International Therapist - Summer 2021

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

The leading magazine for professional therapists

Summer 2021

fht.org.uk

Issue 137

As good as its people

How our environment can shape our health

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Dry needling – Support for soft tissue dysfunction Dear little soles – Reflexology for babies and children

Summer 2021

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Summer 2021

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

The leading magazine for professional therapists

Summer 2021

fht.org.uk

Issue 137

Inside...

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Summer 2021

25

As good as its people How our environment can shape our health

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Dry needling – Support for soft tissue dysfunction Dear little soles – Reflexology for babies and children

Cover feature As good as its people

Features

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26

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Members' pages

As good as its people We look at how the environment shapes our health and how we can become the architects of our own communities Dear little soles Reflexology expert, Sue Ricks, MFHT, talks about her work with babies and children

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Not ‘just’ beauty FHT’s editor, Karen Young, looks at just a few of the health and wellbeing benefits of different beauty treatments

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Spotting domestic abuse We share some of the signs of domestic abuse and where to direct clients to for appropriate support

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Natural deodorants We look at the science behind natural deodorants and some popular products on the market

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Hara Hachi Bu In this short book excerpt Dr Rangan Chatterjee shares an insight into the Japanese approach to eating

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Dry needling Dawn Morse, FHT accredited course provider, looks at the use of dry needling to support soft tissue dysfunction Summer 2021

49 Members news 54 New products 55 Competition

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Bouncing back to business Chiropractor and business coach, Nikki Collinson-Phenix, shares tips to help you bounce back to business following COVID-19

Learning 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 New! Seasonal nutrition 12 Top blogs 14 Viewpoint 15 6 ways to 24 Ask an expert 25 Essential oil profile - Neroli 28 Here for you 44 Local groups 52 Medical A-Z – Lower back pain 53 A day in the life of Alison Bailey 63 Industry news 66 Guest column... Caroline Nokes MP

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Summer 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 – Autumn 2021 (Issue 138) Editorial – 29 July Display adverts – 23 Sept Published – 15 Oct Senior management team Beverley Bartlett, Trevor Cleal, Jade Dannheimer, Julie McFadden, Annie Walling, Karen Young.

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.

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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 and wellbeing you already support – your clients.

Every day, primary care is placed under enormous pressure from patients presenting with conditions - often referred to as ‘effectiveness gaps’ - that conventional medicine struggles to treat effectively. These range from anxiety, depression and sleep problems, to chronic fatigue, low back pain, skin conditions and soft tissue injuries. The whole situation is not only extremely frustrating for those doctors who want to offer their patients something more than a prescription, this ‘sticking plaster’ approach they are forced to take often does little to address the underlying problem.

A new ‘grassroots' survey launched in June aims to harvest data that will show how different therapies are already being used by the public to help them self-manage exactly the type of health conditions listed above. This data will then be presented to the media, MPs, parliament and various health agencies, to demonstrate how complementary therapies can be used, alongside conventional medicine, to not only provide effective patient-centred care, but to also take pressure off the health and care system.

Please help us by asking your clients to fill out the survey, which is completely anonymous (for more information and a link to the survey visit fht.org.uk/public-survey).

So, what does this issue of International Therapist have in store for you? Our lead feature looks at how where we live affects our health and as our deputy editor Leanne delved into the topic, we were both surprised to learn that it’s not all about buildings and infrastructure (though these are important factors). A lot of it actually comes down to a sense of community and feeling connected to those around us – this is what helps to drive change and generate a truly healthy town or city. To learn more, turn to page 16.

Other topics we hope you will enjoy in this issue include reflexology for babies and children (page 20), dry needling (page 40) and a piece on natural deodorants (page 36).

Based on your feedback in our latest annual survey, you will also find a new regular that focuses nutrition (page 11) and a feature about domestic abuse and how to support clients who may be affected (page 30). As always, we welcome your comments. Enjoy!

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

International Therapist – Leanne Sheill E. lsheill@fht.org.uk W. fht.org.uk/it

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

Press and media – Karen Young E. kyoung@fht.org.uk W. fht.org.uk/press-and-media 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.

Summer 2021

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President's welcome

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The past year has been difficult for everyone in the industry, but it is still important to take stock of what has gone well

s I write this welcome, we are enjoying a fabulous warm spell of weather all four nations are moving towards further relaxation of their country’s lockdown measures.

By the time you are reading this, we will have also have had our very first Virtual Congress and if you were one of the hundreds of members booked to attend, I am sure it will have whet your appetite for further learning. In addition, Aromatherapy Awareness Week took place on 7 June, which provided members offering this modality a great opportunity to promote their work.

Keep a look out for World Reflexology Week which takes place in September – further details can be found on page 28.

By now, all of the entries for the FHT Awards will also be in and our judges will be diligently working through these to produce a shortlist in preparation for the announcement of this year’s winners fingers crossed to all of you who entered.

The past year has been difficult for everyone in the industry, but it is still important to take stock of what has gone well and to celebrate all achievements, not matter how big or small.

On a business note, FHT’s new Business Central is now up and running at our

headquarters in Southampton, enabling us to enhance the way we work and interact with you on a daily basis. Features include integrating each member’s data seamlessly with qualifications, accreditations, membership and the website.

Externally, client numbers appear to be very strong, with most businesses seeing an initial surge in client numbers when restrictions were eased in spring, which was then followed by steady levels of activity. I have little doubt that for those of us working in complementary healthcare, some of our footfall has come from clients struggling to get an appointment with their GP or who simply haven’t been referred to an allied health professional quickly enough. Having now experienced some of the benefits our treatments have to offer, hopefully this will mean more people will visit a professional therapist rather than go straight to their doctor for certain health complaints that are better addressed outside of general practice.

I wish you all the very best for the rest of 2021.

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) Summer 2021

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Summer 2021

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News

NEWS

The latest health, therapy and business news...

Touch therapies could reduce sick days by 1.76 million says new report A new report commissioned by the British Beauty Council, of which the FHT is an Affiliate member, has found that the introduction of touch therapies within the NHS could reduce mental health problems by 10%, potentially reducing sick days by 1.76 million.

The report was given to the Department of Business, Energy and Industrial Strategy (BEIS) to highlight the countless benefits of complementary therapies. It also includes information to show that touch therapies can help people to manage back, neck and shoulder pain, osteoarthritis, cancer symptoms and treatment side effects,

First Women’s Health Strategy being developed in England The government is working on a Women’s Health Strategy for England, to ensure women’s voices are heard and to put them at the centre of their own care.

Matt Hancock said, ‘For generations, women have lived with a health and care system that is mostly designed by men, for men.

‘This has meant that not enough is known about conditions that only affect women, or about how conditions that affect both men and women impact women in different ways... I’d urge you to come forward and have your say, so we can make sure our nation’s health system truly works for the whole nation.’

A call for evidence is taking place for a period of 14 weeks to collect views on women’s health. n Have your say by visiting fht.org.uk/IT-137womens-health

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fibromyalgia, HIV/AIDS and premature infant care.

The hope is that this report will encourage the government to recognise the importance of complementary therapies moving forwards.

Editor’s comment: In addition to this excellent report by the British Beauty Council, in recent months we have also been providing case studies and statistics from our FHT Member Surveys to government contacts at all four UK nations, highlighting the health and wellbeing benefits of the various therapies our members provide. n Read more at fht.org.uk/IT-137-massage-therapy

Researchers say blood pressure lowering drugs could benefit more people People with high cardiovascular risk could benefit from blood pressure lowering drugs a study analysis has concluded.

The analysis looked at 48 randomised control trials and found that a 5mmHg reduction in systolic blood pressure lowered the relative risk of cardiovascular events by around 10%.

Researchers are calling for a global review of blood pressure medication guidelines so that anyone with increased risk of cardiovascular disease is considered for blood pressure lowering medication. n Read more at fht.org.uk/IT-137blood-pressure Summer 2021

News

Cancer patients to be prescribed exercise as part of new approach Sheffield Hallam University has launched a tailored exercise programme to support people living with cancer.

Offering a combination of exercise, nutrition and psychological support, the programme aims to help people with cancer prepare for and respond to treatment.

It will be rolled out in Autumn 2021 to patients with lung, colon, oesophagus, stomach and small intestine cancers. Researchers hope the programme will improve recovery rates and save lives by reducing the likelihood of cancer returning following treatment. n Access the report at fht.org.uk/IT-137-cancer-patients

Complaints against health and beauty adverts have increased by 40% say the Advertising Standards Association (ASA) Health and beauty ads have been withdrawn more than any other sector in 2020, according to a report by the ASA. Data showed 5,285 complaints were registered in 2020 compared with 3,779 in 2019. Some of the key issues were around body image and injectable cosmetic procedures.

The ASA also highlighted that they were ‘cracking down’ on social media advertising. While monitoring 24,208 Instagram stories last year, the ASA found that only 35% were correctly labelled as adverts. n Read more at fht.org.uk/IT-137-beauty

in brief Diverse beauty advertising inspires 63% more Americans New research by Mintel shows that 63% of Americans feel inspired by beauty brands that show diversity in their advertising.

Respondents said they encourage diversity because it ‘reflects real life’ and 73% said they feel beauty industry advertising ‘plays on women’s insecurities’.

Mintel analyst Clare Hennigan said, ‘Beauty marketing is increasingly shifting from ‘aspirational’ to ‘inspirational’. Successful brands recognise that demonstrating a strong commitment to diversity and inclusion – whether through employment, advertising and/or product development – helps drive inspiration and empowerment.’ n Find out more at fht.org.uk/IT-137-inclusion

Malaria vaccine first to achieve 75% efficacy goal in trial of children A malaria vaccine trial with 450 African children has been the first to meet the World Health Organisation’s 75% efficacy target.

Results showed that children given a higher dosage of the vaccine had a 77% efficacy rating while those with the lower dosage had a 71% rating.

A third phase of the trial is planned to take place involving 4,800 children from four different countries. n Find out more at fht.org.uk/IT-137-malaria-vaccine

Active adults maintained their habits during lockdown but 710,000 people became more inactive

Middle-aged people who sleep six hours or less at greater risk of dementia, study finds A study published in the European Heart Journal found that people in their 50s, 60s and 70s are 30% more likely to develop dementia if they sleep for six hours or less, compared to if they achieved seven hours sleep or more.

Researchers looked at data which followed 10,000 volunteers from the UK and 8,000 from France over 25 years. During that time, 521 participants developed dementia and findings showed a correlation with sleep patterns.

Dr Liz Coulthard, a consultant senior lecturer at Bristol University said, ‘It strengthens the evidence that poor sleep in middle age could cause or worsen dementia in later life.

‘It makes sense to take measures to improve sleep such as going outside during daylight hours to help maintain the natural rhythms that promote good sleep, avoiding excess alcohol or caffeine, particularly before bed, and finding a bedtime routine that works for you.’ n Have your say by visiting fht.org.uk/IT-137-dementia Summer 2021

A report by Sport England has found that most adults who classed themselves as ‘physically active’ maintained a good level of exercise during the pandemic.

However, a quarter of the adult population in England is now classed as physically inactive, struggling to meet the recommended daily exercise amount of 30 minutes per week.

Tim Hollingsworth, CEO of Sport England, said, ‘We know the pandemic has had a huge impact on people’s ability to engage in sport and physical activity, but the reality is it could have been worse.

‘It's encouraging to see in the survey that so many still found ways to be active despite the majority of opportunities being unavailable or severely restricted.’ n Read more at fht.org.uk/IT-137-lockdown-activity

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Things for Summer

Things for Summer “A single sunbeam is enough to drive away many shadows”

Rediscover your wardrobe. Thinking about hitting the shops for a new outfit this season? Carve out some time to go through your wardrobe first, you’ll save yourself some money and might be surprised at the hidden gems you discover, all of which will help the planet, too.

Put pen to paper. The end of the year is often a time of reflection but it's a great idea to also set aside some time for this periodically over the year. Write about the first half of 2021, did you meet your goals? If not, what can you do to recalibrate to have a productive end to the year?

Reach new heights. In International Therapist Summer 2020, we looked at the benefits of forest bathing (fht.org.uk/it-forest-bathing).This summer, connect with the forest from above by taking part in a Go Ape! treetop adventure. You can find your nearest location at goape.co.uk

Invigorate your senses. Anosmia, the loss of sense of smell, can be triggered by viruses, including coronavirus. If you have experienced anosmia, why not try at-home smell training? Each day give yourself a scent to sniff, write down the notes you pick up, and whether it begins to smell stronger each time. Find out more about smell training at fht.org.uk/smell-training Community connections. Our lead feature looks at the importance of healthy communities. Whether it’s talking to a neighbour or joining a local interest group, lead the way in connecting with those around you and striving for more connected, healthier, communities.

Happy days. Action for Happiness have launched a free 10-day coaching programme to boost wellbeing as we move out of the pandemic. Find out more at fht.org.uk/happiness-course

Turning pages. Do you find that the only time you get to read a book is on holiday? Immerse yourself in a new book this summer and try to create a routine by setting aside ten minutes at lunchtime or by starting a book club!

FHT Awards. Keep up-to-date with the latest from us regarding the 2021 FHT Excellence Awards at fht.org.uk/awards, this year we have five categories including our new category Inclusive Therapy Business of the Year.

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Summer 2021

Nutrition

Eating seasonally

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t’s easy to take for granted the perennial supply of fresh produce we find on supermarket shelves these days. We are able to enjoy a wide range of fruit and vegetables that aren’t in-season, or even native to the country where we live. However, most of this produce has either been imported from the other side of the world or grown under simulated conditions that require the use of chemicals and heat treatments to artificially manipulate the ripening process.

The UK relies heavily on imports with around 46% of our vegetables and 84% of our fruit being flown in from abroad. As this contributes to our environmental impact, a shift towards eating seasonally is one way we can reduce our ‘foodprint’ and improve the sustainability of our diets.

The benefits don’t stop there either; by choosing in-season produce, we’re supporting the local economy and saving ourselves money at the same time, as seasonal fruit and vegetables are often inexpensive. Then there’s taste – naturally ripened produce is full of flavour and, unsurprisingly, fresher tasting than its imported equivalent. It also boasts an enhanced nutritional profile, as it is harvested at its peak, helping it retain its full vitamin and mineral complement.

So, as we head into the warmer summer months, it’s time to start thinking about the wonderful array of seasonal produce available to us.

In-season vegetables include broad

beans, broccoli, celery, courgettes, cucumbers, fennel, radishes, runner beans, sweetcorn and tomatoes, while in-season fruits include blueberries, blackberries, gooseberries, plums, raspberries, redcurrants, and everyone’s summer favourite – strawberries.

Broad beans Let’s take a look at one of these vegetables in a little more detail – the humble broad bean. Broad beans are an excellent source of plantbased protein, B vitamins including folate, and several minerals including manganese, magnesium, iron and potassium. Being a member of the legume family, they are also high in dietary fibre – the unsung hero of a healthy diet.

Given that the average fibre intake in the UK is only 60% of the recommended 30g a day, increasing our intake of legumes, which are sadly underrepresented in the majority of diets, is one way we can close that nutritional gap. Beans and lentils also count towards your five-a-day.

As well as being nutritious and delicious, evidence shows that legumes can contribute to the prevention and management of a number of health conditions including type 2 diabetes, hypertension, high cholesterol and obesity.

With in-season broad beans currently being available in abundance, I’d like to share one of my favourite ways to eat them — a tasty pesto that is always a hit at BBQs and picnics.

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

Summer 2021

RECIPE BROAD BEAN PESTO (Serves 6-8) Ingredients n 40g (½ cup) sliced almonds n 900g (2lbs) broad beans in pods (~300g/2 cups once podded) n 40g (½ cup) pecorino romano, grated (or vegan Italian-style hard cheese) n 2 cloves of garlic, minced n 25g (~1 ounce) fresh dill, roughly chopped n The juice of half a lemon n 1/3 cup cold-pressed extra virgin olive oil n Black pepper to taste n For serving: 1 toasted ciabatta, sliced radishes and extra toasted almonds Method 1. Preheat oven to 175c/350f (fan).

2. Spread the sliced almonds out on a baking tray and toast in the heated oven for ten minutes, stirring halfway through. Leave to cool.

3. Remove the broad beans from their outer pods and blanch in boiling water for 3 minutes, then drop them in to a bowl of iced water.

4. Once cooled, pop the bright green beans out of their skin by squeezing gently.

5. Discard the skins, then place all ingredients into a food processor and pulse until you have a chunky paste.

6. Spread onto toasted ciabatta and top with radishes and almonds.

Tip: When shopping for broad beans, look for bright green, firm, plump pods with minimal blemishes (although a bit of spotting on the pods is fine). Avoid any pods that look dried out, mushy or are turning yellow. T International therapist 11

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...

SKIN CANCER AWARENESS MONTH As part of skin cancer awareness month this May, skin cancer charity and FHT accredited course provider, Skcin, shared a series of blogs about the disease, how to detect early signs and how to approach the topic with your client if you do notice an abnormal growth during a treatment.

About skin cancer Since the early 1990s rates of nonmelanoma skin cancer have risen by 166% in the UK with cases expected to reach almost 400,000 by 2025. The incidence of melanoma (the deadliest form of skin cancer) has risen faster than any other common cancer in the UK. According to Cancer Research UK, 1 in 36 males and 1 in 47 females will be diagnosed with melanoma during their lifetime and alarmingly, it is one of the biggest killing cancers in the 15-34 age group.

While skin cancer statistics are concerningly high, the good news is that around 90% of all cases are preventable.

In addition, it is the only cancer we can physically see developing in its early

stages — so with education we can reverse these statistics and save many lives.

What Causes Skin Cancer?

Around 90% of all skin cancers are caused by over-exposure to UV radiation from

the sun and/or sun beds. Sunburn, reddening, peeling and even tanning of the skin, is a clear indication of sun damage. While many people associate a tan with looking healthy, a tan is actually a sign that our skin has been harmed by UV radiation and is trying to defend itself against further damage.

Sunburn has strong links to melanoma.

When we burn, the superficial layers of the skin release chemicals that cause the blood vessels to expand and leak fluid, causing swelling, pain and redness.

Without sun protection UV radiation starts to penetrate deep into the layers of the skin, causing damage to the DNA in our skin cells. Damage from UV is cumulative and irreparable, therefore once the tan fades, the damage remains, which can result in serious consequences over time.

Our second blog for #SkinCancerAwarenessMonth was contributed by Dija Ayodele, founder of the Black Skin Directory. Dija looked at whether skin cancer risk is determined by skin colour and how to safely protect your skin from the sun. fht.org.uk/blog-dija

BUILDING A FAIRER, HEALTHIER WORLD FOR EVERYONE World Health Day (7 April, 2021) launched over 50 years ago as a yearly opportunity for the World Health Organisation (WHO) to raise awareness of an area of concern in healthcare. This year, the WHO called for action to eliminate health inequalities as part of a global campaign for health equity.

The campaign comes at a time where we have seen inequalities around the world being brought to light. Taking a look at the health and wellness sector in the UK, an example of this is the vulnerability of racial groups during the COVID-19 pandemic (fht.org.uk/covid-19-BAME), an issue thought to be as a result of a variety of factors including income inequality, occupational factors and racial biases.

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Within the sport sector, Sport England published their most recent Active Lives survey (fht.org.uk/active-lives-survey) in October 2020 which found that the gap in people accessing sport has widened in the past year. This is backed up by Public Health England who recently published a guide titled ‘Understanding and addressing inequalities in physical activity’, to help break down the barriers that prevent people from taking part in exercise.

And in the beauty industry, key voices such as Vogue Beauty Editor, Fumni Fetto, have been calling for an increase in products that cater to all skin and hair types.

The British Beauty Council’s Diversity

Summer 2021

FHT Blog 10 CREATIVE THINGS TO DO WITH YOUR FOOD WASTE In our 2021 FHT Member Survey we asked, ‘What causes and values are most important to you?’ and 23% of respondents said sustainability. Knowing this topic is important to our members, we put together a helpful list of ways to make the most of your food waste.

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Using your orange peel in tea A simple yet delicious way to use your discarded orange peel, perhaps even add some honey in there for good measure!

colour to the material. Read this article at fht.org.uk/beeswax-wraps

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Exfoliating using coffee ground A well-known tip but often forgotten, use your coffee ground as a natural exfoliant.

Providing nutrients to your house plants using banana peel Did you know that banana peels can help your plants thrive? Next time you eat a banana, pop the peel in boiling water for a few hours, once cooled, use the water to feed your house plants.

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Making a vegetable stock from scraps Pop any vegetable scraps in a big pot, cover with boiling water and leave to simmer. Come back a few hours later to whizz up and pop them in an ice cube tray – whenever you need some veg stock, it will be in the freezer to hand.

Creating ‘old’ paper with teabags A fun activity to do with the kids, write a letter and dab the paper with a teabag for a vintage effect.

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Using scraps as natural fabric dyes In our Create Your Own feature, published in International Therapist Winter 2021, we showed readers how to create their own beeswax wraps. In this article, we used avocado pips, red cabbage and berry tea to add a vibrant

Grinding egg shells for use in the garden as a calcium-rich powder Egg shells are a food waste item that regularly get discarded straight after use. Try blending them up and creating a powder to spread across the soil in your garden.

Zesting your home with sustainable cleaning products Down your big brand and make your own eco-friendly cleaning products, incorporating your used citrus peel.

Not only will they smell delicious, you’ll never go back to your store bought products.

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Blending up some soups and jams These foods can be a great way to use hardier bits of fruit or veg that you can’t use in a typical meal. Pop your

broccoli stalks in a soup and put any fruit that is past its best in a homemade jam!

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Preserving what you can A lot of foods that we might not even think to preserve can be frozen.

Next time your spinach is looking a little wilted or bananas are going brown, simply pop them in the freezer (make sure to peel your banana first!).

and Inclusivity Survey (fht.org.uk/ british-beauty-council), launched in 2020, concluded, ‘The lack of diversity and representation within the beauty industry is an issue that needs addressing now more than ever. This ever-important subject has been further amplified in response to the racial and societal injustices that have been magnified by gross disparities in outcomes especially for members of the Black community.

‘Within our industry, we’ve seen for some time a fast-growing demand from consumers to ensure beauty brands and businesses better represent under-served

Summer 2021

communities including all ethnicities, abilities, ages, genders, sexual orientations and identities across all areas of the industry; from media, education, content and products, and services.’

In International Therapist Autumn 2020 (issue 134), our lead feature ‘Accessible to All’ (fht.org.uk/ accessible-to-all) focused on ways to make therapies more accessible to everybody, no matter their race, income, ability or gender identity.

In our feature, we spoke to four FHT members who are leading the way in offering an inclusive therapy space for clients.

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Have your say

Viewpoint

Book published during lockdown to help therapists practice self-care ‘I spent my lockdown writing a book about the importance of practicing self-care as a therapist. Entitled, The Secret to Being a Good Therapist: Looking After Yourself Whilst Looking After Others, the book gives readers guidance on self-employment, running a business and how to look after yourself as a therapist.

‘The content covers all aspects of the role, from confidentiality to networking and marketing. I was put off writing the book for a while because I found myself suffering from imposter syndrome. I’m beaming from ear to ear now with the success it has already had and I’m so glad I did it.’ n Deborah Lloyd-Baxter, MFHT To read an excerpt from Deborah’s book, visit fht.org.uk/IT-137-RR-Deborah

Online chat Twitter @marketingem Registered and booked my place with the early bird discount courtesy of the @fht.org, thank you! Looking forward to the International Oncology Conference on 15 May. @BAW_APPG Yesterday, the Group held a panel session, looking at the crucial work that holistic therapists have provided during the Covid-19 pandemic. We also looked ahead to see what role holistic therapists can play in tackling emerging problems.

LinkedIn @LouiseFullwood Super front cover, I love it. A true therapist will see the beauty in it! @PaulaMarshall Love it, absolutely beautiful cover.

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Instagram @iamnikkic_p Congratulations!

Welcome to the podcast family!! @sarahwoodhousetherapy Fantastic!!

And thanks for the mention of @4tsandachitchat on your podcast list.

LinkedIn FHT Awards @MaryAtkinson Oh how wonderful. I feel so honoured to be Complementary Therapist of the Year 2020. Please do think about nominating those who have made a difference — or even yourself.

Instagram @soulshinehealth Perfect arrival in the post this afternoon to finish off my peaceful sunny Saturday! @wellnesslincs Looking forward to having a good read of this latest issue that I found in the postbox this morning!

New exercise pilot launched for over 65s

by FHT Award winner ‘I created my company Molyfit.co.uk to act as a voice for older adults in the youth-oriented fitness industry and was proud to launch MolyFit Wellness this May, in conjunction with Herts Sports Partnership (HSP).

‘Together we are running a 20-week pilot scheme using exercise to improve wellness in the community. As MolyFit is based in Hertfordshire, the pilot scheme targets those living in the area, although this does not mean that someone has to live in Herts to take part in the live class.

‘Using my third book, Who Says Age Should Slow You Down?, as a reference guide, the free classes will focus on specific muscles to help improve walking and mobility in people aged 65+, by working on strength, balance and coordination exercises.

‘At the time of writing, the scheme is just about to get started – I can’t wait to see the results!’ n John Molyneux, MFHT, 2020 FHT Sports Therapist of the Year

Please keep in touch with us...

Email lsheill@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

Summer 2021

Advice

A

s therapists, we know that working with clients who are unwell or emotionally draining can take its toll. This, paired with the adjustment of returning to work following the most recent lockdown, may leave the best of us feeling drained. We share some suggestions to help you maintain and boost your energy levels throughout your workday...

Visualisation

1

6 2

ways... to practice self-care between clients

Mindful handwashing

Washing our hands thoroughly is a necessary practice between clients, so why not make the most of this time and carry it out mindfully? Run the water until it is at the right temperature for you before lathering the soap in your hands, giving yourself a soothing hand massage while you do. Dry your hands slowly, trying to take note of what your hands look and feel like. Most importantly, moisturise before you head back out to the treatment room and appreciate the softness of your hands.

Block out ‘me time’ In our business feature published in the International Therapist Winter 2021 (issue 135), we asked our FHT Virtual Congress speakers to tell us some of the biggest lessons learned during the pandemic. A reoccurring reflection was recognising the importance of scheduling in ‘me time’, even just five or ten minutes can leave you feeling refreshed and ready to carry out your next treatment.

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4

Connect with the outdoors

Ritualise heading outdoors to connect with nature – no matter the weather.

Studies show that 29 minutes outdoors Summer 2021

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

can increase productivity by up to 45% (Richmond, 2020). If for some reason you might struggle to achieve this, bring the outdoors in by adding some indoor plants to your treatment room.

Pen to paper

5

Keep a journal. You can use this for reflective practice at the end of the day – writing down what went well and what didn’t go so well, so that these thoughts don’t stay running round in your mind, stopping you from relaxing and recharging your batteries. You can also write down all the tasks you need to carry out the following day — clients you need to speak to, follow-ups, suppliers you need to ring, and so on. Then leave this journal on your desk or in your bag for the following morning, so that you learn to ‘leave work at work’.

Level up your meditation

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Do you practice meditation or controlled breathing exercises? They can be particularly useful tools to slow the mind down and become more present. Monks in Tibet are often taught to practice meditation in a busy place to help them use the tool whenever they need it. A nice little goal to set yourself may be to improve your daily meditation practice, so that you can find your calm place no matter what is going on around you. T

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

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Illustration: ©Shutterstock

We know that ‘prevention is better than cure’, so start your day as you mean to go on. Before treating clients, use visualisation to protect your energy levels. Try this exercise: imagine you are putting on a new pair of overalls before your first client, the overalls will help to protect you from absorbing any negativity. When the day is done, you can then ‘take off’ your overalls and leave all that stress behind.

Wellbeing

As good as its people...



We take a look at how the environment shapes our health and how we can become the architects of our own communities. hat comes to mind when you read the phrase, ‘healthy city’? Perhaps an abundance of green space, the whirr of cyclists making their daily commute, or affordable healthy food down every shopping aisle?

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As therapists, we are of course aware of the things we need to make us healthy and how our environment can impact our wellbeing. But in a world with so many options at our fingertips, where do we begin when it comes to building infrastructure, a healthcare system and

a health education system that works for all? We share some eye-opening statistics about UK population health, before delving into government plans to improve this and how we can make a difference in our own communities. 

Summer 2021

Wellbeing

FACTS & FIGURES

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THE COST OF LIFESTYLE FACTORS ON THE NHS:

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Smoking £5.2 billion

Obesity £4.2 billion

Alcohol £3.5 billion

Inactivity £1.1 billion

Danny McConnell, Strategy Programme Manager for NHS England, said, ‘The evidence is very clear of the links between places and health. For example, the proliferation of hot food takeaways in areas of depravation exacerbate health inequalities and increase rates of childhood obesity.’

OTHER STATISTICS REFLECTING LIFESTYLE IN THE UK:

30%

of all car journeys in Greater Manchester are under 1km long1 (Greater Manchester Transport Strategy, 2017)

£2.5 billion

1 10 in

People order a takeaway once a week 3 (YouGov, 2019).

Poor quality housing costs the NHS2

per year

(BRE, 2010)

1. On Dr Rangan Chatterjee’s podcast, Feel Better Live More, he interviewed gold medallist Olympian, Chris Boardman about his mission to encourage the public to move more. Chris said, ‘... it's an incredible statistic. A big chunk of those journeys will be the school run, for example people not wanting their kids to walk to school because of the danger of the cars.’ (Feel Better Live More, 2019).

2. In their Spatial Planning for Health document, Public Health England states, ‘It is estimated that 20% of the UK’s housing stock does not meet decent home standards [...] Living in good quality and affordable housing is associated with numerous positive health outcomes for the general population and those from vulnerable groups.’ (Public Health England, 2014).

3. According to YouGov, ‘34% of this group are men under 40. 18 to 24 year olds account for 17% of this demographic, and another 17% are between 25 and 39.

Young women are the next largest group, with 18 to 24 year olds comprising 13% of takeaway regulars and 25 to 39 year olds amounting to another 12%.’

(YouGov, 2019).

 Summer 2021

International therapist 17

Wellbeing

What makes a healthy city?

The World Health Organization’s (WHO) definition of a healthy city is ‘one that is continually creating and improving physical and social environments and expanding community resources which enable people to mutually support each other in performing all the functions of life and developing to their maximum potential’ (WHO, 2021). Countries across the world, including the UK, are designing healthy cities and towns based around this concept.

The UK’s Healthy New Towns Programme is working with 10 demonstrator sites to explore how the development of new places could create healthier and better-connected communities with integrated and high-quality services (NHS, 2019). Representatives from the development and planning and health and care sectors, as well as the wider local community, sit on these planning committees. The programme has three key aims: to promote health and wellbeing,

A CLOSER LOOK: ENVIROMENTS TO INSPIRE Manchester Devolved powers to the Greater Manchester region involved the UK government delegating powers of the organization of health and social care to give the region greater control over funding streams. This has resulted in the Greater Manchester Health Population Plan which supports coordinated region-wide action on health. This includes a unified governance system and a tobacco reduction plan which aims to reduce smoking ‘at a pace and scale greater than any other major global city’ (The Kings Fund, 2021).

THE LINE city in Saudi Arabia The Prince of Saudi Arabia unveiled plans for THE LINE city in early 2021, with a view for completion by 2030. The proposal is a 170km city built in straight line with only natural, walkable spaces above ground. A transport system will sit underground in the second layer and below that will be an Artificial Intelligence (AI) and freight hub to support the overall running of the city.

It is hoped that the city will be home to one million people and that it will address some of the world’s most pressing challenges such as climate change, urban sprawl, traffic congestion and social disconnection (NEOM, 2021).

Amsterdam Renowned for its cycle lanes and encouragement of public transport, Amsterdam is considered to be one of the worlds healthiest cities (iamsterdam, 2018). Its ‘Vision for Health and Wellbeing’ also focuses on self-reliance, encouraging its citizens to lead an independent, healthy lifestyle for as long as possible. It aspires to be an ‘age-friendly city’ in which every resident can keep participating in society, even if they are no longer able to do everything on their own. It is envisioned that innovative technology such as self-monitoring devices, diagnostic software and care robots will play a part in helping to achieve this (amsterdam.nl, 2021).

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prevent illness and keep people living independently; to rethink the delivery of health and care services; and to spread learning and good practice to future developments and regeneration areas (Kings Fund, 2019). The Healthy New Towns Programme is currently in the second year and will run until 2023.

Dr Michael Dixon, GP and chair of the College of Medicine, is a commissioner on the Healthy Cities project at the University of Oxford. We spoke to him about what makes a healthy city and the steps needed to create one...

How much of a part does effective governance have to play in designing a healthy city? Does it make the process slower?

‘Governance is important because you’ve got to speak for the people, you’ve got to represent them and get the best value for money according to the evidence you’ve got. I think this inevitably slows things down, as getting people to agree to things takes time. For me the key thing is not only that people have a say in decision making but that they have a role to play in volunteering and in the provision of a city.

‘I think an important part of our infrastructure is joining people together where you can. For example, in a town local to where I live in Devon, there is a volunteer care coordinator in every street who knows everybody in their area and matches them to volunteers who they feel might be helpful. This brings a sense of connection and it's when you get that level of connection in a town that things begin to change.’

Where do you start when it comes to designing a healthy city?

‘Planning is crucial. Affordable housing and how this is organised, as well as employment, a good public transport system and walkways to schools are so important. Clean air is also key, and it is very easy to measure, which is a positive.

In our most recent manifesto at the College of Medicine, we’ve suggested that everybody should be entitled to air monitors and to make noise if the air quality in their area is poor.

'One issue with the planning process is that it often happens the wrong way around. For example, a developer will buy some farmland and the planning committee can then have some influence.

Summer 2021

Wellbeing

But I think a re-write of that script is needed — it should be led by the committee. It should be that the town develops its concept of what it should look like, based on all the points listed above, and then says to the developer, ‘how are you going to make this a reality?’. It would make a lot more sense that way, but sadly it comes down to money and is very unlikely to change.’

employment — leading them to a better place as an individual. In doing that, you build up the voluntary offer locally and increase social capital, which leads to a community that’s beginning to create health rather than make people ill, which is what I believe many communities do at present.’

Is it possible to work with ‘what you’ve got’?

‘You certainly can! You can make the air cleaner, you can add more green space (for example, on unused church or council property), and you can easily develop social and cultural offerings.

'So much thought goes into the way places look but you can get towns that look absolutely awful and have a huge social heart that you couldn’t replicate.

I can think of a village near me that looks a bit of a dump, but it’s got the most incredible community feel. I have a little surgery there and when people come in, they’ll always give their place to someone who looks more poorly.

They never mind if they have to wait an hour - in fact, they tell me off if they haven’t caught up with the local gossip!

So, you can create the most wonderful city from the ground up, but it could be totally heartless. If it’s not got a soul, a culture and a history, what has it got?

The buildings and infrastructure are important, but they can be changed.

What matters more is the goodwill of the people to help achieve that.’

Jot down in the box below some changes that could be made to make your local town or city healthier.

What does the future look like for healthy cities in the UK? ‘I think we are slowly moving in a good direction. The real problem is a national agenda - the income between rich and poor needs to be narrower and people need to feel less alienated.

We need everyone to feel that they’re part of their town and that they want to be a part of making it better - this is where social prescribing comes in.

‘Social prescribing takes people who are most down on their luck, who are the least motivated, and gives them the opportunity to be listened to, to share their history, beliefs, hopes and challenges. They’re then supported, whether that’s joining a group, finding an allotment or helping them into Summer 2021

Change in our own communities

Sharing what you are doing to make your town or city healthier with your clients may inspire them to also make a wider change in their local community, or to make small changes that positively impact themselves or a loved one. It could be choosing to walk to the shop rather than driving, taking the time to have a conversation with a neighbour, organising a garden veg swap, or starting a ‘walking school bus’ — these things can all have a positive ripple effect on health and wellbeing.

Below we have listed some steps that you or your clients could take to make wider change in the local community: n Local council A good first step is to contact your local councillor. Write them a letter explaining some of the changes you’d like to see and ask questions about the best way to make change happen. They’ll likely be pleased you got in touch and help you to figure out a way to help that works for you too. n Social prescribing The role of a link worker role is a paid position and involves supporting people in your community by connecting them with others. Find a role local to you by visiting socialprescribingnetwork.com/contact-us. n Volunteering We understand not everybody has the time to dedicate to a regular voluntary role but nowadays there are so many options to choose from. Whether it’s offering half an hour a week to call someone who is lonely as a volunteer at The Silver Line or a morning at your local food bank, start your search today. n Social groups Join a social group in your local community and do something you enjoy while connecting with others. Search via your local Facebook group, or simply ask a friend if they are part of any social groups that might interest you. T

SHARE YOUR TIPS OR STORIES WITH OTHER MEMBERS...

Maybe you are already involved in projects that aim to make your town or city a healthier place to live. We’d love to find out more and to share these stories with your fellow members. Please send a few paragraphs (and a photo, where relevant) to Leanne at lsheill@fht.org.uk

International therapist 19

Reflexology

20 International therapist

Summer 2021

Reflexology

Dear little siles Reflexology expert, Sue Ricks, MFHT, talks about her work with babies and children

I

remember always wanting to work with babies and children.

As a little girl, my earliest ambition was to be a children’s nurse, so I spent a lot of my playtime caring for dolls and teddies and I enjoyed taking care of my friends’ brothers and sisters whenever I had the chance.

When I trained in reflexology many years later, I was quite disappointed to find out that it was all about treating adults and I wasn’t ‘supposed to’ treat babies and children, which just didn’t seem right. My first son was a baby at the time, so I decided to ‘secretly’ use some reflexology techniques on him, and then I moved on to treating my friends’ children, and it grew from there.

The next significant step came when I invited the amazing Susanne Enzer to my school in Leicester, to run some training in maternity reflexology. I had all her books and sat at the back of the class with one of my Gentle Touch students and friend, Karen. We listened avidly to Susanne, scribbling down notes all the while, and I remember turning to Karen at one point and saying, “When is she going to get to the bit about working with babies?” Karen replied, “It’s a maternity reflexology course, Sue.” I was initially puzzled but then the penny dropped – this course, while brilliant, was about treating pregnant clients and it was going to end when baby arrived into the world. Many maternity reflexology courses today now include working with babies and children, but in those days – and I’m talking a very long time ago – the focus was very much on treating the mum-to-be.

Sharing of knowledge Our conversation continued with a few of the other students in the tea break, with Karen asking me why I wanted to learn about working with babies and children, because I’d already being doing it myself Summer 2021

for many years. I explained that I just wanted to learn more, to which she replied, “Actually, I think people want to know what you know – would you be willing to teach us?”

I was a little reluctant at first but we eventually agreed that I would hold a small, informal class, as long as they gave me their honest feedback. Three weeks later, Karen and three others arrived at my home and I literally walked them through “this is what I do and this is why I do it this way”. Their positive comments and encouragement that I must do more prompted me to put together a training manual, and this became the foundation of my training course for parents and practitioners.

From the outset, the courses proved a real hit, however there was one reflexology student I remember vividly, who raved about the course and told me in one email how helpful it was but then in a follow-up email just a few hours later, said it hadn’t quite hit the mark. I was naturally confused and because I like to understand where people are coming from, I asked her if she’d be happy to discuss this in more detail. We chatted for a long time on the phone and I eventually realized that, strangely, after 12 years of teaching the subject, this lady was probably the first person I had taught who wasn’t a mother and didn’t work with children on a regular basis.

I immediately went off and changed all of my manuals, to include details about how to pick up and hold a baby, and so on, for anyone else who didn’t have this knowledge. I kept adding more and more detail over time, and eventually the core content of my manuals became the foundation of my book, the Gentle Touch of Reflexology for Babies and Children, which is primarily aimed at parents and carers.

As a mother myself, I remember being  International therapist 21

Reflexology

a new parent and how hard it was at two or three o’clock in the morning, when your baby is crying and you just don’t know how to soothe and help them. The book takes the parent through different techniques, step by step, to help settle their baby, without having to see a reflexologist. If they still struggle or the baby has more complex issues, then of course it’s marvelous that they can go to a reflexologist who is trained in this area – and that’s what I do now, I train reflexologists how to work in all kinds of situations and with issues that affect babies and children, right up to the age of 16.

International calling When my book came out, I was invited to give a presentation at a conference in Denver, Colorado, organized by the Reflexology Association of America (RAA).

I became wonderful friends with so many from the RAA and it was this, combined with a real appetite in America for working with babies and children, that took me on to Kentucky and Ohio, where I also gave talks.

This then led me to working in a number of hospitals in the area, teaching nurses, intensive care workers and complementary therapists how to use simple techniques to help soothe the babies. Over the course of 12 years, I travelled back to two hospitals in particular, where I spent a lot of time in the neonatal intensive care units, as well as teaching staff how to support babies and children in other situations – from babies with neonatal abstinence syndrome, who have a range of issues because they are exposed to drugs in the womb before they are born, to working with children who had undergone transplants, operations, were transitioning, or receiving oncology care.

Working with babies and children Although I have worked across the world and been involved in reflexology and healing for more than 30 years, I still feel like I’m learning all the time. In fact, one of the things I love about children is that they constantly teach us, by their responses and the way that they communicate with us. I like to call babies ‘energy sponges’, because they absolutely know how we are, even when we think and say we’re ‘fine’, when actually we’re not.

In my earlier training, I would cover the different reflex points and how to approach babies and children — when to work with 22 International therapist

them, how to work with them, and when not to work with them, and so on.

However, over time, I realised that the course needed to cover much more, because it’s imperative that we never go to touch a child unless our own energy is in a good place. I’ve seen many examples over the years of very caring, well intentioned people giving treatments, but the child is actually saying by their movements, sounds or facial expressions, “please get off me”. That’s why my course on gentle touch reflexology for babies and children is underpinned by teaching the parent or practitioner how to get their energy right before they even start the session, because the baby or child will respond accordingly and we want to encourage them to enjoy the benefits of reflexology for life, not put them off having the therapy ever again.

It’s the most extraordinary thing when you see a parent or practitioner finally understand how the smallest thing can actually make the biggest difference – that being quiet, calm and settled, and using just the gentlest, simplest technique can have such a profound effect.

When teaching groups of parents or carers as a reflexologist, the parents are the only people who actually touch the child, while you take on the role of instructor, using a doll or dummy to demonstrate the different techniques, supported by various charts. As with most training courses, there will be variations in what you teach parents and carers but in my course, we cover the ‘five essentials’, which involve working reflexes relating to the head, bowels, solar plexus and spine, using very light but grounding techniques.

Practitioners who have the relevant training can also treat babies and children themselves. When working on babies and children, as well as the hands and feet, you can also do some facial reflexology too, if that’s one of your skills. The key thing is to be flexible, because it is the child that leads the treatment. Sometimes they’ll happily give you access to their feet but not their hands, or vice versa. Other times you may even find yourself working with one hand and then the opposite foot!

Always work with what you are offered, because it’s a blessing.

Techniques and benefits All reflexologists are familiar with techniques such as thumb walking, Summer 2021

Reflexology

hooking and pivoting, and all of these techniques are appropriate to use with children, as long as they are used extremely gently. Flowing from one technique to another and from one area to another is also important, as it helps the child to stay in their own energy and place. It’s obviously good to have some idea in your mind about the reflex points that you might want to go to, and these will be similar to an adult’s, however because the child’s anatomy is quite different and their bones and ligaments are still developing, it’s important to only apply the gentlest touch.

One of the greatest things about a parent learning reflexology for their baby or child is that helps to support the bonding process, at any age. Parents are often very busy and living inside their heads and if the child understands that reflexology can only be done when the parent is quiet, settled and truly present, it’s more likely that they will ask for reflexology.

I remember one of my students saying her 11-year-old son had never allowed her to hug or touch him. During her training, she asked her son if she could practise on him and she was really surprised when he said yes. She sat herself down and made sure that she was very calm and present and then eventually said to him, "Am I OK to treat you now?" He put his feet forward and they both cried, because it was such a unique experience they had never shared before.

Consent and cues It’s really important when working with babies and children that you gain consent before you start. I always recommend having a consultation with the parent and in that you explain to them that you’ll also need consent from the child. If you are working with children who aren’t old enough to speak or who are non-verbal, you need to be aware of any signs and signals that would indicate they are OK or not OK, and have this agreed and recorded beforehand. Signs of not wanting to be involved could be a grimace, pulling away, or even a grunt or other sound.

In babies, it could be a tiny twitch of the mouth, or they pull their foot or hand away, but bear in mind that there is a Summer 2021

Benefits to Babies

Benefits to Children

Calming and relaxing

Calming and relaxing

Aids restful sleep

Improves concentration and focus

Helps to boost the immune system

Helps to boost their immune system

Improves digestive function

Improves self-confidence / self-esteem

Helps to alleviate colic

Helps to address headaches, tummy aches and non-specific symptoms

Improves ability to breastfeed

Aids sleep

Improves bonding between parent /carer and baby

Helps painful joints

difference between pulling a foot away and baby dancing around. It’s a question of becoming skilled in knowing the difference between the two.

As mentioned earlier, the key is to always follow their lead and work extremely gently. As well as following their cues, be guided by your own intuition rather than a mental plan or set routine, as what you have in mind might not tally with what the child wants and needs. You have to be flexible when

working with little ones, as well as have the ability to remain still and calm, inside and out. Children are more sensitive than adults and have often learnt to adapt to what’s required of them in an adult world. The joy of using reflexology with children is that you give them the place and space to be who they are — make an inner promise to honour that by working with the child and connecting with what’s right for them as opposed to what you may have learnt on a course. T

Sue Ricks, MFHT, has more than 30 years’ experience as a therapist and runs the Sue Ricks Clinic & School of Complementary Therapies. As well as being a practitioner and training provider, she has written books, produced DVD’s, designed charts and produced other items to help people learn more about the benefits of reflexology. suericks.com

International therapist 23

?

Q&A

Ask an expert

Q W

hy can’t I list on my website some of the health conditions my therapies can help clients with?

A: Karen Young, FHT’s Editor and Communications Manager, says: At the FHT, we are fully aware of the many physical, mental and emotional benefits different therapies can bring to clients.

However, in order to stay compliant with Advertising Codes that are written by the Committee of Advertising Practice (CAP) and administered by the Advertising Standards Authority (ASA), complementary, beauty and sports therapists are currently very limited in terms of the health claims they can make in their advertising and marketing communications.

Q

Are FHT’s consultation forms available in a digital format?

A: FHT’s Marketing Manager, Jade Dannheimer, says: Currently, we sell consultation forms for aromatherapy, body massage, ear candling, Indian head massage and reflexology. These are available at shop.fht.org.uk in paper format (50 forms per pack) for those who prefer working offline, or on a USB stick made from recycled paper, enabling you to print off as many consultation forms as you need.

For those who just want the digital files, we can email these alongside your purchase of the USB stick for immediate use.

We have looked into making more dynamic digital versions of our

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Some of the health claims considered acceptable, depending on the therapy, include: n helps relaxation; n improves mood; n aids sleep; n relieves tension; n relieves anxiety and stress; n promotes a sense of wellbeing.

However, claims that ‘X therapy may help to improve arthritis, headaches, depression (or any other medical condition or pain)’ are likely to be considered in breach of current Advertising Codes. This is because ‘The ASA and CAP consider that by referring to certain more ‘serious’ conditions, advertisers could be seen to discourage consumers from seeking essential medical treatment’.

If a complaint is made to the ASA about a health claim you have made in an advertising or marketing communication, unless you are able to substantiate this with documented ‘evidence’, it is more than likely that the

consultation forms but unfortunately it would mean handling large amounts of data, which isn’t cost effective or GDPR-compliant.

There are, however, a number of practice management software providers (including cliniko.com and powerdiary.com/uk) that offer packages specifically tailored for health professionals and salon/clinic owners, which already contain patient record forms that you can customise – along with lots of other great features, such as appointment scheduling, SMS and email reminders, invoicing and payment, and more. Most software providers also offer a free or discounted trial, so that you can see if their package suits your business needs before you fully commit.

While FHT’s consultation forms are copyrighted, if you purchase these on a USB stick, you are welcome

complaint would be upheld and you would be asked to retract or amend your claim to bring it in line with the Advertising Codes.

It is our understanding that the evidence required by the ASA/CAP usually takes the form of randomised controlled trials (RCTs) involving a large number of subjects over a prolonged period of time.

While there is a growing body of research for a number of therapies, the type of evidence required by the ASA/CAP does still present a significant challenge for our members and the industry as a whole and is something the Integrated Healthcare Collaborative (of which the FHT is a core member) is hoping to raise with the ASA again in the near future.

Meantime, please see our current advertising guidance in the Members area of our website, which you can access direct at fht.org.uk/advertising-guidance (member log in required) or visit the ASA’s website at asa.org.uk

to reproduce the content in any format you like, providing this is for personal, non-commercial use (i.e. you do not sell on the content) and you are a current FHT member.

This means that if you use software packages such as formsite.com or jotform.com, you can create your own electronic version and send the link to your clients. If you’re using a platform that is based outside of the UK, make sure you inform your clients before they submit their forms, to remain GDPR-compliant, for example, by stating, “The information you supply on this form will be securely transferred outside of the European Economic Area (EEA) in order to process your details”. Alternatively, you could put the content into a Word document or similar, which your client can then type the answers into and return by email. T

Summer 2021

Essential oil profile

Neroli

(Citrus aurantium var. amara)

Neroli essential oil is steam distilled from the freshly picked blossom of the bitter orange tree, also referred to as the bigarade, Seville or sour orange tree. The oil is deep brown in colour, has a warm sweet aroma and top to middle note.

N

Several sources suggest that Neroli is named after Marie Anne de La Trémoille, Princess of Nerola (1642-1722), who used the oil to perfume her bath and gloves. Even today, Neroli is used as a key ingredient in Eau de Cologne and other perfumes.

Therapeutically, neroli essential oil is well known for its calming and stressrelieving effects, which would account for the blossom being traditionally worn in bridal wreaths, as the warm, sweet aroma of the flowers was thought to soothe any apprehension in the newlyweds surrounding consummation of the marriage.

Neroli’s antispasmodic properties are particularly beneficial for spasms occurring in smooth muscle, making it useful for digestive complaints and heart palpitations. It also has a rejuvenating effect on the skin and supports the female reproductive system.

Calming, uplifting

Botanical family Rutaceae

Chemical composition Alcohols – Monoterpenols: linalool (c.40%), α-terpineol, geraniol, nerol.

Sesquiterpenols - transnerolidol, farnesol.

Aromatic – phenyl ethyl alcohol, benzyl alcohol.

Hydrocarbons – Monoterpenes (c.35%): limonene, β-pinene, trans-β-ocimene, myrcene, sabinene.

Esters – Linalyl acetate, neryl acetate, geranyl acetate.

Ketones – Jasmone.

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.

Summer 2021

Analgesic, antiaging, antidepressant, antifungal, anti-infectious, antiseptic, antispasmodic, aphrodisiac, balancing, bactericidal, calming, carminative, cicatrisant, digestive, nervine, sedative, tonic.

Indications Acne, anxiety, boils, broken capillaries, depression, diarrhoea, fear, insomnia, menopause, nervous exhaustion, palpitations, premenstrual tension, shock, skin (dry, sensitive), stretchmarks, stress.

Blends with Bergamot, geranium, jasmine, lavender, petitgrain, rose.

Safety data No known hazards or contraindications.

of aromatherapy to normal nursing care on 56 patients receiving percutaneous coronary intervention (PCI, also known as coronary angioplasty) in an intensive care unit (Cho et al, 2013). The aromatherapy intervention involved inhaling a blend of lavender, roman chamomile and neroli (at a ratio of 6:2:0.5) ten times, both before and after the PCI. The study concluded that “aromatherapy effectively reduced the anxiety levels and increased the sleep quality of PCI patients admitted to the intensive care unit”.

Menopausal symptoms A study involving 63

postmenopausal women compared the effects of inhaling 0.1% or 0.5% of neroli or almond oil (control) for five minutes a day, twice daily, for five days, to investigate the effects of the essential oil on menopausal symptoms, stress and oestrogen (Choi et al, 2014). The authors concluded that “inhalation of neroli oil helps relieve menopausal symptoms, increase sexual desire, and reduce blood pressure in postmenopausal women.

Neroli oil may have potential as an effective intervention to reduce stress and improve the endocrine system”. 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.

Research Reducing anxiety and improving sleep A study compared the effects

For references and further reading, visit fht.org.uk/IT-references International therapist 25

Illustrations: Shutterstock

Key uses

Therapeutic properties

Beauty

Not

'just'

beauty

FHT’s editor, Karen Young, looks at just a few of the health and wellbeing benefits of different beauty treatments.

W

hen I applied to work as a part-time features writer at the FHT more than 20 years ago, I had very little knowledge of the therapy industry. I thought sports therapists only worked with people taking part in sport, I had no idea what a top note or reflex point was, and I thought beauty therapy was ‘just’ nails, make-up and facials. And as for treatment benefits and outcomes, I didn’t even know phrases like that existed, let alone how these things could make a huge difference to people’s lives.

Of course, with every article in the mag, every survey conducted, every event and seminar I’ve attended, every award entry I have read and every lovely member I have spoken to — on the phone, via email or in person — my knowledge and understanding of how different therapies can help to support health and wellbeing

26 International therapist

has grown. It’s been a humbling journey and I would have to say that of the three key sectors that FHT represents as a professional association – complementary, beauty and sport – it is beauty that has surprised me the most. Why? Because I have learnt that beauty can be remedial in nature and not ‘just’ about makeup, nails, waxing and facials, and other seemingly ‘superficial’ treatments, aimed at helping someone to feel younger or more attractive. Beauty treatments are also about feeling good about ourselves and comfortable in our own skin. Sometimes they are also about re-connecting with and valuing our incredible bodies after a tough journey, and restoring a sense of ‘the real me’. And sometimes they are about connecting with others – just like other therapies, many beauty treatments involve positive touch, as well as regularly seeing someone who is both professional and

caring by nature.

I appreciate these aren’t new or earthshattering observations and they will of course already be obvious to so many of our members. But as we all make our way out of a pandemic that has knocked even the hardiest of people, I just wanted to touch on some of the incredible benefits of beauty treatments that I have learnt over the years, and to remember that there are many ways to restore and support health and wellbeing. As Sir Sam Everington highlighted at one of our annual conferences, ‘it’s not what’s the matter with the patient, it’s what matters to the patient’. What improves our health and wellbeing as individuals is completely subjective. The key thing is to ensure that if it involves a therapy of any sort, that the person seeking that service finds a true professional. And that’s exactly what all FHT members are.

Summer 2021

Beauty

Permanent make-up and microblading

Skin camouflage for pigment disorders and scars

Permanent make-up is a type of cosmetic ‘tattooing’, which is also known as micropigmentation or semi-permanent make-up, and involves implanting tiny particles of pigment into the reticular layer of the skin. It can be used to replicate the appearance of eyebrows that have been lost, for example, due to chemotherapy treatment, alopecia or scarring. Advanced practitioners may also use the technique to make the lips look symmetrical in those affected by a cleft lip and to create the appearance of nipples that have been removed as a result of surgery, eg. for breast cancer.

The effect can last between one to five years, depending on skin type and a range of life style and environmental factors.

Microblading is a treatment that can also be used to recreate eyebrows, which involves manually drawing delicate hairs using a fine scalpel or blade and then inserting pigment into the skin.

Skin camouflage uses highly pigmented products that can be used to mask scars and skin discolouration, caused by conditions such as vitiligo, lupus, and port wine stains, which can affect areas often on show, such as the face, neck and hands.

Electrolysis for unwanted hair and skin issues Electrolysis is a permanent hair removal technique that involves inserting a fine probe into individual hair follicles. An electrical current passes through the probe, which damages the follicle and stops the hair from growing back.

It is commonly used for the removal of unwanted hair, and particularly when the unwanted hairs won’t respond well to laser treatment (for example, because the hair is fair or grey in colour). Unwanted hair growth can be very distressing for some individuals and can grow for a number of reasons, including hormonal and hereditary factors, or lifestyle factors such as stress and medication.

Electrolysis is also commonly used by clients who are transitioning, not just for the permanent removal of unwanted facial and body hair, but also to support gender reassignment surgery.

Advanced electrolysis techniques can be used to address a range of small, benign skin conditions that can be distressing to individuals, especially when present on the face, but are no longer treated on the NHS. This includes skin tags, moles, dermatosa papulosa nigra, and seborrhoeic keratosis.

Summer 2021

Skin care treatments, products and make-up There is a wide range of beauty treatments and products that can be used to address an equally wide range of skin problems, from acne and acne scarring, to dry and itchy skin and nail discolouration caused by chemotherapy. Special make-up

techniques and products can also be used to reproduce missing eyebrows and eyelashes, and restore colour in skin that has become pallor due to illness, medication, stress or anemia. T

Bald Eyes by Laura Bailey

A bald head is synonymous with cancer treatment. Losing your hair is most T people’s worst nightmare. I thought it would be mine. My relationship with hair loss turned out to be far more complex than I ever imagined. I thought I would fall apart, that I would hate my reflection. Feel weak. But I didn’t.

I actually felt empowered.

What I didn’t anticipate was the effect of losing every other hair on my body would have on me. I joked it was nice not having to shave but deep down it was eerie. My body hair meant far more then I knew. I had my eyebrows micro-bladed a week after my first chemo. So, I was saved the trauma of seeing myself without them but when my eyelashes started to fall out it hit me hard.

Falsies were not an option, I am allergic to the glue but also the anxiety of them coming off would have been too much. I had a few disastrous encounters with black eyeliner trying in vain to give my face some familiar definition.

I devised a way of using eye shadow to make me feel comfortable and confident with bald eyes.

I’m not a vain person, I have always been comfortable without make-up, but my bald eyes caused me to feel ugly and beaten. I understand that is how some women feel when they lose the hair on their head. Like all aspects of cancer, it is totally bespoke. What effects one might not affect the other.

I kept all this to myself. I felt ridiculous and embarrassed that my eye lashes meant so much to me. I remember feeling so relieved and happy when they started growing back which made losing them again so much harder. I was diagnosed with Secondary Breast Cancer a few months later and the drugs I was put on made what I had fall out.

Thankfully years on I have them back. I look after them with a special serum and have a sleep mask that protects them. I wish I opened up at the time more.

I might have found someone who understood me. That could have stopped me feeling alone.

Hair grows back but that doesn’t erase the trauma we go through losing it in the first place. It is a big part of our identity which I feel is sadly played down.

Yes, I am grateful for the treatments that keep me alive. But I am also allowed to feel sad about what I lost, even if it does grow back.

With thanks to Laura Bailey (find her on Instagram: @thatmumwithcancer) and Jennifer Young (beautydespitecancer.com) for granting us permission to share this story with FHT members.

International therapist 27

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.

FHT sponsors the National Massage Championship 2021 The FHT is proud to be sponsoring the National Massage Championship (NMC) when it returns to Olympia Beauty on Sunday 3 and Monday 4 October 2021.

Now in its third year, the NMC will be welcoming international competitors for the first time, across the entire competition. Taking place on the Gallery level at Olympia London, qualified therapists are invited to showcase their technique and bodywork skills in six different categories: n Advanced Massage n SPA/Wellness Massage n Freestyle Massage n Eastern Massage n Chair Massage n Clinical Massage.

The NMC is run by therapists, for therapists, and is judged by a panel of international judges, with extensive professional massage therapy experience.

We’re thrilled that FHT Vice President, Mary Dalgleish, will once again be one of those judges.

If you would like the chance to showcase your massage skills by entering one (or two) categories at this year’s NMC, FHT members can benefit from a 20% discount code – simply enter FHT2021 in the ‘coupon’ section when you apply before 31 August 2021. For more information and to enter visit olympiabeauty.co.uk/thenmc

28 International therapist

FHT, industry experts and MPs discuss how holistic therapists can tackle emerging health problems, post-COVID On 15 April, the FHT was delighted to join industry experts and parliamentarians to reflect back on the past year and discuss how holistic therapists can help to tackle health problems emerging as a result of the pandemic including mental health issues, long COVID and burnout.

The Panel Session was chaired by Judith Cummins MP, Co-Chair of the All Party Parliamentary Group for Beauty and Aesthetic Wellbeing (APPG-BAW), who was joined by Peter Dowd MP and panellists Dr Michael Dixon, GP and Chair of the College of Medicine and Integrated Healthcare; Gwyn Featonby, Education Lead at the NHS

Natural Health School; Farrah Idris, MFHT, Social Prescribing Link Worker and Complementary Therapist; Peter Mackereth, Honorary Lecturer and Researcher at The Christie NHS Trust and Volunteer Complementary Therapist; and Karen Young, FHT Editor and Communications Manager.

The panel session lasted for an hour, with a wide range of topics discussed by the panellists and MPs, including: n How COVID has impacted the provision of holistic therapy over the past year but has also presented opportunities to demonstrate its value in supporting health and wellbeing, and promoting selfhealing and self-care.

World Reflexology Week – treat your feet This year's World Reflexology Week runs from 20 to 26 September and we are hopeful that this year, despite COVID-19, our members will be able to demonstrate how this wonderful therapy can help to relieve anxiety and tension, encourage relaxation, improve mood, aid sleep and so much more.

From August, if you are a qualified reflexologist member, you can get involved in our ‘treat your feet’ campaign and help to spread the word by: n Downloading our free promotional leaflet/poster to print and distribute in your area. n Download our promotional image and cover/banner image for use on your social media profiles. n Contact your regular clients and local businesses, offering a discount of your choice on reflexology treatments booked or carried out during World Reflexology Week.

n Contact your local newspaper or radio station, or send them a press release, telling them what you are doing for World Reflexology Week – remember to insert your special Accredited Register mark. n Get together with other FHT members from your local group to organise an event where taster treatments are available. You might want to consider donating all or a portion of the proceeds raised to a local charity or other worthy cause – it is likely whoever you are supporting will help to promote the event in return, which means more feet to treat!

Please send any short write-ups and pictures to Leanne at lsheill@fht.org.uk writing ‘World Reflexology Week’ in the subject box, so that we can share this with our members in International Therapist and online.

Support materials will be published in the in Members’ Area (fht.org.uk/ members-area) in early August.

Summer 2021

Support

n That holistic therapists have the potential to support both the public and health professionals, post-COVID, in areas such as anxiety, mental health, grief, long COVID and burnout. n That holistic therapists – including complementary, holistic beauty and sports therapists – deserve better recognition for their role in helping to support health and wellbeing in a way

FHT IN THE PRESS

that meets clients’ needs. n How more needs to be done to educate both the health authorities and other health professionals about the benefits of holistic therapy, including its potential to improve patient outcomes and create efficiencies within the health and care system. n That even where the value of holistic therapy is recognised, accessibility to

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:

treatments remains a key issue, with many people not able to access either online or hands-on support because they lack the resources or finance. n The various challenges around evidence base and research, including funding, in order to prove the value of holistic therapy services to the health authorities and policy makers.

Both Judith Cummins and Peter Dowd, who are fully supportive of holistic therapy and integrated healthcare, expressed a keen interest to help facilitate further discussions on all of the above points, both in parliament and between the panellists and appropriate health agencies. The FHT will continue to work closely with the APPG-BAW to help progress this and will of course keep members updated. n Watch a video of the panel session at fht.org.uk/APPG-BAW-Covid

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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 April, May and June issues, we covered coriander seed, petitgrain and ylang ylang.

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ight, let everyone When you’re given the green l for business (or will be know that you are open to know that you are very soon). Clients need and are on hand to help. running a safe practice isting clients, use As well as contacting your ex reach out to more of this as an opportunity to hey congregate, your ideal clients – where do t you use these in person and online, and can to share top tips that ‘meeting points’ as a way and will put you on are relevant to their needs your presence on their radar? If you’ve upped owns, be sure to social media during the lockd is key. keep this up – little and often

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TAKE SOME ME-TIME

find ways to grow Finally, while it ’s important to ortant to recognise your business, it’s equally imp As a therapist, be we all need time to ourselves. and schedule in some ‘me sure to lead by example elf, because your time’. Take good care of yours as your clients. n health matters just as much

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out to clients in Whether you are reaching us on print, online or in person, foc help how your treatments can nt them, rather than the treatme itself. For example, as the pandemic has heightened stress and anxiety in many people, so talk about how your treatments can help to reduce stress, restore a sense of wellbeing and

improve sleep and energy CASE STUDY: FAST – BUILDING A NETWORK TO SUPPORT HEALTHCARE WORKERS WITH EFT

levels. Use awareness weeks promote and months as a way to have to the benefits your treatments offer.

SELF-CARE TIPS

supporting a person to Good healthcare is about you don’t already, look after their own health. If on how to look after then offer your clients tips Not only is themselves between treatments.

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holistictherapistmagazine.com 28

HOLISTIC THERAPIST 2021

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Petitgrain is the name given to an essential oil extracted from the leaves and small twigs of the bitter orange tree.

It’s considered both a calming and uplifting essential oil and a good choice for anyone who has an overactive mind or is feeling rundown. It’s also said to be beneficial for insomnia. Its mild antiseptic properties and ability to help regulate sebum production means petitgrain is popular for the treatment of acne-prone, oily or congested skin, while its antispasmodic effects are believed to be helpful for nervous indigestion and flatulence. Important safety note: never ingest plant essential oils or apply to the skin undiluted.

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Naturopathy ABC Mani Norland, principal at The School of Health (schoolofhealth.com), says: U is for Unani Unani means ‘Greek Medicine’ and is a form of medicine that’s popular in the Middle East with roots in the teachings of Hippocrates, Aristotle and Galen. Based on the balancing of the four humours (blood, phlegm, yellow bile and black bile), any imbalance between them is seen as the cause of disease. Unani methods are similar to other naturopathic therapies – using clean water, pure air and fresh food to prevent disease and seeking a balance between body and mind.

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HOLISTIC THERAPIST MAGAZINE Holistic Therapist Magazine (HTM) is a quarterly trade magazine offering a balance of business and industry features, with a circulation figure of 15,000.

In the April issue of HTM, FHT’s editor Karen Young shared six simple tips to help therapists return to work after the lockdown – from focusing on your clients' needs and sharing self-care techniques, to working collaboratively and future proofing your business in case you are unable to provide hands-on treatments again.

International therapist 29

Advice

30 International therapist

Summer 2021

Advice

SPOTTING DOMESTIC ABUSE

We take a look at the signs of domestic abuse and where to direct clients for appropriate support

I

t is estimated that 5.5% of adults in England and Wales – which amounts to 2.3 million people between the ages of 16 and 74 — experienced domestic abuse in the 12 months leading up to March 2020. In the highest percentage of cases, this abuse was carried out by a partner or ex-partner, rather than a family member (ONS, 2020a).

Statistics also show that the number of domestic abuse-related offences recorded by police in England and Wales during the first lockdown (from March to June 2020) increased by 7% against the same period in 2019 and by 18% against the same period in 2018.

As the number of offences recorded by police has been increasing in recent years, the Office of National Statistics stress that “it is not possible to determine what impact the coronavirus pandemic may have had on these increases seen in 2020 (ONS, 2020b).”

However, domestic abuse is often a ‘silent crime’ that in many cases is not reported to the police, which is why it is also worth taking into account statistics offered by support groups working in the field. For example, a survey conducted by Women’s Aid in April 2020 found that “abusers are using COVID-19 to perpetuate abuse, and the abuse is escalating. In the survey, 67% of survivors who are currently experiencing abuse said it has got worse since COVID-19 and 72% said their abuser had more control over their life. […] This also impacts on children who are affected by the domestic abuse directed towards their mothers.

Additionally, over one-third of survivors with

Summer 2021

children told us their abuser had shown an increase in abusive behaviour directed towards their children” (Women’s Aid, 2020).

What is domestic abuse?

Farrah Idris, MFHT, is a complementary therapist, social prescribing link worker and former independent domestic abuse advocate.

She explains, “Domestic abuse is not limited to physical violence. It can include repeated patterns of abusive behaviour to maintain power and control in a relationship. It includes abuse carried out by a partner, ex-partner or family member. The government’s definition* of domestic violence and abuse recognises this and defines domestic abuse as: ‘Any incident or pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been, intimate partners or family members regardless of gender or sexuality. It can encompass, but is not limited to, the following types of abuse: n psychological n physical n sexual n financial n emotional (UK Government, 2013).’

“Women are predominantly the victims, with two women a week killed by a current or expartner (ONS, 2019). However, domestic abuse also affects men and occurs within LGBTQ+ communities”. *At the time of writing the government is introducing a statutory definition of ‘domestic 

International therapist 31

Advice

GUIDANCE FROM WOMEN’S AID – RECOGNISING DOMESTIC ABUSE Although every situation is unique, there are common factors that link the experience of an abusive relationship.

Acknowledging these factors is an important step in preventing and stopping the abuse. This list can help you to recognise if you, or someone you know, are in an abusive relationship.

These include: n Destructive criticism and verbal abuse: shouting; mocking; accusing; name calling; verbally threatening. n Pressure tactics: sulking; threatening to withhold money, disconnecting the phone and internet, taking away or destroying your mobile, tablet or laptop, taking the car away, taking the children away; threatening to report you to the police, social services or the mental health team unless you comply with their demands; threatening or attempting self-harm and suicide; withholding or pressuring you to use drugs or other substances; lying to your friends and family about you; telling you that you have no choice in any decisions. n Disrespect: persistently putting you down in front of other people; not listening or responding when you talk; interrupting your telephone calls; taking money from you without asking; refusing to help with childcare or housework. n Breaking trust: lying to you; withholding information from you; being jealous; having other relationships; breaking promises and shared agreements.

Spotting the signs of domestic abuse

up on you; not allowing you any privacy (for example, opening your mail, going through your laptop, tablet or mobile), repeatedly checking to see who has phoned you; embarrassing you in public; accompanying you everywhere you go. n Threats: making angry gestures; using physical size to intimidate; shouting you down; destroying your possessions; breaking things; punching walls; wielding a knife or a gun; threatening to kill or harm you and the children; threatening to kill or harm family pets; threats of suicide. n Sexual violence: using force, threats or intimidation to make you perform sexual acts; having sex with you when you don’t want it; forcing you to look at pornographic material; constant pressure and harassment into having sex when you don’t want to, forcing you to have sex with other people; any degrading treatment related to your sexuality or to whether you are lesbian, bisexual or heterosexual. n Physical violence: punching; slapping; hitting; biting; pinching; kicking; pulling hair out; pushing; shoving; burning; strangling, pinning you down, holding you by the neck, restraining you.

n Isolation: monitoring or blocking your phone calls, e-mails and social media accounts, telling you where you can and cannot go; preventing you from seeing friends and relatives; shutting you in the house.

n Denial: saying the abuse doesn’t happen; saying you caused the abuse; saying you wind them up; saying they can’t control their anger; being publicly gentle and patient; crying and begging for forgiveness; saying it will never happen again.

n Harassment: following you; checking

Source: Women’s Aid (womensaid.org.uk)

32 International therapist

abuse’, which will be in two parts. The first part will define the relationship between the abuser and the abused, and the second will define what constitutes abusive behaviour. For more information see fht.org.uk/DA-definition

The therapist-client relationship is one built on trust and confidentiality. Very often, clients will ‘open up’ to their therapist before, during or after treatment, or simply make comments that could suggest something isn’t right at home. Depending on the type of therapy offered, the therapist may also see areas of the client’s body that are normally covered by clothing, which might reveal bruising or other signs of physical violence.

The frightening reality is that many people experiencing domestic abuse will not get to visit a therapist on a regular basis, because the person abusing them will be controlling who they see, where they go and how they spend their money. But in the event that you are treating someone who is experiencing domestic abuse, what are the signs to look out for and how can you help them to find appropriate advice and support?

“Victims are often unlikely to report the abuse for fear of reprisals and ongoing fear,” Farrah explains. “In cases of emotional abuse, the victim may not feel they have ‘evidence’ to disclose the abuse and attempt to self-manage the situation. As a result, there may be a noticeable change in behaviour, for example, low mood, depression, withdrawal, anxiety, panic attacks, insomnia, body pain, digestive issues and headaches to name a few. These symptoms do not confirm the presence of abuse – there can be underlying health issues, however the impact of domestic abuse on an individual can manifest in a range of physical and emotional symptoms”.

So what can a therapist do if they suspect a client is being abused? As a client may not disclose abuse explicitly, Farrah stresses that it is important to be alert to changes in their health and emotional state. “Listen to the client and note how they talk in relation to their partnerships/relationships.

There may not be physical violence, which might be noticeable in terms of bruising, but they may be experiencing controlling, coercive behaviour. Ask your client how they feel. Do they feel safe? Are they able Summer 2021

Advice

to do things independently? Do they have their own money? This does not have to be a detailed consultation, but just gentle scoping. You can of course state that you are not a specialist – you are simply concerned about their safety.

Where appropriate, you can then provide the client with information about relevant support services. However, one word of warning: unless the client consents, do not email or text them helpline numbers or web addresses, as their devices or phone may be monitored by their abuser. My

recommendation would be to keep a diary of local and national services to hand so that you can give these details to clients, if needed or requested, and they can store that information however they choose.”

Farrah also highlights that “safeguarding is everyone’s responsibility, and particularly where children may be impacted by domestic abuse. Any safeguarding matters should be reported to local authorities and the police”.

If you do support someone who is experiencing domestic abuse – personally

or professionally — and you feel affected by this, it is important to seek supervision or counselling to protect you own mental and emotional wellbeing. T With special thanks to Farrah Idris, MFHT, and Women’s Aid for supporting this article.

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

USEFUL ORGANISATIONS The organisations listed below offer information and support services to those experiencing domestic abuse or violence, as well as information for those concerned about someone they think may be experiencing domestic abuse. A number of these organisations also offer training opportunities.

Childline (UK) - Childline helps anyone under the age of 19, with any issue they’re going through. n childline.org.uk / 0800 1111 Domestic and Sexual Abuse Helpline (Northern Ireland) A 24-hour helpline funded by the Departments of Health, Justice & Communities that offers support, help, signposting and referral to victims, family, friends and professionals. n dsahelpline.org / 0808 802 1414 Galop (UK) - Provides support to all LGBT+ people who've experienced hate crime, domestic abuse or sexual violence.

It also runs the National Lesbian, Gay, Bisexual and Trans+ Domestic Abuse Helpline. n galop.org.uk / 0800 999 5428 Karma Nirvana (UK) - Supports victims of honour-based abuse and forced marriage, including a helpline to support victims. n karmanirvana.org.uk / 0800 5999 247 Live Fear Free (Wales) - Offers help and advice about violence against women, domestic abuse and sexual violence. n gov.wales/live-fear-free / 0808 80 10 800

National FGM Support Clinics (England) Community-based clinics that offer a range of support services for women with female genital mutilation (FGM). n nhs.uk/conditions/female-genital-mutilation-fgm Refuge (England) - Specialist support for women, children and some men escaping domestic violence and other forms of violence. n refuge.org.uk / 0808 2000 247 Safelives (UK) - A UK-wide charity dedicated to ending domestic abuse through training programmes. n safelives.org.uk Scottish Women’s Aid - The lead organisation in Scotland working towards the prevention of domestic abuse. n womensaid.scot / 0800 027 1234 Southall Black Sisters (England) - This organisation has national reach and focuses on the needs of black and minority women but will not turn any woman away who needs emergency help. n southallblacksisters.org.uk / 0208 571 9595 Stonewall (England, Scotland, Wales) Offers information and support for LGBT communities and their friends. n stonewall.org.uk / 0800 050 2020

Mankind Initiative (UK) - A specialist charity focussing on male victims of domestic abuse that offers information and support, including a helpline. n mankind.org.uk / 01823 334244

UK SAYS NO MORE/ Safe Spaces (UK) - A national campaign to raise awareness to end domestic abuse and sexual violence across the UK, which also provides Safe Spaces online and in local banks and pharmacies. n uksaysnomore.org

Men’s Advice Line (UK) - A confidential helpline, email and webchat service for male victims of domestic abuse. n mensadviceline.org.uk / 0808 8010327

Women’s Aid (England) - Women’s Aid is a national charity working to end domestic abuse against women and children. n womensaid.org.uk

Summer 2021

International therapist 33

Clients count

A

so let’s get their voices heard

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

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friendly Balms For further information visit www.thewavestone.co.uk

34 International therapist

Summer 2021

Podcast

International Therapist

podcast

W

e launched the International Therapist podcast in May 2021 for professional complementary, beauty and sports therapists to feel inspired by others 0in the industry.

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.

Virtual Congress series In the Virtual Congress series, we spoke to a broad range of expert seminar hosts in the lead up to the event. We share more information about our episodes over the series and take a sneak peek at what to expect from series two...

EPISODE ONE We speak to FHT accredited course provider Marie Duggan from Butterfly Touch Therapies about supporting people living with cancer, what she thinks the next steps are for fully integrating therapies in the NHS, the impact of COVID-19 on therapy training and practice, and much more!

EPISODE TWO We speak to Dr Peter Mackereth from The Christie Hospital in Manchester about his path into complementary therapies, his research in the field and his current role in supporting the COVID-19 vaccination programme.

EPISODE THREE We speak to FHT accredited course provider Penny Price from Penny Price Aromatherapy. Penny shares stories from her childhood, gives an insight into the Summer 2021

creation process of her essential oils and we find out Penny's number one favourite blend.

EPISODE FOUR We speak to experienced osteopath and FHT accredited course provider, Cameron Reid, from Cameron Reid Training.

Cameron speaks about his seminar on common issues for runners, what he has learnt over his years in practice and gives an honest reflection of his experience during the coronavirus pandemic.

EPISODE FIVE We speak to skincare expert and FHT accredited course provider, Jennifer Young, from Beauty Despite Cancer.

Jennifer speaks about setting up her business, her love for family and supporting people living with cancer.

SPECIAL EPISODE! Aired just a few days before the FHT Virtual Congress, in our final episode we speak to FHT’s Education Executive, Heidi Hinton about the history of the event and what attendees could expect from our first ever Virtual Congress. T

Coming soon: the Celebrating Excellence series The FHT has been recognising excellence in therapy education and practice since first launching the FHT Awards in 2011. After the unprecedented year we have all experienced, and the ongoing pandemic, it has never been more important to recognise the many ways professional therapists can make a real difference to the health and wellbeing of others.

In this series, we share stories from past award winners, taking a look at the reasons they were nominated, how they felt on the day of the event and what they have achieved since the award.

Listen and follow at fht.org.uk/podcast

35 International International therapist therapist 35

Beauty

Natural deodorants

In this feature we take a look at some of the most popular natural deodorants available on the market.

We review important qualities such as ingredients, environmental impact and overall ease of use.

D

eodorants were first invented in the Victorian era to prevent sweat production and bacterial growth (Everets, 2012). It was an innovative concept and people who could mask their natural scent were considered wealthy and ‘more appealing’ to the opposite sex. They have since become a staple in our daily routines but with changing technology and a focus on our environmental impact, the way we think about these products is changing.

Natural deodorants Deodorant technology has come a long way since the acid suspension method used in early formulations (Everets, 2012). Today, most antiperspirant deodorants contain aluminum which has become a topic of controversy, with some studies making the link between the ingredient and health concerns.

Natural deodorants are typically made without aluminum, parabens or sulphates (please check ingredients list before purchasing if you are concerned about these), and include a range of natural ingredients such as essential oils, hydrating agents and active oils.

Though the phrases antiperspirant and deodorant are used interchangeably, the two work in different ways. Anti-perspirants stop us from sweating by blocking our pores, whereas deodorants combat the bacteria that break down sweat and cause the odour, rather than 36 International therapist

preventing us from sweating (Salt of the Earth, 2021).

The argument for wearing deodorants over anti-perspirants is that anti-perspirants may prevent the body from regulating its temperature when needed and that our bodies should be allowed to sweat. For some, there is a concern that natural deodorants are somewhat ‘dirty’ for allowing us to sweat in the first place – we take a deeper look at some of the popular brands on the market and how the ingredients used help to combat body odour.

Three key benefits of natural deodorants:

1

Natural ingredients Enjoy using chemical-free products that are made from all natural ingredients, which are often fragranced with essential oils that we all know and love.

Environmentally friendly It’s built into the ethos of these companies to package their products in an eco-friendly manner. Opposite, we share just a few of the clever ways that these natural deodorant companies are packaging their products and putting the environment first.

Supporting UK businesses The three companies listed opposite are UK-based, helping to keep money in the economy, support the creation of jobs and reducing the carbon footprint.

We look at each of these in more detail and how closely they are involved in the product-making process.

2

3

Summer 2021

Beauty

WILD Based in London, sustainable deodorant brand Wild have a mission to ‘shake up the throwaway culture of everyday bathroom products’ with their refillable applicator.

Made from durable aluminum and recycled plastic, Wild’s natural deodorant is completely compostable.

Wild deodorants are vegan-friendly, cruelty-free, dermatologically tested and free from artificial fragrance, parabens, aluminum and sulfates. Aluminium salts are not used because the brand believe sweating is a natural and important function. Instead, the product contains alternative ingredients such as tapioca starch which absorbs moisture and keeps you dry all day.

Scents The deodorant is said to be effective at tackling odours associated with sweating and has a range of fragrances listed below. n Orange zest n Fresh cotton and sea salt n Mint and eucalyptus n Coconut dreams n Bergamot rituals wearewild.com

FIT PIT The Green Woman, creators of Fit Pit natural deodorant, are based in Ludlow, Shropshire. The product is handmade in Ludlow, Bristol and Reading and is 100% organic, natural and vegan.

Summer 2021

Fit Pit deodorant contains no parabens, BPAs, aluminium salts, bulking agents or any unnecessary ingredients.

Bicarbonate of soda is used to subtly alter the skin's natural pH, preventing smell and the generation of bacteria. All products are made with coconut oil and shea butter to moisturise underarm skin.

Offering ranges for women, men, teenagers and sensitive skin, Fit Pit has considered the broad range of users and their different needs. The sensitive skin products for example have added aloe vera to soothe the skin and the deodorant for teenagers is fragranced with tea tree and peppermint to combat any unwanted odour.

The creators say that ‘a little goes a long way’ when using the cream deodorant and highlight that it is best applied by the fingertips as it melts on warm skin. A 100ml glass jar is said to provide a three month supply.

The deodorant is packaged in a small jar that can be easily cleaned out and recycled, it also arrives in a natural cotton drawstring pouch which can be re-used for trinkets.

Scents Fit Pit have a smaller range of scents to choose from but are scented with some essential oil favorites that many will recognise. n Bergamot and rosemary n Tea tree and mandarin n Peppermint n Unscented thegreenwoman.co.uk

natural skincare products.

Started with a single deodorant, the Crystal Classic, the range has since evolved into a variety of deodorant sprays, roll-ons and travel sprays. The ingredients are all natural and no aluminium chlorohydrate, triclosan, parabens or alcohol are used in the making of these products.

The original crystal deodorants are made with one ingredient, potassium allium, and they work by leaving an invisible layer or mineral salt on the skin to prevent odour by the growth of bacteria.

It is in an easy-to-handle shape and is best applied to damp skin after washing; to use on dry skin, wet the crystal first and dry before putting away.

The sprays and rolls-ons are packaged in plastic but Salt of the Earth offer a refillable range, which is said to help consumers of these products reduce plastic usage by up to 60%. The crystal classic deodorant arrives in plastic-free packaging and can simply be taken out of its cardboard box for use.

Salt of the Earth sprays and roll-ons are manufactured in Hampshire by Crystal Spring but the crystal classic deodorant is manufactured in China.

Scents Salt of the Earth offer a wide range of scents to mask any odours, some may even instigate fond memories such as childhood days at the beach. n Amber and sandalwood n Ginger and jasmine n Peppermint and tea tree n Lavender and vanilla n Melon and cucumber n Ocean and coconut n Peony blossom n Sweet strawberry n Unscented n Vetiver and citrus crystalspring.co.uk T

SALT OF THE EARTH Adopted in 2005 by mother and son team Thomas and Sally, the Salt of the Earth brand of natural deodorants reflects their passion for environmentally friendly,

International therapist therapist 37 37 International

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Vertical Reflexology Techniques (VRT) Special Offer e-learning multi award-winning Basic and Advanced CPD Course

Online Earlybird 10% reduction for FHT reflexologist members with FHT10 voucher code.

Only £117 (RRP £130) until 10/08/21.

9 modules: step-by-step video lessons, full handout plus Zoom meeting with originator Lynne Booth. The weightbearing dorsal feet and hands are briefly worked. Suitable for all ages and conditions: reclining, seated and standing.

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“A really absorbing, informative and inspirational online course”. Mary Atkinson, author, tutor, reflexologist.

FHT Complementary Therapist of the Year 2020 “An exceptional online course. Wonderfully designed” BW “Brilliant course and technique is amazing. I have eased many backs with this” Tina D

www.baseformula.com

*Visit website for more information.

38 International therapist

For full syllabus and information visit www.boothvrt.com or contact@boothvrt.com

Summer 2021

Book Excerpt

Hara hachi bu

In this short excerpt from his new book, Feel Great Lose Weight, Dr Rangan Chatterjee shares an insight into the Japanese approach to eating.

T

he Japanese are a bit like the French in that, for various cultural reasons, they suffer far less from obesity than many developed nations. For example, they have a cultural practice called hara hachi bu, which means that you eat until you’re 80 per cent full.

Of course, nobody’s measuring when they’re exactly 80 per cent full. The idea is to be mindful of how full you’re getting and eat at a measured pace.

You can judge for yourself when you’re 80 per cent full, then get into the habit of leaving what’s left.

We’re simply not used to thinking about our differing levels of fullness in the West. Often we’re only really aware of two states – starving and stuffed.

We’ve got stretch receptors on our stomach so, when we start to eat, and the stomach begins to expand, it starts to send the fullness signal out. Feeling uncomfortably bloated is a sign that Summer 2021

we’ve gone past full and our body is in distress. It’s a sign that something’s gone wrong, like a pain signal, but we often take it to be a good thing.

Some of us are even guilty of instilling this idea in our kids. We have a habit of telling them, ‘You’ve got to eat everything on your plate,’ or even ‘You can’t have dessert until you’ve finished your main.’ I suspect this comes from our parents and grandparents and is a hangover from a time when food was scarce. It was an appropriate response to that environment, but it’s not any more. In fact, today’s problem is the opposite.

We’re surrounded by an abundance of cheap, energydense food. We’re rewarding children for going past full and their prize is often a fatty, sugary dessert. This eat-up mindset is no longer fit for purpose. I’d argue that it’s time we made our children feel good when they choose not to eat to bursting, rather than when they do. T

FEEL GREAT LOSE WEIGHT It's more important than ever before that we get in shape, stay healthy and live well.

Weight loss isn’t a race and it isn’t one size fits all. Drawing on twenty years of experience as a GP, Dr Rangan Chatterjee has created a conscious, long-lasting approach to weight loss that goes beyond fad diets and helps to find the best solutions that work for you.

RRP: £10 available from amazon.co.uk

International therapist 39

Advice

Dry needling Dawn Morse, FHT accredited course provider, looks at the use of dry needling to support soft tissue dysfunction

B

oth Western medical acupuncture and dry needling are commonly used as a clinical treatment modality for a range of soft tissue injuries and conditions. Most people know what an acupuncture treatment entails, be it traditional or medical, however, many often have not heard about dry needling or are unsure about how this modality differs from acupuncture.

Western medical acupuncture is a therapeutic modality involving the insertion of solid filiform needles. It is a modern adaptation of traditional acupuncture that is evidence-based and widely researched. It is mainly practised

40 International International therapist therapist 40

by healthcare professionals and therapists, such as chiropractors, osteopaths, physiotherapists, sports therapists and sports massage therapists, as this modality is based around the treatment of pain, dysfunction, or injury.

Both Western medial acupuncture and traditional acupuncture are drawn from the principles of Eastern medicine, and can successfully support a range of conditions through needle insertion to key acupuncture points through the stimulation of meridians. However, it is the training for both modalities that differs.

Training in traditional acupuncture is extensive and often involves training to diploma or degree standard level, with its roots based on traditional practice,

whereas Western medical acupuncture is an extension of medical or injury-based training, and needle-based training is usually completed via a continuous professional development (CPD) course.

Dry needling, on the other hand, is a modality that is also utilised by healthcare professionals and therapists to support a range of musculoskeletal conditions, such as chronic pain, muscular tension and dysfunction, along with tendon injuries.

Similar to Western medical acupuncture, training in dry needling is usually covered through the completion of CPD courses once qualified as a healthcare or therapy professional. Even though acupuncture and dry needling share a common tool, there are no historical ties between the two.

Summer 2021

Advice

Origins of dry needling and research findings Dry needling is an invasive technique, that originates from medical research-based conclusions, with early work dating as far back as the early 1940s.

Research by Doctors Janet Travell and David Simons in the early 1940s sought to investigate the use of needle-based therapy on the treatment of muscular trigger points.

Prior to the start of their research into needling techniques, it was known that trigger points could cause many symptoms and be either active or latent in the way that they present. For example, active trigger points can spontaneously generate local or referred pain and cause muscle weakness and restricted range of motion.

Summer 2021

Latent trigger points, on the other hand, do not cause pain unless they are stimulated, but they may alter muscle activation patterns and contribute to restricted range of motion. During this earlier research, various substances including corticosteroids, analgesics and saline were injected, using a wet needle into both active and latent trigger points.

Wider use of dry needling then started after a study was published in 1979,

by Dr Karel Lewit, who concluded that it was the ‘needle’ that had a reducing effect on trigger point symptoms and not the injected substance. This led to a developmental change from ‘wet’ to ‘dry’ needling.

Numerous medical studies have supported the conclusions of Dr Karel Lewit and found no difference between injections of different substances and dry needling in the treatment of musculoskeletal pain. In addition to this, research has found dry needling to be most effective when a local twitch response is elicited. This response can often take the form of a wave flowing through the tissue, a jump or a pulsing action within the tissue. It’s theorised that this response leads to a rapid depolarization of the effected muscle fibres. After the muscle has finished twitching, the spontaneous electrical activity subsides and the pain and dysfunction decrease dramatically.

Further research has identified that the positioning or twitch response technique provides faster results in a clinical setting, especially in the treatment of chronic pain conditions, and it has led to decreases is muscular pain by 50% or more in one or two sessions, for the treatment of chronic lower back pain (Kauchman & Vulfsons, 2010).

Where trigger points are too sensitive to treat, distal needling can be utilised in these complex cases, as research has identified a significant decrease in pain immediately after needling, when needling distal to the actual site of the trigger point (Vulfsons, Ratmansky & Kalichman, 2012).

Although a wealth of research has sought to investigate the use of dry needling for the treatment of trigger point use, dry needling can be used in the treatment of many conditions, such as those outlined below.

Benefits of dry needling n Reduction of acute and chronic

musculoskeletal pain;

n Reduces dysfunction and muscular

tension; n Increases localised blood flow; n Increases range of motion; n Can be used to treat fascia, muscle

tissue, tendon, and ligament injuries.

When used in conjunction with electrical stimulation, dry needling can also be used to treat: n Tendinopathies; n Joint pathologies, such as arthritis and

disc degeneration; n Neuropathy, and post-operative pain

and phantom limb pain.

Considerations and contraindications Although dry needling can be used for a wide range of conditions, there are several considerations and contraindications to take into account before use, including: Pregnancy — This is a complete contraindication for treatment, all stages of pregnancy.

Diabetes — This is consideration for treatment as some diabetic clients may have poor peripheral circulation and decreased sensitivity, so additional assessment of the extremities should be completed prior to needling treatment.

Confused patients — This is a general contraindication as clients must be able to consent to the proposed treatment.

Children — Parental consent must be gained when treating children under the age of 16 and a parent or guardian must be present during treatment.

Bleeding disorders — Naturally occurring haemorrhagic diseases such as haemophilia and Von Willebrand diseases.

Anticoagulants — Clients on high levels of blood thinning medications such as Plavix or Warfarin pose risks for treatment and bruising and are therefore contraindicated.

Cancer — Cancer patients may be on immunosuppressants and therefore present a greater risk of infection. In these cases, further training for cancer care should be undertaken, along with approval from the client's consultant or GP. Internal fixation or joint replacement — Dry needling into an artificial joint is  International therapist 41

Advice

a contraindication due to the additional risk of infection.

Metal allergy — Clients allergic to metals may have a reaction to needles therefore this modality is considered a general contraindication.

Unstable Epilepsy — Clients with epilepsy, especially unstable epilepsy, should be needled with care and a doctor’s referral is advisable. In these instances where treatment with needles goes ahead, client positioning should be considered and a side lying position may be preferable, along with treatment on a low treatment couch or the floor, where possible. The number of needles should be limited, and any stimulation of the needles should be moderated closely.

Frail patients / Chronic illness — Clients who are recovering from a prolonged chronic illness may feel quite worn out after treatment with dry needling. The number of needles and treatment time should be reduced and gradually built up over a number of treatments, depending on how the client reacts to treatment.

Lymphoedema — Lymphoedema is a local contraindication as the infection risk in the area of the lymphedema is increased.

Change of skin — Dry needling treatment should be treated as a local contraindication to any area of skin alteration, such as skin infections and allergic skin reactions.

Tumours and Haematomas — Dry needling should not be applied in the area of any type of tumour and haematomas carry an increased risk of infection. Tumours and haematomas should be considered as a local contraindication.

Needle use within treatment From the perspective of a therapist, dry needling can be used as part of a combination treatment, where massage, dry needling and other modalities are used together to create a rounded programme.

This is a great way to increase productivity within your clinical sessions and to maximise time if you have multiple areas to treat within the same session. This is also a useful way to reduce the amount of heavier pressure needed to treat more specific points.

For example, within a combination treatment for generalised back pain, after subjective and objective testing, treatment may start with manual massage techniques.

After palpation and warming up the back 42 International International therapist therapist 42

Dry needling can be used as part of a combination treatment, where massage, dry needling and other modalities are used together to create a rounded programme. with foundation massage, it may become apparent that the client has several active trigger points in the upper trapezius region.

Rather than applying heavier pressure or the manual trigger point technique, dry needling can be used to reduce the muscle tension associated with these trigger points.

In this instance, the medium covering these points would be removed and needles would be inserted.

While the needles are inserted and reducing tension, massage could continue to wider areas of the body that do not interfere with activation of the needles, such as the gluteal or the hamstring region.

Dry cupping could also be used while the needles are placed in trigger points within the upper trapezius region. In this instance static vacuum cups could be used on wider areas of tension within the back. Static cupping is preferable near the insertion of needles as movement is not used within this technique and therefore the needles will not be unnecessarily activated.

Alternatively, hot stones could be placed over wider areas of tension within the back, while the needles are inserted. Once the needles are removed, manual massage to the wider back area can recommence.

Dry needling can also be used as a standalone treatment, where the therapist will collect subjective and objective data prior to treatment being applied with the use of needles only. In this model, the needling areas for injury should be considered along with the amount of time

needed for treatment. Like that of manual massage or combination treatment, the treatment area should consist of the site of injury — areas above, below and on the opposite side of the injury should be treated where possible. Post treatment testing should also be used to assess effectiveness.

The use of needles within a treatment can result in a more relaxed atmosphere, as although this modality has a strong effect on the body, the client often finds the modality relaxing and less uncomfortable, when compared to the use deep tissue or sports massage application.

In addition, the application of this modality is less taxing on the therapist.

Dawn is the founder and director of Core Elements Training and has a background as a Sports Science and Sports Therapy lecturer. Core Elements Training offers a range of accredited qualifications and short courses, including Level 3 & 4 Sports and Remedial massage therapy, Level 5 Diploma in Sports and Clinical Therapy and CPD short courses such as Dry Needling, Advanced Dry Needling, Dry Cupping, Manual Therapy, Electrotherapy and Rehabilitation coreelements.uk.com.

Summer 2021

Advice

CASE STUDY: MEDIAL EPICONDYLITIS (GOLFER’S ELBOW)

T

he client presented with what appeared to be chronic medial epicondylitis. Subjective pain scale at the site of maximal tenderness was 7 out of 10 (close to the site of the medial epicondyle of the humerus) and objective range of motion and muscle testing were consistent with the findings of medial epicondylitis.

Testing consisted of active, passive and resisted flexion and extension at the elbow joint, along with wrist flexion, extension, ulnar and radial deviation. To eliminate any secondary or contributing factors the shoulder range of motion testing was also completed. Muscle testing involved looking for increased symptoms of pain and weakness in both the wrist flexor and extensor groups.

Typical symptoms of injury: Pain and tenderness, usually felt on the inner side of the elbow. Pain sometimes extends along the inner side of the forearm and typically increases such as receptive flexion and extension. Numbness or tingling sensations might radiate into one or more fingers. The elbow joint may feel stiff and on testing, there may be weakness in the hands and wrist.

Treatment: As this injury was now three months old and had gradually been getting worse, treatment started with manual massage to the forearm region, including massage to the wrist flexor and extensor groups, along with massage into the hand and upper arm, including the deltoid, triceps and biceps. Massage identified several areas of hypertonic (tight) areas along with several trigger points. As the forearm region was quite sensitive, needles were the preferred use for helping to reduce the activation of the trigger points and muscle tension.

assessed. Activation methods included flicking, turning and peppering techniques.

After the needles were removed, the area was reassessed through palpation and followed by connective tissue release, prior to finishing with further effleurage to the full arm. Kinesiology taping is a great way to finish this type of treatment, as it can help with continued pain relief and maximise circulation to the area. However as this was treatment one, this was postponed until treatment two, so that the effects of massage and needling could be assessed.

Post-treatment testing identified a reduction in pain scale from 7 out of 10 to 4 out of 10, and pain-free range of motion at both the elbow and the wrist increased, which were all promising signs after just one treatment.

Home care activities: Home care activities to help to maximise the benefits of the treatment were provided. This included the recommendation on contrast therapy through the application of hot and cold packs (2-minute swap between hot and then cold pack), twice a day for 10 to 20 minutes. Contrast therapy is useful as it can help with main management, increasing local circulation to the injury site, and reducing muscle tension through the blood shunting effect. Active rest from any aggravating factors was advised along with wrist flexor and extensor stretches (see diagram below), to be completed daily and held for about 15 seconds plus. T

Needles were inserted primarily into active trigger points on the flexor carpi radialis and the pronator teres, along with wider areas within the flexor and extensor group. As the client had good muscle tone and was of overall good health, medium sized needles were used.

In addition, further points in the deltoids and triceps were treated with needle application.

The needles were left for a few minutes, before any activation occurred, as all needles were felt by the client on insertion. Whilst they were left, massage was applied to the non-injured side, as often tension is found in both arms. While massage was continuing on the non-injured arm, the needles on the injured side were activated every few minutes after feedback had been

Summer 2021

International therapist 43

Local Groups

Local groups COVID-19 has meant that up until very recently, FHT local groups (LGs) have been unable to meet face-to-face. In this issue of International Therapist, we cover two recent meetings that have been held virtually...

Complementary therapies in cancer care at York

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 NORTH EAST Durham Newcastle Tees Valley

Carole Dalton, York Joint Coordinator very kindly offered to talk to us about her role as the Complementary Therapy Lead at a local hospice, writes York Joint Coordinator, Louise Black. Carole talked about how she has developed her own training courses and is currently offering these to therapists wanting to increase their knowledge and confidence when working with clients who are living with cancer.

It was inspiring to listen to Carole talk about the work she and her team of therapists do in the hospice and the positive impact they have on improving

their clients’ end of life experience.

There was an interactive discussion around the benefits of massage therapy and the practicalities of providing a treatment and communicating with someone receiving palliative care. Attendees highlighted concerns around taking on a formal counselling role with clients, but Carole said that often it is important to simply offer a listening ear. She said clients often find it beneficial to talk openly to their therapist during their treatments as they can sometimes find it difficult to talk in the same way to family and friends.

Transcendental meditation at Eastbourne and South Downs Our guest speaker Marek Lorys joined us for a discussion on transcendental meditation, writes Eastbourne and South Downs Joint Coordinators Pam Hardy and Hazel Curtis. Marek has been practicing this form of meditation for 50 years and began by advising us that the best way to gain the most from our meditation is to practice for twenty minutes morning and night. He shared studies which look at the possible benefits of meditation, including improved 44 International therapist

sleep, increased brain function and creativity, more energy and a greater resilience to stress.

Attendees asked how to choose a mantra to repeat during the meditation sessions and Marek explained that everyone has their own mantra dependent on how they are feeling and that no two are the same.

The evening passed quickly, and it was agreed that Marek should return for another talk, perhaps once in-person meetings are able to take place.

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

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

YORKSHIRE AND THE HUMBER Calderdale Harrogate Kirklees York

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

Summer 2021

Local Groups

Local Group Coordinators discuss future meetings On Monday 26 April, FHTs Local Group Coordinators came together on Zoom to discuss the future of local group meetings as we ease out of the most recent lockdown.

As restrictions ease, in-person local group meetings are planned to resume.

This will be welcome news for those members who are looking to get back to

pre-pandemic normality, but we would like to highlight that future meetings may look a little different.

To ensure the FHT continues to support all members, it is likely your Coordinator may decide to adopt a hybrid approach and host both inperson and virtual meetings within their yearly calendar of events. By taking

this new approach, the FHT hopes to achieve the balance between fulfilling physical, face-to-face, support while maintaining flexibility for members and speakers to come together across the country.

For upcoming virtual meetings, please visit fht.org.uk/virtual-localgroup-meetings

Thank you to all of you who nominated someone for this year’s FHT Excellence Awards.

Our judges are now busy working their way through a shortlist for each category and we will be announcing our 2021 finalists in August. Each finalist will receive a special logo and be listed on the FHT’s website. Please keep an eye on your regular FHT e-newsletters for updates or visit fht.org.uk/awards.

Good luck!

Summer 2021

International therapist 45

Advice

Chiropractor and business coach, Nikki Collinson-Phenix, shares tips to help you bounce back to business as we ease our way out of the pandemic.

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s we all entered the first lockdown in March 2020 and you realised that you couldn’t work with your clients in person, what did it teach you about your business?

A lot of the therapists I work with suddenly realised that their entire income came from being in the treatment room, so when they were no longer able to provide treatments, it made them extremely financially vulnerable.

And sadly, not all of them were able to claim grants or other support from the government, or they were only able to claim a very small amount.

I had a similar wake-up call a number years ago, when I injured my back and was out of action for a year. At

46 International therapist

that time, all of my income came from being in the treatment room. As soon as I learnt that lesson, I made sure I put provisions in place so that I had multiple income streams, in case something similar happened again. It meant that (fortunately, for me) when we went into lockdown last March – yes, I couldn’t see my clients for a long time – but it wasn’t as financially catastrophic as it could have been.

I know that for some therapists, that realisation that their income completely stops when the treatment room door is closed, has taught them that their business model is not as strong as it should be.

And even when COVID-19 is no longer a major threat to health, it’s possible that other things might stop you from treating

clients in person. If you are a hands-on worker, what would happen if you were to break your finger or wrist, and you couldn’t physically do your job? Are there other ways that you can generate income and continue to support your clients and business at the same time?

Some therapists I have spoken to really embraced working in the online space during lockdown and even when they return to the treatment room, want to keep doing some of that online work. Maybe you feel the same?

Or maybe you found some gaps in your knowledge, that you would like to address going forward? It might be learning more about how to use social media or training in a therapy that is hands-off and you can offer over the phone or Zoom, such as a

Summer 2021

Advice

Bouncing back to

business

talking therapy or nutritional therapy.

Did being forced to stay at home make you realise that you actually really enjoy spending more time at home? Did it make you consider changing your working arrangements? Maybe you want to work more or less hours, or change the days and times you work, or where you work?

So, before looking to the future, the first thing I’d like you to do is just take time to reflect on the past year and the lessons that you have learnt – I promise it will help as you plan the best way forward for you and your business.

Be visible and consistent As a professional therapist with so much to offer, it’s important to get yourself out there and be seen, particularly now that you are seeing clients in person again.

Summer 2021

Something I noticed during the lockdown was that some therapists really retreated, while others embraced the fact that they had to go online if they wanted to stay visible, even if they couldn’t provide treatments at the time. The downside for those who took a step back was that some of their clients, even their most loyal ones, started to look to their competition for remote support, because they saw them showing up online and reaching out to their clients.

Going forward, what I’d like you to do is start getting yourself noticed and to do that, I need you to think about where you would find your dream clients. Where do the people you want to attract to your business hang out? Once you’ve worked that out, you then need to start showing up in these places and making yourself visible.

If you’re happy connecting with people online, you could explore different forums or social media groups. Offline, you could maybe tap into different clubs, societies, social groups or businesses they’re connected to and have an interest in. Could you then give a talk or treatment demonstration, online or in person? Can you give them useful links, tips, a checklist, short videos or taster treatments? What can you do that will help to get your face recognized by these people?

Another option is to get a feature in your local newspaper, magazine or radio show.

Or perhaps you could write a guest post for someone else’s blog, whose readers are your dream clients. Or you could collaborate with someone – maybe even another therapist – to create a great  International therapist 47

Advice

When you are reaching out to new clients, it’s really important that you focus on promoting the solution you provide rather than the treatment itself.

initiative that will help to get you both noticed. The important thing is that, even if it feels like it’s not really working, you keep going. Eventually, people will keep seeing your name and think, ‘Who is this person? I need to learn more about them, because they’re everywhere at the moment!’

That’s when they’ll start to searching for you online and on social media. Get yourself visible – it’s so powerful.

The next thing is to be consistent. Only showing up when you want to promote a new treatment doesn’t look very good from a business perspective. You need to do whatever it is that you are doing on a regular basis, wherever it is that your dream clients are hanging out. It might be posting content, offering top tips on Facebook every now and then, or sending out a monthly newsletter to clients. Just stick with it and remember that running a business is a marathon, not a sprint.

With so many social media platforms available, it can be really overwhelming trying to manage all of them. Pick the one you think your dream clients are most likely to use. It might be Facebook, or if they are more business-minded, LinkedIn might be more appropriate. If they’re more visual and creative, it could be Instagram. Pick the one that you feel is most relevant, build up your confidence and get really good at it, and then when that’s going well, look to branch out onto another platform. You can use social media schedulers, so that you can plan out different posts on different platforms and give yourself some time back later in the week.

48 International therapist

Promote transformations, not treatments When you are reaching out to new clients, it’s really important that you focus on promoting the solution you provide (the transformation), rather than the treatment itself.

Often when I’m looking at a therapist’s marketing materials, it lists the treatments available and the cost. If this sounds familiar, going forward, what I’d really like you to do is move away from talking about the modality itself, particularly if it’s a holistic or hands-on therapy, and to concentrate instead on how it will benefit the client.

Now why am I saying this? It’s because when people are struggling with something, they’re at Point A. It might be that they’re not sleeping properly, they’re feeling anxious and stressed, or they have a knee or skin problem. All they’re interested in is getting to Point B, which is where they feel great again, they feel confident and energised, and are able to do the things they want to do.

When you are writing copy to promote your business, I want you to start thinking about the words that would resonate with someone who is at Point A but wants to get to Point B. Often you will find that people talk about Point A in their marketing, for example, ‘Are you feeling tired?’ or ‘Do you have an injury that is holding you back?’. The only problem with this is that it obviously focuses on the negative stuff.

More recently, there has been a shift towards talking about Point B, the transformation your client will experience

when they come to you for a treatment. It’s about focusing on what the client wants to feel when they leave your therapy couch.

Do they want to feel a sense of calm and inner peace? Do they want to feel more confident about their appearance? Do they want to improve their running time, or just enjoy being able to play with their kids or grandkids?

Every time you promote your business, whether it’s something on social media or a printed leaflet, make sure you are talking about how you can help the person reading it to get to Point B. If you’re not sure about the sort of words to use, ask your existing clients ‘When you’ve had a treatment with me, what words would you use to describe how you feel afterwards?’ Then start using these words. For example, if I was suffering from insomnia and somebody kept popping up (because their marketing is visible and consistent!) and they are saying, ‘I have a special interest in helping people to get a great night’s sleep’, they would be the first person I’d call, even if I’ve never tried the treatment they are offering.

There’s a saying that you don’t sell a mattress, you sell a good night’s sleep, so remember to talk less about the vehicle – the treatment – and start talking about the transformation. T Nikki Collinson-Phenix is a registered chiropractor, Western medical acupuncturist and massage therapist who has been in private practice for more than 20 years. She is also a business coach and mentor for therapists. nikkicp.com

Summer 2021

Members News

Members News Peter Mavromatis, MFHT, talks about supporting performers at AirCraft Circus Academy in London

I

trained in therapeutic and deep tissue massage in 2010, later qualifying in advanced deep tissue massage and myofascial release.

Before this I had been in the film industry for almost 26 years, so it was a huge career change for me. I firmly believe that it is never too late and if you want to do something, just go for it.

I consider myself fortunate to offer my services in two places, allowing me to support clients from all walks of life. I work at a chiropractic clinic, The London Wellness Centre in Canary Wharf, and at AirCraft Circus Academy.

My fascination with the circus first began when I was taken to a performance as a child by my Uncle Nick. I was absolutely mesmerised, something about it just felt magical. After that, every year when the circus came to town there I was in the audience — to me it represented freedom and I dreamed of running away with them.

I always thought that you had to be born into the circus, it was only when a colleague in the film industry told me that you could train to become a performer that I began looking into evening classes. For the past seven years I have been taking aerial silks classes and performing my doubles silks act in the cabarets. What I love most about the circus is the way everyone fits in, and age is irrelevant too — I started when I was in my forties!

I have been the official massage therapist for the Aircraft Circus Academy for 10 years now. Circus has been an interesting environment to work in, supporting all kinds of performers from flying trapeze to silks, rope, straps, and juggling (just to name a few!). I see my role as helping to keep the performers’ bodies in tip-top condition, to aid their flexibility and to help prevent injury.

Most of the treatments are full-body release with a focus on the upper body. I take Summer 2021

a ‘prevention is better than cure’ approach as no performer wants to be injured. I use good strong strokes to release tension and have found these to be very popular.

Tapotement and friction also play a big role in my treatments, warming the muscles with effleurage and then working the muscles to release tension. The performers’ shoulders are usually tight and personally I know that the feeling of release after a treatment is just terrific.

Before the pandemic I was working at the academy every Wednesday and it was open from 10am until 7pm, six days a week.

Through lockdown the academy opened for a total of 12 hours a week (spaced over three afternoons) and purely for its professional performers to train.

COVID-19 has been tough for the academy, its members and for the wider circus community. I was talking to a performer recently who said that although they continue to train and stay in show condition, there will be very few opportunities for those who used to carve out a living on the vibrant UK Summer festival circuit which looks unlikely to resume until 2022.

For its part, the academy will be hosting shows in 2021 and as I write (in early May), I am planning to resume my treatments later this month, strictly adhering to government and FHT guidelines for PPE and safety. For the circus and the therapy industries, I am hoping for a brighter end to 2021 and a new beginning in 2022. T Peter is a massage therapist who supports clients at The London Wellness Centre in Canary Wharf, London and at AirCraft Circus Academy in South London. Peter is qualified in therapeutic massage, advanced deep tissue massage and myofascial release. thisislondonwellness.com and aircraftcircus.com

I see my role as helping to keep the performers' bodies in tip-top condition, to aid their flexibility and to help prevent injury.

Peter Mavromatis, MFHT

International therapist 49

Research

Massage helps reduce peri-operative anxiety

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tudies have shown that high levels of anxiety surrounding a surgical procedure can activate changes in a patient’s nervous and immune systems and potentially cause hypertension, impact pain thresholds and post-operative pain, delay surgery being started or completed, and delay patient discharge. Furthermore, pharmacological treatments that can be used to help control peri-operative anxiety may be short-acting or produce undesirable side-effects, such as nausea and vomiting (Guo et al, 2020).

A meta-analysis recently published in Complementary Therapies in Clinical Practice aimed to “evaluate the effect of massage on peri-operative anxiety in adults who were about

to undergo, were undergoing or were recovering from major and minimally invasive surgical procedures to provide appropriate and practical suggestions for future research and practice.”

A total of 25 studies met the eligibility criteria for the meta-analysis, comprising 2,494 participants. The authors noted the following key findings: n That massage can significantly reduce peri-operative anxiety for most types of surgical patients; n In order to be therapeutically beneficial, massage lasting 10 to 20 minutes per session was worthy of recommendation in a busy clinical setting; n Acupoint or specific body reflex area massage had a better effect on perioperative anxiety than general massage;

n Massage delivered by both massage professionals and nonmassage professionals (eg. short-term trained nurses and hospital staff ) were both effective.

The authors concluded, “This meta-analysis demonstrated that massage is a simple, safe and effective approach for alleviating peri-operative anxiety in most types of surgical patients. More RCTs [randomised controlled trials] with high-quality and rigorous design are warranted to confirm our findings and to clarify the most suitable time at which to start massage in the peri-operative period, the duration of massage efficacy, the minimal effective dose, and the appropriate frequency of massage”.

Best practice guide developed for management of plantar heel pain

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lantar heel pain (PHP) is characterised by pain around the heel and arch of the foot during weight-bearing tasks, particularly after a period of rest. Research suggests it predominantly affects sedentary middleaged and older adults and accounts for 8% of all injuries related to running (Taunton et al, 2002).

The authors of a review recently published in British Journal of Sports Medicine have developed a best practice guide (BPG) for the clinical management of PHP, based on their synthesised findings from high-quality randomised controlled trials, expert opinion and patient feedback (Morrissey et al, 2021).

The core treatment recommended for people with PHP includes taping and stretching of the plantar fascia, alongside individualised education for the patient, “which should encourage: n individual assessment; n footwear advice to ensure comfort in shoes that allow a small rearfoot to forefoot drop while also considering social acceptability to improve adherence; n load management to break up long periods of static loading or problematically rapid training changes 50 International therapist

in more athletic populations; n support to address comorbidities such as type 2 diabetes; n teaching patients the parameters required to self-monitor the pain response to activity and how to interpret pain with respect to tissue damage in order to allay fears of long-term consequences.

“The educational delivery should adopt a realistic tone as recovery may

take several weeks or months but [clinicians should] stress the positive prognosis […].”

For those patients who do not see an optimal improvement in their PHP after intervention, the authors recommend offering shockwave therapy (ESWT), followed by custom orthoses. n Access the full review by visiting bjsm.bmj.com and typing ‘PHP’ in the search engine.

Summer 2021

Research

Improving sleep and anxiety in burn patients with aromatherapy and muscle relaxation techniques

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urn injuries and treatment can be both physically and psychologically traumatic (Cleary et al, 2018), with patients often experiencing a high level of anxiety and poor sleep quality (Harorani et al, 2020).

Two separate studies published in Burns looked at the effects of aromatherapy and muscle relaxation techniques on anxiety and sleep quality in burn patients.

Rafii and colleagues conducted a quasi-experimental study involving a 105 burn patients, who were assigned to a control, placebo massage or aromatherapy massage group, with the latter using lavender and chamomile essential oils (Rafii et al, 2020). The intervention was performed for 20 minutes before bedtime for three sessions across one week.

The results showed that

aromatherapy massage, with lavender and chamomile, decreased anxiety and improved sleep in patients. The authors concluded, “Since the aromatherapy massage as a non-pharmacological and simple method can improve the anxiety and quality of sleep in patients with burns, it is suggested that nurses

and burn medical care team apply it to reduce burn patients’ anxiety and promote their sleep quality. Applying massage alone also reduces anxiety in burn survivors.”

In a separate study, Harorani and colleagues investigated the effects of progressive muscle relaxation on anxiety and sleep quality in 80 burn patients who were either randomly assigned to a control group (usual care) or experimental group (20 to 30 minutes of Jacobson’s relaxation technique for three consecutive days) (Harorani et al, 2020).

The results showed a significant decrease in anxiety and improvement in sleep quality in the experimental group compared to the control group. The authors concluded that, “relaxation as a complementary method can be used along with modern medicine to reduce anxiety and improve sleep quality in burn patients”.

Laughter yoga promotes physical function and psychosocial health in older adults

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ccording to a report by the Office of National Statistics, by the year 2066, there will be an estimated 20.4 million adults aged 65 years and over in the UK, who will make up more than a quarter (26%) of the total population (ONS, 2018). The report also highlights that, “the likelihood of being disabled and/or experiencing multiple chronic and complex health conditions among those aged 65 years and over increases with age. As life expectancy increases, so does the amount of time spent in poor health.”

Finding innovative approaches to help promote healthy ageing and also protect extra burden being placed on the health and social care services is therefore a growing priority.

A systematic review published in Complementary Therapies for Clinical Practice looked at the effects of laughter yoga on physical function and psychosocial outcomes in older adults.

Laughter yoga is a non-invasive practice that comes in many forms, but typically combines yoga breathing techniques with laughter exercises, with both having reported health benefits.

Summer 2021

While the authors state that the number of studies and data quality in this field is limited, of the seven studies that met the inclusion criteria, laughter yoga was found to have the following health benefits in people over the age of 65: n Physical function — improvements in blood pressure, cortisol levels and sleep quality. n Psychosocial function — improvements in life satisfaction, quality of life, loneliness, death anxiety, depression, mood and happiness.

The authors conclude that, “Laughter

yoga can be used for health promotion in older adults. It is a cost effective and enjoyable technique for older adults.

Significantly in this analysis, it has been found that the intervention duration necessary to effect the outcomes in older adults appears to be a minimum of four weeks.” They also call for more high-quality randomised controlled trials with validated study protocols and guidelines.

References For full references, go to fht.org.uk/IT-references International therapist 51

Medical A-Z

LOW BACK PAIN Non-specific low back pain (NSLBP) is tension, soreness and/or stiffness in the lower back region for which it isn’t possible to identify a specific cause. Several structures in the back, including joints, discs and connective tissues, may contribute to symptoms (Royal College of General Practitioners, 2009).

CAUSES Most back pain is what's known as 'non-specific' (there's no obvious cause) or 'mechanical' (the pain originates from the joints, bones or soft tissues in and around the spine) (NHS, 2020).

The people most likely to suffer from NSLBP are those whose jobs involve a lot of heavy lifting and carrying, or those who spend long periods sitting in one position or bending awkwardly. Overweight people are also more prone to back pain – their backs carry a heavier load and they tend to have weaker abdominal muscles, which usually help to provide support to the back (Peters, 2008).

ORTHODOX TREATMENT Treatment for NSLBP usually involves medication to relieve the pain and inflammation, such as aspirin and ibuprofen. The application of heat and/or ice is also recommended for pain relief and to increase mobility (NINDS, 2020).

Gentle stretching and regular movement are also advised. General practitioners can provide information on appropriate back stretches and often suggest regular, low intensity exercise alongside this, such as swimming, walking and yoga (NHS, 2020).

COMPLEMENTARY THERAPY The National Institute for Health and Clinical Excellence (NICE) guidelines recommend manual therapy (spinal manipulation, mobilisation or soft tissue techniques such as massage) for managing low back pain with or without sciatica, but only as part of a treatment package including exercise, with or without psychological therapy (NICE, 2020).

In a recent study on the effects of acupressure on NSLBP, researchers randomly assigned 67 participants into three groups: relaxing acupressure, stimulating acupressure or usual care.

Participants in the acupressure groups 52 International therapist

were trained to administer acupressure on themselves, and spent between 27 and 30 minutes daily, over the course of six weeks, performing the technique.

Researchers said, "Compared to the usual care group, we found that people who performed stimulating acupressure experienced pain and fatigue improvement and those that performed relaxing acupressure felt their pain had improved after six weeks." (Murphy et al, 2019).

A randomized controlled trial that evaluated the effects of foot reflexology on back pain following coronary angiography was recently published in Complementary Therapies in Clinical Practice. Conducted in 2018-2019, 120 patients were recruited to the study and randomly allocated to either a control group, receiving routine postangiography care, or a reflexology group. Those in the reflexology group reported significantly less pain intensity than those in the control group.

(Kardan et al, 2020).

In 2008, a study published in the British Medical Journal (BMJ) followed 579 participants over the course of a year as part of a randomised control trial on the impact of the Alexander Technique on NSLBP. The study found that Alexander Technique lessons provided benefit to patients in terms of back pain relief and reducing recurrent back pain (Little et al, 2008).

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 Summer 2021 2021 Summer

Profile

A Day in the life of...

Alison Bailey, MFHT, Complementary Therapy Lead at Weston Hospicecare...

6:30am – I start my day by doing some stretches or yoga and saying a positive affirmation. Afterwards, I go downstairs and make myself a cup of peppermint tea with a bowl of fruit.

8am – I arrive at work, make sure all the therapy rooms are prepared and review my patient medical notes.

This is an important part of my role, as changes can often occur when working in a palliative care setting.

I attend an online meeting with a multi-disciplinary team consisting of doctors, a chaplain, counsellor, family support manager, physiotherapist, occupational therapist, service leads and nurses from the community as well as in-patients. We discuss a patient handover, referrals and I allocate a volunteer therapist to a client (most of my team are inactive due to the pandemic, so I currently have six volunteers who are able to provide support). After the meeting, I triage new referrals by phone and book appointments.

10am – I provide my first treatment or deliver a Zoom session and my volunteers are allocated a client, who could be a patient or family member. We provide a variety of therapies, depending on the needs of the individual - from reflexology to hypnotherapy. I make the time to meet with the team before and after their treatments as I believe supervision is valuable in our field of work. Due to the nature of working in palliative care, medical or emotional concerns are sometimes mentioned by the patient during treatment, if so, I refer them for additional support.

A typical day also includes Zoom Summer 2021

calls, so that we are still able to reach out to a patient if they are unable to come into the centre. I may provide relaxation or hypnotherapy for a bereaved person finding sleeping difficult, or a patient who is unable to come to terms with their changing appearance. The best part of my day is interacting with patients and their families, listening to them and providing the peaceful calmness that they desire.

Feedback suggests how the service can support people at so many levels, physically and emotionally.

12:30pm – I take time for lunch.

If possible, I like to go outside even for a short while to clear my mind ready for the next client.

1pm – I meet up with the therapists beginning the afternoon shift and provide them with updates, making sure to hand over any changes. I then allocate them a patient - when day hospice is running, I will allocate day hospice patients or a patient in the community if I feel it is safe to do so. While my therapists are carrying out treatments, I complete admin duties - today it is report writing, but on other days it might be updating risk assessments or policies, or completing training with volunteers.

4pm – Time to wind down and prepare for the next day. I ensure all client notes are completed on the system and meet up with housekeeping to inform cleaning duties.

Before I go, I write a list ready for the next day, as it helps to be prepared.

The best part of my day is interacting with patients and their families, listening to them and providing the peaceful calmness that they desire Alison Bailey, MFHT

5pm – For my relaxation I either go to the gym, run on my treadmill or go for a walk on the beach close to where I live sometimes I borrow my son’s puppy, which is lovely. T International therapist 53

New products

1

SUPPORT BREATHE RANGE BY AROMATHERAPY ASSOCIATES

TOUCH IS REALLY STRANGE BY STEVE HAINES

The Support Breathe range is infused with essential oils of tea tree, known for centuries to be anti-bacterial and anti-viral, and eucalyptus, known to ease breathing and pine, renowned for its antiseptic properties.

Each essential oil comes together to release a soothing aroma that helps to clear your senses and lift jaded energy.

The full range contains a bath and shower oil, a 55ml essential oil, a 10ml roller ball and a 10ml electric home fragrancer.

RRP: £75, available from aromatherapyassociates.com

In the latest addition to the Really Strange series, this book reveals the complexity of touch, exploring its power and limits. Used positively, touch can support pain and trauma, communicate compassion, love, and generate social bonding.

As humans, before we have language, our concepts are formed by a world full of edges and textures. Touch is Really Strange celebrates the power of inward touch (interoception) and looks at how we can use skilful contact to promote feelings of joy, connection and vitality.

Price: £9.99, available from singingdragon.co.uk

2

New products

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

4

SLEEP: THE ELIXR OF LIFE

BY CHRISTINE HERBERT

This book looks at the many reasons for poor sleep such as stress, pain, digestive issues, urinary problems and hormones. It also explores how to improve sleep by addressing these problems, using methods such as dietary and lifestyle changes, flower remedies and essential oils.

Author, Christine Herbert DipAET, BA (Hons), qualified as a herbalist in 1997. In this book, Christine writes about supporting an individual to fix their poor sleep habits by addressing the cause of the problem.

Price: £19.99, available from aeonbooks.co.uk

SET OF THREE TRIGGER POINT BALLS

3

The Trigger Point Massage Balls have three different hardness levels for acupressure, tension and trigger point release. The grey ball is the hardest level, green is medium and blue is soft.

Made from PVC, these balls can be used for a full body massage and can be easily transported for seeing clients on the go.

Price: £10.79, available from physique.co.uk

We love

FHTs Education Executive, Heidi Hinton, shares her favourite product with our members.

‘I have been enjoying using the reusable make-up remover pads from Wild & Stone.

The pads are unbelievably soft and gentle and stay just as soft after putting them in the washing machine.

‘Being so soft means that they are great for sensitive skin, as well as removing make-up around your eyes. It is great to not only have moved across to this vegan, reusable alternative but to not have to worry about running out of cotton pads to take my make-up off at the end of the day. The Daily Reusable Rounds are a great money saver a lot more eco-friendly!’ Price: £10.95 available from wildandstone.com Please note that product descriptions featured on these pages are provided by the supplier/manufacturer.

54 International therapist

Summer 2021

Competition

Competition Win a deluxe facial oil and eye serum gift set by Bespoke Aroma Spa

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espoke Aroma was founded by Jo Evans in 2014 and offers therapists, spas and salons a natural, vegan-friendly range of award-winning skincare products to use in their treatments. All products are free from parabens, mineral oil, artificial colours and fragrances and known skin irritants. They are hand-blended in the Lake District in small batches to ensure the highest quality.

Over time, Jo has developed her own range of aromatherapy bath and body products, as well as the Bespoke Aroma Spa range. Jo says, ‘Developing my own product ranges has been so exciting. I

love working with natural ingredients and experimenting with different essential oil blends. It is amazing how beneficial plant botanicals are for the skin!’

The Deluxe Facial Oil and Eye Serum Gift Set includes a super hydrating facial oil and nourishing eye serum along with a Rose Quartz Facial Roller. bespokearoma.co.uk To enter, please answer the following question: Where are Bespoke Aroma products made?

A) Peak District B) New Forest C) Lake District

Simply email your name, address, membership number and answer to Leanne Sheill at lsheill@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 Saturday 21 August 2021.

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

Competition winners -

International Therapist, Issue 136

Illustration: Shutterstock

Do we have your latest email address?

Throughout COVID-19, we have been sending regular emails to our members, providing up-to-date information and advice, as well as links to useful resources for when it is safe to return to practice.

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

Summer 2021

Competition: One of ten FHT business packs, worth £22 each Winners: Debi Hall, MFHT Kathy Carter, Student member Anne Blee, MFHT Helen Gwilliam, MFHT Ernie Davies, MFHT Dawn Wood, MFHT, Julia Wright, MFHT. Nichola Smith, MFHT Géraldine Chesta, MFHT Trevor Street, MFHT Spiral quiz (p57): £20 John Lewis & Partners gift card and a copy Know Your Body and Know Your Body Workbook, by FHT Vice President Mary Dalgleish.

Winner: Daniel Searles, MFHT

Apologies

Accredited Course Providers (Issue 136, p60) We would like to apologise to Caroline Purvey from TREUK for printing an incorrect web address on p60 of International Therapist Spring 2021 (issue 136). The correct website address for TREUK is treuk.com.

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, don’t be afraid 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

Q

We share just a few of the ways that our environment can shape our health. Consider your own town or city and explain the ways that it helps people stay healthy and some improvements that could be made.

DEAR LITTLE SOLES (P20-23)

Q

Gaining consent from babies or children before you start a reflexology treatment is important.

Outline some of the subtle cues you should look out for with babies and non-verbal children before you begin a treatment.

Q

Research and explain how you might approach a child reflexology treatment compared to working with an adult.

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.

NOT JUST BEAUTY (P26-27)

Q

Beauty treatments are often used to support people living with or beyond cancer. Look at the types of treatments that can be given to people who have cancer.

6 Discounted continued professional learning.

7 The UK’s largest local group network.

8 FHT branded products and member discounts on therapy supplies.

DOMESTIC ABUSE (P30-33)

Q

What are the signs that someone is experiencing domestic abuse and what steps should you take if you believe you have a client who needs support?

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.

DRY NEEDLING (P40-43)

Q

Outline benefits of dry needling and how you would support a client using the technique.

Q

Provide a case study about a time you have used dry needling on a client (this activity is worth 5 CPD points).

BOUNCING BACK TO BUSINESS (46-48)

Q

How could you tweak your business model so that you’re in a position to receive an income if your treatment room door has to close for any reason? 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 56 International therapist

*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

AS GOOD AS ITS PEOPLE (P16-19)

10

Top

reasons for being an FHT member

Summer 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.

The secret to being a good therapist

Different Light

Deborah Lloyd-Baxter, MFHT, runs her own therapy practice in Hampshire and during the lockdown, worked on the book she has always wanted to write to support fellow practitioners: The Secret to Being a Good Therapist. In this short excerpt, Deborah talks about staying disciplined when working from home and shares some tips for those who have moved online and are now doing virtual consultations and meetings to support their clients and business development. If you’ve ever found your face silhouetted on a Zoom call or been disturbed by a phone call, you’ll probably benefit from a read… fht.org.uk/IT-137-RR-Deborah

“I would do anything to be able to hug my friend one last time.

The tyranny of the should be’s is mine to hold, but my thoughts are mine to change.” Sharon Mitchell, MFHT, is a mental health recovery and wellbeing worker with West Sussex Mind. When she started writing her short article, Different Light, her friend, Alexandra, was still alive, although they both knew that she had only weeks or months left to live.

When Alexandra died in early Spring, they hadn’t seen each other in person for over a year. In this article, Sharon reflects on her thoughts and feelings at the time and explains how she turned to mindfulness to help her through the grieving process. fht.org.uk/IT-137-RR-different-light

FHT Spiral No. 39

1

5

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

9 8

12

The winner will also receive a copy of Pre- and Perinatal Massage Therapy, by Carole Osborne, Michele Kolakowski and David M Lobenstine, RRP £49.95 (handspringpublishing.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 part of the brain.

10

4

14

6

13

TO ENTER

11

Simply email the word that appears in the diagonal shaded boxes to kyoung@fht.org.uk (writing Summer 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 31 August 2021.

CROSSWORD CLUES 1. Type of bone, also known as spongy (10) 2. - - - - - - - fluid, joints, membrane (8) 3. B ody system that helps protect against infection and disease (9) 4. Type of joint, eg. wrist (9) 5. Part of the small intestine (8) 6. - - - - - - - oblongata, lower part of the brainstem (7)

7 2

7. Chronic inflammatory skin condition affecting mainly the face, back and chest (4,8) 8. Type of muscle, also known as involuntary (6) 9. E rector pili muscles makes these stand on end (5) 10. Longest nerve in the body (7)

3

11. A n infection of the deeper layers of skin and underlying tissue (10) 12. Contains 206 bones when we reach adulthood (8) 13. Found in most human cells, this controls the cell’s growth and activity (7) 14. Itchy, contagious skin condition caused by a mite (6)

Where’s the solution for spiral no. 38?

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 53 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. 38 featured in issue 136 (Spring 2021).

Summer 2021

International therapist 57

Courses

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

EMM-TECH SHORT COURSE

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 FHT run monthly webinars with renowned physiotherapist, Jane Johnson? Take a look at what’s on offer and book on to upcoming sessions which include: n2 3 July - Postural correction of the neck n2 7 August- Postural correction of the shoulders n2 4 September - Postural correction of the low back

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

Discover how the EMMETT technique addresses pain and body movement.

This course contains eleven moves which have been specially selected from the EMMETT techniques practitioner course.

Course tutor: Various Course dates: n 11 September — Harrogate n 9 October — Reading Prices start from: £100

ADVANCED CRYSTAL THERAPY FOR PRACTITIONERS AND HEALERS – LEVEL 1 This course will enable therapists to gain an understanding of what crystal therapy is, how it works and how they can be incorporated into a wide range of complementary therapies to enhance and refine treatments.

Course tutor: Shirley O'Donoghue Course date: n1 1 – 12 September — Basingstoke Prices start from: £200

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 2 – 3 October — Brighton n 16 – 17 October — Leeds Prices start from: £200

RELAXATION, MEDITATION AND MINDFULNESS FOR THERAPISTS Discover relaxation, meditation and mindfulness skills to benefit your treatments and enhance your personal development. Learn techniques and advice to help your clients reach deeper levels of relaxation.

Course tutor: Christine Browne Course date: n 9 October — Bristol Prices start from: £100

FIRST AID FOR THERAPISTS – EMERGENCY FIRST AID AT WORK This course, which covers the full content of the emergency first aid at work training, is specifically designed for therapists in the therapy and salon environment.

Course tutor: Karen Murrell Course date: n 16 October — Portsmouth Prices start from: £110

Please check online for updates…

Please note that due to coronavirus (COVID-19), there may be some changes to FHT Hosted Courses scheduled to take place over the coming months. 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

58 International therapist

Summer 2021

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.

Summer 2021

International therapist 59

Courses

FHT accredited course providers

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

NEWS FHT accredited course provider news Losing my mother Karen Clifford (the KC in Skcin) to melanoma in 2005, my family felt compelled to fill the void that existed in the skin cancer awareness arena, writes co-founder of Skcin, Kathryn Clifford. Skin cancer is the UK’s most common and fastest rising cancer, yet almost 90% of cases are preventable and it’s one of the few cancers we can physically see developing in its early stages. If detected, diagnosed and treated early, almost all skin cancers are treatable or curable. Our mission is clear — to combat statistics head on and save lives through educational intervention.

Our Melanoma and Skin Cancer Early Detection (MASCED) training programmes were developed by Skcin to harness the power of professionals who work in health, wellness and beauty industries nationwide.

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 New 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

These professionals are uniquely placed to observe changes and abnormalities on their client’s skin (often in places they can’t see themselves) and provide trusted advice in relation to signposting them to seek appropriate action and how to protect their skin from sun damage.

During National Skin Cancer Awareness Month in May, we worked with many of our supporters across key industry bodies to raise the profile of our training and encourage likeminded individuals to join our growing army of 8,000+ MASCED accredited professionals who have trained their eyes and are saving lives.

Kathryn Clifford is co-founder of Skcin, alongside Marie Tudor. Find out more about the charity and their MASCED course at masced.uk

Holistic Ecosse makima@hotmail.co.uk New 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 therapiagourock.com

NORTHERN IRELAND

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

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

Summer 2021

Courses Dorn Method Academy UK (Jacqui) dornmethodlakedistrict.co.uk Dorn Method Lake District 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 Reiki Tradition reikitradition.me.uk The Master Academy/ Urban Body Balance urbanbalance.co.uk

NORTH EAST

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 New 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

WEST MIDLANDS

Ascent Therapies Training Academy ascent-therapies.co.uk

Summer 2021

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 Gaia Education gaiaeducation.com 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 Seren Natural Fertility serennaturalfertility.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 New Booth VRT Ltd 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 New Functional Anatomy functionalanatomy.com II Intuitive Ltd 2intuitive.co.uk

JemmaCo Limited jemmaco.com/training New Light Touch Therapy Training lightouch.co.uk Lovegrove Essentials Ltd lovegroveessentials.com Massage for Dementia massagefordementia.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 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 London School of Complementary Health Ltd lsch.co.uk Lucis College lucisgroup.com Mary Atkinson Holistic Therapy Courses maryatkinson.org.uk New M.D Therapies Training Centre mdmassagetherapies.co.uk New 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

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Courses New 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 functionalkinesiology.co.uk The Five Key Programme keyworkshops.co.uk The School of Abdominal Sacral Massage abdominal-sacralmassage.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 New Hypnosis Courses Ltd hypnosis-courses.com Ingrid Perrin roseonthegreen.co.uk On the Spot Training Centre sallymorris.co.uk New 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 The Lancaster System lancastersystem.co.uk

LONDON

Ayurveda Pura Academy ayurvedapura.com

New 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 New Magni Academy magniskin.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

New 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 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

Summer 2021

News

Industry news

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

Track changes to skin with Miiskin

New digital aromatherapy platform launches A digital platform that serves the professional aromatherapy community was created in June 2021. The International Clinical Aromatherapy Network (ICAN) offers its members a range of benefits to foster collaborations, networking and advancement of the aromatherapy field.

With features such as Zoom integration for live online learning and events, a digital map that displays members in their native cities, discussion forums and a professional resource library of articles and research, ICAN is the most exciting development in clinical aromatherapy and professional networking to launch in 2021. n clinicalaromatherapynetwork.com

Dermatologists recommend people at risk of skin cancer regularly check their own skin to find any changes to existing moles or spot the appearance of new marks or moles - an early warning of skin cancer that should be discussed with a doctor without delay.

Recommend to your clients that they use Miiskin to create a photo body map of their skin to help spot changes over time, now featuring ‘mole sizing’ to more carefully track the size of moles and marks on the skin. n miiskin.com

Yeo Valley Organic launch kefir fruited ‘Love Your Gut’ yoghurt packs Yeo Valley Organic launch four packs as part of their kefir ‘Love Your Gut’ range. Perfect in the home or on the go, these little pots have been created to fit into your daily lifestyle, helping you maintain a healthy and balanced digestive system every day. Every spoonful has billions of live bacteria from 14 different strains for maximum gut flora diversity.

The kefir fruited ‘Love Your Gut’ four packs are available in raspberry, strawberry and mango and passion fruit flavours. Available at all major supermarkets. n RRP £2.00 yeovalley.co.uk.

Aromatherapy Associates launch new portable diffuser

Singing Dragon celebrates 15 years of publishing Singing Dragon is celebrating its 15th birthday in 2021 and to mark the occasion has launched a virtual professional event series.

A spokesperson said, ‘For 15 years, we have dedicated ourselves to publishing groundbreaking resources and building relationships between brilliant authors and valued communities, resulting in many market-leading texts on acupuncture, Chinese medicine, yoga and yoga therapy, nutrition, bodywork and more complementary health fields.

‘To celebrate this milestone, we want to open the proverbial doors even wider. As we continue to build a community of integrative, holistic health practitioners, we are giving our readers a chance to access free virtual events with expert authors.’

The final two free events of the year are taking place in September and November 2021. n Find out more at fht.org.uk/singing-dragon

Summer 2021

Aromatherapy Associates has developed a new range of at-home products to surround your senses with wellbeing.

Forming part of the new range is the ‘atomiser’, a waterless diffuser that once charged is completely portable, meaning it can move around with you.

The diffuser has a powerful yet ultraquiet air compressor that disperses a fine mist. It diffuses a choice of five pure Aromatherapy Associates essential oil blends straight from the bottle, allowing you to quickly switch the blend and alter the ‘scentscape’ to your emotional need.

Anna Teal, CEO of Aromatherapy Associates said, ‘Our new home collection marries our expertise in pure, natural wellbeing with our understanding of how consumers are looking for new ways to incorporate wellbeing into their lives.

With its potent essential oils, our home collection allows you to layer and combine our powerful blends to create a truly 360, multi-sensory experience - creating those vital moments of reset we all crave.’ n aromatherapyassociates.com.

International therapist 63

Peace of mind for you with our

tailor-made insurance Including elements of Personal Accident cover!

At the FHT, we’re extremely proud to support members with our robust package of membership benefits. And thanks to our insurance partners Hiscox, we’re also able to ensure that you’re covered with an insurance policy that keeps you and your clients safe.

Our medical malpractice, public and products liability insurance policy covers more than 360 therapies, with lots of added extras included too: • Up to £5,000 to cover expenses that arise from identity fraud • Up to 30 days cover to work abroad • Replacement official documents if lost or irrevocably damaged

Not yet taking advantage of our insurance policy?

Make sure you ask your current provider what’s included, or contact our team for more information about upgrading.

Call 023 8062 4350 or email info@fht.org.uk

INSURANCE PROVIDED BY

FIND OUT MORE AT FHT.ORG.UK/INSURANCE Terms & conditions apply. See fht.org.uk for details.

64 International therapist

Summer 2021

FHT Accredited Courses by

Core Elements

Level 3 & 4 Sports Massage Therapy Level 5 Diploma in Sports & Clinical Therapy CPD courses including: Electrotherapy, Manual Therapy & Joint Mobilisations, Rehabilitation, Dry Needling, Dry Cupping, Taping, and Clinical Yoga - Online Live CPD courses now available To find out more email: Dawn@coreelements.uk.com or visit: www.coreelements.uk.com

A family run business developing and producing 1 00% natural Beeswax based products.

• Our Massage Wax range offers professional therapists a variety of delicately formulated aromatic blends - one to suit every client!

• A fantastic alternative to massage oil - with no spills!

• Leaves skin nourished and hydrated without feeling oily • Protects delicate skin, perfect for Baby massage (Be Sensitive) • Recyclable packaging • 1 00% Natural Ingredients.

Visit our website to see our great multibuy offers and for more information on our product range

www.highlandwax.co.uk Highland Wax Company, Foynesfield Cottage, Nairn IV1 2 5SA 01 667 451 736 info@highlandwax.co.uk

Multi Award Winning National Massage, Beauty & Holistic Training School Come & Join The Thousands Of Therapists & Complete Beginners We Train Every Year n 60+ Professional, Accredited, Certified and Insurable Massage, Beauty & Spiritual Venue Courses n 20+ Venues UK, Scotland & Ireland n Excellent Online Professional Courses Manual/Videos/Tutor Support n Professional Qualifications - We Train Bobbi Brown, Top Hotels/Spas, CH4 Make up Artists & Celebrities n NEW! Award Winning Online Platform; Hosting Your Courses To Sell For Your Business

CranioSaCral Therapy Training “This will change the way you work at a fundamental level” You may be a massage therapist, or other type of bodyworker, with various tools already in your therapy kit. Here are some you will be really glad you added. Participants repeatedly tell us how incorporating CST changes the way they work, at the most fundamental level, giving them new insights into how the body functions and how they treat.

There are five core classes starting with CST1: running in Brighton, London, Manchester and Perth.

Get in touch & find out more.

TRY OUR FREE 5-PART ONLINE INTRO www.upledger.co.uk 0800 690 6966 Summer 2021

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Guest column

and particularly for older clients, for whom the message for many months was to ‘stay home’. Virtually, I have met far too many people who have been really impacted by that, who would hugely benefit from just being able to talk to someone. It is incredibly therapeutic just to be able to have a chat and that is what many of us have missed most.

I absolutely recognise that different treatments will have different values to people. I know my mood is altered by the colour of my nails (a bit of summer brightness and the world is a better place!), but for others it could be a complementary therapy, exercise, or getting a wash and blow dry. Of course, the sum is greater than the component parts, and wellbeing combines to make people feel better, which if you believe in a happiness index, is a great thing.

and finally...

Caroline Nokes MP discusses the importance of restoring confidence in our clients.

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he word confidence has been used a great deal recently, whether in relation to vaccine confidence, the confidence to go back to the office, to go to the pub, or in fact the gym, salon or studio. It has prompted me to think about what confidence means to each of us individually, and that what some of us view as safe might be seen as difficult or a risk to others.

In restoring national confidence postpandemic, the government has a big role to play. We need the economy to bounce back and for people to go back to living their lives — the vaccine programme has so far been a stunning success in facilitating that. I am astonished at the number of people who have already 66 International therapist

received their first vaccine and the roll out of the second jabs seems to be going well.

It gives us the opportunity to look to the future and give people a message that it is ok to get back to doing the things that give us pleasure and make us feel better. This is where the wellbeing sector can really step in. I am conscious that last spring, after spas, salons, and therapy services re-opened, there was nervousness. I could see that just as a customer — too many times I went to a near deserted salon as customers were too anxious to return.

But the other side to that is the massive good the sector can do to help restore the missing confidence. We all know social isolation has been very tough,

Of course there is an additional economic benefit in empowering people to hold their heads high and feel more confident in themselves. I am constantly stunned by women my age who tell me they don’t have the confidence to apply for a new job, ask for a promotion or to take up a new sport or hobby. They are worried how they will be perceived and as a result too many allow themselves to fade into the background.

If I have one mission at the moment it is to talk up confidence, whether that’s personal confidence or business confidence. We have had a tough year and have to embrace this opportunity to re-start, and work at putting a confident smile back on the nation’s faces. 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. carolinenokes.com

Summer 2021

For All Your Therapy Essentials!

We know how busy you are treating your clients, so Physique’s extended range of therapy essentials covers everything you need for your clinic or mobile service, saving you time on stocking up on supplies.

Our range includes:

Massage Lotions, Oils and Cremes

Clinic Essentials

Couches, Stools and Trolleys

Acupuncture

Massage Tools

Rehab & Exercise and much more!

And don’t forget, FHT members get an exclusive 10% OFF non-promotional items when you visit Physique.co.uk and enter your code FHTONLINE at the checkout.

Plus with over 200 therapy products included in our 4 for 3 mix and match deal, there will be something to suit every price range.

02392 471346

Summer 2021

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Summer 2021