the fund and that the coalition hoped to see these included in the ‘health and social care’ category when the list is reviewed this year. It was also stressed how crucial it is that the fund is accessible to all, including mature learners, and to help support those ‘retraining’ due to job losses during the pandemic.

Among other things the letter outlined that, ‘Complementary and holistic treatments are crucial in supporting the health and wellbeing of the population and taking pressure off the NHS. Demand for these services from the public is even higher than

before the pandemic but the constricted talent pool means the sector is struggling to meet this demand. […] Figures from the Federation of Holistic Therapists’ 2021 member survey shows that 75% of practitioners said their clients are seeking support for long-term health conditions and 63% said their clients are those taking a preventative approach to health. Many conditions treated by therapists more than once a month such as stress/anxiety (83%), low back pain (72%) or joint problems/ mobility issues (67%) account for a significant share of GP appointments but are often better tackled by complementary therapy’.

Keegan replied to say that they plan to keep the list of qualifications and the subject areas under review to ensure that they adapt to the changing needs of the economy and will consult on the future of the fund soon.

FHT IN THE PRESS FHT regularly contributes to a number of consumer and trade publications, to help promote you and the therapies you offer, and to reinforce the importance of best practice.

Recent highlights include: NATURAL HEALTH In each issue of Natural Health, the FHT provides a plant profile, highlighting the benefits of a plant typically used in aromatherapy practice and driving readers to the FHT website. In the July, August and September issues, we covered vetiver, palmarosa and cinnamon leaf. On the Natural Health website we also shared articles on five different ways reflexology can help support health and how essential oils can help you stay well on your travels. Visit blog.fht.org.uk and enter ‘natural health’ in the search box to find these articles.

FHT welcomes new Marketing Manager We’d like to give a big warm welcome to Cassim Gibbs, who joined the FHT team as Marketing Manager this August, taking over the role from Jade Dannheimer.

Cassim has worked in marketing for more than 20 years and says, ‘Over the

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years, I’ve worked in many stressful environments. With marketing targets and KPIs to always hit, I would have really benefitted from the services FHT members offer! In fact one creative marketing agency I worked for did offer staff a monthly back and head massage, which was great for de-stressing and clearing the mind.

It would be great if more companies considered the wellbeing of their staff, especially in these uncertain times.

‘I’m really excited to be joining such a highly respected and dynamic organisation and look forward to promoting the incredible services our diverse membership base offers their clients’.

OH MAGAZINE This July and August, we shared two articles on Oh Magazine’s website, directing readers to FHT’s Directory to find a therapist.

In the July article, FHT Vice President Mary Dalgleish shared a few simple but effective selfcare techniques to manage stress and in the August article, we outlined five great reasons to try complementary therapy. Visit blog.fht.org.uk and enter ‘oh’ in the search box to read more.

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Advice

Going online

the essentials

2021 FHT Virtual Congress speaker and business mentor Gemma Went shares tips on how to take your offline business online.

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’ve been working in the online space for more than 20 years, before Facebook even existed (if you can remember that far back!) and I am confident that eventually all businesses will move online.

If you work hands-on or face-to-face with clients, you may be slightly resistant to that idea or think that it’s simply not possible, but here’s the thing: COVID-19 meant that lots of businesses had no choice but to move into the virtual space and for those of you who started to branch out in this area, you probably noticed a number of benefits.

Even if your work does involve seeing and treating people in the flesh, it’s still really important to have a strong online presence. Moving online doesn’t mean losing that all-important human touch – as a therapist, you would never want to lose that. For me, it’s all about using digital platforms and channels to reach out and connect with even more people to help you sell your services, while still having that human interaction that is vital to your business.

If you haven’t worked online before, I can appreciate you might find the whole idea a little scary. That’s why in this article, I’ve tried to break it down into five essential elements.

Your website This is your online business hub and it has a very important job to do. It’s where you will showcase your services, manage your visibility and demonstrate that you are an expert that people can

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trust. It is where you will drive everyone to so that they can get in touch and book appointments. And it only needs to be five very simple pages:

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The homepage – which gives a little introduction to your business (see my comments a little further on about key words and SEO to maximise your visibility).

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The about page – which talks about you, your credentials and your mission, and what you do that’s different.

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A services page – outlining the different therapies you offer, with a really easy booking system. This can include some frequently asked questions about treatments and pre-treatment booking forms and downloads, and so on.

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A testimonials page – to prove you are an expert at what you do and to showcase case studies and before and after pictures, where relevant (ensure you add your logo to your pictures before uploading).

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A contact page – with your email address, phone number and links to your social media channel(s).

In terms of ‘how’, there are some great tools out there if you are happy to have a go at creating a website yourself. I particularly like Squarespace because it’s very simple to use, provides beautiful website templates and they also host your website, which means everything you need is in one place. 

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Advice

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Advice

or process for your unique method, and name it and trademark it (which are both very easy to do) that makes it even more credible. Is there a fourstep process that you take your clients through to get the results they want? If there is, name it, illustrate it and then that’s your unique method. It becomes a lovely thing that you can talk about on social media and on your website. It helps you to stand out from the crowd and this is what we really want when we’re on any marketing platform.

Another popular option is WordPress where, again, you can use one of their themes (website templates) or buy your own. It’s a little bit harder to navigate than Squarespace and you have to find a separate host (such as GoDaddy), but WordPress does give you more flexibility.

While it’s relatively cost effective to create a website on Squarespace and WordPress, if you don’t have any budget available you might like to try about.me.

At the very least, it means you can create a free website with a photo of yourself, outlining who you are, your services and a link to get in contact with you and book an appointment.

Once you’re starting to get into the swing of things, it’s important to work on your website’s search engine optimisation (SEO). While I don’t have space in this article to go into much detail, to improve your SEO you need to use key phrases throughout your website that people would type into a search engine if they were looking for someone like you. Bear in mind that if you provide a local service – such as sports massage in Portsmouth – it would boost your visibility and ranking to make Portsmouth part of your key phrases as well as maybe sports massage, sore back, sports injury, and so on. For my website (gemmawent.co.uk) I’ve optimised my SEO for UK business coach, so that if anyone puts into Google, ‘How do I find a UK business coach’, ‘UK business coach’ or ‘business coach in UK’, my site is on page one of the search results, usually near the top, which is how a lot of people find me.

The beauty of SEO is that when someone is searching online, they have intent to buy. They have a problem they 36 International therapist

want to solve and that’s why they are searching for you. It’s a much easier sell than if you are on social media, where lots of people tend to just ‘hang out’.

That’s why everything – including your social media posts – need to drive people to your website, your business hub.

Online marketing This is something that many people seem to be afraid of, so I have whittled it down to four main activities to get you started.

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Social media My advice is to pick just one platform and learn to use it really well. The one you pick is where your people are. Where do they hang out? Are they Facebook people? Are they always on Twitter?

Wherever they are, go there. If you can, share daily content that’s quick and easy for you to create. Encourage conversation as social media platforms are social by name and social by nature!

Ask questions and create dialogue.

Give them lots of tips and advice that demonstrate your expertise because the more you give, the more you will be trusted and the more likely they are to try your therapy services.

Encourage user generated content, which is essentially having your customers share their great experience, pictures and posts, and reshare their content (with permission).

If you have a unique method or approach to your work, share that, because it establishes credibility. It makes people choose you over others who have an otherwise similar offering.

If you can actually create a diagram

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Email marketing You need to build a subscriber contact list, made up of clients and others in your community who are interested in your services. This contact list is where the people you engage with will safely sit. Social media accounts like Facebook and Instagram have the power to close accounts, so don’t rely on these platforms to reach out to people who have engaged with you and your services. Bring your contacts over from social media onto an email list, just in case.

If you haven’t tried email marketing before, two of the easiest tools for the job are MailerLite and Mailchimp. I suggest giving weekly or monthly updates, so that you can share meaningful and engaging content. This might include stuff you’ve shared on your social media platforms already, a new service you’ll be offering soon, a special offer, a nice testimonial (with the client’s permission), some tips or advice, and maybe your unique method. See ‘content’ following for other ideas.

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Advice

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Lead magnet This is what we use to entice people onto your email marketing list. It’s a free, value-based resource that you give in exchange for an email address. For example, it could be a discount off their first treatment with you, or taking part in a monthly prize draw. Or you could offer a free guide that will really help to solve a problem for your clients - even if they benefit just a little bit from this, they will think the world of you for sharing it with them.

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Content This is what you are serving up on your social media platform and in your emails to engage with 'your people'. It could be photos of ‘behind the scenes’ work. Lists are popular too, for example, ‘five things to do if you are feeling X'.

‘How to’ guides also work well, for example, ‘how to deal with X problem’.

People also love quotes – what sort of quotes would your people enjoy? Set aside a couple of hours to create a whole bunch of content and then schedule that to go out on your social media. You can use the platform itself, or you can use a scheduling tool like Hootsuite or Buffer to plan and organise your content.

Sales activity It’s amazing how many people do the marketing bit, then forget to invite people with a call to action to use their services. Give people a reason to reach out, have a conversation and to find out more, which we refer to as a ‘call to action’ (CTA). If you’ve put out a social

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media post about ‘how to deal with X’, finish this off with, ‘If you enjoyed reading this but need a little more help in this area, please message me on Facebook’ or ‘go to my website to get in touch’.

Make sure it is also really easy to book and pay for your services. Calendly is a useful tool or you might like to try some specific tools for your industry that will work much better for you, such as Power Diary or Writeupp. For taking payments online you might like to consider Stripe or PayPal. Have a link to book an appointment on every single webpage, as well as in your profile on social media. Also make sure that your services are really easy to understand and enticing. Make it clear what the benefits are rather than just list your treatments.

People don’t buy features, they buy transformations and results.

Create a really easy referral scheme and ask any clients who love your services to recommend you to their friends and family. Each time one of these people converts into a new client, give the referring client a discount off their next treatment or a gift as a thank you.

Operations This is all about the backend of your business and running it efficiently.

First of all, I suggest running an easy calendar system (I use Google Calendar), which will allow you to block out time for different work activities. I see so many business owners who are working all day, every day, and they’re jumping from marketing to ordering supplies, speaking to someone on the phone to working with a client. That cognitive switching is exhausting and doesn’t work.

To use myself as an example, Mondays are my back office days where I work on admin, Tuesdays I work on projects, and Wednesdays and Thursdays I work with clients. Fridays I keep clear – I might have the day off if I’ve had a busy week or focus on creating content or a podcast. I also don’t have any calls before 11am or after 4pm, and I make sure that I finish and don’t have any more screen time between about 5.30 and 6pm. This kind of discipline and way of running your calendar can really support you, your

mind set, energy and health.

The other thing to think about is using a really easy contact system. Whether you have prompted people to contact you by email, text or messenger, make sure you keep track of everybody and don’t lose anything.

I also recommend using a really simple finance system. I use Xero (pronounced Zero) but other popular packages include QuickBooks or FreshBooks. Try not to cobble it together yourself - running your finance system well will actually save you time and money by improving your accounting and bookkeeping processes.

Automation Finally, just a reminder that you want to be automating certain activities as much as possible. It frees up your time and takes pressure off you, so that you can focus on the work you really want to be doing. We’ve already touched on some of this but there are lots of tools you can use, for example, to create bookings, send out automated emails and invoices, and to schedule social media content. This is particularly helpful if you are a sole trader and you don’t have any team members who can support you with the admin side of things. Automation can be confusing at first, but once you get the hang of it, it can save you so much time and energy and improve your efficiency and productivity.

I hope there are elements in this article that you find useful. Moving your offline business online can help to create the freedom that you want in your life so that you’re not working all hours. It allows you to reach more people and, ultimately, to make more money. T

Gemma Went is a business mentor and mindset coach who specialises in the online space. She has more than 20 years’ experience, which includes working with over 1,000 small business owners. Find out more about Gemma and access free business support materials at gemmawent.co.uk

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Beauty

SUPPORTING

TRANSFORMATION 38 International therapist

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Beauty

Rani McMurran, MFHT, talks about her electrolysis work with transgender patients prior to surgery.

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lthough I have been practicing electrolysis for over 30 years, my actual journey into providing clinical electrolysis services to NHS England didn’t begin until 2004.

My very first experience of working with transgender patients came from placing an advert in my local magazine, highlighting electrolysis as the only permanent method of hair removal for unwanted hair.

Soon after I was contacted by a transgender patient who was in the process of transitioning and looking for beard removal.

She had chosen to privately fund her own electrolysis treatment as commitment to her work left her with no time to pursue an application for NHS funding. Once I had completed her facial hair removal she asked if I’d be happy to consider her next stage of transitioning, which required hair reduction prior to genital reconstructive surgery (GRS). This was to be a game changing proposal for me. Without much ado, I decided I wanted to make a very positive contribution to the wellbeing of this patient’s life, by helping her to achieve her ultimate goal.

My next transgender patient contacted me to say she had received authorisation for NHS funded treatment.

She wanted to know if I would be willing to submit my details to her Gender Identity Clinic (GIC) so that I could be considered as an approved service provider for hair reduction treatment prior to GRS. I did exactly that and became officially approved and registered in 2004, extending my electrolysis services to include this specialist treatment for transgender patients in the pre-GRS stage.

The NHS has a strict and comprehensive vetting process for registering practitioners who offer hair reduction treatment to patients, which includes evidence of membership of the British Institute and Association of Electrolysis (BIAE). Once the funding approval has been given for hair removal, the patient can then choose a registered provider from a list of accredited practitioners in their area or the patient’s GIC will send a letter of referral directly to a registered

practitioner closest to the patient.

New clients are often referred to me from the Gender Identity Clinic (GIC) or find my details through the BIAE. But ‘word of mouth’ also plays a significant part - the transgender community is very close knit, so word spreads quickly when they come across a service provider who has delivered exceptional care and treatment. They are also prepared to travel far and wide for the right professional.

Preparing for change Genital hair removal is a prerequisite to surgery for male to female (MtF) and female to male (FtM) genital reconstruction for transgender patients.

Electrolysis is required in order to prepare the skin for the different sequences of surgical procedures, which vary from patient to patient according to their clinical needs. MtF patients who have chosen to opt for the creation of a noevaginal cavity will usually require hair removal on the scrotum, perineum and the penile shaft. Complications can arise if the hair-bearing tissue has not been permanently cleared of hair.

This can result in hair growing within the neovaginal cavity and around the opening. As this is virtually impossible to treat post-operatively, it can cause concern in terms of functionality, feel and acceptable cosmesis for the patient.

Treatment timescales for hair removal can vary from patient to patient, based on density of growth. On the whole, full clearance can take approximately 18 months to two years, depending on the surgeon’s brief. Patients also need to factor in the time/number of appointments required and their pain threshold. As far as the latter is concerned, some patients may require topical anaesthetic creams to help relieve intermittent discomfort during treatment.

In MtF patients, the ‘kill’ rate of hair in the gential area is achieved much faster if the patient is on testosterone inhibiting therapy. This is because, ordinarily, genital hair is much thicker and more persistent than hairs growing elsewhere on the body.

My goal is to achieve permanent clearance at least three months before surgery, which is based on four to five hair growth cycles, with each cycle taking 10 to 13 weeks. In an ideal scenario, the first full clearance of active hair growth  International therapist 39

Beauty

I feel very honoured and humbled to be serving the transgender community in their quest to achieve their ultimate goal. should be achieved as soon as possible, before the next growth cycle begins. This is the best way to evaluate the kill rate of hairs treated in the first session. Each subsequent session gradually requires less time for clearance.

When removing hair from the genital area, sessions are typically one-hour long. Some patients, however, can withstand two hours per session – others can only manage half an hour.

Other factors affecting the length of the sessions – and the overall timescale – include the patient’s availability (for example, due to work commitments), the distance they have to travel to see me and transport. Mental health issues can also delay treatment.

give them the space and time to relax in a safe and comfortable environment where discretion is assured. I know that if I work at their pace to establish trust, they will feel more confident to take their first preoperative step towards transitioning.

One thing I do very early on is establish how they would like to be addressed, regardless of how they present themselves at the first meeting. Getting this wrong can cause deep hurt and anxiety, even before the process has begun.

For some transgender patients it can be quite an ordeal preparing for treatment and baring the area which for them, may have been a source of personal conflict and setbacks for many years. It is important to respect their concerns if they are emotional or struggling to overcome any embarrassment. Prior to starting the treatment, I explain how to position themselves on the couch and then leave them to prepare before I re-enter the room. I also explain the clinical need for their assistance and

the importance for them to relax. And, of course, I always protect my patients’ modesty during treatment with careful draping of the area so that they feel less vulnerable while I am treating what are very intimate areas.

By the end of the first session, I find that all of my transgender patients are totally happy and eager to complete this phase of their journey.

Over the time I have been specialising in this area of work, I have completed facial and surgical site electrolysis on approximately 40 transgender patients, both private and NHS funded. Only one of these has been FtM and 10 are still undergoing treatment.

I feel very honoured and humbled to be serving members of the transgender community in their quest to achieve their ultimate goal. They always remain loyal and go on to become my regular patients for electrolysis on other body areas, including skincare and aesthetic treatments. T

Privacy and discretion My private clinic is set in the heart of the Mendip Hills in Somerset. I’m very fortunate to be able to provide a tranquil setting for my patients, where they only see me on arrival and departure. This is very helpful for patients who are particularly selfconscious about their treatments or transitioning.

For me, the success of the treatment depends on the partnership I create between myself and my transgender patients. I first make contact via email or text and invite them to book in for a consultation to come and meet me and then we take it from there. I allow myself extra time to get to know the patient and Rani McMurran, MFHT, specializes in advanced electrolysis and has been supporting the transgender community for more than 15 years, which includes referrals from the NHS for patients who will be having genital reconstructive surgery. axbridgeelectrolysis.co.uk

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CLIENT TESTIMONIALS “You have made what could have been a very difficult process much easier to manage. I really appreciate the great care you have taken to ensure my comfort during the treatment, and I have been very pleased with the results so far.” Emma “Thank you for being a pain* ;) I am grateful to have shared these years with you. Thank you for having provided a safe space where all worries lack. Thank you for sharing your experience and years of expertise and helping me to grow in the process. Thank you for all the conversations, the laughs and empathy.

Thank for being a kindred spirit. I couldn’t have found a kinder soul to have shared this journey with and will always keep it in my heart. Just by being the way you are you are making the world a better place. Keep being amazing.” DL *Here my client is referring to the physical, mental and emotional pain associated with the entire transitioning journey. Electrolysis came to symbolise ‘the other side’ – a way of breaking down the physical barriers that had caused so much pain over the years and prevented her from reaching her ultimate goal.

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Digital

Coming soon!

We have nearly completed work on a new section of the FHT website, dedicated to International Therapist magazine. Here’s just a flavour of what’s to come...

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nternational Therapist (IT) started life back in July 1994 and as is often the case with FHT, it was an industry first – there were no other membership journals for professional therapists until FHT led the way nearly 28 years ago.

Today, IT remains one of the most respected publications in the therapy industry, offering unbiased content and a wide range of articles that help to keep our members up to date with the latest developments in the industry. In fact, our 2021 FHT Member survey showed that 95% of you felt that IT was an important membership benefit, with 65% of you keeping the magazine for reference.

SHARING CONTENT ONLINE As those of you who enjoy our e-newsletters and blog items will know, we sometimes share the occasional article or research summary from IT online. Often this is in support of key activities that relate in one way or other to our members’ work, such as Aromatherapy Awareness Week, World Alzheimer’s Day or the London Marathon.

Going forward, you will now be able to access all of these items we Autumn 2021

share via one dedicated area on our main website and what’s more, you’ll be able to copy and share links to these via your own online platforms. Some of the key sections that will be available include: n New articles n Research n Industry news n Self-care n Ask an expert n Videos and podcasts We also hope that by showing non-members a glimpse of some of the great content we share in IT, it will encourage more professional therapists to join FHT and the larger our membership, the more powerful our voice and the more benefits we can bring to you, as a not-for-profit organization.

Keep an eye on your inbox for further announcements! If you don’t receive our emails, remember you can opt in by updating your details via the Members’ area (fht.org.uk/members-area) or by filling out a short form at fht.org.uk/email International therapist 41

Advertorial

‘Tis the season...

Are you looking for a special something to retail or give to your clients this Christmas?

Here you’ll find a range of stocking fillers from some of our favourite product suppliers.

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1. Add some cheer to any room with Absolute Aromas’ Noel Reed Diffuser Absolute Aromas’ Natural Reed Diffusers have been specially designed to release their natural essential oil blends, delicately yet effectively into your home, creating a beautifully fragranced space.

Their best-selling Noel Blend (£19.99) is a cheerful, all-natural festive essential oil blend containing notes of orange, clove, pine, frankincense, myrhh and cinnamon, making it perfect for creating a warm and joyful Christmas atmosphere throughout this festive season!

To source the best essential oil suppliers, Absolute Aromas opt for oils from controlled, sustainable sources that have little or no negative impact on the environment. n absolute-aromas.com 2. Go vegan this Christmas with Buddha Balm’s Sensitive Balm Buddha Balm is a natural, organic and vegan skincare apothecary.

The Sensitive Balm (available from £15) is a deeply nourishing, organic and natural face and body balm, that can help to soothe a wide range of skin issues and complaints. It can be used any time of day, but is especially effective if applied before a good night’s sleep. It is free of parabens, alcohol and perfume, containing a therapeutic blend of organic unrefined Shea butter, jojoba, calendula and virgin avocado.

Also in the Buddha Balm range are foot balms; skin cleansers, serums and face masks; pre-blended essential oils, including one especially for winter; and a range of accessories. n buddhabalm.online 3. Save face this festive season with the WaveStone Facial Massage Tool This facial massage tool is hand carved from white jade, which allows it to be used heated or cooled using domestic tap water. It can also be warmed in the WaveStone Heated Case for ease.

The WaveStone Facial Massage Tool retails at £18 and is a welcome addition to the WaveStone range, which includes WaveStones, WaveStone Spheres and WaveStone Vegan Friendly Massage Balms.

A great stocking filler for Christmas! Visit the WaveStone website for more information and to place your order. n thewavestone.co.uk/shop 4. The gift of blemish-free skin this Christmas with skin: genius Hits The Spot The skin:genius Hits The Spot (£13.50/10ml) is designed to stop a spot in its tracks. You simply apply one dot of this maximum-strength, fast-acting gel as a direct hit to help restore calm. Loaded with Oregon grape, nettle, Roman chamomile and yarrow, Hits The Spot helps fight and prevent the bacteria that cause spots and breakouts. It’s also high in antioxidants to protect and soothe inflamed skin and reduce redness.

Hits The Spot is the latest product in the multi-award winning range from skin:genius whose 100% natural, organic skincare solutions tackle spots, breakouts and blemishes.

The discreet slim bottle is the perfect size to keep in your pocket, make-up Autumn 2021

Advertorial

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bag, gym bag or desk drawer ready for any emergency. And easy to pop into a Christmas stocking! n skin-genius.co.uk 5. Smell sweet this festive season with Sintra Naturals vegan deodorants Sintra Naturals is a clean, plastic-free skin care brand based in Congleton, Cheshire. All of their products are handmade in small batches, with locally sourced ingredients.

Sintra’s baking soda free award winning deodorant is made with all natural, skin friendly ingredients and provides 100% odour protection for 24hrs, made with key ingredients derived from castor oil.

Packaged in biodegradable kraft board push-up tubes, the deodorants start from £6 and are available in two sizes, in either lavender and geranium or unscented. n sintranaturals.com 6. The gift of radiance with Neal’s Yard Radiance Wild Rose Duo Give the gift of radiance with Neal’s Yard Remedies’ glow-giving stocking filler, Radiance Wild Rose Duo (£15). Perfectly sized for on-thego, it’s the secret to beautifully soft skin and a glowing complexion.

Wild Rose Hand Cream is enriched with a blend of nourishing oils to leave hands feeling soft and smelling divine, while Wild Rose Beauty Balm is a multi-purpose skincare saviour to cleanse, nourish and highlight.

Once those stockings are filled, why not discover the Wild Rose Autumn 2021

collection in action by treating yourself to a Wild Rose Natural Glow Facial at your nearest Neal’s Yard Remedies Therapy Room? n nealsyardremedies.com 7. Penny Price oil blends offer the unforgettable aromas of Christmas Christmas, a time of joy, peace, festivities, and distinct aromas! There is nothing quite like the smells of Christmas to bring back precious memories.

Using essential oils is a quick and easy way to add a little Christmas magic to your home. Penny Price Aromatherapy has created six unique oil synergies, packed with scents of nutmeg, pine, orange, frankincense and all the unforgettable aromas of Christmas.

Add a few drops into a diffuser and create your own winter wonderland with the Christmas Tree and Aromas essential oils or add a little Christmas cheer with our Peace, Joy and Love blends. You can also try Christmas Gold, which is an extra special blend of gold frankincense and myrrh.

Prices start at just £5.84 but you can save 10% on Penny Price Aromatherapy Christmas oils by using the discount code Christmas10 when ordering. n penny-price.com/pages/christmas-essential-oils International therapist 43

Light up someone’s Christmas with FHT’s candles and gift cards Our natural plant wax candles are just £9.99 each and come in three lovely scents – Inspire, Meditate and Relax – all subtly scented with essential oils. The perfect gift for you and your clients.

Or if your clients aren’t sure what to get their nearest and dearest this Christmas, why not suggest a gift card for a treatment of their choice? Sold in packs of 20 (£5.75 per pack). shop.fht.org.uk

n Get in touch To see your advertisement in the leading magazine for therapists, contact us today: Leanne Rowley leanne@centuryone.uk 01727 739 183

Complementary Therapies in Cancer Care

Become a Certified Oncology Complementary Therapist AWARD WINNING Online Cancer Care Training Courses for Complementary Therapists

Adapt Your Therapies To Treat Patients With Cancer • Fully Accredited eLearning courses created from AWARD WINNING Cancer Care Workshop • Suitable for Massage, Reflexology, Reiki Therapists & Healthcare Professionals • Learn in your own time, in your own home, at your own pace • Become a certified and fully insured Oncology Complementary Therapist. www.butterflytouchtherapiestraining.com E: marie@butterflytouchtherapiestraining.com

SENSITIVE BALM NO PARABENS – ALCOHOL – PERFUME NATURAL – ORGANIC - VEGAN *** BEST SELLER *** Sensitive Balm is a deeply nourishing, organic and natural face and body balm that can be used any time of day, suitable for all skin types for children and adults.

A therapeutic blend of organic unrefined Shea butter, jojoba, calendula and virgin avocado.

www.buddhabalm.online 44 International therapist

Autumn 2021

Training Training

2021 FHT Virtual Congress

a success

The FHT’s first Virtual Congress took place from Sunday 13 to Friday 18 June 2021

W

ith over 640 attendees and 50 expert speakers, we are proud to report that this year’s congress has been our largest educational event to date. We would like to thank all those who helped to make the 2021 FHT Virtual Congress such a valuable learning experience for our members and other industry professionals.

The congress is one of our highlights each year, as it’s a chance for us to meet members in person and immerse ourselves in the world of therapy practice. Forced to do things a little differently as a result of the pandemic, we took to the web, feeling excited for the new challenge but naturally concerned that the event wouldn’t achieve the same ‘feel’ as a face-to-face congress.

The overwhelmingly positive feedback we received from delegates suggests that the event went above and beyond our expectations, by providing a more accessible model and the ability to watch more talks than ever before. Originally set to last for two days, demand meant we extended the event for a further four days, so that attendees had more time to watch

Learn more...

Did you attend the 2021 FHT Virtual Congress and discover a speaker that you really enjoyed listening to?

Discover our upcoming webinars hosted by this year’s Congress speakers at fht.org.uk/training

Autumn 2021 2021 Autumn

the pre-recorded seminars. FHT members and non-members also enjoyed the live webinar sessions, the ability to network via a Facebook group and access to one-time offers through our online shop.

‘This was my first year with FHT and I have thoroughly enjoyed being offered informative, varied and well-organised training in the comfort of my own home! It’s been really valuable for my continued learning.’

‘Thank you - the event re-enthused me completely. Have felt quite isolated during lockdown. This was the perfect pick-me-up.’

‘I wouldn't have been able to travel to England to a physical congress. From the comfort of my own home I could take notes, drink tea, reflect. I feel it was a 100% success and I hope you can do it again for next year, I learned a lot.’

Many delegates also commented that they enjoyed the option to attend seminars covering topics that they might not have tried if paying on a ‘per seminar’ basis, and that taking part in a virtual event created not just cost savings in terms of travel and accommodation expenses, but it also helped to reduce their carbon footprint.

The event consisted of over 50 prerecorded seminars and four live webinars covering a broad range of topics from some of the most well-known and well-respected speakers in the industry. Just a few of the interesting topics included trigger point therapy, aromatherapy for sleep, pregnancy massage, supporting clients recovering

from post-viral fatigue, reflexology, hypnotherapy, posture and a look at the anatomy of the foot and ankle.

Practical business advice was also available, with speakers offering tips on growing your business online, self-care in the workplace and heart-centred growth.

Following the huge success of this event, the FHT is considering hosting virtual learning experiences in the future while of course keeping in mind the benefits of both face-to-face and online approaches.

Finally, we’d like to say a big ‘Thank you!’ to our 2021 FHT Virtual Congress sponsors:

International International therapist therapist 45 45

Local Groups

Local groups Lincoln group gets hands-on with herbs

FIND YOUR LOCAL GROUP Local groups are a valuable hub for all those with a passion for therapies.

Hear from excellent speakers about the latest therapies and business ideas, and chat to like-minded therapists.

EAST MIDLANDS Alfreton Leicester Lincoln Northampton Nottingham EAST OF ENGLAND Colchester Essex Hertfordshire Norwich

This July, our group took part in a very enjoyable and informative workshop on medicinal herbs led by local herbalist, Ali English, writes Lincoln Coordinator, Sarah Holmes.

The weather meant that we could all be outside for the day, starting with a fascinating walk around the borders of the garden at our venue in Stow.

Ali pointed out numerous ‘weeds’, hedgerow plants and flowers, explaining the different properties of the plants and their uses.

With everyone’s interest and imagination duly fired up, we continued to discuss the natural pharmacies on our doorsteps while we sat and made ‘sleep pillows’, using some of the dried herbs and flowers Ali had brought, adding a few drops of our favourite essential oils, too.

After lunch, our activities included studying more herbs and plants, making tinctures and infusions, sewing bath bags with skin-soothing oats and relaxing herbs inside, and discussing the merits of fresh and dried herbs.

It was a lovely opportunity after all these COVID-affected months to share time and knowledge with fellow therapists, safely, face-to-face. All agreed it was a very interesting day that we hope to repeat in Autumn, when cough syrups and warming balms will be on the agenda.

Our thanks go to our host Rosalyn Young of ‘Time For’ in Stow, Lincoln, and the incredibly knowledgeable and enthusing Ali English (you can reach Ali at eldrum.co.uk).

46 International therapist

NORTH EAST Durham Newcastle Tees Valley

SOUTH EAST Brighton and Hove Chichester Dartford, Gravesham and Medway Eastbourne and South Downs East Kent Milton Keynes Oxfordshire (South) Waterlooville Worthing

SOUTH WEST Bath Bournemouth NORTH WEST Bristol Chester Liverpool and Rainhill Ipplepen Swindon Manchester (North) Taunton Manchester (South) Morecambe Bay Preston WALES Wigan, Leigh, Pontyclun and Rainford and St District Helens Swansea NORTHERN IRELAND Wrexham Antrim Belfast and District WEST MIDLANDS Lisnaskea Birmingham (North) Coventry IRELAND Hereford Donegal Stourbridge and Dudley SCOTLAND Ayrshire YORKSHIRE AND LONDON THE HUMBER Brixton and Calderdale Kennington Harrogate North London Kirklees North West London York South East London

DID YOU KNOW?

Attending a local group meeting even a virtual one - can gain you two CPD points if the subject relates to professional development. Find out what subjects are covered as CPD at fht.org.uk/cpd.

CAN'T FIND A GROUP IN YOUR AREA?

Why not become a local group coordinator?

It is a very rewarding role, and there is a range of additional benefits available exclusively to coordinators. Go to fht.org.uk/create-your-own-local-group for more information.

MORE INFO

For group contact details and information about forthcoming meetings, go to fht.org.uk/local-groups

Autumn 2021

Local Groups

Waterlooville group trials first indoor, face-to-face meetings Waterlooville enjoyed it’s first face-to-face meeting on 28 July, to test-run the proceedings and have a discussion on the way forward for future gatherings, writes the group Coordinator, Hazel Tudor.

A small faithful group came along to the meeting after a year of absence from seeing each other.

The wearing of masks was up to member preference, but we had the chairs well-spaced apart and the windows open to circulate fresh air.

We discussed ideas for future speakers and topics including

reflexology, sign language, herbs and crystals - all subjects we could learn more about to add to our training. There were also requests for past speakers who we had found so interesting to come back again.

We all agreed we missed seeing each other, but that the Zoom meetings were a great way to keep in touch and to continue developing our skills.

Our next face-to-face meeting will have taken place in September, which will be about acupuncture, and we will be able to put forward our suggested topics for future meetings to the rest of our group for their input.

Clients count

so let’s get their voices heard

A

s we make our way out of the pandemic, there has never been a better time to champion how therapies can help to support the nation’s health and take pressure off the NHS. And who could be better champions than the very people whose health you already support? Please ask your clients to complete a new grassroots survey, ‘How complementary therapy has helped me’, so that we can show how your therapies are making a difference to their lives.

For more information and a link to send to your clients visit fht.org.uk/public-survey

Autumn 2021

International therapist 47

Profile

Members News Carol Samuel, PhD, FFHT, talks about her journey as a therapist, PhD student, training provider and recently published author.

I

began my career in complementary medicine in 1994 purely by chance.

After working for 10 years as a print buyer and special projects manager, I found myself struggling with what was happening in my personal and professional life. My studies began after receiving a reflexology session from a friend of mine, who suggested that I would make a good therapist. I took ITEC qualifications in anatomy and physiology and body massage, followed by sport and remedial massage and a VTCT qualification in aromatherapy. I went on to train as a teacher and taught at both Fareham and Southdown’s College of Further Education before embarking on a private business venture in training.

While teaching at college I was encouraged to undertake some CPD courses, so I went on to learn reflexology and Indian head massage and have upgraded my training with a number of advanced CPD programmes in reflexology, cupping, scar work and acupuncture.

In 2002 I put in an application for a BSc in Natural and Complementary Therapies at the University of Portsmouth, as I was keen to learn more about the science behind complementary medicine. As I had left school without any qualifications, I had to undertake an acccess course to gain a place. For a number of reasons, the course didn’t run but I somehow happened to be in the right place at the right time, and was invited to undertake a programme of research. This ultimately resulted in the world’s first PhD in reflexology and pain management.

It took me the best part of nine years to complete my PhD and there were many pitfalls and challenges along the way. My university experience was not a good one and I struggled to hit the reset button on my life after completion. It would be a further four years after gaining my PhD before I could find the confidence to teach again.

Since then, I’ve taught pain management 48 International therapist

workshops to reflexologists both here in the UK and internationally.

With the advent of COVID-19, I found myself unable to teach face-to-face and entered another learning curve which took me into the technological arena of Zoom. My workshops went online, but it meant I had time on my hands. This provided me with a golden opportunity to write about my PhD journey as a non-academic in a science faculty that did not have a dedicated department of complementary medicine.

There was extraordinarily little prior research in reflexology from which to draw evidence and I was faced with pulling out all the stops, mentally, emotionally and physically, to secure a science-based qualification at the highest level.

My book, The Tenacious Student - NonAcademic to a PhD, isn’t just a story of human achievement, but about the challenges of gaining a PhD as a non-academic against the backdrop of life in real terms, in a faculty that didn’t particularly want or need me.

This is an inspirational memoir written in a conversational style that includes texts about research, the science behind it and also provides a biographical insight into my life at the time whilst fighting battles of inadequacy, self-confidence, self-expression, trauma, devastation and life-changing health issues.

I hope for any therapists that read it, it will provide you with an insight that will help guide you and make clear how involved research in complementary and alternative medical practices can be.

In a world of perfectionists, learning can make you vulnerable and can ultimately change the person you thought you were. Finding out what inspires you and how you can use that to sustain and remain on your pathway is all that provides focus, and in that you can find your strength and determination. I found my strength and in that, also my power and commitment to achieve my goals, and if I can do it, you can too.

It took me the best part of nine years to complete my PhD and there were many pitfalls and challenges along the way.

Carol Samuel, FFHT

Carol Samuel, PhD, FFHT, is a complementary therapist, FHT Excellence Award winner (2014 and 2019), FHT accredited training provider and author. reflexmaster.co.uk

Autumn 2021

Profile Angie Twydall, MFHT, talks about creating Grandmother Beech, a Community Interest Company that celebrates the beauty of togetherness

I

started as a therapist more than 20 years ago and love the lifelong learning it has brought. I live and work from our sanctuary near Lynton, North Devon, where I offer therapies, CPD training and retreats. I also work in Glastonbury, Somerset, as students and clients love to visit there and the sense of magic Glastonbury brings.

During lockdown I spent a lot of time out on the moors. As a family, we are blessed to have some untouched places on our doorstep, far away from the crowds and fully immersed in nature.

Our closest sanctuary is five acres of woodland, streams, natural springs and rivers. I see the deer daily as well as foxes, buzzards, butterflies and bees. I’m a natural beekeeper and weave the wisdom of the bees into my work and love to share how important these little creatures are to our existence.

My daughter Jess came to visit the large beech tree on our land to help with her own wellbeing.

She felt supported and held while being with the tree. This is how the name Grandmother Beech was born and we set up a Community Interest Company (CIC) at the end of April 2021. As a family, we had started talking about people who were unable to get out, those who had no outdoor space and no connections. We realised it was time to open up our sanctuary and therapies, and to co-create something that would help to support others in our local community.

We are a not-for-profit social enterprise that provides an imaginative range of opportunities and courses in woodlands on Exmoor. We have come together as family and friends with skills as healers, teachers, herbalists and yoga practitioners to help make a difference to people’s lives through nature, learning and community.

Our nature-based workshops are for everyone, with our priority going to those with mental health issues – loneliness, anxiety, depression, isolation and low self-esteem - all heightened due to the pandemic and lockdowns.

Our vision is to build on links that promote intergenerational social friendships, and to reassert a sense of hope in the future. Ordinarily, many people are not able to access what we all offer as self-employed therapists and practitioners, but under Grandmother Beech we can help those with lack of funds, transport and childcare.

We have found that applying for funding is a fulltime job in itself! So far, we have secured indigenous trees from the Woodland Trust which will be planted this Autumn and we are waiting to hear from other funders for our bee keeping and children’s forest school activities.

Autumn 2021

Meet the family behind Grandmother Beech Right, from top to bottom Angie is an FHT member and brings sharing the knowledge of honeybees, healing and nature to the forefront when helping others.

Jess enjoys passing on wisdom to the next generation and cultivating a real connection between children and the earth. She enjoys facilitating daytime and weekend retreats for women.

Ellie is a medicinal herbalist in training and enjoys helping others to understand the wild herbal medicine cabinets beneath their feet and in the hedgerows around them.

Rod is a natural healer, meditation teacher and bodywork therapist, and he enjoys walking, guiding and reflecting with people.

Beth’s desire is to support women through pregnancy, birth and motherhood, a journey she feels is often underestimated in Western society.

We are now in the phase of reaching out to like-minded organisations – support groups, NHS signposting and co-ordinators of social prescribing – while also planning to create a permanent building for our workshops and bee keeping activities, and developing a sensory garden. The creativity is really flowing, following where the need and energy for it is greatest.

If you’d like to visit our sanctuary on Exmoor, or work or volunteer with us, please look at our website (grandmotherbeech.co.uk) and get in touch. T

Angie Twydall, MFHT, has a background in teaching yoga, therapies and natural bee keeping as well as mentoring and leadership skills. grandmotherbeech.co.uk

International therapist 49

Research

Effects of gender affirming hormones on athletic performance in transwomen and transmen

D

ue to biological differences between the sexes, most competitive sports segregate male and female athletes to ensure fairness when competing. However, this has raised questions about which category a transgender athlete should compete in, and how society balances out the benefits to the athlete participating in a sport in their experienced gender, with perceptions of fairness to other athletes (Roberts et al, 2021).

To help improve future guidelines for transgender inclusion in competitive sport, a study published in the British Journal of Sports

Medicine (BJSM) examined the effects of gender affirming hormones on athletic performance among transwomen and transmen (Roberts et al, 2021).

The study involved 29 transmen and 46 transwomen who started gender affirming hormones while in the United States Air Force. The researchers compared pre- and post-hormone fitness levels of the transwomen and transmen with the average performance of all women and men under the age of 30 in the Air Force between 2004 and 2014.

They also measured the rate of hormoneassociated changes in body composition and athletic performance.

The key findings of the study were:

n ‘Transwomen retain an advantage in upper body strength (push-ups) over female controls for one to two years after starting gender affirming hormones. n ‘Transwomen retain an advantage in endurance (1.5 mile run) over female controls for over two years after starting gender affirming hormones. n ‘Transwomen are currently mandated to have one year of testosterone suppression before being permitted to compete at the elite level.

This may be too short if the aim is a level playing field’. n Read the full study at fht.org.uk/ IT-138-research-transgender

Impact of aerobic exercise on severity and progression of COVID-19

C

OVID-19 was declared a global pandemic in March 2020 by the World Health Organisation.

While vaccination is making a significant difference to the number of

hospital admissions and death rates in the countries where there has been significant availability and uptake, modalities that help to improve immune function should still be fully explored.

A small pilot study recently published in the Journal of Bodywork and Movement Therapies investigated the effects of aerobic exercise on immune biomarkers and disease severity and progression in patients with mild or moderate COVID-19.

A total of 30 participants were randomly assigned to

an exercise group or control group.

The exercise group completed 40 minutes of moderate-intensity aerobic exercise, three sessions per week, for two weeks. Measurements (blood immune markers and severity of respiratory symptoms) were taken at baseline and 24 hours after the end of the exercise program.

The results indicated that ‘two weeks of moderate-intensity aerobic exercise decreased the severity and progression of COVID-19 associated disorders and quality of life. Also, two weeks of aerobic exercise positively affected immune function by increasing the amounts of leucocytes, lymphocytes and immunoglobulin A’. n Read the full study at fht.org.uk/ IT-138-research

Complementary Therapies in Medicine is now an open access journal

F

rom January 2021, Complementary Therapies in Medicine became an open access journal, which means you can now access all of the content without a subscription.

Complementary Therapies in Medicine is an international, peer-reviewed journal

50 International therapist

that ‘aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare. The journal believes that good healthcare needs to be based on clinical judgement and the available evidence on what is safe and effective,

integrating conventional and complementary therapies as appropriate’. n Access the journal at sciencedirect. com/journal/ complementary-therapies-in-medicine Autumn 2021

Research

The effects of inhaling lavender oil in children with burns

P

ain is the most common symptom in children with burns who require hospital treatment and it can be a difficult symptom to treat. Acute pain – which can occur when dressing the burn – has also been linked to chronic pain, psychological disorder, acute stress, post-traumatic stress disorder, anxiety and depression. Furthermore, increased pain levels in children with burns is associated with prolonged wound healing. All of these factors make successful pain management one of the most important aspects of burn treatment (Ardahan Akgül et al, 2021).

An open access study published in Complementary Therapies in Medicine aimed to test the effects of inhaling lavender oil prior to burn dressing on the vital signs and pain levels of children with burns.

A total of 108 children with a seconddegree superficial burn were randomly allocated to one of three groups: a control group, who inhaled jojoba oil 15 minutes before burn dressing; a lavender-15 group, who inhaled lavender 15 minutes before

burn dressing; and a lavender-60 group, who inhaled lavender oil 60 minutes before burn dressing.

Pain levels and vital signs of the children were measured before inhalation and then re-measured one minute and 30 minutes after dressing the burn.

The results showed that inhaling lavender oil before burn dressing in children helped to reduce pain levels and stabilise respiratory rate, heart rate and mean arterial pressure, compared to children in the control group.

The authors also highlighted that

there was ‘no statistically significant difference between the lavender-15 and lavender-60 groups in terms of pain level and vital signs. The reason for this can be shown as the desensitization threshold of the human olfactory sense. The effects seen in the lavender-15 group and the lavender-60 group indicate that inhalation aromatherapy for 15 minutes will be sufficient to reduce pain and stabilise vital signs in children’. n Read the full study at fht.org.uk/IT138-research-lavender

Myofascial release and low back pain

L

ow back pain can be defined as either ‘non-specific’ (there's no obvious cause) or ‘mechanical/ specific’ (the pain originates from the joints, bones or soft tissues in and around the spine, which might be caused by disc herniation, infection, fracture, spinal deformity or a tumour) (NHS, 2021; Chen et al, 2021).

Some studies have also indicated that one cause of low back pain is the limited function of the back and deep trunk muscles caused by changes in the structure of the fascia (Chen et al, 2021).

A systematic review recently published in Complementary Therapies in Medicine aimed to analyse the effects of myofascial release (MFR) on patients with low back pain, to help ‘improve the evidence of MFR in the treatment of low back pain and provide reliable recommendations for clinical rehabilitation therapists’.

The review only included randomized controlled trials (RCTs) where the participants were at least 18 years of age, had been diagnosed with low back pain and had experienced pain for no less than three months. In addition, the experimental

group had to be treated with MFR alone or MFR combined with physical therapy, manual therapy, or exercise therapy for low back pain. The control group had to be treated with a non-MFR treatment.

Outcome measures used in the studies included pain intensity, back disability, lumbar range of motion, and quality of life in low back pain patients, but each RCT did not necessarily cover all four measures.

Based on an analysis of eight studies (386 patients) that met the review’s inclusion criteria, the findings suggest that ‘MFR can improve the effect of physical therapy alone and exercise therapy alone, and that MFR can be an effective adjuvant therapy. Meta-analysis showed that MFR has a significant effect on reducing back disability in patients with low back pain, but no significant effect on reducing pain intensity, improving quality of life, and improving lumbar range of motion’. n To read the full study visit fht.org.uk/ IT-138-research-MFR

References For full references, go to fht.org.uk/IT-references Autumn 2021

International therapist 51

Medical A-Z

CHRONIC FATIGUE Chronic fatigue syndrome (CFS), also known as ME, is a long-term illness with a wide range of symptoms, the most common being extreme tiredness. Other symptoms can include sleep problems, muscle or joint pain, poor concentration, feeling dizzy or heart palpitations (NHS, 2021).

CAUSES The cause of CFS is unclear. In some cases it can develop after a viral infection, such as glandular fever, or a bacterial infection, such as pneumonia.

Problems with the immune system and hormone imbalances can also cause CFS. It is thought that a stressful event such as bereavement can trigger the illness but in many cases, there is no preceding illness or event.

It can take a long time to diagnose cases of CFS as there is no specific medical test that can be carried out, which can be particularly difficult for the person living with the condition. It is often diagnosed based on ruling out other conditions that may be causing the same symptoms and by regular visits to the doctor.

ORTHODOX TREATMENT There is no known cure for CFS but graded exercise and cognitive behavioural therapy are often recommended. Treatments offered can depend on how the illness is affecting a patient's daily life, for example anti-depressants or sleeping tablets may be prescribed.

Though it is a long-term disorder, most people’s symptoms improve after time with a few years of support. There are likely to be periods when symptoms improve and then get worse, although some people don’t make a full recovery.

People living with CFS often struggle with carrying out everyday activities and it is generally known to impact overall mental health. They are often encouraged to speak to family and friends about how they are feeling, or to join a local support group set up by the ME Association (meassociation.org.uk).

COMPLEMENTARY THERAPY Acupuncture has been found to be an effective treatment for CFS. A recent 52 International therapist

study involving 133 participants with the illness in Beijing compared warm needling acupuncture, normal acupuncture and scam acupuncture.

Participants were given 20 treatments at the rate of one session per day.

At the end of the trial researchers found that the satisfactory ratings of warm acupuncture and normal acupuncture had risen to 36.2%, compared to the ‘scam’ acupuncture group (Tang et al, 2021).

A systematic review of more than 25 randomised controlled trials involving more than 3,270 patients with CFS suggested that complementary therapies such as massage, qi gong and tui na had some positive effects on those with the condition (Alkraek et al, 2011).

A study into tui na for the treatment of CFS divided 90 patients into three groups: a tui na group (a form of Chinese massage), a taijiquan group

(style of Chinese exercise) and a fluoxetine group (antidepressant medication). After a month, the therapeutic effects of tui na was greater than that of taijiquan and fluoxetine (Liu C et al, 2010). T NB: The information provided in this article is not all encompassing and intended as an overview only. It should not be used for the purposes of ‘diagnosis’. Members or clients presenting with any symptoms should always consult a GP or other relevant health practitioner. The advice of a doctor, pharmacist or other suitably qualified person should be sought before taking any form of medication or treatment.

References For full references, go to fht.org.uk/IT-references Autumn 2021 2021 Autumn

Podcast

International Therapist

podcast

W

e launched the International Therapist podcast in April 2021 for professional complementary, beauty and sports therapists to feel inspired by others.

Through this podcast we gain an insight into the lives of prominent figures in the industry, delving into the reasons why they fell in love with therapies and their goals for the future.

Our first series focused on the 2021 FHT Virtual Congress and we are pleased to have had hundreds of members listen in and enjoy the conversations we had with different seminar hosts including Marie Duggan, Peter Mackereth, Cameron Reid, Penny Price and Jennifer Young. If you missed these, don’t worry - you can still listen in at fht.org.uk/podcast As we approach the announcement of our 2021 FHT Excellence Awards winners this November, we decided to dedicate our second podcast series to some of our previous and very worthy award winners...

EPISODE ONE We speak to 2020 FHT Sports Therapist of the Year, John Molyneux, author and

owner of fitness platform MolyFit. In this conversation, John speaks openly about his incredible journey into therapies, as well as his passion for supporting older people and his experience of being recognised for his hard work in the industry.

EPISODE TWO We speak to 2020 FHT Complementary Therapist of the Year, Mary Atkinson, who has written six books on massage and co-founded the renowned Story Massage Programme. Mary shares more about her work during the pandemic, explaining why she decided to share stories free of charge and the positive impact it has had on so many. She also tells us about her experience of winning the award, including a special virtual dinner organised by her family!

EPISODE THREE We speak to 2020 FHT Beauty Therapist of the Year and owner of Karma Beauty and Karma Boutique, Stephanie Chaytor. In this conversation, Stephanie speaks about her experience in setting up her business at the age of 19 and how she continued to develop her offering. She also speaks about what winning the award meant to her and gives some words of

encouragement to fellow therapists looking to nominate themselves.

EPISODE FOUR We speak to 2014 FHT Excellence in Practice award winner and 2019 FHT Tutor of the Year, Dr Carol Samuel. In this conversation, Carol speaks about her research into the effects of reflexology on acute pain, shares tips for therapists looking to evidence the positive effects of their therapy and reflects on winning her awards. T Listen and follow at fht.org.uk/podcast

FHT benefits reminder… Introduce a friend and get £10 off

In our industry, word of mouth counts. It’s how 90% of our members gain clients and it’s also how we gain members. And the more members we have, the more powerful our voice and the better we can represent you and protect your interests as a professional therapist.

Did you know that if you are an FHT Member, Fellow or Associate and you introduce another qualified and practicing therapist to the FHT, you’ll both get £10 off a year’s membership?

To redeem this offer, simply enter the code 'INTRODUCE' in the discount code box on our online application forms or contact our Membership and Insurance team on 023 8062 4350.

For more information and terms and conditions, visit fht.org.uk/introduce-a-friend

Autumn 2021

International therapist 53

New products ABSOLUTE AROMAS AROMA-CLOCK DIFFUSER

1

This new aroma-clock ultrasonic diffuser allows you to create a calming or reviving atmosphere in your home or workplace, while also functioning as a stylish alarm clock and Bluetooth speaker.

Whether you want to add a touch of style to your bedroom or office space, Absolute Aromas’ diffuser can help you to feel relaxed, invigorated or refreshed depending on your mood and choice of essential oils.

RRP: £40, available from absolute-aromas.com

Zero Balancing – Conscious touch and transformation explains the basic principles of zero balancing and gives examples of how to use those principles in bodywork through the use of fascinating case histories and detailed stories of individual sessions with clients.

Overall the book provides a step-by-step guide for practitioners and while each chapter stands on its own, together they build up to give the whole story of zero balancing’s unique ability to assist in personal transformation for clients. The book illustrates how working with the body and mind through touch can lead to a richer sense of self and a more satisfying life, as well as assisting with numerous health issues.

RRP: £29.95 (see discount code in advert on page 4), available from handspringpublishing.com

New products

3

2 4

ZERO BALANCING

BY JIM MCCORMICK

A look at some of the latest products that might be of interest to our members...

THE TENACIOUS STUDENT

BY CAROL SAMUEL

DERMALOGICA BIOLUMIN-C GEL MOISTURIZER

FHT Fellow and accredited course provider, Carol Samuel, provides a factual account of her quest to gain a PhD, written from the perspective of a non-academic at the University of Portsmouth, in a science faculty that did not have a dedicated complementary medicine department.

This book tells of the challenges of research, of complex relationship issues and the highs and lows of academia. It is a compassionate, honest and emotional journey that resulted in the world’s first PhD in reflexology and pain management.

RRP: £19.99, available from reflexmaster.co.uk

BioLumin-C Gel Moisturiser is a new product from Dermalogica, which offers brighter, more hydrated skin. Its weightless, vitamin C-rich gel formula penetrates the skin’s surface for immediate, glowing results and helps to strengthen the moisture barrier. A highly-stable vitamin C complex, enhanced with biotechnology, increases potency for brighter skin and improved barrier function.

RRP: £59 (50ml), available from dermalogica.co.uk

We love

FHT’s HR and Accreditation Manager, Annie Walling, shares her favourite product with our members.

‘I have tried many skincare products and fell in love with the Elemis brand some years ago. One of my favourites is their Pro-Collagen Rose Cleansing Balm. I had not used a cleansing balm before and while it does take a little getting used to, the results are wonderful. I use it as part of my daily skincare regime to remove waterproof make-up, dirt and pollutants. The balm cleanses my skin without pulling or tugging and reduces possible irritation. I also use it as a mask once or twice a week, which leaves my skin feeling smooth and soft. The balm contains botanical ingredients which are nourishing for the skin and the rose scent is delightful’.

Price: from £9.50 (20g) available at uk.elemis.com Please note that product descriptions featured on these pages are provided by the supplier/manufacturer.

54 International therapist

Autumn 2021

Competition

Competition Win a set of bolster cushions, massage oils and a Therapist Thumb massage tool from

Physique Management

One lucky winner will receive a package of three navy Physique Bolster Cushions (Horse Shoe, Round and Half-Round), Physique Therapeutic Massage Oil (500ml), Physique Water-Dispersible Massage Oil (500ml) and a Therapist Thumb massage tool, worth over £97 in total.

Two lucky runners-up will each receive a navy Physique Horse Shoe Bolster Cushion, worth over £21 each.

F

or over 20 years Physique Management has supplied medical professionals, therapists and elite sports teams with the products they need to treat their clients and patients.

Their 3000+ range covers a large variety of products from complementary therapy and sports healthcare, to massage essentials and much more.

Physique have teamed up with leading

organisations in complementary and holistic therapy, medical professionals, clubs and some of the world’s leading brands to help provide you with the fantastic products you need to give the best treatments possible.

They aim to make your customer experience as smooth as possible, with a dedicated customer service team on hand to help make your choices easier and to answer any questions, with delivery available seven days a week.

More information on Physique and their products can be found at physique.co.uk

To enter, please answer the following question: How many products are available across the Physique range?

A) 1,000+ B) 2,000+ C) 3,000+

Simply email your name, address, membership number and answer to Karen Young at kyoung@fht.org.uk, typing ‘FHT competition’ in the subject box. Alternatively, send your answer and details on a postcard to: FHT competition, FHT, 18 Shakespeare Business Centre, Hathaway Close, Eastleigh Hampshire, SO50 4SR. The closing date is 30 November 2021.

For full competition terms and conditions, visit fht.org.uk/competitions

Competition winners -

Illustration:

Shutterstock

Do we have your latest email address?

Are you receiving our regular FHT News and FHT Education Extra newsletters, providing up-to-date information and advice, as well as upcoming training and CPD opportunities?

If you have opted out or not been receiving these, make sure we have your latest email address by visiting fht.org.uk/email

Autumn 2021

International Therapist, Issue 137

A deluxe facial oil and serum gift set by Bespoke Aroma Spa Winner: Heather Friend, MFHT

Spiral quiz (p57): £20 John Lewis & Partners gift card and a copy of Pre- and Perinatal Massage Therapy, by Osborne, Kolalowski and Lobenstine.

Christine Auffret, MFHT International therapist 55

Continuing Professional Development

CPD questions Below are questions relating to key articles in this issue of International Therapist. To gain three CPD points (unless otherwise stated), answer one or more questions relating to the same article, using a minimum of 300 words in total. If you don’t think the questions are helpful, feel free to pose your own, to any of the articles featured in the magazine. For more information about how to gain CPD points by reflecting on your favourite articles, visit fht.org.uk/cpd

10

Top

reasons for being an FHT member

1 Professional status and recognition.

2 Campaigning, promoting and protecting your interests as a professional therapist.

3 Professional representation.

4 The industry’s leading professional therapist magazine.

5 Tailor-made comprehensive therapist, salon and clinic insurance policies.

RUCK AND TUMBLE (P14-17)

Q

Sarah Catlow and Lance Doggart look at common injuries and prevention strategies in rugby players. Write about common injuries and prevention strategies for another sport.

Q

If you have supported someone with symptoms of long COVID, provide a case study outlining their health concerns, the treatments given and the client’s progress. (A case study is worth 5 CPD points – visit fht.org.uk/cpd for a case study template and more information.)

TAKING CARE OF YOU (P28-30)

Q

Based on one of the therapies you are qualified in, provide a selfcare routine that can be used safely by your clients between treatments.

Q

Outline what self-care techniques you use to support your own health and wellbeing as a therapist.

7 The UK’s largest local group network.

GOING ONLINE – THE ESSENTIALS (P34-37)

Q

Gemma Went highlights the importance of search engine optimisation (SEO) in her article, but doesn’t have room to provide much detail. Research how to improve SEO on your website.

56 International therapist

9 Free listing on FHT’s Accredited Register, independently approved by the Professional Standards Authority (if eligible).

10 FHT is a not-for-profit organisation run by therapists, for therapists.

Q

How has going online helped to boost your business and support clients?

SUPPORTING TRANSORMATION (P38-40)

Q

In this article, Rani McMurran talks about her electrolysis work with transgender patients prior to surgery. Reflect on how you have supported a client before (and possibly after) a medical procedure. T

2021 Annual membership fees* FHT Member: £62.99 FHT Associate: £68.24 Student Member**: £24.99 FHT Affiliate: £36.74 Overseas Member: from £73.49 Qualified Combined Medical Malpractice, Public and Products insurance: from £46.81

8 FHT branded products and member discounts on therapy supplies.

*Ask our membership team about paying by Direct Debit – it could save you 5% on membership fees. **Includes case study insurance cover. £24.99 deducted from full membership fee on qualifying and upgrading.

Terms and conditions apply.

For more information about how to gain CPD points by reflecting on your favourite articles, visit fht.org.uk/cpd

For membership and insurance information or an application pack, visit fht.org.uk or call 023 8062 4350.

FHT is authorised and regulated by the Financial Conduct Authority, Ref: No. 502095

Illustrations: Shutterstock

AROMATHERAPY FOR THE LONG HAUL (P22-25)

6 Discounted continued professional learning.

Autumn 2021

Learning

Reading room In the reading room section of the FHT website, you will find more than 450 therapy and business-related articles and research summaries, with more added regularly. Visit fht.org.uk/readingroom log in and have a browse.

Ironing out life’s creases with IEMT Sonia Richards, MFHT, is an advanced practitioner and trainer in Integral Eye Movement Techniques (IEMT) and has written the first ever book about this therapeutic approach, which was published in September. In this article Sonia provides an introduction to IEMT, which helps to ‘capitalise on our brain’s natural ability to consolidate, process and disregard unwanted memories, traumas and experiences that have led to emotional distress, inability to move on from the past, or changes in behaviour, such as unwanted habits’. fht.org.uk/IT-138-RR-IEMT

FHT Spiral No. 40

Ayurvedic therapy - an Indian art Sunita Passi is an Ayurvedic practitioner, FHT accredited course provider and founder of Tri-Dosha, an Ayurvedic skincare and training company. In this comprehensive article, she explains the Indian art of Ayurvedic massage therapy and why this ancient practice is perfect for modern-day life. As well as discussing how she discovered to benefits of Ayurveda firsthand, she provides a potted history, explains the principles that underpin this ancient practice, and offers some pointers on how to deliver a truly holistic treatment. fht.org.uk/IT-138-RR-Ayurveda

1

4

Test your A&P knowledge and win a £20 John Lewis & Partners gift card

9 10

The winner will also receive a copy of The Thriving Giver,

by Sarah Kuipers, RRP £12.99 (practicalinspiration. com). Write your answers in a spiral from the start, working in an anticlockwise direction, towards the centre of the grid. The last letter of each answer is the first letter of the next. The shaded diagonal line will spell out a type of joint movement.

15

8 14

3

12

13 5

TO ENTER Simply email the word that appears in the diagonal shaded boxes to kyoung@fht.org.uk (writing Autumn spiral in the subject box) or send your answer on a postcard to the usual FHT address. Please include your name, address and membership number. Standard competition terms and conditions apply (visit fht.org.uk/competitions).

Entries to be received no later than 30 November 2021.

CROSSWORD CLUES 1. Granular layer of the epidermis (7,10) 2. Often signalled by absence of periods for 12+ months (9) 3. - - - - - - - - - seizure/ fit (9) 4. Lull cities (anag.) bacterial skin infection (10) 5. Abbreviation for (eg) gonorrhoea (1,1,1) 6. Highly infectious skin disease (8)

11 6

7. Gas picked up from the lungs by erythrocytes (6) 8. Where you would find the cervical spine (4) 9. Patella (7) 10. A major chest muscle (10) 11. Exercise used to strengthen the abdominal muscles (3-2)

7 2

12. Paracetamol, ibuprofen, aspirin and codeine can provide this (4,6) 13. - - - - - - - lobe, part of the brain responsible for cognitive skills (7) 14. One of two fleshy parts that surround the top and bottom of the mouth (3) 15. Gland that produces melatonin (6)

Where’s the solution for spiral no. 39?

We do not publish the spiral solutions in International Therapist, as completing spirals from the magazine can count towards your CPD (one CPD point per spiral quiz, a maximum of four points per year). Turn to page 55 for the name of the member who sent in the first correct spiral solution to be independently drawn from all eligible entries sent in by the allocated closing date for spiral no. 39 featured in issue 137 (Summer 2021).

Autumn 2021

International therapist 57

Courses

58 International therapist

Autumn 2021

Courses

Be inspired by FHT hosted courses Upcoming courses hosted by the FHT, helping you and your career flourish.

WEBINAR: TAPING FOR BEGINNERS (1): COMMON LOWER LIMB CONDITIONS FHT hosted courses give you the opportunity to develop your skill set and grow your treatment offering.

The courses gain you one continuing professional development (CPD) point per hour and FHT members benefit from a discount of at least £10 on each course!

Take a look at some of the courses we’re hosting. Visit our website to find more information on prerequisites, finer details and to discover further courses before securing your place.

Couch required Model required

FHT WEBINARS Did you know that you can purchase and watch webinars previously run by FHT? Take a look at what’s on offer and gain access to virtual seminars for you to enhance your knowledge and gain CPD points, all from the comfort of your own home. Topics include: n The physical consequences of immobility for desk-based workers n Simple stretches for the lower limb n Sciatica: what it is and what to do about it n And more!

Visit fht.org.uk/webinarrecordings to find out more and start learning today!

Visit fht.org.uk/training for our full list of courses and to book your place.

Autumn 2021

This is the first of three webinars describing simple taping patterns designed for complete beginners.The series begins by exploring how to tape common lower limb conditions.

Course tutor: Jane Johnson Course dates: n 29 October Prices start from: £9

OSTEOPATHIC TECHNIQUES – SPORT AND SPINE Learn the most useful osteopathic soft tissue and articulation techniques, including techniques for the spine, pelvis and some peripheral joints, and how to personalise your treatments for different clients.

Course tutor: Cameron Reid Course dates: n 20 – 21 November, Learn from home n 19 – 20 March 2021– Brighton Prices start from: £160

FLOWER AND GEM ESSENCE PRACTITIONER Find out more about flower and gem essences, how they are made and ways that you can incorporate them into your therapies and business.

Course tutor: Shirley O'Donoghue Course dates: n 27 – 28 November – Dorking Prices start from: £200

DETOX MASSAGE Learn this massage treatment which helps detoxify the body and discover the emotional and physical areas of the body linked to digestion.

Course tutor: Jemma Cooper Course date: n 31 January – Learn from home Prices start from: £90

PREGNANCY MASSAGE Learn a relaxing pregnancy massage and have confidence in understanding pregnancy and the best ways to treat at all stages, including positions, acupressure points and much more.

Course tutor: Jemma Cooper Course dates: n 4 – 5 December – Learn from home Prices start from: £160

TABLE THAI STRETCH MASSAGE Learn how to use your body weight to apply a deeper, more effective massage and integrate Thai yoga techniques to give a massage that clients will love.

Course tutor: Kathryn Ellis Course dates: n 4 – 5 December – Learn from home Prices start from: £160

Please check online for updates…

Please note that due to COVID-19 there may be some changes to FHT Hosted Courses scheduled to take place. We will be closely monitoring the situation and will let members know as soon as possible if any courses are affected and explain the options available to you.

For the latest information, please visit fht.org.uk/ training

International therapist 59

Courses

FHT accredited course providers

FHT ACCREDITED COURSE PROVIDERS Q FHT accredited qualification(s) SC FHT accredited short course(s)

NEWS Sunita Passi of Tri-Dosha talks about partnering with a luxury spa Earlier this year, Tri-Dosha partnered with Akasha Wellbeing Spa (akashawellbeingspa. co.uk), which is located in Welton, Yorkshire.

The spa’s founder, Jennifer Ellis, is an Ayurvedic practitioner and wanted to diversify and build on her offering to clients. She had heard about the Tri-Dosha training system for holistic therapists and this suited her vision for the wellness spa.

To date, the partnership has involved training six of Akasha’s therapists in shirobhyanga, marma abhyanga, mukhabhyanga, padabhyanga and shirodhara.

Tri-Dosha products are used to facilitate the treatments and the spa also has a small range on offer for retail. Jennifer is passionate about meditation and has booked our Spa Guided Meditation Treatment training for her team in mid-

IRELAND

Deirdre Murray Holistic Sligo deirdremurrayholistic.ie Golden Egg Holistic goldeneggholistic.com International College of Orthopaedic Therapy (INCOT) incot.ie Kerry School of Reflexology kerryreflexology.com National School for Remedial Therapy (NSRT) nsrt.ie Pyramid Holistic Centre pyramidholisticcentre.ie Tara School of Reflexology & Therapies taraschoolofreflexology.ie The European College of Reflexology and Massage ecrm.ie

SCOTLAND

Hailey Dallas Brows Ltd Haileydallasbrows.com

60 International therapist

September, which will then be offered to clients.

For other FHT accredited course providers thinking of partnering with a local spa or business, my advice would be to meet with each other first to make sure that your values are aligned. From my perspective, it was really important that the operator genuinely wants to deliver high-quality, holistic therapy treatments to their clients and understands that they need to recruit professional holistic therapists to facilitate these.

I always think intuition is the best guide when choosing who are the best people to work with but if you feel you need to do a little more research, have a look online. What do the testimonials and reviews tell you and what else does their business offer – do the other treatments and brands complement your own?

Holistic Ecosse makima@hotmail.co.uk Jennifer Macaskill Massage Therapies facebook.com/Jennifer-MacaskillMassage-Therapies-111417958878900 Mind Detox Academy minddetoxacademy.com Shiatsu and Thai Massage Training Scotland stmts.co.uk Start with Touch Ltd startwithtouch.co.uk The Glasgow School of Massage theglasgowschoolofmassage.com Therapia School of Reflexology therapiaschool.co.uk

NORTHERN IRELAND

Angel Haven angelhaven.co.uk Body and Sole School of Complementary Therapies bodyandsoleschool.co.uk

My final piece of advice would be to have a contract in place, so that both parties are clear on the overall objectives and working arrangements and nothing is miscommunicated.

Sunita Passi is the owner and founder of Tri-Dosha (tri-dosha. co.uk), which offers FHT accredited ayurvedic training courses and products for holistic wellness therapists and skincare professionals.

Dorothy Kelly Academy of Reflexology dorothykellyacademyofreflexology.com Elaine Curry Wellness Academy with Calm Confident Kids calmconfidentkids.co.uk elainecurry.com Logan Wellbeing and Medical loganwellbeing.com New Beginnings School of Natural Therapies angelsanctuary.co.uk Sheila Nugent School of Reflexology sheilanugentschoolofreflexology.co.uk

NORTH WEST

Acupuncture Training for Therapists Ltd acupuncturetrainingproviders.co.uk Angela Pollard Therapies angelapollardtherapies.co.uk BodEquality bodequality.com Breathworks breathworks-mindfulness.co.uk British Academy of Crystal Healing britishacademyofcrystalhealing.co.uk

Autumn 2021

Courses Dorn Method Academy UK (Jacqui) dornmethodlakedistrict.co.uk Female Fitness Academy the-ffa.com Gaia School of Natural Health gaiaschool.org.uk Greenhouse Therapies greenhousetherapies.co.uk KORE Academy Ltd koretherapy.com Natural Touch Training naturaltouchtraining.co.uk New Olettesa Reiki & Holistic Therapies olettesatherapies.co.uk Reiki Tradition reikitradition.me.uk The Master Academy/ Urban Body Balance urbanbalance.co.uk

NORTH EAST

New Breeze Academy breeze.academy Jong Baik Education jongbaik.co.uk Soundaffects Soundaffects.uk.com The No1 Pain Relief Clinic theno1painreliefclinic.co.uk

YORKSHIRE AND THE HUMBER

Anna-Louise Haigh anna-louisehaigh.com Ashwood Beauty & Holistic Academy ashwoodacademy.co.uk Chi Medics ™ chi-medics.com Dawn Alderson & Co Training Academy dawnaldersontrainingacademy.co.uk Elemental Women elementalwomen.co.uk Eve’s Garden (Alison Valerie Peart) eves-garden.co.uk NHS Natural Health School nhsnaturalhealthschool.co.uk Pain Care Clinic paincareclinic.co.uk The Sound Therapy Company thesoundtherapycompany.co.uk Total Therapies Training totaltherapies.co.uk

EAST MIDLANDS

Fertility Massage fertilitymassage.co.uk Holistic Tai Chi Qigong Training Academy UK hqtauk.com Infinity Training Academy infinitytrainingacademy.co.uk Lindsey Lodge Hospice lindseylodhehospice.org.uk Penny Price Aromatherapy Ltd aromatherapy-courses.co.uk/ Pressure Point pressurepoint.me Shirley Price International College of Aromatherapy shirleyprice.co.uk Skcin National Skin Cancer Charity masced.uk The Active School of Complementary Therapy ukmassagecourses.com Total Body Therapy gentlereleasetherapy.com Tri-Dosha tri-dosha.co.uk

Autumn 2021

WEST MIDLANDS

Ascent Therapies Training Academy ascent-therapies.co.uk Bespoke Beauty and Holistic Training bespokebeauty0@gmail.com Central School of Massage centralschoolmassage.com Chakrascension™ Centre chakrascension.org.uk Core Postural Alignment coreposturalalignment.com Just BE (Butterfly Experience) with Jacqui Mexson Jacqui.mexson@virginmedia.com Lorraine Davis Holistic Healthcare and Education Centre lorrainedavistraining.com Lymphcare UK CIC lymphcare.co.uk Lymphoedema Training Academy Ltd lymph.org.uk Midlands School of Massage & Bodywork massageandmovement.uk Microsystems Therapies and Training annavenables.com Paadena School of Yoga & Thai Yoga Massage Therapy paadena.co.uk The Aromatherapy Company thearomatherapycompany.co.uk Timeless Partnership Ltd timelesspartnership.co.uk

WALES

Angela Green Complementary Therapies angelagreen99@yahoo.co.uk Glyndwr University glyndwr.ac.uk Gower College Swansea gowercollegeswansea.ac.uk HB Training Wales Ltd hbtraining.org In The Pink! Therapies and Training inthepinktherapiesandtraining.co.uk Physiotherapy and Complementary Therapies Ltd nwcom.co.uk Sally Kay reflexologylymphdrainage.co.uk TEACH Therapy teachtherapy.co.uk

SOUTH WEST

Abbigail Langstone-Wring Weymouth Dorset dorsetclinicalreflexology.co.uk Amethyst Trust amethysttrust.co.uk Barnes School of Sports Therapy barnesclinic-school.com Booth VRT Ltd New boothvrt.com Cheltenham School of Complementary Therapy & Beauty thetherapyschool.co.uk Coastal Therapies coastaltherapiesdevon.co.uk Core Elements coreelements.uk.com Cotswold Academy of Health and Beauty cotswoldacademy.co.uk Devon Academy of Complementary Therapies devonacademy.co.uk Functional Anatomy functionalanatomy.com II Intuitive Ltd 2intuitive.co.uk JemmaCo Limited jemmaco.com/training

Light Touch Therapy Training lightouch.co.uk Lovegrove Essentials Ltd lovegroveessentials.com Massage for Dementia massagefordementia.co.uk Seren Natural Fertility serennaturalfertility.co.uk Sunshine Hair & Beauty Training Academy sunshinetraining.co.uk The Children’s Reflexology Programme kidsreflex.co.uk Touchline Training Ltd touchlinetraining.co.uk Tranquillity Zone Training tranquillityzonetraining.co.uk University of St Mark & St John marjon.ac.uk Weston Hospicecare westonhospicecare.org.uk

SOUTH EAST

Aromalyne aromalyne.com Brighton Holistics brightonholistics.co.uk Brighton School of Massage brightonschoolofmassage.co.uk Calming Influences Ltd calminginfluences.com Centre for Nutrition Education and Lifestyle Management cnelm.co.uk Cherubs Training Academy - Hampshire cherubsbabyhealth.com College of Classical Massage Ltd collegeofclassicalmassage.com New Elaine Caswell Therapy Training whitebeam.training Elemi Training elemitraining.co.uk Freedom Therapies Training freedomtherapies.co.uk Hawaiian Massage UK Training Centre huna-massage.com HypnoTC: The Hypnotherapy Training Company hypnotc.com Innamincka Training Services itsperou@depinaperou.plus.com Jane Sheehan footreading.com Lucis College lucisgroup.com Mary Atkinson Holistic Therapy Courses maryatkinson.org.uk Natasha de Grunwald natashadegrunwald.co.uk Peter Symonds Adult and Higher Education College psc.ac.uk Purple Turtle purpleturtletherapy.co.uk Reflexmaster reflexmaster.co.uk RJ Buckle Associates rjbuckle.com Shakra Centre shakracentre.com Shared Beauty Secrets sharedbeautysecrets.com

International therapist 61

Courses SOMAPP- School of Massage & Physical Performance somapp.co.uk Story Massage storymassage.co.uk The Academy of Systematic Kinesiology kinesiology.co.uk The Advanced Attraction Company Ltd carolynebennett101@gmail.com The College of Functional Wellness functional-wellness.co.uk The Five Key Programme Radford-holistictherapies.co.uk The School of Abdominal Sacral Massage abdominal-sacralmassage.com Time for a Change timeforachange.uk.com Total Release Experience (TRE UK®) treuk.com Training4Healthcare training4healthcare.co.uk

EAST OF ENGLAND

Academy of Advanced Beauty academyofadvancedbeauty.com Cameron Reid Training cameronreidtraining.co.uk Culinary Medicine College culinarymedicinecollege.com Functional Reflex Therapy functionalreflextherapy.co.uk Helen Mary Perkins helenperkins.com Hypnosis Courses Ltd hypnosis-courses.com Ingrid Perrin roseonthegreen.co.uk On the Spot Training Centre sallymorris.co.uk Phoenix Holistic & Complementary Therapy Training phoenixhbnt.co.uk Progressive Kinesiology Academy UK progressive-kinesiology.co.uk SKN-RG Academy skn-rg.com The Abbeyfields Clinic theabbeyfieldsclinic.co.uk The Holistic Academy holistic-academy.co.uk

LONDON

Ayurveda Pura Academy ayurvedapura.com

Bodyology bodyologymassagecourses.co.uk Eva Nagy Massages evanagymassages.co.uk Gong Bodywork doewarnes.co.uk Jivita Ayurveda Ltd jivitaayurveda.com Kneads Must / Kneader Massage (KOM) kneadsmust.com London Institute of Thai Yoga Massage learntomassage.co.uk Magni Academy magniskin.co.uk M.D Therapies Training Centre mdmassagetherapies.co.uk Neal’s Yard Remedies School of Natural Medicine nealsyardremedies.com School of Natural Therapies schoolofnaturaltherapies.co.uk Shen Mantra shenmantra.com Spanu Massage spanumassage.com St Mary’s University smuc.ac.uk/shortcourses UnitedMind Ltd unitedmind.co.uk Ziggie Bergman zonefacelift.com Ziggie Bergman with the London School of Reflexology zonefacelift.com

NATIONAL

Anatomy and Physiology Online anatomy-and-physiology-online-courses.co.uk Essential Training Solutions Ltd essential-training.co.uk Gateway Workshops gatewayworkshops.co.uk Health Kinesiology UK healthkinesiologytraining.com Jennifer Young and Beauty Despite Cancer beautydespitecancer.co.uk London School of Massage londonschoolofmassage.co.uk Stonebridge Associated Colleges stonebridge.uk.com The Balance Procedure Limited thebalanceprocedure.com The College of Bowen Studies thebowentechnique.com The Chrysalis Effect thechrysaliseffect.com

Training By Professionals VTCT Approved Centre

Sports • Remedial • Holistic Courses & Workshops For All Course Details Contact:

tel: 07796 297071

www.prestontherapycentre.co.uk 62 International therapist

Vitali-Chi Headquarters v-chi.com Wavestone Therapies Ltd thewavestone.co.uk Womb & Fertility Massage fertilitymassage.co.uk

INTERNATIONAL

Alchemy of Breath Academy alchemyofbreath.com American Fitness Professionals & Associates afpafitness.com Beijing ReStart Biotech Ltd 5restart.com Blossom & Berry Baby Massage & Yoga Training blossomandberry.com Butterfly Touch Therapies Limited butterflytouchtherapiestraining.com Cosmo Kemp School of Thai Yoga Massage cosmothaiyoga.com Extraordinary Kinesiology extraordinarychannels.com Health Coach Institute, LLC healthcoachinstitute.com Institute of Transformational Nutrition (ITN) transformationalnutrition.com Jari Jari Spa jarijari.com.my Liddle Kidz Foundation liddlekidz.org MSTR mcloughlin-scar-release.com New Mind Brain Health Centre brainhealthspecialist.com New Vision Therapy newvisiontherapy.co.uk PureAroma Healing Academy purearoma.com.tw Rapid NeuroFascial Reset rapidnfr.com Rinalda Therapeutic Kneads rinaldatherapeutickneads.com Shiny Forest Ltd shinyforest.com Singapore SPA Institute spainstitute.com.sg The Institute of Aromatherapy aromashoppe.com

Please visit fht.org.uk/accreditation for more information about FHT accredited qualifications and short courses.

Stay up to date with all the latest news by following us Facebook facebook.com/fht.org.uk Instagram @internationaltherapistmag Twitter @fht_Org

Autumn 2021

Promote your professional status

with our branded products.

We’ve produced a range of FHT branded products to support your business and promote your professional status, available to purchase from your Members’ Shop.

Members’ favourites include: therapy leaflets, consultation forms, gift cards and appointment cards. You’ll also find handy accessories, such as cotton shoppers, lanyards and notebooks.

Products are exclusive to FHT members and start from just £2!

Find out more at shop.fht.org.uk

Autumn 2021

International therapist 63

Introduce us to your friends and you'll both get £10 off your membership!

In this industry, word of mouth counts. It’s how you gain clients and it’s also how we gain new members. And the more members we have, the more powerful our voice and the better we can represent you and protect your interests as a professional therapist.

Introduce a friend to the FHT and not only will you help to grow our voice as the leading professional association for therapists, you’ll both get £10 OFF your membership.

Remember, as a not-for-profit association, every penny of your membership fee is

ploughed straight back into improving and expanding the range of FHT benefits and services you can enjoy: ❱ Professional status and recognition ❱ Tailor-made insurance policies ❱ A listing on FHT's Accredited Register and Directory* ❱ Therapy articles and industry news ❱ Local meetings with like-minded therapists ❱ Seminars, workshops and qualifications ❱ Discounted products ❱ Our prestigious excellence awards

Visit fht.org.uk/introduceafriend or call 023 8062 4350 to redeem this offer

*Terms and conditions apply. Please visit the website for details.

64 International therapist

Autumn 2021

News

Industry news

The latest news from leaders within the health and wellbeing industry…

NHS funds song therapy training The Song Therapy Network supports community music leaders using music to promote wellbeing and their one year online course has now got the nod of approval from the NHS. Nigel Neill, co-founder of the Song Therapy Network explains: ‘We're really pleased to say that a student in Cornwall has had her course fees funded in full by her NHS employers. This is an important step forward for us and points to the fact that music is increasingly being used to promote wellbeing and recovery for those facing health challenges in their lives’.

The course celebrates sensitive creative leadership and person-centred thinking. It explores the power of popular music to bring people together and offers a place to relax and put day-to-day troubles aside. ‘Many students are self-funded,’ says Nigel, ‘but we also have others sponsored by local government, charities and NGOs. It seems that our rather unique approach is catching on, not surprising perhaps, given that social prescription and the recovery college programme have become such popular initiatives both within the NHS and beyond.’ n For more information contact Nigel at nigelneill@ songtherapy.net or visit songtherapy.net

Zoflora: killing germs, beautifully Zoflora has been ‘Killing Germs – Beautifully’ for almost 100 years with their range of perfumer-developed liquid disinfectants. With the launch of their new Multipurpose Disinfect Cleaners and Disinfectant Mists, there’s now more Zoflora products than ever before to leave your home and treatment rooms hygienically clean and beautifully fragrant.

All Zoflora products kill 99.9% of viruses and bacteria, including the COVID-19 virus (SARS-CoV-2), while simultaneously eliminating odours and filling spaces with beautiful fragrance for 24 hours.

Available in over 30 different fragrances, there’s a Zoflora product to suit every room and every mood. Which fragrance will you choose…. n Available from salonsdirect.com

The Face Yoga Journal From international bestseller and the world’s leading face yoga expert, Danielle Collins, The Face Yoga Journal (£14.99) offers daily motivation for a younger-looking face and a calmer mind. Make time for self-care with this 52-week programme, which will transform your face, mind and life in just two minutes a day. Your personal journal will offer new exercises each week, motivational quotes and a weekly wellness hack, allowing you to put your wellbeing and your skin first with Danielle by your side, every step of the way. n Order your copy at watkinspublishing.com

New biodegradable aprons from Scrummi Spa Scrummi Spa’s new Bio-Aprons are plant-based and vegan friendly, made from the same material as food-caddy bin liners. The biodegradable aprons are sold in cartons of 250, are light green in colour, have ties around the back and neck, and are waterproof to protect the therapist’s uniform during treatments. n For more information visit scrummispa.com/ product/new-bio-apron

Autumn 2021

International therapist 65

Guest column

and therefore perceived to be less risky.

And there is a real messaging issue around that – the summer 2020 delay to salons and spas being allowed to open sent a message to staff, customers and the general public that this was a high risk occupation. The fact is, there is virtually zero evidence to support any thesis of transmission in those settings. But a lie is half way round the world before the truth has got its boots on and the damage was done.

and finally...

Caroline Nokes MP discusses long-term consumer confidence, staffing and training issues the industry currently faces.

I

am writing this on so-called ‘Freedom Day’ in England, more than a little anxious that we all need the next few weeks and months to go well. Over the course of the summer I have been privileged to visit a number of spas and salons, to talk to owners and staff about their hopes and fears for the future as we continue to push forward.

Ahead of 19 July, I was really struck by the number of people I saw posting on social media about the measures they had decided to retain in order to keep their clients as safe as possible. There was a great deal of emphasis on mask wearing, on keeping appropriate distances, meticulous attention to cleaning treatment spaces between clients, appointments appropriately spaced and so on. Of course, many of these things they were all doing anyway - I have never been to a grubby spa! In fact so much so, that I have just recruited the cleaner from one of the local spas to come and clean my own home, as I was so impressed with her standard of cleaning… but I digress.

One of my favourite visits over the summer was to a salon owner who had used 66 International therapist

lockdown as an opportunity to expand her business. Now, much of that was due to necessity as she needed more space in order to accommodate appropriate distancing measures. But she had made a real commitment to her clients over the lockdown, had called them all regularly just for a chat, had fended off that sense of loneliness and isolation that was so prevalent and has come back full of confidence that her business will thrive.

But there are real challenges in some areas and some demographics. We know the elderly are anxious, despite their early double vaccination status, and I hope as a community we can help them overcome their worries. Equally, many have had their disposable income impacted and a treatment is discretionary spend (although not for all – some of us need some treatments to keep us functioning). There is no doubt that affordability will be an ongoing issue.

However, I have been noticing how many have been in touch talking about staffing issues. Many therapists have left the sector over the course of the last 18 months, choosing to work in completely different spheres, which are perhaps less hands-on

I have also heard alarming reports of businesses unable to recruit apprentices because they cannot find colleges prepared to take them on, preferring to fill up their full-time courses instead.

I am a real champion of apprenticeships, knowing it gives young people the chance to earn and learn, and real experience in the setting. I have been pursuing the Minister responsible for this area because we want apprentices to be recognised as an important part of the education and training sector, and valued accordingly.

What sort of message does it send if the colleges are not giving the same opportunities to apprentices as they are to full-time learners?

On which note, the happiest story of the summer was at the other end of the age scale, where a gorgeous constituent of mine who at the age of 64 left one job in the sector and walked straight into a new one. Very impressive indeed and a real inspiration to those of us who are thinking of retirement plans that actually new opportunities are out there for those with a positive mental attitude. T

Caroline Nokes was elected MP for Romsey and Southampton North in 2010. Caroline is the Chair of the Women and Equalities Select Committee, having previously served in the Cabinet as Immigration Minister. She is also a member of the All Party Parliamentary Group on Beauty, Aesthetics and Wellbeing, of which FHT is an Associate Member. carolinenokes.com

Autumn 2021

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Autumn 2021

International therapist 67

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68 International therapist

Autumn 2021