45 minute read
Here for you
Here you for
On these pages, we highlight some of FHT’s activities that aim to get you and your therapies the recognition they deserve.
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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
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.
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 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 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
FHT IN THE PRESS
FHT regularly contributes to a number of consumer and trade publications, to help promote you and the therapies you offer, and to reinforce the importance of best practice. Recent highlights include:
NATURAL HEALTH
With a circulation figure of 40,000, this monthly magazine provides readers tips on how to look and feel their best, naturally.
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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PLANT PROFILE: PETITGRAIN
The Federation of Holistic Therapists (fht.org.uk) explores the health benefits of petitgrain
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.
NATURAL notebook
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. HOT or NOT
News, trends and tips from NH HQ
HEATING UP Paper flowers
Beautiful blooms that last forever? Sign us up to this aesthetically pleasing decor trend: paper flowers.
COOLING DOWN Negative stress
A trend that’s ramped up during Covid-19, positive stress means ‘intentionally’ going beyond your comfort zone. Are you willing to give it a go?
U RNER Recognising that every individual is unique, Neal’s Yard Remedies Mental Wellness (£18.99, DK) takes a whole-health approach to wellness – understanding that our bodies and minds are connected and constantly influencing each other. The book explores the benefits of certain foods, exercise and lifestyle choices and investigates self-care solutions in the form of herbs, foods, aromatherapy, homeopathy, PA E T G breathwork, yoga, connecting with nature, hobbies and therapies, such as acupuncture, reiki, and massage. Unlock the science behind these natural approaches and discover how they work synergistically – creating a menu of reliable resources that you can draw on with confidence. Available 6th May 2021.
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CONECTING
with the customers you want Growing in
CONFIDENCE
Exploring the gut/brain axis
Stronger! Building business & personal resilience
BUSINESS FHT
TRUSTING
our bodies in the healing process G ETTING back to work will, for many of us, be almost like starting from scratch, so there are many things to consider as we reopen our doors.
GET YOURSELF SEEN
PLUS, the latest research, developing skilful compassion, Discover SANOMENTOLOGY When you’re given the green light, let everyone know that you are open for business (or will be very soon). Clients need to know that you are running a safe practice and are on hand to help. As well as contacting your existing clients, use this as an opportunity to reach out to more of your ideal clients – where do they congregate, in person and online, and can you use these ‘meeting points’ as a way to share top tips that are relevant to their needs and will put you on their radar? If you’ve upped your presence on social media during the lockdowns, be sure to keep this up – little and often is key. recipes, setting your priorities, 369 FOCUS ON YOUR CLIENTS’ NEEDS Whether you are reaching out to clients in print, online or in person, focus on manifesting, 100 years how your treatments can help them, rather than the treatment of Weleda, books and so itself. For example, as the pandemic has heightened stress and anxiety in many people, so talk about how much more… your treatments can help to reduce stress, restore a sense of wellbeing and CASE STUDY: FAST – BUILDING A NETWORK TO SUPPORT HEALTHCARE WORKERS WITH EFT improve sleep and energy levels. Use awareness weeks and months as a way to promote the benefits your treatments have to offer. it empowering, it’s great ‘added value’ to the service you already provide. A client who feels truly cared for is also more likely to recommend you to others and personal recommendation is one of the most powerful marketing tools in our industry – our most recent annual survey showed that 90% of FHT members receive clients this way.
WORKING COLLABORATIVELY
Rather than view other therapists as competitors, have you thought about collaborating with one or two to increase your reach to others? Perhaps you and another therapist you have met at an FHT local group both target clients with similar needs but specialise in different therapies. Obviously you would want to ensure they have the same values and professional standards as you, and drawing up a working agreement before you join forces would be prudent, but it could be just the ticket to help your business grow.
BOUNCING BACK TO BUSINESS The Federation of Holistic Therapists’ Karen Young looks at some simple ways to help you return to therapy work with a spring in your step… FUTURE-PROOF YOUR BUSINESS Looking to add a new string to your bow? Why not consider adding a modality to your therapy toolkit that isn’t hands-on? This will help future-proof your business should be find ourselves in further lockdowns or other situations that limit your ability to support clients in person. Mindfulness, nutritional therapy and talking therapies can all be done remotely, via online video platforms or telephone.
TAKE SOME ME-TIME
Finally, while it’s important to find ways to grow your business, it’s equally important to recognise we all need time to ourselves. As a therapist, be sure to lead by example and schedule in some ‘me time’. Take good care of yourself, because your health matters just as much as your clients. n i The FHT offers a range of membership benefits to holistic therapists and runs the largest independently Accredited Register for complementary healthcare therapists. For more information visit www.fht.org.uk
SELF-CARE TIPS
Good healthcare is about supporting a person to look after their own health. If you don’t already, then offer your clients tips on how to look after themselves between treatments. Not only is
28 HOLISTIC THERAPIST 2021 holistictherapistmagazine.com
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.
SPOTTING DOMESTIC
ABUSE We take a look at the signs of domestic abuse and where to direct clients for appropriate support
It 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 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 ex- partner (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
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.
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 Harassment: following you; checking 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 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.
Source: Women’s Aid (womensaid.org.uk) 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
Spotting the signs of domestic abuse
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
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
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
Men’s Advice Line (UK) - A confidential helpline, email and webchat service for male victims of domestic abuse. n mensadviceline.org.uk / 0808 8010327
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
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
Women’s Aid (England) - Women’s Aid is a national charity working to end domestic abuse against women and children. n womensaid.org.uk
Clients count
so let’s get their voices heard
As 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
The WaveStone, the ergonomic Massage Stone. Hand Carved from White Jade made to give a unique Massage Experience for your clients whilst saving stress on the Therapists Wrists, Hands and Fingers.
FHT & IMA accredited courses earning CPD
WaveStone Online Workshop
New for 2021 WaveStone Heated case WaveStone Spheres
Courses are done either online, on location or with one of our approved instructors at various location in the UK. Why not look into doing a course ASAP so that you will be able to offer WaveStone treatments.
WaveStone Vegan friendly Balms
International Therapist podcast
We 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 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.
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.
Deodorants 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 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:
1Natural 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.
2Environmentally 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.
3Supporting 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.
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. 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
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, 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
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.
The 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 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
Dry needling
Dawn Morse, FHT accredited course provider, looks at the use of dry needling to support soft tissue dysfunction
Both 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 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.
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. 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
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 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.
CASE STUDY: MEDIAL EPICONDYLITIS (GOLFER’S ELBOW)
The 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.
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 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
