International Therapist - Summer 2019 by Redactive Media Group

International

Therapist fht.org.uk

TENNIS TRAUMA Rehabilitation and prevention of tennis injuries

A mindful menopause

Sleeping beauty

Aromatic memories

Mindfulness and self-compassion

The effects of sleep on the skin

Aroma and the voice in touch therapy

PUBLISHED BY THE FHT ISSUE 129 (SUMMER 2019) THE LEADING MAGAZINE FOR PROFESSIONAL THERAPISTS 01 COVER_IT SUMMER 2019_International Therapist 1

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CONTENTS

International

Therapist fht.org.uk

ISSUE 129 (SUMMER 2019)

ON THE COVER

FEATURES 12

Tennis trauma Sarah Catlow, MFHT, and Dr Lance Doggart, MFHT, discuss the treatment, rehabilitation and prevention of tennis injuries

Sleeping beauty We look at the effects of sleep on the skin

A mindful menopause Clarissa Kristjansson looks at the benefits of a mindful approach to the menopause

Green clean Sharon Lovett from Base Formula provides recipes for home-made aromatherapy cleaning products

Turning points FHT accredited course provider Paula Nutting discusses Chapman’s reflexes

Helping hands Ross Clifford looks at protecting the hands and wrists from injury with body-weight exercises

PICTURES: ISTOCK; GETTY; SHUTTERSTOCK

REGULARS REGULA GULA ARS 08

Your views v

News update

Essential oil profile

Ask an expert

What’s new at FHT

FHT at events

Local group news

Public affairs

LEARNING ZONE Supporting the integrated healthcare agenda

Research

Medical A-Z Plantar fasciitis

CPD questions and diary dates

In the reading room and spiral quiz

Industry news

On the couch…

FHT learning

with Georgia Barnes, Soil Association Certification

FHT accredited courses

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2019 FHT Conference

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Ann Carter, Dr Peter Mackereth and Paula Maycock explore the value of aromatic memories combined with voice in touch therapy

30 34

Aromatic memories

MEMBERS’ PAGES 51

A day in the life of… Sal Hanvey, MFHT, complementary therapist and magazine feature writer

Reviews, competition and new products

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Anatomy, Physiology and Pathology

Ruth Hull

Colouring and Workbook for Therapists and Healthcare Professionals,

Second Edition This comprehensive book covers all the body systems and is the perfect study and revision aid for anyone studying a wide range of complementary therapies from aromatherapy, reGMexology and massage to hair and beauty up to level 3. It can be used either in class or as a separate self-study resource. Ruth Hull, now based in Australia, is a freelance writer who specialises in natural health.

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EDITOR’S WELCOME

WELCOME Federation of Holistic Therapists 18 Shakespeare Business Centre Hathaway Close, Eastleigh Hants SO50 4SR Contact T. 023 8062 4350 E. info@fht.org.uk W. fht.org.uk Editor Karen Young Deputy Editor Daniel Ralls Sub-editor James Hundleby Art Editor Sarah Auld Picture Editor Charlie Hedges Advertising Annabel Boorman-Shiffer T. 020 7880 6230 fht@redactive.co.uk Deadlines – Autumn 2019 (Issue 130) Editorial – 31 July Classiﬁed adverts – 23 Sept Display adverts – 1 Oct Published – 17 Oct Senior management team Beverly Bartlett; Jade Dannheimer; Julie McFadden; Annie Walling; Karen Young Governing Council President – Christopher Byrne Vice Presidents – Gerri Moore; Mary Dalgleish; Herman Fenton; Judith Hadley; Maria Mason Lay member – Helen Chambers FHT Expert Advisers Julian Baker, MFHT; Lynne Booth, MFHT; Lorraine Davis, FFHT; Christine Fisk; Sally Kay, FFHT; Cameron Reid, MFHT; Tina Reid; Neil Sheehan, MFHT; Denise Tiran Recycle your magazine’s plastic wrap – check your local LDPE facilities to find out how.

hen I was introduced to tennis at secondary school, I loved playing the game so much that I spent my entire ‘life’ savings of £60 on a graphite tennis racket, confident that with a bit of practice, I’d probably make it to Wimbledon. Alas, my enthusiasm far exceeded any natural ability, but I continued to play and take an interest in the sport for many years after – fuelled, I must admit, by a mild crush on Andre Agassi. Anyone who has read articles or books about Agassi will probably know that his father – also his first coach – was so determined to make a champion tennis player of his son he is said to have taped a ping-pong paddle to his wrist as a baby and had him hitting 2,500 tennis balls a day by the time he was just seven years old. I suspect that, as a result, Agassi would have been more susceptible than the average child to sports injuries. If not, he was certainly plagued by wrist problems at the height of his professional career. With Wimbledon and the French Open just behind us and the US Open fast approaching, it’s likely that local tennis courts up and down the country will be full of hobbyists and amateur sportspeople, who have been inspired to dust off their rackets and have a grand slam of their very own. In this issue, FHT members Sarah Catlow and Lance Doggart discuss the treatment, rehabilitation and prevention of tennis injuries, to help you support those who overstretch themselves (see page 12). For those clients who aren’t injured but are struggling to sleep, there are two other articles

USEFUL FHT CONTACTS

in this issue of IT that might be of interest. One is by FHT’s deputy editor, Daniel Ralls, and looks at what the latest research says about the impact of sleep deprivation on the skin’s health (see ‘Sleeping beauty’ on page 20). The other focuses on how mindfulness and self-compassion can help those experiencing the myriad symptoms associated with the menopause, which of course can include disturbed sleep (see Clarissa Kristjansson’s article, ‘A mindful menopause’, on page 24). And further to our ‘Green salon’ article in issue 128, we hope you enjoy some further tips from members on page 9 and the ‘Green clean’ feature on page 30, which provides recipes for aromatherapy cleaning products to try at home.

Karen Young, Editor

International Therapist (IT) is printed on FSC® responsibly sourced paper. If you can bear to part with your copy of IT, please pass it on to a friend to read or recycle.

ACCREDITATION Annie Walling E. accreditation@fht.org.uk W. fht.org.uk/accreditation

INTERNATIONAL THERAPIST Daniel Ralls E. dralls@fht.org.uk W. fht.org.uk/IT

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MEMBERSHIP AND INSURANCE Beverly Bartlett E. bbartlett@fht.org.uk W. fht.org.uk

Heidi Hinton E. cpd@fht.org.uk W. fht.org.uk/cpd

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 ﬁrm 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 ofﬁce: 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 Redactive Media Group, 78 Chamber Street, London E1 8BL. 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, Redactive Media Group nor the authors can accept liability for errors or ommisions. Neither the Federation nor Redactive Media Group 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 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.

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PRESIDENT’S WELCOME

WELCOME

hope you’ve seen a steady increase in clients during the summer months, as people get more active and take part in sponsorship events and charity challenges and, of course, get ready for the holiday season. This May, it was great to see BBC Breakfast cover the menopause each morning for a week in a bid to raise awareness and get people talking more openly about the topic. As well as hearing from different experts, the programme showed short interviews with women talking through their personal experiences and how they manage their symptoms. These women included Louise Minchin, a journalist and regular anchor on the programme. As Louise rightly told viewers: ‘We really need to smash through this taboo – there’s no need for any of us to suffer in silence.’ Lots of you may already be providing support to clients before or during the menopause, as common symptoms include hot flushes, anxiety, agitation, low mood, sleep problems, headaches and joint and muscle pains, among many others. In my clinic, I predominantly use acupuncture and Chinese herbs to help my clients, but there are lots of complementary therapies that can make a big difference. And of course one of the real benefits of the service we provide is that each session can be tailored to meet the client’s needs on any given day.

As a therapist, it’s also nice to pass on one or two tips to promote self-care, in which case I’d recommend reading Clarissa Kristjansson’s article, ‘A mindful menopause’, on page 24. Here, Clarissa gives some background information about the perimenopause and menopause, and then looks at the benefits of mindfulness and self-compassion during this time, along with five practical tips that can be passed on to clients. It’s also worth bearing in mind the advice given by Ann Carter and Peter Mackereth in the previous issue of IT (‘The material therapist’): if you know a client is prone to hot flushes, consider the degree of warmth provided by the textiles you use to protect their modesty, and keep an eye on the room temperature, too. It’s often the ‘little’ things that can make a huge difference. Finally, I just wanted to say how nice it was to chat to some of you at our recent Training Congress at the Holistic Health Show. For those who didn’t attend, please remember you can always get in touch with me at cbyrne@fht.org.uk

Christopher Byrne, President

FHT GOVERNING COUNCIL

PRESIDENT Christopher Byrne ICAT (International Council of Acupuncture Therapists) and PACT (Professional Association of Clinical Therapists) FHT EXPERT ADVISERS Julian Baker, MFHT; Lynne Booth, MFHT; Lorraine Davis, FFHT; Christine Fisk; Sally Kay, FFHT; Maria Mason, MFHT; Cameron Reid, MFHT; Tina Reid; Neil Sheehan, MFHT; Denise Tiran

VICE PRESIDENTS 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)

LAY MEMBER Judith Hadley

Maria Mason

ATL (Association of Therapy Lecturers)

HBEF (Health and Beauty Employers Federation)

Helen Chambers (representing the interests of the public)

For biographies, please visit fht.org.uk/about-us 6

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HAVE YOUR SAY

Your views STAR COMMUNICATION

Never too late Changing lives of those in crisis I am 50 this year and decided that it is never too late to learn new things, which is why I enrolled at White Rose College of Beauty and started a level 3 qualiﬁcation in complementary therapies. As well as learning new things, I believe it is just as important to follow your dreams. My dream was to learn complementary therapies and to help others – I am now doing both. I set up a local support group four years ago for people suffering with mental health issues. It has become a muchneeded lifeline for all of its members, including myself, and for the loved ones of the people attending the group. I have given free massages to members of the group and the effects that these have had on them have been breathtaking. They are changing people’s lives in ways that I couldn’t

believe. The members of the group have been given both Swedish and aromatherapy massage, and I will very soon be providing reflexology and Indian head massage as well. I am also putting together an anthology of poems written by people suffering with mental health issues, for which I am looking for a publisher who will help me. Many people in the UK are in situations that have a detrimental effect on their health, such as financial hardship, poor housing, relationship difficulties, and physical and mental health problems. I know this because I have suffered myself as a victim of domestic violence and financial abuse, and have experienced fibromyalgia and mental health crises.

Having survived all of that, I found myself having to use a food-bank. We have a problem where people who really need complementary therapies often cannot afford them. Unfortunately, for most, a massage is seen as a luxury, and this is why I want to set up a social enterprise or charity to meet this need. It is early days yet, but I will approach local companies to get sponsorship and donations to provide this service. I believe these therapies should be available for everyone, and particularly people in emotional crisis. Tracey Ward, MFHT

Community spirit Thank you to everyone who responded to our ‘Community spirit’ item in our April Member News email. We received a great response from members who, like Annette Roachford, are doing wonderful things in their local community. Read a couple of these stories below.

KEEPING PRICES AFFORDABLE I provide treatments to those on low incomes. I live in Broadstairs, and my clients who receive this service are always near tears. Doctors in the NHS don’t have the funding to remove cosmetic skin blemishes. A lot of my clients would not be able to afford to get these treatments, or a pain relief massage with vacuum cupping, if I did not keep my prices affordable. There are a lot of us about. It’s all about help and healing. Shirley Peacock, MFHT

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PLEASE KEEP IN TOUCH WITH US... Email dralls@fht.org.uk Facebook facebook.com/fht.org.uk Instagram fht_org FHT website fht.org.uk Twitter @FHT_Org Write to 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hants S050 4SR

Green tips Thank you to everyone who got in touch to comment on the ‘Green salon’ article published in the previous issue of International Therapist. Please rest assured our planet is important to us too, and we are continually reviewing our own practices at HQ, including how the magazine is printed and distributed (see fht.org.uk/environment). We will keep members updated on changes we hope to make in the near future but meantime, here are a couple of green tips we received from members in response to the article...

WAGING WAR ON PLASTIC The use of plastic bottles and tubs is still a problem in our industry. Given that these containers mostly hold natural products for health and wellbeing, it is frustrating that they are housed in materials we know cause harm to our environment. It is, however, reassuring to know that some companies are aware of this and have already taken steps to reduce their carbon footprint. I had the opportunity to help Songbird Naturals in 2017 by giving feedback on some prototype Ecotubs it was producing for its waxes. It now sells refills in these tubs, which are biodegradable, recyclable and compostable. It is also great to hear that this company is about to launch a range of vegan products. You mention using good-quality towels in your article. One thing to consider is the thickness of the towels: the thicker the towel, the more energy used to dry it in the tumble dryer. I buy terry towelling on the roll. As this is what is placed in contact with the client’s skin, it means that I don’t need to wash the thicker towels I lay on top after every treatment. The terry towelling takes half the time to dry. You also mentioned using organic cotton and bamboo towelling as an option. The bamboo towelling is said to be highly biodegradable, eco-friendly and with hardly any impact on the environment. Synthetic fabrics release microfibres when washed, and contribute to ocean plastic pollution in a subtle but pervasive way. Avoiding synthetic fibres where possible is in itself a good choice for a healthier planet. Ben Marfleet, MFHT

PICTURES: SHUTTERSTOCK

CARING FOR CARERS AND THE COMMUNITY When I returned from California in 2009 with two of my teenage sons, I had to start rebuilding my business in Hampshire from scratch. To do so, it was important to secure a position as soon as possible, and I was fortunate enough to join a chiropractic clinic. But as we all know, money doesn’t grow on trees and it takes a long time to build up a client base and become known, referred and respected. I decided to work in a care home part-time at night, from 8pm to 8am, four nights a week. For about eight months, I worked in both the chiropractic clinic and the care home. That was 10 years ago this October. What this experience taught me was how very hard carers work, non-stop, on their 12-hour shifts, moving from administering medication, dealing with

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distraught residents, cleaning toilets, stripping beds, cooking and serving meals, holding hands, patiently guiding and assisting residents with various tasks they are no longer able to do, and ensuring residents are comfortable and safe. So about five years ago, I set up a service called Care for Carers. This service provides a discount of 40% for all sports and remedial treatments my business offers. Carers are often overlooked, rarely get the thanks or respect they deserve and are underpaid, yet they are dedicated and often put the needs of the people they are caring for above their own. While as therapists we may also do this, it is so important to give back to people who work tirelessly for others. I find great joy providing these services to a wonderful group of people who are not always able to afford therapies. Ali Rosen, MFHT

FOCUS ON TOWELS AND TRANSPORT I use recycled paper couch roll and thin, microfibre towels which can be dried quickly and easily on an airer – they come up nice and soft, so no tumble-drying is necessary. I am also lucky enough to live close to a mainline train station, so always let my clients know that coming by public transport could be an easy option for them. Louise Young, MFHT

STAR COMMUNICATION

Natural freshness In the next issue of International Therapist, the lucky member who wins our star communication prize will receive a Fit Pit tea tree and orange natural deodorant (25ml). contact chance Get in co tact for o ac a ce to win (see details at top of page).

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NEWS

Black Skin Directory launches sun safety advert Black Skin Directory (BSD) has launched a sun safety advert as part of a campaign to warn of the dangers of melanoma for the UK’s black population. Statistics show that black people are 1.5 times more likely to die from melanoma than people of a Caucasian background, yet are often left out of the sun safety conversation. BSD has partnered with UltraSun for a summer-long educational sun campaign, to raise awareness, provide information on sun safety, and signpost people to where they can find suitable sun protection for all skin tones. Watch the advert at fht.org.uk/IT-129-sun-safety

YOGA CAN EASE PRESSURE ON NHS, SAYS PRINCE OF WALES In a written address to the Yoga in Healthcare conference, Prince Charles discussed how yoga improves lives and contributes to health and wellbeing. He said yoga ‘not only beneﬁts the individual, but also conserves precious and expensive health resources for others where and when they are most needed’. Read more at fht.org.uk/ IT-129-Prince-Charles

Fitness level may affect risk of cancer diagnosis Adults with the highest levels of fitness are the least likely to develop lung and colorectal cancer, a recent study suggests. The study, published in peer-reviewed journal Cancer, also found that of those diagnosed, people with high levels of fitness before diagnosis were more likely to survive. Researchers studied more than 45,000 adults who underwent exercise stress testing from 1991 to 2009 and were followed for an average of 7.7 years. The people with the highest fitness levels were 77% less likely to develop lung cancer and 61% less likely to develop colorectal cancer. Of those who did develop lung cancer, they had 44% less chance of dying at follow-up, while those with colorectal cancer had an 89% decreased risk. Read the study abstract at fht.org.uk/IT-129-ﬁtness-cancer

DAILY MILE IMPROVES HEALTH OUTCOMES FOR CHILDREN Schoolchildren who walk or run a mile each day are signiﬁcantly healthier than those who don’t. According to a study published in BMC Medicine, a daily mile is effective at increasing physical activity and ﬁtness, reducing sedentary time and improving body composition. Access the study at fht.org.uk/ IT-129-daily-mile

Nordic countries are the world’s happiest

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LIFESTYLE FACTORS REDUCE THE RISK OF DEMENTIA A recently published World Health Organization factsheet highlights how lifestyle factors can reduce the risk of developing dementia. The report says the risk can be reduced by regular exercise, eating a healthy diet, cutting down on alcohol and not smoking, among other things. View the factsheet at fht.org.uk/ IT-129-WHO-dementia

PICTURES: ISTOCK; SHUTTERSTOCK

People in Finland are the happiest in the world, according to the recently published World Happiness Report. The report ranked 156 countries based on six categories: freedom, life expectancy, income, trust, generosity and social support. Not only did Finland top the list, but all four top spots were filled by Nordic countries, with Denmark second, Norway third and Iceland fourth. Despite not making the top four, Sweden wasn’t too far behind, in seventh place, after the Netherlands and Switzerland. Following this, New Zealand, Canada and Austria took spots eight to 10, with the UK ranked as the 15th happiest country. Read the full report at fht.org.uk/ IT-129-happiness-report

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NEWS

Physical activity saves £295m for NHS in Wales Being active can boost NHS budgets by millions of pounds, as well as lowering the risk of major illnesses by up to 30%, according to research commissioned by Sport Wales. The report, conducted by the Sport Industry Research Centre, found an NHS cost saving in 2016/17 of £295.17m due to adults who took part in sport and exercise at moderate intensity. The savings were made because those mentioned above spent less time in GP appointments and receiving treatments for major illnesses, taking pressure off NHS services. They were found to be 30% less likely to suffer from stroke, heart disease and dementia; 24% less likely to have colon cancer; and 21% less likely to experience depression. Furthermore, £23.18m was saved from a reduced need to access mental health services and £16.66m was saved from the reduction in GP visits. Sport Wales says this is evidence of the need for further collaboration between sport and health sectors to increase the benefits and savings in future years. Find out more at fht.org.uk/IT-129-Sport-Wales

People with advanced cancer beneﬁt from complementary therapies Aromatherapy, reflexology and massage can all benefit clients with advanced cancer, according to a review published in Palliative Medicine. Searching medical databases, a team of researchers found five qualitative studies evaluating the therapeutic needs of people in palliative care with advanced cancer, which provide evidence of the benefits of therapies. They examined three ‘analytical themes’: the patient experience during the therapy (enhanced wellbeing and escapism), beyond the complementary therapy session (lasting benefits and overall evaluation), and the delivery of complementary therapy in palliative care (value of therapist and delivery of the complementary therapy). The results showed that people with advanced cancer experienced benefits from aromatherapy, reflexology and massage, including enhanced wellbeing, respite and escapism from their disease. Access the review abstract at fht.org.uk/IT-129-cancer-therapies

Wholegrain foods can alter serotonin in the gut Adults who eat wholegrain rye have lower plasma serotonin levels than people eating wheat bread that is low in fibre, according to a recent study by the University of Eastern Finland and the International Agency for Research on Cancer. In light of the results, the health benefits of wholegrain cereals may be linked, at least in part, to the alteration of serotonin production in the intestines, where the majority of the body’s serotonin is produced. Serotonin produced by the intestines remains separated from the brain, helping to regulate bowel function. For the first four weeks of the study, the participants ate six to 10 slices a day of low-fibre wheat bread, and then for another four weeks the same amount of wholegrain rye bread or wheat bread supplemented with rye fibre. Otherwise, they didn’t change their diet. At the end of both periods, they gave blood samples, which were analysed by liquid chromatography and mass spectrometry. Their plasma metabolite profiles between the different diet periods were then compared. The consumption of wholegrain rye led to, among other things, significantly lower serotonin concentrations when compared with consumption of low-fibre wheat bread. Read more on our blog at blog.fht.org.uk

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Belfast and Glasgow top for rapport Clients based in Belfast and Glasgow are said to have the strongest relationships with their beauty therapist, a national survey has found. Business service provider Liberis conducted a survey of 1,000 respondents in the UK to understand client attitudes towards therapists working in hair and beauty. Around 50% of respondents said they had a good relationship with their beauty therapist, with women more likely to have a better bond than men (51% versus 28%). When analysed by region, Belfast-based beauty therapists had the strongest rapport with clients, with 58% of clients regularly enjoying a good chat with their therapist. Glasgow was a close second (57%), with Birmingham in third (53%) and Leeds in fourth place (52%). Respondents were also asked about trust, with more than 76% claiming that they trust their beauty therapist to excel in the service they’re providing. Find out more at fht.org.uk/ IT-129-client-survey

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SPORT | Injuries

TENNIS

TRAUMA SARAH CATLOW, MFHT, AND DR LANCE DOGGART, MFHT, DISCUSS THE TREATMENT, REHABILITATION AND PREVENTION OF TENNIS INJURIES

ith an estimated 1.2 billion participants worldwide, ‘lawn tennis’ is the fourth most popular sport behind football, cricket and field hockey. In the UK there are an estimated 1.75 million participants playing on a monthly basis. Given the sport is significantly influenced in the UK by the weather, court availability, access and cost, this is a considerable level of involvement (LTA Annual Review, 2017).

TECHNIQUE, EQUIPMENT AND SURFACES The two key areas of interaction with the body are the playing surface and equipment, and it is these that influence

the onset of injury in both the upper and lower limbs. The interaction between the player and the surface is affected by the type of surface (clay, hard court or grass) and shoe design. Tennis is unique among sports in that there are a variety of playing surfaces ranging from hard court (acrylic) and clay to grass to artificial grass. Hard court has the highest coefficient of friction and lowest shock absorption, which makes sliding much more difficult, leading to shorter stopping distances and, theoretically, higher peak loads (Pluim et al, 2018). Shoes are not traditionally designed to ‘shock-absorb’ but to maximise ‘energy return’. Therefore, the repeated vertical force on impact, and its rate of loading,

increase the risk of ankle, knee and hip injury, most notably sprains, strains and muscle injury through the high rate of eccentric loading to control knee and hip flexion/extension. There is also considerable risk of injury in both the medio-lateral and anterior-posterior planes of motion associated with deliberate foot-sliding. If the footwear is not suitable for the specific surface type, then the risk of injury onset is much greater. The introduction of ankle braces, most notably worn by Andy Murray, and of high ankle supports built into the shoe have attempted to reduce this injury risk. However, the cost of such equipment is

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PICTURES: GETTY; ISTOCK

Injuries | SPORT

often prohibitive to the recreational player and as such the onset of injury remains relatively large. If the player does not address the need for ankle support relatively quickly, severe secondary injury can occur at the knee and hip, again most notably in Andy Murray’s case history. Similar to the impact on the surface is the impact of the ball on the racket, and the grip associated with producing a successful shot. There are two main strokes in tennis, forehand and backhand, but within the stroke there are a range of shot types. The

three types of grip (continental, eastern and for practitioners can be categorised western) fo degree of supination of the wrist. by the degr continental grip, the starting For the con be considered with the thumb point can b in contact with the grip along the bevel thumbnail pointing vertically or and the thu (supination of approximately 90 upwards (s For the eastern grip, the starting degrees). Fo supination can be visualised as degree of su approximately 100 degrees and the western approxima grip can be as much as 120 to 130 degrees. starting point, this is not necessarily As a startin however, at impact with the ball, an issue; h the wrist is quickly pronated to provide as appropriate for the shot type. topspin a ability to maintain a firm grip at The abilit while pronating the wrist up to 100 impact, wh degrees at iimpact in a split second (angular and acceleration), is imperative velocity an achieving success, similar in nature to in achievin other racket sports but also golf not only ot and Doggart, 2016). Furthermore, (Catlow an movement of the wrist is then reversed this movem performing a backhand, with the when perfo position starting in a pronated wrist positi and sweeping through the angles position an with wrist supination. Any weakness at impact can cause a multitude of injuries at the wrist and elbow, most notably ligament sprain and, if performed that of liga repetitively, tennis elbow. repetitively addition, while there is significant In additi pronation at the wrist on impact, the and elbow must remain firm and forearm an stable and still allow internal/external rotation of the shoulder to maximise velocity via the follow-through in a ball velocit forehand or o backhand stroke across the body. In a ssimilar way to golf, forearm, upper arm and shoulder strength are imperative to maximise ball velocity the stroke, and any inadequacies through th imbalances on either side of the body or imbalan will result iin muscle and ligament injury. not challenging enough, with If this was n significant risk of injury if performed with timing and technique, a doublepoor timin shot can lead to double the handed sho often associated with limited problems o and range of motion, and nonflexibility a dominant hand-wrist grip weakness. the common mechanisms of One of th tennis is that of repetitive large injury in te forces, with a high rate of loading, impact forc inadequately dissipated through the body inadequate structures. This mechanism is prevalent for both lower limb injury, such as foot strike and upper limb injury, such as patterns, an inappropriate grip strength and poor or ina technique. For the upper limb, the onset of

injury can often be evidenced, and further exacerbated, by the participant when they experience a ‘shuddering force’ at impact. As in golf, this ‘shuddering’ or ‘vibrating’ force felt through the hands and lower arm is due to poor technique, motor coordination and timing, and is experienced when the ball hits the racket outside of the centre of percussion or ‘sweet spot’ on the racket (Fleisig and Kwon, 2014; Cross, 2004). This resultant vibrating force will exacerbate and increase the risk of upper limb injuries, when added to a weak grip, owing mainly to the greater magnitude of the resultant force experienced through the hands at impact. A sports therapist, when coupled with the basic information above, can have an immense positive impact on further injury prevention through prescribing conditioning, strength and flexibility practices, and core work for the player for the upper and lower limbs. These could include forearm-strengthening exercises, pronation-conditioning exercises and lower limb squat and lunge exercises.

TENNIS INJURY, TREATMENT AND REHABILITATION Tennis is a game of repetitive striking; the very nature of the game tends to lead to strength and flexibility imbalances which, in turn, can cause injuries. Lower limb injuries are the most common tennis injuries (31% to 67% of injuries reported or treated by practitioners), caused by the sprinting, stopping, pivoting, and pounding nature of tennis. Lower limb tennis injuries can be both acute (ankle sprain) or chronic (patellar tendinopathy). Of injuries observed, 20% to 49% are upper limb injuries, which are usually caused by the high-velocity and repetitive arm movements that are required in tennis. These injuries tend to be overuse in nature (lateral epicondylitis). Back injuries and back pain are common (3% to 21%) owing to the rotation required to hit groundstrokes, and the combination of rotation, extension and lateral flexion involved in the serve.

INJURIES BY LOCATION

SHOULDER INJURY: Internal impingement MECHANISM OF INJURY: Repetitive overhead motions. TREATMENT AND REHABILITATION: Focuses on restoration

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SPORT | Injuries

of normal range of motion (particularly internal rotation) and posterior rotator cuff and scapular muscle strength. Correction of associated scapular dyskinesis (alteration or deviation in the normal resting or active position of the scapula during shoulder movement) when present is important. INJURY: SLAP tears (SLAP is an acronym for Superior Labral tear from Anterior to Posterior, referring to an injury to the glenoid labrum) MECHANISM OF INJURY: Repetitive overhead motions. TREATMENT AND REHABILITATION: The SLAP tear occurs at the point where the tendon of the biceps muscle inserts on the labrum. Treatment will depend on the type of SLAP lesion and the associated symptoms. Generally, conservative (non-surgical) treatment is tried ﬁ rst, and if this fails, surgery will be considered. Conservative treatment – exercises to regain the strength, stability and movement of the shoulder, especially working on the rotator cuff muscles.

PREVENTION MEASURES Many professional tennis players use some type of supportive brace when playing. Both taping and bracing are effective, but taping has been shown to lose up to 50% of its mechanical strength after 20 minutes of play (Dines et al, 2015). If the therapist uses a multidisciplinary approach, using bracing along with proprioceptive training and muscle recruitment evaluation, it can be an effective prevention programme for tennis players. Other possibilities for prevention include: Educating players, parents and coaches about tennis injuries Musculoskeletal screening of players to identify problem areas before injuries occur Adjustment of equipment – shoes, rackets, strings, balls and court surfaces Strength programmes that focus on power and strength but also challenge endurance and coordination Mixing up playing surfaces, so leg and hip muscles are used in different ways to help avoid muscle imbalances Including cross-training to avoid muscle imbalances Core strength programme Getting the athlete to listen to their own body.

ELBOW INJURY: Lateral elbow tendinopathy (tennis elbow) MECHANISM OF INJURY: Lateral elbow affects recreational players more commonly than it does professionals. Novice tennis players tend to hit their backhand strokes with their wrists in a more ﬂ exed position, whereas high-level players have an increase in wrist extension just before ball contact (Blackwell et al, 1994). TREATMENT AND REHABILITATION: Ice the elbow to help reduce pain and swelling – 20 to 30 minutes every three to four hours for two to three days or until the pain is gone. Use an elbow strap to protect the injured tendon from further strain. Perform range of motion exercises (wrist, forearm, elbow and shoulder) to reduce stiffness and increase ﬂexibility. Prevention – make sure the racket is strung properly and the grip technique is correct. INJURY: Medial elbow tendinopathy (golfer’s elbow) MECHANISM OF INJURY: Medial elbow tendinopathy is more common in high-level tennis players than in novices. Possible causes include excessive wrist snap on serve and forehand strokes, open-stance hitting, and short-arming strokes (Elliott et al, 2003).

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TREATMENT AND REHABILITATION: Apply ice to the elbow and inner part of the forearm and perform strengthening exercises to stretch the forearm: Ball squeezes – place the soft ball in the palm of the affected hand and make a fist around it. Squeezing and releasing in repetition will strengthen the forearm. Finger extensions – squeeze all five fingertips together and stretch a rubber band around them. Extend the fi ngers away from each other as far as the rubber band will allow. Wrist extensions – place the injured forearm on a knee or table, with the hand suspended over the edge. Hold a light weight in this hand, and slowly raise and lower it. Forearm pronation and supination - put the injured forearm on a table or knee for stability. Hold a small weight so that the palm is parallel to the body. Rotate the hand

so that the palm faces downward. Return to the starting position, and then rotate the hand so that the palm faces the ceiling.

WRIST INJURY: Extensor carpi ulnaris (ECU) tendinopathy (overuse injury) MECHANISM OF INJURY: Any repetitive action from a non-ergonomically correct position that entails twisting or backward ﬂ exing of the wrist (returning a tennis ball) or ulnar deviation in non-dominant wrist during twohanded backhand. TREATMENT AND REHABILITATION: Can be treated with rest and splinting. INJURY: ECU tendon subluxation (not a true overuse injury – important

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Injuries | SPORT

differential diagnosis in athletes with wrist pain) MECHANISM OF INJURY: Sudden palmar ﬂ exion ulnar deviation stress from hitting low forehand. TREATMENT AND REHABILITATION: Acute injuries should be immobilised with the wrist pronated and dorsiﬂ exed (Rettig, 2004).

BACK INJURY: Lumbar strain MECHANISM OF INJURY: Change in intensity or duration of play, or change in stroke technique. TREATMENT AND REHABILITATION: Bottom to heels stretches – client kneels on all fours, with their knees under their hips and hands under their shoulders. Keep the back and neck fairly straight, without locking the elbows. Slowly move the bottom back towards the heels. Hold the stretch for one deep breath and return to the starting position. Repeat eight to 10 times. Knee rolls – client lies on their back, keeping knees bent and together. Keep the upper body relaxed and the chin gently tucked in. Roll the knees to one side, keeping both shoulders on the ﬂ oor. Hold the stretch for one deep breath and return to the starting position. Repeat eight to 10 times, alternating sides.

HIP INJURY: Femoroacetabular impingement (FAI) MECHANISM OF INJURY: Tennis players subject their bodies to extreme forces; the hip joint may experience forces up to ﬁve times their body weight during activities such as running, jumping, and twisting. The forehand stroke requires greater hip external rotation, which may increase the risk for anterior rotational instability and posterior impingement. TREATMENT AND REHABILITATION: Monster walks – these build strength in the muscles on the lateral side of the hip, providing stability and help with lateral movement. Place a Thera-Band around the ankles, knees bent slightly, body upright and facing forward, and feet slightly wider than shoulder width apart. Maintaining this position, slowly step laterally six inches with the right foot. While controlling the band, lift the left foot and step in toward the right foot six inches, and repeat.

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Figure 4 stretches – these help maintain ﬂ exibility as the hip is externally rotated. To perform this stretch, cross the right ankle over the left knee. Grab behind the left knee with both hands and pull it towards the chest. The client will feel a stretch deep in the right hip. Now reverse the legs and stretch the left ankle over the right. Perform the stretch two or three times on both sides. Hold the stretch on each side for 20 to 30 seconds.

KNEE INJURY: Patellar tendinopathy (jumper’s knee) MECHANISM OF INJURY: Common injury in tennis due to the explosive muscle contractions needed for the sprinting, jumping and quick changes of direction. Intrinsic factors – such as strength imbalance (quadriceps and hamstrings), postural alignment, reduced ankle dorsiﬂ exion and lack of muscle strength or ﬂ exibility – may play a role. However, the primary cause appears to relate to the extrinsic factor of overuse. TREATMENT AND REHABILITATION: Stretch quadriceps and hamstrings. Swaying lunges – place the feet shoulderwidth apart. Bend the leg until the knee is bent at a 90-degree angle. Do not let the knee protrude in front of the foot. Keep the back straight. Sway gently back and forth, transferring weight, but do not step backwards. Complete two to three sets of 10 to 15 repetitions.

ANKLE INJURY: Inversion ankle sprains (lateral ankle sprains) MECHANISM OF INJURY: This is the most common ankle injury seen within tennis. The lateral ligaments include the anterior talofibular ligament, calcaneofi bular ligament, and posterior talofi bular ligament. Inversion sprains are graded I to III in order of increasing ligamentous disruption, laxity, and functional impairment. TREATMENT AND REHABILITATION: Treatment of acute lateral ankle sprains is governed by the grade of sprain. Grade I and II sprains are best managed in three phases. Phase 1 – rest, ice, compression and elevation (RICE) Phase 2 – brief period of immobilisation and protected weight-bearing with external stabilisation (for example, bracing or taping).

Phase 3 – stretching, proprioception and peroneal muscle strengthening.

SUMMARY Although injuries seen in tennis are often common in other sports, its year-round nature, combined with the different playing surfaces, different types of rackets, footwear, technical demands and biomechanics can lead to a unique diversity of tennisspecific injury, affecting both upper and lower limbs. Acute injuries occur more frequently and often affect the lower extremity. Chronic injuries also occur, but these tend to affect the upper extremity. Understanding how tennis equipment, the kinetic chain, and the strokes affect the pathophysiology of common injuries can help you treat them successfully. Tennis is a physically demanding sport requiring a high level of coordination in the movements and timing of both the upper and lower limbs. Players can experience injury in the upper limbs as a result of poor lower limb movement, foot placement and shoe type. The practitioner, as always, has a huge part to play in helping the player remain injury-free and providing advice, guidance and injury-specific rehabilitation, as well as preventative exercises to reduce further injury. The practitioner’s expertise and understanding of the sport are core components in this respect.

Sarah Catlow, MFHT, MSc, is the programme leader of sports therapy and rehabilitation in sport and exercise at the University of St Mark & St John. Sarah holds qualifications in manual therapy, acupuncture, kinesiology tape (Rockdoc certified) and pitchside first aid. Lance Doggart, MFHT, PhD, is head of the department of sport at the University of St Mark & St John and programme leader of MRes Sport and Health Sciences. Lance is a Fellow of the British Association of Sport and Exercise Sciences.

REFERENCES For full references, go to fht.org.uk/IT-references

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ESSENTIAL OIL PROFILE

SWEET FENNEL (Foeniculum vulgare)

Belonging to the same family as aniseed, caraway and coriander, sweet fennel is a perennial herb that grows up to 2.5 metres high, producing feathery leaves and umbels of tiny yellow flowers. Indigenous to the Mediterranean countries, the plant is now widely cultivated and has become naturalised in northern Europe, the US, and parts of Canada, Asia and Australia. The essential oil is distilled from the crushed seeds, and is colourless to pale yellow, with a sweet, aniseed odour and top to middle note. It has lots of reported traditional uses, including as an appetite suppressant, used by Roman soldiers and devout Christians to stave off hunger on long marches and on fasting days, respectively. During the Middle Ages, it was also hung in houses and churches to ward off evil forces. Today, the herb and its essential oil are more likely to be used to soothe digestive digest s ive problems, st p oblems, address fluid retention and regulate the hormones, though pr several severa al cautions apply (see the section on safety).

premenstrual syndrome, skin (dull, oily, mature), urinary tract infections.

Blends with Grapefruit, lime, juniper, spearmint.

Safety data Several sources, including Tisserand and Young (2014) in Essential Oil Safety, indicate the essential oil should be avoided during breastfeeding and pregnancy, in babies and young children, and in those with endometriosis or oestrogen-dependent endome cancers. Ingestion of the herb/essential cancers should also be exercised with caution oil* sho in the case ca of anticoagulant or antidiabetic medication, major surgery, peptic ulcer, medicat haemophilia and other bleeding disorders haemop (Tisserand and Young, 2014). (Tissera *The FH FHT does not endorse the ingestion of

any essential oil. ess

RESEA RESEARCH Wound healing A labora laboratory study published in Biotechnic (Keskin et al, 2017) and Histochemistry Hist indicated that the anti-inﬂammatory and indicate antimicrobial activities of fenchone and antimic limonene oil (compounds found in fennel limonen essential oil) ‘increased collagen synthesis essentia the number of inﬂammatory and decreased dec during wound healing and may be cells du useful for f treating skin wounds’.

Irritable bowel syndrome (IBS) Irritab

to t the plant species; climate, altitude and soil where the plant is grown; and when it is i harvested. Refer to the manufacturer’s safety data sheet for a breakdown of an oil’s chemical proﬁle.

Botanical family

Therapeutic properties

Apiaceae (Umbelliferae)

Analgesic, antibacterial, anti-inﬂammatory, antifungal, antiseptic, antispasmodic, antiseptic antispasmodic carminative, carminative decongestant, digestive, diuretic, emmenagogic, expectorant, lactogenic, hormone/oestrogen-like, stomachic.

PICTURE: ALAMY

Chemical composition

Phenolic ethers – trans-anethole (up to 92%), methyl chavicol (estragole) Hydrocarbons – monoterpenes: limonene (up to 21%), α-pinene, β-phellandrene, myrcene, γ-terpinene Ketones – fenchone Alcohols – monoterpenols: fenchol Oxides – 1,8-cineol NB: The chemical composition of any essential oil can vary greatly, according

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A study involving 121 patients looked at and tolerability of a capsule the efﬁcacy c containing a combination of curcumin contain essential oil in relieving the and fennel fen symptoms of IBS (Portincasa, 2016). The sympto results indicated that the capsule was safe, tolerated and induced symptom relief well tole patients with IBS, including abdominal in patie over 30 days. The percentage of pain, ov symptom-free patients was signiﬁcantly sympto higher in i the capsule than in the placebo versus 6.8%). group (25.9% (2

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

Indications Arthritis, catarrh, cellulite, colic, colitis, constipation, indigestion, ﬂatulence, gout, gum infections, menopause, menstrual cycle (regulates), nausea, oedema,

REFERENCES For full references, go to fht.org.uk/IT-references

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MEMBERS’ QUESTIONS

Ask an expert FHT EXPERTS ADVISE ON TREATMENT, INAPPROPRIATE CLIENT BEHAVIOUR AND DISPLAYING THE CODE OF CONDUCT

I’ve being treating a client for a shoulder problem and while it hasn’t got worse, neither of us have noticed any signiﬁcant improvement. What should I do?

FHT Vice President Mary Dalgleish says: The FHT Code of Conduct and Professional Practice (section 2.6.3) states that ‘if a client is receiving regular treatments, especially for remedial or preventative purposes, this must be reviewed on a periodical basis, to determine whether the treatments are effective and the client is happy with the results’. Furthermore, ‘if treatments are no longer having the desired effect, the treatment plan must be reviewed and alternative treatments discussed with the client, where appropriate. Alternatively, the treatment plan must be discontinued.’

It may be that on this occasion, your treatments are simply not addressing the underlying problem, in which case it would be best to advise the client to see their doctor or another health professional or therapist who can potentially help.

Although this decision might affect your income in the short term, one of the traits of being a truly professional therapist is having the ability to recognise when your treatments are not helping to address a client’s needs, and referring them on.

explain that you are a professional therapist who abides by a strict Code of Conduct and Professional Practice and won’t be booking any appointments. If you do arrive at a client’s house and immediately feel uneasy, make an excuse to cancel the session before it starts – for example, you could say that you suddenly don’t feel well or you’ve left your consultation forms at home. If the treatment is already under way and you feel unsafe, calmly give a reason to leave the room, such as you need to fetch something from the car, and walk out. You can always return for your things another time with a friend or, if necessary, the police. Remember, your safety is far more important than your possessions.

I’m a newly qualiﬁed mobile therapist. Can you offer advice on what to do if a client acts inappropriately during a treatment?

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FHT registrar and compliance manager Julie McFadden says: Most clients are decent, honest people, but sadly our industry does attract the odd few who are seeking services of a sexual nature. Quite often you can spot these individuals when they make their initial enquiry – in fact, some will be quite upfront about what they’re looking for – which means you can either ignore them or simply

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MEMBERS’ QUESTIONS

Can I display the FHT’s Code of Conduct on my website?

FHT’s editor and communications manager Karen Young says: It’s great that you want to demonstrate that you abide by the standards laid out in the FHT Code of Conduct and Professional Practice. Rather than upload a copy of the Code to your website, please could we ask you to provide a link or hyperlink, instead (fht.org.uk/code). The Code getss updated periodically, so using the link will ensure thatt visitors to your website are accessing the most up-todate version (the most current version was published in July 2018).

I’ve spotted a mole on a client that doesn’t look quite right. How do I encourage him to get it checked without worrying him?

The client may feel a little disappointed when they are told, but I hope they will appreciate that you are discontinuing the treatments, and signposting them to another professional, because you have their best interests at heart.

As a mobile therapist, it would certainly be worth considering ‘buddying up’ with a friend or other therapist who you can then call in front of a new client, saying ‘I’ve just arrived at X’s house for their treatment – I’ll call you back in an hour.’ Always make sure that someone knows where you are and how long you will be. In case of interest, several ‘lone worker’ apps are now available for mobile phones and devices. These use GPS tracking, and allow you to log visits and discreetly raise an alarm in an emergency.

FHT GUIDANCE For more hints and tips on personal safety, visit fht.org.uk/personal-safety

FHT Vice President Maria Mason says: As therapists, we are in an ideal position to spot possible skin cancers. Not only do we come into contact with people’s skin every day, but we also treat areas of the body that clients cannot easily see for themselves, such as the back and the top of the head, where they may have a problem mole or skin lesion. Obviously the average therapist is not in a position to diagnose skin cancer (unless medically qualiﬁed), but knowing how to spot the signs and symptoms could, and has, literally helped FHT members to save clients’ lives. In 2011, the FHT supported the Melanoma Taskforce and British Association of Dermatologists (BAD)

in producing a Mole and Skin Check Guideline, aimed at professionals working in the wellbeing, hair and beauty industries. As well as outlining key signs and symptoms to look out for, the guideline offered the following advice about what to do if you are concerned that a client may have skin cancer: Don’t panic! It is important not to alarm clients. Remember – you are not a doctor. Wellbeing, hair and beauty professionals are not expected to diagnose skin cancers. Ask your client if they are aware of the mole or lesion. Signpost your client to public information about the signs of skin cancer and how to seek help. Today, you can ﬁnd up-to-date information on the BAD website, along with posters and leaﬂets that can be downloaded free of charge and displayed or passed onto your clients. This includes guidance on sun safety – something else we’re in a great position to advise clients about, particularly during summer.

FHT GUIDANCE Visit bad.org.uk/for-the-public/skin-cancer for info and to download free resources

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WELLBEING | Skincare

etting a good night’s sleep can be essential for good health and longevity. We are often advised to get around eight hours of good-quality sleep each night, but there is no set rule because some people function well on more or less. Inadequate sleep has been linked to a higher risk of developing diabetes, heart disease and obesity. It can also take a toll on mental health, weaken immunity and affect fertility. Regular poor sleep affects as much as one-third of us, and this is often attributed to stress, working long hours and exposure to blue light from smartphones and laptops (NHS, 2019). In this article, we will examine the impact that sleep has on the skin, whether sleep deprivation produces negative effects to skin biology and health, and what we can do to help protect the body’s largest organ.

SCIENCE OF SLEEP The skin’s main function is to protect the body from unwanted outside influences that could be harmful, such as stress caused by injury, microbial threats, ultraviolet radiation and environmental toxins (Matejuk, 2018). In a study to address the effects of sleep deprivation on the skin, Kim et al (2017) asked 24 healthy women to stay awake all night in a laboratory in Seongnam, South Korea, so scientists could examine a range of biophysical parameters, including transepidermal water loss, facial pore size, skin tone, elasticity, hydration, desquamation, translucency and bloodflow. After just one night, the study showed changes from the baseline readings. Sleep deprivation had led to impaired barrier function and a significant decrease in skin hydration. It showed that the decreased hydration led to reduced skin elasticity and translucency, and increased skin scaling. Facial pores had become more noticeable and skin bloodflow decreased significantly.

The researchers believe the study showed remarkable differences in skin biophysical properties, which were especially evident in the eye, lip and cheek areas. Many other studies have supported the above findings, particularly in relation to the skin barrier and hydration. Some have also noticed other effects of sleep deprivation such as skin ageing. Oyetakin-White et al (2015) examined the effects of sleep deprivation on skin ageing, and recruited 60 women aged between 30 and 49, who answered a standard questionnaire on the quality of their sleep, filled in a sleep log, and underwent non-invasive testing to their skin, including UV light exposure and skin barrier disruption. They found that poor sleepers had significantly increased signs of intrinsic skin ageing, including fine lines, reduced elasticity and uneven pigmentation. As with Kim et al (2017), they also observed diminished skin barrier function.

SKIN BARRIER The main skin barrier is in the outermost layer of skin, the stratum corneum. This consists of corneocytes surrounded by lipid regions (Bouwstra and Ponec, 2006). As the skin barrier acts partially as a defence system, protecting us from infection, it stands to reason that reduced functioning or impairment would allow more irritants in, and make us more vulnerable to illness. Bouwstra and Ponec (2006) note that diseased skin is often characterised by a reduced barrier function and an altered lipid composition and organisation. The effect that sleep deprivation has on the skin barrier function has been noted in several studies. Altemus et al (2001) recruited 11 healthy women to experience 42 hours of sleep deprivation.

Sleeping beauty WE LOOK AT THE EFFECTS OF SLEEP ON THE SKIN

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Skincare | WELLBEING

HOW TO GET MORE SLEEP Ultimately, the best thing we can do for the skin is give it time to heal by getting a good night’s sleep. Those who struggle to settle down at night may want to think about changing their bedtime routine and considering some of the following tips: Shower or have a bath at night – as well as being relaxing, a warm (not hot) evening shower or bath will lower your body temperature shortly afterwards, which makes it easier to drift off. Turn off devices a couple of hours before bedtime – studies have shown that the blue light from smartphones or laptops can affect sleep quality and make it harder to fall asleep. Read a book before bedtime – reading will distract the mind from daily stresses, making it much easier to drift off. Complementary therapies – these promote relaxation and reduce stress and anxiety, and are therefore ideal for a good night’s sleep. Yoga – doing yoga or light exercises can help relax the muscles and get rid of any tension. Breathing exercises or meditation – taking deep breaths helps the body switch from ﬁghtor-ﬂight mode to rest-and-digest mode. Go to bed at the same time every night – it’s possible to ‘programme’ the body to get used to falling asleep at a certain time every night.

LEARN MORE To read more about how complementary therapies can help with sleep, go to blog.fht. org.uk and enter ‘sleep’ in the search bar.

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As in the studies by Kim et al (2017) and Oyetakin-White et al (2015), the absence of sleep had caused a significant impairment of the skin barrier. More specifically, it impaired the skin barrier’s ability to recover. According to Smith et al (2018), sleep deprivation weakens the skin barrier by delaying its recovery. The body naturally heals while asleep, and the immune system is strengthened and restored. By not allowing time for the body to naturally recover, the skin barrier function will be impaired. OyetakinWhite et al (2015) found the skin barrier in a good sleeper recovers by up to 30% more than it does in a poor sleeper. A weakened skin barrier is also linked with specific skin conditions. Dr Tom Mammone says: ‘A damaged barrier can encourage a range of skin problems. For example, everyone thinks acne is down to oily skin, which it can be, but it’s also important to know that acne-prone skin doesn’t have a strong lipid barrier, which encourages inflammation and irritation’ (Hall, 2017). However, if we haven’t slept well, there is a wide range of products available to boost the skin barrier, such as: Lipid-restoring products, such as those containing niacinamide, an ingredient that boosts ceramide production, improving lipid barrier function Products containing tamanu oil, which is hydrating and helps strengthen the barrier for people with sensitive skin Moisturisers with linoleic acid, an essential fatty acid that is an effective moisturiser and helps repair barrier function SPF sunscreens, which easily protect the skin barrier Products containing antioxidants, which protect against environmental stressors (Johnson, 2017; Johnson, 2015). There are also several practices and lifestyle factors that have a detrimental effect on the skin barrier, such as hot showers and brushes and scrubs, as they can strip and weaken the skin; eating unhealthy foods, which causes breakouts; and poor stress management, which can cause skin problems because the skin becomes more reactive and oily (Johnson, 2015).

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WELLBEING | Skincare

HYDRATION PROBLEMS

SLEEP AND BODY IMAGE

Inadequate sleep leads to poor hydration throughout the body. Rosinger et al (2019) found that adults who reported sleeping for six hours a night were inadequately hydrated when compared with those sleeping for eight hours. Rosinger et al believe that poor sleep could cause dehydration by disrupting the release of vasopressin, a hormone that regulates hydration in the body. Rosinger et al say: ‘If you’re waking up earlier, you might miss the window in which more of the hormone is released, causing a disruption in the body’s hydration.’ Sleep is also a time when most of us sweat, and perspiration acts as a natural moisturiser for the skin. Shiohara et al (2018) say: ‘Sweat is a most efficient natural moisturiser, providing protective immunity at points of allergen entry.’ It could therefore be surmised that someone who is sleep-deprived loses out on some of the positive moisturising effects of sweating. Moisturisers for dehydrated skin are formulated to help replace moisture lost from the skin. Waheed (2018) says it is important not to confuse dry skin with dehydrated skin, as they have very different causes. Dryness is a skin type, which is permanent, while dehydration is temporary, so using products formulated for dry skin may do more harm than good. However, it isn’t just quality of sleep that can affect the skin. The conditions you sleep in can foster physiological changes. One experiment sought to test this by exposing the skin to different environments, altering humidity. For this experiment, Jang et al (2019) recruited 11 healthy women and asked them first to sleep for seven hours or more in an environment with less than 30% humidity. The next night this was upped to more than 70% humidity. At lower than 30% humidity, skin hydration decreased by nearly 25%. Interestingly, the sebum level increased at the same time. This means that when you sleep in a dry environment, the body will produce more sebum to compensate for the skin dehydration.

Our skin often tells us when we have had poor-quality sleep, through visual cues. When sleep-deprived, we may notice we have hanging eyelids, redder or more swollen eyes, dark circles under our eyes, paler skin, more fine lines and drooping corners of the mouth (Sundelin et al, 2013). We may also notice that our skin is rough, dull or dehydrated. Sundelin et al (2013) suggest that ‘because these facial regions are important in the communication between humans, facial cues of sleep deprivation and fatigue may carry social consequences for the sleepdeprived individual in everyday life’. By this, they mean that a sleep-deprived person may be judged harshly by others, possibly seen as less trustworthy or competent than someone who is well rested, and may be treated differently as a result. Poor sleep can also affect the way we perceive ourselves. Oyetakin-White et al (2015) asked a group of bad and good sleepers to complete a questionnaire on how satisfied they were with their own appearance. The people who didn’t sleep well were more often than not dissatisfied with their own appearance, while the good sleepers had a significantly better perception of their physical attractiveness.

REFERENCES For full references, go to fht.org.uk/IT-references

“Facial cues of sleep deprivation and fatigue may carry social consequences for the sleep-deprived individual in everyday life” 22

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CLARISSA KRISTJANSSON LOOKS AT THE BENEFITS OF A MINDFUL APPROACH TO THE MENOPAUSE

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MENOPAUSE

A mindful

Mindfulness | COMPLEMENTARY

s a mindfulness coach, I’m often contacted by women struggling with the menopause. As someone who has experienced it first hand, I completely understand, as it’s rarely a smooth ride. As well as experiencing various symptoms, many women feel they become invisible and out of sync with how they’re ‘supposed’ to look and feel, which can be accompanied by a sense of loneliness. Today, one in three women in the workplace are menopausal, yet it still remains a taboo subject in this context – perhaps not surprising when 80% of women of menopausal age in the west report having symptoms, yet 70% claim they are unwilling to discuss this with their friends or partner, let alone their boss (Griffiths et al, 2013). The menopause happens to all women and is just another stage in life’s rich journey. However, it’s not something most feel comfortable talking about, and it’s only recently that it has been getting more mention in the media. Even then, it is often negative. Conversations about hot flushes and vaginal dryness are hardly uplifting. Many doctors also automatically hand out pills for it, as though the menopause is an illness rather than a natural phase of life. In this article, I will share some knowledge and tips to facilitate a more mindful, positive approach to the menopause, which I hope will prove useful to FHT members both professionally, when supporting clients during this transition, and personally, if you too are bound on this journey.

MENOPAUSE: HISTORY AND SYMPTOMS

The menopause has been known and recorded since Roman times, yet the word itself wasn’t coined until the 1820s, using a combination of two Greek words – mens, meaning monthly, and pause, meaning cessation. Throughout the centuries, attitudes to the menopause have changed dramatically. Today, more people are exploring complementary and alternative medicine,

yoga and mindfulness as a way forward, which is a significant leap. In the early 1800s, however, it wasn’t unusual to have opium prescribed by the doctor to cure menopausal symptoms, and the early 1900s brought the belladonna (deadly nightshade) plaster for the stomach, which I imagine was the equivalent of today’s HRT patch. It was only in the 1930s that the menopause was recognised as a natural part of the ageing process, linked to oestrogen deficiency. It is essential to recognise that everyone’s transition is unique in terms of length and symptoms, though the average menopause lasts about five years. There are, however, two phases: the peri- or premenopause and the menopause itself. A woman has officially gone through the menopause when she has not had a menstrual period for 12 consecutive months. Perimenopause can start at any time, with women often experiencing menopause-like symptoms in their early 40s, which is often much earlier than expected. The perimenopause usually lasts two to six years but can last longer, and it’s during this stage that the body’s hormones go on a rollercoaster ride. Many younger women think the menopause is 10 years away, yet they are struggling with mood shifts, feeling stressed, tired and even gaining weight – all signs that they could be perimenopausal. Some women sail through the menopause, but the majority experience several symptoms. Physical symptoms include hot flushes/flashes; trouble sleeping; headaches and migraines; aching joints, muscles and feet; weight gain; diminished sex drive; and vaginal dryness. The psychological effects of going through the menopause can include irritability and forgetfulness, as well as anxiety and feelings of insecurity. The sex hormones, progesterone and oestrogen, protect women from some of the effects of the stress hormones, but as the sex hormones start to naturally decline during the menopause, it becomes harder for women to relax, keep calm, unwind and

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COMPLEMENTARY | Mindfulness

fall asleep. Unfortunately, for those with a predisposition to depression or anxiety, this can resurface during the menopause, and may require support from a psychologist or cognitive behavioural therapist.

A NEW BEGINNING To enable women to thrive rather than merely survive the menopause, we all need to talk more openly about it, and make sure we build the capacitiy to accept, tolerate and transform our mindsets. As menopause expert Irene Hatton frequently points out: ‘The menopause is a journey, not a disease.’ However, most women I have encountered are programmed to adopt the attitude that it is a time of loss – the loss of fertility, the loss of hormones, the ‘empty nest’ syndrome. Compare this with other societies, such as many across Asia and Africa, where this time of life is seen as unique and positive – a time when there is a shift away from caring for others to becoming a wiser, older counsellor, whose life experience makes a valuable contribution to the family and society. In many western countries, menopause occurs within the context of a youthobsessed culture. This means that women can experience difficulties not only in the symptoms they experience, but in how they perceive themselves as they mature and go through the menopause, which can significantly affect their sense of self-worth and self-confidence. While acknowledging that women can have a difficult menopause transition with symptoms that require medical intervention, changing how women feel about and perceive the menopause will help them to get through or, better still, thrive during this natural life event.

BENEFITS OF MINDFULNESS AND SELF-COMPASSION Many women are afraid of the menopause, and try to hide from it. They don’t want to talk about it, or acknowledge the profound spiritual aspects of self that lurk within. Avoiding these feelings, or running away from the loss of connectedness with the self and others around them, can lead to a crisis of the soul, where they may feel lost, or that everything is falling apart. At times such as this, mindfulness and compassion practices can help a person to find greater balance and clarity. On the practical side of dealing with menopausal symptoms, many recent studies have demonstrated the benefits of mindfulness. A study from the University of Massachusetts showed that women experienced a reduction of up to 40% in the number of hot flushes after taking a mindfulness course (Carmody et al, 2011).

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5 PRACTICAL TIPS The attitude with which we approach an experience can have a tremendous impact on this, as well as our choice of behaviours. Negative thoughts held prior to the menopause can be predictive of a more difﬁcult time. The more catastrophic the thoughts about hot ﬂushes, the more intense they will be. More recently, it has also been shown that positive thoughts can result in a reduction of symptoms (Kessel et al, 2004) and women consistently say that changing their mindset helps. The following tips are ones I use with my clients to help them transform their menopause.

WATCH YOUR THOUGHTS

It appears that the absence of positive thoughts has a greater impact on our sense of wellbeing than the presence of negative thoughts. One way to foster positive thoughts and emotions is to keep a ‘gratitude journal’. Write down three things every night that you are grateful for – these don’t need to be earth-shattering.

LAUGH

MAKE TIME FOR YOURSELF

STAY CONNECTED

Laughter moves us into a positive mindset. It can stimulate our immune system, enhance our learning and memory, and help us to cope better with stress. Laughter is a great friend during the menopause.

Finding ‘me time’ and incorporating relaxation techniques into your day are important at this time of life. Eliciting a ‘relaxation response’ increases muscle relaxation, calms the mind, promotes positive emotions, and improves concentration. It can also reduce hot ﬂushes, insomnia and pain. When women make ‘me time’ a priority, even for just 15 minutes a day, dramatic changes can occur.

Feeling emotionally supported is key to health and can even help you live longer. At this stage, women need other women – friends with a rich life experience and wisdom to share.

Moreover, other studies have indicated that women are less bothered by their symptoms and have a greater sense of wellbeing (Sood et al, 2019). Mindfulness doesn’t remove the symptoms of menopause, but it does help those affected to deal with these more calmly and compassionately. Mindfulness practice encourages taking a radical perspective on the menopause experience. By bringing an attitude of gentle and nonjudgemental curiosity to each experience, it’s possible to build a capacity to interrupt the spiral of stress that can come with pain or troublesome symptoms. Sadly, many women view their body as an object rather than as an aspect of the whole self, with their body-focused

SIMPLE MINDFULNESS PRACTICE

Try to bring yourself into the present moment using micro-pauses throughout the day. A simple way to do this is to ground yourself for just 12 seconds or so. Focus on your feet, and tune into the sensations you can feel there. This practice prevents you from worrying about the future (often fraught with anxiety) or dwelling on the past (often tinged with regret). By combining positive thinking, a healthy lifestyle and techniques that promote relaxation, many women are changing their menopause experience. By practising mindfulness and having compassion towards the self, they become better at dealing with this signiﬁcant life change and transition. They can powerfully enhance their own health, wellness and sense of connectedness. With a proactive approach and a shift in mental attitude, they will have a much better chance of journeying through the menopause with greater ease and grace.

thoughts revolving around changing, depriving, comparing, cajoling, punishing or improving. The problem isn’t actually a desire for change – it is a lack of selfcompassion and high levels of self-criticism that often accompany body image. This can lead to a variety of other psychological problems such as panic, social phobia, post-traumatic stress disorder, depression or generalised anxiety disorder. Turning towards the menopause experience rather than running away from it can be revealing, in that it is often not as bad as originally feared. Women who cultivate self-compassion have been found to have reduced menopause symptoms and a greater sense of wellbeing (Brown et al, 2015). The process of self-compassion requires stepping

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PICTURES: GETTY

Mindfulness | COMPLEMENTARY

outside the self, being kind to the self and seeing any given experience – in this case, the menopause – as part of the broader human experience. This more objective stance allows the individual to put their personal experience into greater perspective, and the acceptance and kindness that follow can help to improve overall mental health and body image. In my experience, practising selfcompassion during the menopause seems to reduce the tendency to avoid negative emotions, and therefore increases a woman’s potential for better regulation of the emotions. Beyond reducing selfcriticism, self-compassion is central to reducing stress and depression. It also seems to buffer against negative body

FHT.ORG.UK

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image, and is associated with less body dissatisfaction, preoccupation and worries. It starts with accepting where you are wholeheartedly, even if you simultaneously want to change. A great way to practise self-compassion is to take pen and paper and imagine your compassionate self is writing to you. Imagine a dialogue with your compassionate self and what they would say to you. Imagine their voice being wise, strong, warm and kind – always understanding and looking for the helpful way forward, with no issuing of instructions, written by some smart bod giving you advice. It’s an opportunity to reflect on your feelings and thoughts openly, and develop a more balanced way of working with these.

Clarissa Kristjansson is a mindfulness coach, founder of the Little Breathing Space and author of The Mindful Menopause. She coaches midlife women suffering stress, anxiety, body image problems and sleep issues, and speaks at events, on radio and in podcasts on mindfulness and the menopause. thelittlebreathingspace.com

REFERENCES For full references, go to fht.org.uk/IT-references

SUMMER 2019 INTERNATIONAL THERAPIST

03/07/2019 16:07

WHAT’S NEW

Tickets sold out early last year, so make sure you book soon

Tickets launch We hope you saw our ‘save the date’ in the spring issue! We’re pleased to now launch tickets for the 2019 FHT Conference, taking place on Friday 29 November at The King’s Fund, London. Once again, we’ll be bringing together leading experts in research, education and health and social care at this special one-day event.

FHT sponsors Natural Health International Beauty Awards 2019 We recently helped Natural Health magazine to celebrate the very best in holistic beauty by sponsoring its International Beauty Awards. It was the perfect opportunity to raise the profile of FHT and our members to its readers over seven months of preawards promotion, at its awards event and in post-event communications. We were delighted to celebrate the winners at the awards gala evening on Friday 5 July at the Hilton London Olympia hotel. Visit naturalhealthmagazine. co.uk/awards to ﬁnd out more information

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We will also be holding our annual FHT Excellence Awards on the day – shining a spotlight on real-life examples of how therapies can make a difference to the health and wellbeing of others. The event will take place from 9am to 5pm and includes a buffet lunch, drinks reception and refreshments throughout the day.

Tickets sold out early last year, so make sure you book soon and enjoy your early-bird discount. Book before 31 August to save £10. £75 for FHT members/£85 after 31 August £95 for non-members/£105 after 31 August Find out more and secure your place at fht.org.uk/2019-conference

Essential student guide We have created an informative guide for student therapists to inspire and support them on their journey to qualifying and beyond. The guide is full of exciting features, engaging articles, snippets from industry leaders and useful information, which is being shared with colleges and training providers for their students. Students are encouraged to set their career goals and share an image of these on social media, using #FHTgoaldigger Why not set or refresh your own goals? Download our goal template at fht.org.uk/goal-digger and share it with us, as outlined above. We’ll be offering prizes for our favourite and most original images.

BE A GOAL DIGG

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1 __________________ ______ _________ ___________ ______ 2 __________________ ______ ______ ____ _____________ ______ _________ __________ ______ 3 __________________ ______ ______ _____ _____________ ______________ ____________ ____________ 4 __________________ __________ _____________ ____________ ____________________ 5 __________________ ___ _______ ______ ____________ __________________ 6 __________________ ___ _______ ______ ____________ _____ ___ _________ _____________ 7 __________________ ____________ __ _______ ____________ ___________ _________ 8 __________________ ______ ______ ______ _ _______ ____________ __________ _____________ ____________ ___ _______ Share an image of your completed goal templa mplat #FHTgoaldigge ate te with us on soc r. There will be social media using prizes for ourr favo favouri vourite te images!

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If you are a tutor and would like to request copies of the guide for your students, visit fht.org.uk/guide

fht.org.uk

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0 19 16:2

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3 indd

Three aroma blends to enjoy… We hope you have enjoyed recent updates in your Members’ shop, including our recently launched therapy room candles, available in three perfect scents for you and your clients: Inspire – lavender, mandarin, neroli and rosemary essential oil blend Meditate – bergamot, clary sage, ho wood and ylang ylang essential oil blend Relax – geranium, lavender, sweet orange and ylang ylang essential oil blend.

Our candles are made with a soya and rapeseed vegetable oil blend from raw and sustainable sources, naturally coloured and subtly scented with essential oils. They’re completely free from paraffin, animal or beeswax-based products, and come in recycled glass holders. Find out more about them at shop.fht.org.uk

FHT.ORG.UK

03/07/2019 16:08

WHAT’S NEW

Top blog The FHT blog brings you the latest therapy news, health information and business resources. Here are some top posts that readers have enjoyed in recent months:

NHS TRIAL LOOKS AT AYURVEDIC REMEDY AS A REPLACEMENT FOR ANTIBIOTICS FOR COLDS Could an ayurvedic remedy offer an alternative to antibiotics for colds and the ﬂ u? This is the question being asked by GPs wary of overprescribing antibiotics, when they are sometimes not needed.

SCHOOL FOR THOUGHT

PARLIAMENTARY REPORT CALLS FOR COMPLEMENTARY, TRADITIONAL AND NATURAL MEDICINE TO RESCUE NHS FROM FINANCIAL CRISIS A report released by the All-Party Parliamentary Group for Integrated ber Healthcare warns that the growing number of people suffering from long-term illness poses signiﬁ cant threats to the future sustainability of the NHS.

NORDIC COUNTRIES ARE THE WORLD’S HAPPIEST

FHT editor and communications manager Karen Young met Gwyn Featonby, Sarah Grant and Beverley Harrison – three members of the award-winning team that head the NHS Natural Health School, based at Harrogate District Hospital, Harrogate and District Foundation Trust.

MASSAGE HELPS REDUCE OCCUPATIONAL STRESS FOR THOSE IN EMERGENCY MEDICAL SERVICES Massage could be an effective therapy for reducing stress in people working in emergency medical services, according to a study published in the International Journal of Therapeutic Massage and Bodywork.

SPORTS MASSAGE AND COLD WATER IMMERSION MORE EFFECTIVE THAN REST AFTER A MARATHON Sports massage and cold water immersion are more effective for reducing fatigue in runners after a marathon than active rest and passive rest, according to a study published in PLOS One (Wiewelhove et al, 2018).

COLLEGE OF MEDICINE PUBLISHES COMPLEMENTARY MEDICINE ROUNDUP The College of Medicine has published its latest Complementary Medicine Roundup. Written by former barrister Richard Eaton, the February roundup is packed with a wealth of information on the latest developments in complementary therapy. To read more, visit fht.org.uk/blog and enter a title in the search box

FHT in i the th press ess We are delighted to have contributed to several publications in recent months, helping to promote both the FHT and you, our members. Recent highlights include the following: • Sleep Well: The Ultimate Guide to a Good Night’s Sleep – we are pleased to have written a fi ve-page feature article looking at fi ve complementary therapies that can help p improve sleep. • Nat Natural Health – In a two-page feature, FHT Vice Presidents Mary Dalgleish and Maria Mas Mason offer readers six natural therapies to give your face a much-needed boost. • In tthe Moment – In its March issue (#23), we aske asked readers if they had tried the Bowen tech technique, looking at what a treatment typi typically involves, as well as fi ve key benefi ts of tthe therapy. Following this, we introduced read readers of the April issue (#24) to the Alex Alexander technique. Look out for more updates on the FHT blog and our social media channels, or see o our advertising schedule at fht.org.uk/ consu consumer-campaigns

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SUMMER 2019 INTERNATIONAL THERAPIST SUMM

08/07/2019 12:41

AROMATHERAPY | Environment

clean

GREEN SHARON LOVETT FROM BASE FORMULA PROVIDES SOME RECIPES FOR HOME-MADE AROMATHERAPY CLEANING PRODUCTS

re you looking for more sustainable, toxin-free cleaning solutions? Why not consider making your own aromatherapy cleaning blends for personal use, that will not only reduce your chemical load but support your health and save you money at the same time. The Environmental Working Group in the US has studied more than 2,000 conventional cleaning products, and found that many contain toxic chemicals that can be damaging for our health (Environmental Working Group, 2019). These harmful ingredients can irritate the eyes; burn the skin; and cause allergic reactions, respiratory problems and headaches; and some are even linked to cancer. Scientists in Norway have also found that regular use of cleaning sprays has an impact on lung health comparable to smoking (Svanes et al, 2018).

Eucalyptus (Eucalyptus globulus)

Eucalyptus has a stimulating, crisp, fresh fragrance and a powerful antiseptic, antiviral, deodorant and parasiticidal action that is ideal for natural cleaning products, preventing infection and repelling pests such as flies, mosquitos, dust mites and lice.

Lavender (Lavandula angustifolia)

Lavender has been used for cleaning and adding fragrance since ancient times. The Romans used it for scenting their baths, bedding and clothes, and it’s thought that its name derives from

THE BEST ESSENTIAL OILS FOR NATURAL CLEANING

PICTURE: ISTOCK

Aromatic plants and their extracts have been used for thousands of years for cleansing and purification, long before we understood their key constituents and actions. Today, as well as being used therapeutically for health and wellbeing, essential oils offer excellent, natural alternatives to the toxic chemicals used in mainstream cleaning products. Many essential oils contain constituents that inhibit or kill germs (bacteria, viruses and fungi), and when combined with other natural biodegradable dirt-busting ingredients, they can be as effective as, if not more effective than, mainstream cleaning brands, as well as being safer for you and the environment. To the right, we have profiled some of the best essential oils for the job, and provided a selection of natural recipes to keep your surfaces and rooms squeaky-clean and fragrantly fresh.

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Environment | AROMATHERAPY

the Latin word lavare, meaning to wash. Lavender is renowned for its antibacterial, antifungal, antiseptic, antiviral, bactericidal and insecticidal properties, making it a valuable and fragrant addition to cleansing blends. It also has a lovely calming and soothing effect on mind and body.

Lemon (Citrus limonum)

Lemon is a wonderfully refreshing and purifying oil. Its antimicrobial, antiseptic and bactericidal properties help fight germs and bacteria, and it is great for removing grease and stubborn stains. Its bright citrus scent is excellent for freshening the air and lifting our mood, as well as boosting our energy levels and immune system.

Peppermint (Mentha piperita)

Peppermint has useful antimicrobial, antiseptic and antiviral properties. It has a strong, fresh, clean aroma that not only freshens the air but revitalises our mind and body. It is also good for deterring pests such as ants, mice, mosquitoes and spiders.

Scots pine (Pinus sylvestris)

Pine essential oil is a popular ingredient in natural cleaning products and air fresheners. It has antimicrobial, antiseptic, antiviral, bactericidal, deodorant and insecticidal properties that make it excellent for fighting germs, purifying the air, killing odours and repelling pests. Its stimulating scent can also help lift our mood, boost energy levels and stimulate our minds.

Tea tree (Melaleuca alternifolia)

Tea tree is renowned for its antiinfectious action. It has antiseptic, antiviral, bactericidal, fungicidal and parasiticidal properties. It is ideal for cleaning and disinfecting, and can help prevent mould and mildew. Its immuno-stimulant properties also help our bodies fight off infectious illnesses. Other key ingredients for natural cleaning products are water, distilled white vinegar and baking soda. Liquid Castile soap – an environmentally friendly, vegetablebased soap – can also be used as a natural substitute for a wide range of toiletries and cleaning products.

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AROMATHERAPY | Environment

CLEANING BLENDS

SAFETY TIPS

Here are some easy-to-make, all-natural, wonderful-smelling blends for you to try...

GENERAL ALL-PURPOSE ANTIBACTERIAL SPRAY

FLOOR CLEANER

100ml........................................... distilled water 10 drops ...........................tea tree essential oil 5 drops ....................... eucalyptus essential oil 5 drops ...................... peppermint essential oil 5 drops ................................lemon essential oil

4.5 litres .................................... very hot water 475ml ............................distilled white vinegar 10 drops ..................... eucalyptus essential oil 10 drops .................... peppermint essential oil 10 drops ................................. pine essential oil

Mix all the ingredients in a spray bottle, and shake well before each use. If you prefer a foamier spray, you can add a small squirt of liquid Castile soap. Spot-test ﬁrst on an inconspicuous area, allowing time to dry, to ensure that the solution is suitable for your surfaces.

For a soapier consistency, you can add 40ml of liquid Castile soap.

TOILET CLEANER

1 tbsp .......................................... baking powder 20ml ..............................distilled white vinegar 6 drops .............................tea tree essential oil 6 drops ................................lemon essential oil 2 drops ............................................. eucalyptus Mix ingredients in a glass bowl. Apply with toilet brush, and scrub as normal.

STUBBORN STAIN SCRUB

15ml ................................................vegetable oil 1 tbsp ............................................... baking soda 5 drops ................................lemon essential oil 5 drops ...................sweet orange essential oil Mix all the ingredients in a glass bowl, and rub the mixture into dirty surfaces with a non-scratch scourer. Wipe off excess product with a clean, damp cloth. Spot-test ﬁrst as directed above.

AIR FRESHENER (IDEAL FOR BATHROOMS)

100ml............................orange ﬂower hydrolat 25 drops .......................bergamot essential oil 15 drops ..................frankincense essential oil 5 drops .................................neroli essential oil

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Take care when mixing your blends, and avoid getting undiluted essential oils on the skin. Avoid contact with eyes. If contact occurs, rinse well with water. Although these blends are ‘chemicalfree’, it is still advisable to wear gloves while cleaning. Do not apply products to polished/ varnished surfaces.

Pour ingredients into a spray bottle, and shake well before each use.

ANTIBACTERIAL HAND SOAP

250ml...................................liquid Castile soap 25 drops ..........................tea tree essential oil 25 drops .......................bergamot essential oil 10 drops ..............................lemon essential oil 5 drops ....................... eucalyptus essential oil 5 drops ................................ myrrh essential oil Mix the ingredients thoroughly, and pour into a pump dispenser. Note: Liquid Castile soap is very concentrated, so you’ll need only a few drops per application

120ml ..............................................aloe vera gel 30ml ................................. witch hazel hydrolat 40 drops ..........................tea tree essential oil 10 drops ......................... lavender essential oil 10 drops ..............................lemon essential oil

WINDOW CLEANER

355ml .......................................... distilled water 120ml .............................distilled white vinegar ½ tsp ................. liquid Castile soap (optional) 25 drops ............................citrus essential oils (e.g. grapefruit, lemon, lime, sweet orange) Add the vinegar, essential oils and Castile soap, if using, to a spray bottle (ideally glass) and shake well before pouring in the distilled water. Shake again to combine, and then shake well before each use.

Sharon Lovett has worked as marketing manager for Base Formula for almost 10 years. She is passionate about aromatherapy and natural health, and loves trying out new oils and blends and producing content for the company’s website and social media channels. baseformula.com

REFERENCES Note: Take care with sensitive skin.

Pour ingredients into a spray bottle, and shake well before each use.

Always stick to the recommended quantities of essential oil.

100ml................................... lavender hydrolat 10 drops ................................pine essential oil 5 drops .............................. lemon essential oil 5 drops ..................................lime essential oil 2 drops .....................peppermint essential oil

HAND SANITISER CALMING ROOM FRAGRANCE (IDEAL FOR A TREATMENT ROOM)

Make up fresh cleaning blends every couple of weeks.

Do not apply before direct exposure to sunlight

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

FHT.ORG.UK

08/07/2019 12:36

Chapman’s reﬂexes | MUSCLE TREATMENT

Turning POINTS FHT ACCREDITED COURSE PROVIDER PAULA NUTTING DISCUSSES THE CHAPMAN’S REFLEXES AND TECHNIQUES THAT CAN BE USED TO ADDRESS TIGHT MUSCLES

hapman’s reflexes (or neurolymphatic points) are found in the lymphoid tissue of the fascia and are characterised by soreness or tenderness at the distal ends of spinal nerves. These reflex points are the result of reduced lymph flow in the organs or glands that affect the soft tissue around the spinal nerves, reducing muscle tone and strength. By gently activating these reflexes, a therapist trained in Chapman’s reflexes can address imbalanced muscles and muscle length and strength. Dr George Goodheart, the founder of applied kinesiology, mapped each of the reflex points to specific weakened muscles and used these to assess, stimulate and correct musculoskeletal dysfunctions. The biggest advantages to working with Chapman’s reflexes are that the outcomes are rapid and long-lasting and the treatment is gentle, which means there is reduced therapist burn-out and client comfort is improved.

THE HAMSTRINGS

THE AUTONOMIC NERVOUS SYSTEM

Once assessed and the reflexes are activated, these commonly imbalanced muscles improve neural efficiency and muscle length and strength. These effects remove the need for extra stability from the hamstring (see flow chart above). The easiest way to return the hamstrings to normal resting length is not to touch them. Yes, test for length and then test the hip flexors and extensors for strength, but then: Get the client to lie supine, and ask them to actively flex the hip, with their leg externally rotated and abducted to match the line of the fibres of the psoas. Stabilise their opposite ilium with one hand to secure a stable pelvis and lower back (as shown above).

When under stress, we turn to the sympathetic nervous system (fight-orflight mode) to keep us safe. The fightor-flight response is designed to protect us from danger, but people often have difficulty returning to the parasympathetic system (rest-and-digest mode). The common posture we adopt in this situation is one of a ‘closed’ body. This shortens the flexor muscles of the torso and limbs, and the upper neck extensors. The diaphragm reduces its ability to transport oxygen to the postural muscles, and we see tightness in the psoas and rectus femoris, which leads to an unstable pelvis.

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33 CHAPMAN REFLE_IT SUMMER 2019_International Therapist 33

Paula Nutting is an FHT accredited course provider, international presenter and founder of Chapman’s reﬂexes protocol. For more information, visit yourmusculoskeletal specialist.com and youtube.com/user/ paulanutting for more example videos.

Press down on the elevated straight leg at the ankle, ensuring that you are applying force along the same line as the psoas fibres, and instruct your client to hold isometrically and resist your pressure (see an example video at fht.org.uk/IT-129Chapmans-psoas). To activate the psoas region, we work on the points found one centimetre either side of the umbilicus and about three centimetres in vertical length. This will usually make dramatic changes to the length of the hamstring, but if there is still some reduction in length then we need to rub the region for the hamstrings. These are housed near the lumbar-sacral junction either side of the spine and near the iliolumbar ligaments. Thirty seconds of vigorous but gentle rubbing should see a complete return to hamstring length and psoas strength.

THE GLUTEALS

It is no accident that when this phenomenon occurs, the hamstrings will have a reduced range of motion. Ineffective gluteus maximus = inappropriate hip Hamstrings now provide hip extension as their primary role Hamstrings tighten and shorten as protection for biomechanical efﬁciency and pelvic stability

Sitting for long periods can result in an inactive and weakened gluteus maximus, no longer serving its normal role. Testing is performed with the client lying supine with a flexed hip and the knee at a 90° angle. They then try to maintain an isometric contraction, keeping their foot on the table while you try to lift their leg by placing your hand under their heel (as shown above, or go to fht.org.uk/ IT-129-Chapmans-gluteals to watch a demonstration). The muscle is easily treated in supine by easing the relevant Chapman’s reflexes housed within the superficial fascia, along the line of the vastus lateralis muscle. By thinking about the nerves first – before muscles, connective tissue and joints – you will add true value to your treatment outcomes.

SUMMER 2019 INTERNATIONAL THERAPIST

08/07/2019 12:36

FRIDAY 29 NOVEMBER, 9AM - 5PM | THE KING’S FUND, LONDON

Following the success of last year’s conference, we’re delighted to announce that the 2019 FHT Conference will take

About the day

place at The King’s Fund, London, on Friday 29 November.

A full programme will be made available online at fht.org.uk/

The conference will once again bring together leading experts in research, education and healthcare to explore the future of integrated health and social care. We will also be announcing the winners of our annual FHT Excellence Awards on the day - shining a spotlight on the different ways therapies can make a difference to the health and wellbeing of others.

The sessions will cover: • Evaluating treatments using patient reported outcome measures (PROMs) • Integrated healthcare success stories • Creating a sustainable complementary therapy service in

conference and in the Autumn issue of International Therapist, but the times below will give you an overview of the running order of the day (please note timings are subject to change). 9.00am – 9.30am Registration and refreshments 9.30am – 9.45am Welcome 9.45am – 1.15pm Guest speakers (with refreshments break) 1.15pm – 2.15pm Networking buffet lunch 2.15pm – 3.30pm Guest speakers (with refreshments break) 3.30pm – 4.15pm FHT Excellence Awards presentation 4.15pm – 5.00pm – Drinks reception

the NHS • Opportunities for therapists within the current health system • The therapist’s role in enhancing body image and body esteem in clients

INTERNATIONAL THERAPIST SUMMER 2019

INT.Summer2019.034-035.indd 34

Learn how you can be a part of the integrated health revolution FHT.ORG.UK

04/07/2019 15:55

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Dr Fiona Holland

John is director of research for the

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students in modules and research

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projects that link with health and

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therapist in 1997 and ran her own

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Population Sciences, University of

USA. Her research interests include

Southampton, and works closely with

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Gwyn and Sarah are members of the award-winning team that head up the NHS Natural Health School, based at Harrogate District Hospital, Harrogate and District Foundation Trust (HDFT). ,W LV WKH ÂżUVW 1+6 DSSURYHG DQG RZQHG complementary therapy school to be run by NHS employees, and was developed to create a self-sustaining model of care for cancer patients, delivered by therapists trained to the highest

patient reported outcome measures

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(PROMs), including different types of

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healthcare.

in how to do this. Fiona will encourage delegates to consider creating a proHVWHHP HQYLURQPHQW WR EHQHÂżW ZHOOEHLQJ and promote healthier self-talk and bodysupportive behaviours.

standards. In their presentation, Gwyn and Sarah will explain to delegates how they went about improving the hospitalâ&#x20AC;&#x2122;s existing therapy service, as well as the hard work and determination that went into setting up the school. They will touch on how they evaluate the service, the training provided to their students, along with how the overall model supports patients, therapists, medical staff and the Trust alike.

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Tickets are just ÂŁ75 for FHT members (ÂŁ95 for non-members) when you book before 31 August, and include lunch and refreshments. From 1 September, tickets are ÂŁ85 for FHT members and ÂŁ105 for non-members. Spaces are limited and last yearâ&#x20AC;&#x2122;s conference sold out, so we strongly recommend booking early to avoid disappointment.

Visit fht.org.uk/conference FHT.ORG.UK

INT.Summer2019.034-035.indd 35

to learn more and book your ticket SUMMER 2019 INTERNATIONAL THERAPIST

04/07/2019 15:55

Helping

HANDS AUTHOR AND SENIOR LECTURER ROSS CLIFFORD LOOKS AT PROTECTING THE HANDS AND WRISTS FROM INJURY WITH BODY-WEIGHT EXERCISES

INTERNATIONAL THERAPIST SUMMER 2019

36-38 WRIST INJU_IT SUMMER 2019_International Therapist 36

he hands of a well-trained and experienced manual therapist provide a special connection to their client â&#x20AC;&#x201C; sensing and responding fluidly to changes in muscle tone, skin condition, and soft tissue restriction. Probing further, they may even detect joint motion restrictions. With the wrist relaxed and flexible, the hand can be positioned so that it moves seamlessly across the contours of the clientâ&#x20AC;&#x2122;s body. When it comes to applying a joint or soft tissue mobilisation

technique, the wrist and hand become a rigid applicator of therapeutic force, transmitting the force of the body through finger pads and broad palms. But is there a cost to the therapist for this occupational stress? Despite the appropriate training in massage and mobilisation techniques, are therapists at risk of hand and wrist injuries? In their survey of 500 registered massage therapists across Canada, Albert et al (2008) found that more than 80% of respondents reported pain or discomfort in the wrist and thumb. This was the most prevalent area for work-related pain, with low back pain being the next highest complaint (more than 60% of respondents). Other research findings have supported the high prevalence of wrist/thumb injuries in Australian and New Zealander therapists (Cardagianis, 2002; Cromie et al, 2000).

DOES THIS PATTERN OF PAIN SOUND FAMILIAR? In their article on self-reported pain, Albert et al (2008) identify that the majority of the respondents received training in postures

FHT.ORG.UK

08/07/2019 12:37

Protecting hands and wrists | SELF-CARE

In this article, we will look at some common injuries to the wrist and hand, and will focus on developing physical resilience in these body areas through functional exercise.

COMMON WRIST/HAND INJURIES

PICTURES: ISTOCK

Injuries to the wrist and hand can be diverse, from an acute trauma to an overuse disorder from repetitive strain. Prevention of injury is always better than cure, and so where workrelated stresses can be identified and minimised, we encourage this. Where these specific occupational stresses cannot be lessened, then it is recommended the therapist develop and maintain a good level of physical resilience in the upper limbs and shoulders. The increased strength, range and flexibility may be sufficient to absorb the forces, and so it may be possible to limit the effects of daily strain. We will now explore some common wrist- and hand-related problems and, where appropriate, identify suitable bodyweight exercises to rehabilitate, or help injury-proof, this vulnerable body area. and self-care related to their therapy work. This raises an important question: did these therapists deviate from proper posture and self-care to put themselves at increased risk of musculoskeletal pain, or is it simply a part of the job? In Bulletproof Bodies: Body-weight Exercise for Injury Prevention and Rehabilitation, Ashley Kalym and I raise what we believe to be three fundamental principles behind developing musculoskeletal injury: The injured tissue or body part is poorly conditioned in relation to the demands of the causative activity (in this case, the application of therapies). The environment contributes to the injury, and so the ergonomics should be adapted where possible. Look at where changes can be made to ease stress on the body. The activity inherently creates a level of stress that cannot be lessened. Seek to modify the activity. In this instance, it may involve using a therapy adjunct, or learning to use elbows instead of thumbs and hands.

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WRIST/HAND ARTHRITIS Increasing stiffness of the wrist or hand, with a general reduction in movements, often indicates some sort of arthritis. Osteoarthritis, the ‘wear and tear’ type of arthritis, tends to be less common at the wrist, but is particularly prevalent at the joints of the thumb and fingers. If you develop stiffness and swelling in both wrists, we recommend a review by a qualified health professional, as this may be a symptom of a more systemic type of arthritis. If you find that you are progressively losing range of motion in these joints and finding it difficult to bear load through the hands, then we recommend trying to progressively restore mobility in the affected joints. This can be done through gently heating and stretching the joints; following up with a therapy adjunct can protect the joints.

TENOSYNOVITIS Repetitive overuse is the most likely culprit of this common type of wrist problem, which involves irritation of a tendon and

“Where specific occupational stresses cannot be lessened, then it is recommended the therapist develop and maintain physical resilience in the upper limbs and shoulders” its surrounding sheath. The sheath in which the tendon runs can become thickened, and you may feel a soft-tissue creaking sensation when using the muscles operating the wrist and thumb. Most commonly, this occurs on the radial side of the lower forearm as it runs towards the base of the thumb (de Quervain’s tenosynovitis). It may also occur on the ulna side of the wrist, as the tendon runs to the base of the fifth finger (extensor carpi ulnaris tenosynovitis). Occasionally, a similar problem can occur higher up in the forearm, about three finger-widths above the wrist. This is referred to as oarsman’s wrist, based on its initial description in rowers. Most often, these conditions are part of a work- or leisure-related repetitive strain injury, so identifying and addressing the cause of the problem should be your first priority. It may be that the ‘problem’ cannot be addressed, and that you simply have to carry out that work duty, such as a petrissage massage technique. In this instance, it may be a case of hardening your body to the stresses imposed on it. Try a bodyweight exercise, such as the forearm and wrist stretch described below, to become more physically resilient to stress and strain.

FOREARM AND WRIST STRETCH As muscles work in opposing pairs, we must consider both groups when stretching. The forearm and wrist stretch targets the wrist extensors, or the muscles that open the hand and wrist. To perform the forearm and wrist stretch, crouch down on your knees and place the back of your hands flat on the floor, fingers facing backwards. Aim to keep your

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03/07/2019 16:10

SELF-CARE | Protecting hands and wrists

It is quite normal to not be able to hold this position for very long, so if this applies to you, then support yourself for as long as you can and then drop your knees down to the floor. Keep doing this, supporting yourself and then recovering, and over time your strength and ability will increase.

CARPAL TUNNEL SYNDROME

elbows as straight as possible. This may feel slightly awkward at first, but stick with it. Keeping the backs of your hands pressed into the ground, lean backwards slowly until you feel the stretch on the topside of your forearms (as in the picture above). Hold this position for 20 seconds. Relax. Repeat.

2 3

WRIST TENDINOPATHY The site at which a tendon anchors to bone (teno-osseous junction) can often be a source of pain and dysfunction. There may be inflammation here, but more often it is some degree of degenerative change in the tendon. The site of dysfunction may be local to the tendon attachment, and commonly this will be on the back of the wrist, or on the palmside of the wrist in line with the little finger. Tendon problems, or tendinopathies, may be due to repetitive overuse, so it is worth taking time to see where you can modify your workrelated activities. Where this is not possible, then we recommend developing physical resilience in these tendons.

The carpal tunnel is created as the wrist flexor retinaculum passes across the anterior face of the carpal bones. This condition involves irritation or compression of the median nerve as it runs through the carpal tunnel. The exact cause is not fully understood, and the condition is likely to be due Safety and comfort to several factors. Early An exercise mat is symptoms may involve recommended for exercises burning pain, ‘pins that put pressure on the There is good evidence and needles’ or altered hands and wrists, such as to support the use of sensation in the palmar those mentioned in this tendon loading as an aspect of the lateral three article. If these exercises effective treatment, but digits. These symptoms cause pain, stop. this may take weeks or may wake you at night. The months to work. Developing hand may also feel clumsy, and physical resilience takes time, in late-stage cases there is wasting so stick with a bodyweight exercise in of the thenar eminence of the thumb. order to see the results (as long as they do Examine your regular movement patterns, not increase your pain). Try the ‘push-up physical stresses and postures to identify support’, described below. any obvious causative factors, and address them as soon as possible. If you think you may have carpal tunnel PUSH-UP WRIST SUPPORT syndrome, I strongly recommend you To perform the wrist support, crouch seek assessment by a qualified health down and place the backs of your hands professional. I do not recommend any on the floor, fingers pointing inwards. specific body-weight exercises to address Stretch your legs out behind you this problem, as these may aggravate the and balance on your toes, as if you issue. Once you have been advised on your were in the top position of a push-up (see condition and are safe to resume exercise, picture below). you may build a generalised routine of bodyIt is unlikely that you will be able to weight exercise to develop your strength and straighten your elbows, but do not flexibility at the wrist and forearm. worry about this. It is simply a consequence As stated, prevention is always better than of anatomy. cure, so begin developing your physical Hold this position for as long resilience today. By staying well, you can as possible. continue to work in a therapeutic role and keep others well.

1 2 3

Ross Clifford is a senior lecturer in physiotherapy at the University of Lincoln, an extended-scope physiotherapist, and co-author of Bulletproof Bodies: Body-weight Exercise for Injury Prevention and Rehabilitation (Lotus Publishing).

REFERENCES For full references, go to fht.org.uk/IT-references

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36-38 WRIST INJU_IT SUMMER 2019_International Therapist 38

FHT.ORG.UK

03/07/2019 16:10

FHT AT EVENTS

Industry leaders inspire at FHT Training Congress Thank you to all the members and speakers who helped make the 2019 FHT Training Congress a resounding success. The event is one of the highlights in the FHT calendar – it’s a chance for us to meet members and to offer quality CPD by industry-leading speakers. The 2019 FHT Training Congress took place alongside Holistic Health, on Sunday 19 and Monday 20 May at the NEC in Birmingham. Hundreds of delegates joined us for two full days of CPD, with a packed schedule of 29 talks from some of the most well-known and well-respected experts

in the industry. Our speakers delivered seminars on a wide range of interesting topics, including ayurveda, Thai yoga massage, reflexology, brainwave music, ScarWork, Hudson mind theory, guided meditation, trigger point therapy and dry cupping. In addition, several talks looked at how therapies could be adapted to support people with a range of medical conditions including cancer, dementia, anxiety, autism, arthritis, rheumatism, lymphoedema, fibromyalgia and sacroiliac joint dysfunction.

Practical business advice was available, with speakers offering tips on working more closely with the NHS, attracting new clients, marketing online and offline, blogging, and setting up a social enterprise. We also had a stand within the main Holistic Health Show, and were delighted to chat with many existing and new FHT members who stopped by to say hello or enquire about the benefits of joining the FHT. Goodie bags were given away, visitors had the opportunity to purchase items from the FHT shop, and new members were able to join our expanding therapy community.

FEEDBACK Thank you to all those who provided feedback on this year’s Training Congress. This information is extremely valuable to us, as we are committed to making our CPD offerings as relevant and informative as possible.

Carol Samuel’s talk on pain in cancer survivors: ‘Very stimulating and informative.’

‘Very well-organised event, everyone at FHT. Proud to be a member and to have been an invited speaker. Great work.’

Maureen Bonner’s talk on adapting massa ge for lymphoedema: ‘A real inspiration!’

Jill Woods’ talk on raising your local proﬁle: ‘Engaging, lively.’

We’re delighted to share a selection of the comments with you...

FHT.ORG.UK

39 FHT EVENTS_IT SUMMER 2019_International Therapist 39

Dr Wong’s talk on getting referrals from GPs: ‘Very helpful and stimulating.’

of couple ’ ‘Great ys! a lw a s days a as his w ays, t ellw l a ,w ‘As l-run a wel ed event.’ s i organ

‘Thanks as ever for your fabulous support and being your wonderful selves.’

CONGRATULATIONS to this year’s feedback prize draw winner, Vaseem Gill, MFHT. Vaseem has won an Afﬁnity portable ﬂexible massage table and stool.

39 03/07/2019 16:10

COMPLEMENTARY | Using the senses

40-43 VOICE AND_IT SUMMER 2019_International Therapist 40

03/07/2019 16:11

Using the senses | COMPLEMENTARY

PICTURES: ISTOCK

ave you ever experienced a scent or an aroma that immediately took you back to the occasion where the memory was first formed? It could be your mother’s perfume, your early attempts at baking a cake, fresh out of the oven, or the waft of honeysuckle on a balmy summer’s evening. You may have even heard parents talk about the smell of their newborn baby’s head. In this article, we want to share with you the benefits of linking aromatic memory with the sound of the human voice as part of a touch therapy, harnessing the synergistic power of touch, smell and sound when all three senses are used simultaneously. For therapists who do not have an aromatherapy qualification, or when essential oils may be problematic, this approach allows a chosen ‘aromatic memory’ to be incorporated within a touch therapy session. It involves inviting the client to share a memory that evokes a smile or comfortable feeling that is prompted by recalling a particular aroma, scent or smell. The client’s story is then simplified and turned into a brief script, voiced by the therapist, which can be delivered either at the beginning or end of treatment, or during the treatment itself. The method can also be used as a ‘stand-alone’ intervention while providing a calming interlude in a treatment: for example, when holding the head or feet, or as a recorded or written resource for the client’s future use.

UNPACKING THE HEARTS PROCESS This combination of aromatic memory and the sound of the voice can be an effective,

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ANN CARTER, DR PETER MACKERETH AND PAULA MAYCOCK EXPLORE THE VALUE OF AROMATIC MEMORIES COMBINED WITH THE VOICE IN TOUCH THERAPY

person-centred way of working. It uses the individual’s experience in creating a personal imagery session, which can be recalled at will. It originated in the practice of the HEARTS Process, a therapeutic approach based on multisensory experience, designed for promoting peace, calm and tranquility in supportive and palliative care. The acronym ‘HEARTS’ was adopted as an abbreviation for its components: Hands-on, Empathy, Aromas, Relaxation, Textures and Sound. (As FHT members will be aware, only qualified aromatherapists can prescribe essential oils, but there are other ways that aromas can be used without essential oils or the origin of an aroma being present.) The main features of HEARTS are the use of kind, gentle touch over fabric textures combined with the therapeutic use of the human voice. The voice is not necessarily used in every treatment, but it is most useful where it enhances the gentle touch work or where a client is distressed. The HEARTS Process was developed from Ann Carter’s clinical practice of massage, aromatherapy and relaxation techniques with clients who were living with lifelimiting illnesses. Following appropriate training, all the components can be delivered with sensitivity and dignity in healthcare settings in almost any place and any situation (Carter and Mackereth, 2019).

GUIDED IMAGERY: RECALLING AND WORKING WITH AROMATIC MEMORIES Tim Betts (1996) described the sense of smell as being very successful in helping to recall memories, even when the original aroma source(s) are absent. If the recall of an aromatic memory is positive, it is likely to trigger pleasant emotions and images. If the recall of the aroma is associated with an unhappy memory, feelings of sadness can be generated. Recalling an aroma can offer instant access to any experience, as the part of the brain that receives the aroma (the amygdala in the limbic system) has connections with the hippocampus. The latter has a major role to play in the storage of long-term memory. Memories triggered by visual, auditory and tactile (touch) information do not pass through the same areas of the brain as olfactory stimulation, and are stored elsewhere. Most people have an aroma with which they associate a positive memory, and this can be a starting point for promoting calm and relaxation. The client is encouraged to recall an aroma to evoke a memory which is calming, comforting or creates an inner smile. So how does the therapist encourage the client to create their personal scenario? If a client is asked about an experience s/he would like to work with, it is likely that

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COMPLEMENTARY | Using the senses

s/he will be able to come up with a couple of sentences in ‘visual’ language. Using the sensory language format outlined in the next section will help the client, prompted by the therapist, to create an individual and resourceful narrative. The script will also use the familiar language of the client rather than the chosen words of the therapist. The aroma can be from the past, something imaginary in the future, or simply something from everyday life that s/he enjoys – for example, a favourite walk, having coffee and cake with a friend, or sharing a pleasant moment with a friend or pet. Working in a client-centred way is an empowering and engaging process for both client and therapist. The focus of a guided imagery session that is devised by the therapist may include words and content that may not resonate with an individual client, such as a walk on a beach on a warm summer’s day. Kelly King (2010) suggests that clients should be allowed to create their own place or image of relaxation and calm. Not all general guided imagery scripts are suitable for every client – we need to be mindful of a person’s history, culture and beliefs. A beach scene may not be appropriate for someone who discovered a breast lump while on a beach holiday, or experienced a trauma associated with the sea.

will usually receive less attention. Here are some examples of sensory words: Visual: see, bright, clear, sparkle, light, glisten, foggy, large, dazzling, shiny Auditory: ring, loud, soft, quiet, crashing, squeaky, treble, bass, chimes, clatter Kinaesthetic: warm, cool, feel, smooth, rough, velvety, pressure, silky, dance, sensation Olfactory: scented, aromatic, smell, rotten, musky, earthy, pungent, tangy, acrid, smoky Gustatory: sweet, salty, sharp, bitter, citrus, spicy, savoury, bland, zesty, sharp.

THE ROLE OF SENSORY LANGUAGE

Ask the client: ‘Do you have a favourite scent, aroma or smell that helps you to think of a scene that is comfortable for you and that makes you smile?’ Once the client nods or says yes, then you can invite them to ‘let the aroma take you to the place/event you have chosen’. When s/he has ‘arrived’, you can begin to gather information about the scene in terms of sensory language. Ask open questions such as: ‘What can you see?’, ‘What can you hear?’ and ‘How do you feel?’ You may want to help the individual develop his/her responses by asking more

When an image is formed in our thoughts, it is through the receipt of neural messages from the five physical senses: visual (sight), auditory (sound), kinaesthetic (touch, feelings and sensations), olfactory (smell) and gustatory (taste). The inner experience is communicated to others through language. An individual will have a preferred sense through which they perceive, think and communicate. When constructing an image, it is likely most of the other senses will inform parts of the image, though they

PREPARATION It is essential to explain the nature of the process to the client and to obtain consent before you invite the client to participate. You may find paper and pen/pencil helpful for making notes – they do not have to be verbatim, but it is useful to jot down as much as you can as the client talks. Recording phrases and some key words will help your formation of the brief script and enrich the experience for the client. It is acceptable to ask the client to repeat words or phrases; once s/he starts to tell you about the scenario, the words often come tumbling out.

ENGAGING THE CLIENT IN THE PROCESS

LIKE TO LEARN ARN MORE? Read Ann and d Peter’s new book, called Combining Touch and Relaxation laxation Skills for Cancer cer Care: The HEARTS Process (singingdragon.com), on.com), or contact the Integrative tegrative Therapies Training ining Unit at The Christie NHS Foundation Trust, Manchester, on 0161 446 8236. You can also read an article on the role of fabrics and textures in therapy treatments by Ann and Peter, published in issue 128 of International Therapist, at fht.org.uk/material-therapist

questions, for example: ‘What else do you see?’, ‘What colours are you aware of?’, ‘Where does the noise come from?’, ‘Is it nearby or some distance away?’, ‘How warm is it?’, ‘Tell me about the weather’, or ‘What other sensations do you experience?’ To close the information-gathering, you could ask him/her to be aware of the positive feelings they experience when accessing their chosen scene. Asking about the sense of taste is usually relevant where the scenario features food or taste – for example, a picnic, baking or a celebration. An example of creating a narrative with a client is outlined in the case study below.

RECOUNTING THE NARRATIVE Once you have the client’s ‘story’ and some notes, you can ask the client if s/he would like to include it at the beginning or the end of the treatment, or at an appropriate time during the treatment. We suggest three stages in recounting the ‘story’ to the client: 1. Ensure the client is comfortable and suggest s/he thinks of the aroma that will take him/her back to the scenario that made him/her smile (or other suitable words). 2. Tell the story, using the client’s own words, as though you were telling a friend.

CASE STUDY: BUILDING THE NARRATIVE Brenda, the therapist, asked Joan if she could think of a pleasant smell that made her smile. Immediately, Joan said, ‘TCP’ and, noticing Brenda’s surprise, immediately added, ‘It takes me right back to my lovely childhood home.’ Brenda asked Joan to recall the aroma, and to let the memory take her back to the house.

Brenda then asked Joan to describe what she could see. Joan described a red brick house with a big kitchen where everyone gathered. Brenda asked what she could see in the kitchen. With her eyes closed, Joan described a big wooden table, multi-coloured cushions on the chairs and yellow and blue ﬂoral curtains. She spoke of a roaring ﬁre

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and a brass coal scuttle, and described the walls as being a lovely dappled green, with a window overlooking a garden with ﬂowers and shrubs of different colours. Brenda continued to ask Joan about what she could hear and how she felt ‘reentering’ the kitchen. She then asked about the TCP. Joan said that her mother

kept the bottle at the top of a cupboard, and would apply it to grazes and cuts. It was the smell of the TCP that triggered memories of her mother’s tender touch and care. Having made notes, Brenda asked Joan when she would like the narrative to be used. Joan asked for it to be recounted to her towards the end of her treatment.

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Using the senses | COMPLEMENTARY

3. When you arrive at the conclusion of the narrative, let the client know that s/he can return to this pleasant memory by thinking of the aroma. S/he can use the memory for relaxation or promoting sleep, or just for creating a feeling of wellbeing as an interlude during the day.

CLIENT-CENTRED WORKING An important factor of working in a clientcentred way is that you need to work with what the client suggests. However strange the scenario may seem, it is necessary that you treat the information that the client gives you with the utmost respect. This information is important to the client, and will be linked to deep feelings of comfort and calm. The following scenarios, linked to an aromatic memory, have been typically suggested by our clients: Home baking with mother and licking the spoon Animals: for example, a dog, cat or horse A favourite holiday location or walk The scent of aromatic plants A religious festival A wedding/civil partnership Sunday lunch or a celebratory meal Newly cut lawn A familiar cleaning agent A loved one’s perfume or fragrance. These imagery sessions are not intended to be lengthy or involved ‘visualisation’ sessions, but serve to engage the client in a pleasant mind activity. Where clients decide to use the technique in future situations, recall of the experience may help to promote sleep, calm, or selfsoothing prior to, or during, a medical procedure or investigation. Once clients are familiar with the method, it can be

used to access other resourceful memories, so giving them a tool which can help to promote resilience. Another option for supporting the client is to make a live recording of the session, using the client’s mobile phone or other device, with their prior agreement. It is essential to build in an acknowledgment of background noises to minimise their importance, and also to avoid the recording of confidential information. The client will not expect the recording to be perfect; it is more likely that s/he will appreciate having something that will assist in recalling the session, and acting as a source of positive feelings. It needs to be acknowledged that when clients are vulnerable, there can be everyday things, within or outside a treatment that may trigger emotional reactions. For example, such reactions could occur on seeing someone who reminds the client of a loved one who has died; detecting the familiar aroma of a certain aftershave or perfume; or even something the therapist says in a recognisable tone of voice. Sometimes, healthcare professionals may express concern that recalling a memory has the potential to upset the client. We have found that the key to supporting the client is for the therapist to suggest that the memory is something with which the

“The aroma can be from the past, something imaginary in the future, or simply something from everyday life that s/he enjoys”

individual feels comfortable, or something that makes the client smile when s/he talks about the situation.

INTEGRATING THE NARRATIVE WITHIN A TOUCH THERAPY The ‘narrative’ could be included in the treatment at the beginning, middle or end of a treatment, as the client wishes. Alternatively, you could hold the client’s hand(s) or rest your hands on an agreed part of the body so you can read ‘the story’ to him/her as a brief relaxing interlude. When providing hands-on work, and with the client’s permission, your notes could be placed close to the client’s body for ease of viewing and the checking of key phrases. The intention is to promote calm and comfort for the client, as the therapist recounts the narrative using the client’s own words. Ann Carter has worked as a complementary therapist and teacher since 1989 in hospices and the acute sector. For more than 10 years she was co-lead for the complementary therapies training programme at The Christie, a specialist cancer centre in Manchester. She created the HEARTS Process. Dr Peter Mackereth was the clinical lead of the complementary therapy and wellbeing service at The Christie for more than 15 years. Peter is currently an honorary researcher and lecturer at The Christie and a volunteer therapist at St Ann’s Hospice. He has authored numerous papers, chapters and books, and received an FHT Award in 2016 for his contribution to integrated healthcare and the complementary therapy industry. Paula Maycock is a senior complementary therapist at The Christie, where she offers patients therapies including aromatherapy, reﬂexology, acupuncture and hypnotherapy. She is also deputy lead for the Smoking Cessation Service. In the wider community, Paula works with clients with learning disabilities or who are living with multiple sclerosis.

REFERENCES For full references, go to fht.org.uk/IT-references

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REGIONAL UPDATES

Local groups

Hereford group rethinks pain During our previous meeting, we had a fascinating talk on rethinking pain by Lin Leong, a neurophysiotherapist and yoga teacher, writes Hereford group coordinator Carina Stinchcombe. Lin gave us an overview of the mechanisms active in persistent pain. As our collective understanding of pain perception develops, it seems that tissue damage, misalignment or degradation are not sufficient explanations in the treatment of persistent pain. Applying the biopsychosocial model to understanding

pain, we considered strategies beyond tissue release and remedial action, to support clients with persistent pain. In practice, it can be confusing for a bodyworker to apply a biopsychosocial model to their treatments. A helpful shift is to emphasise the value of validating a client’s experience, using empowering language and creating a safe environment where a client needs to relearn a pain habit. We can also sometimes help a client to identify factors that may increase pain perception, for instance, fear avoidance,

leading to habitual and unhelpful movement strategies, tiredness, loneliness, stressful work conditions, anxiety and depression. Many people won’t have made these connections for themselves, so we can use our own treatments and referral networks to help clients access strategies to help with the reduction of pain. Because translating this theory into practice is so multifaceted, we couldn’t cover applications in much depth, so we plan to have a ‘Rethinking pain part two’ session in September.

Burning questions Thank you to all the FHT local group coordinators who submitted questions for our recent series of coordinator Q&A videos. Hosted by FHT’s relationship executive Alice Mort (pictured), six videos were created, covering queries on a range of topics, from coordinator resources and speakers, to Facebook groups and CPD. We hope our coordinators enjoyed the series and have taken something useful from these. If you are a group coordinator and have a question that we haven’t covered, please don’t hesitate to get in touch, either by posting on the FHT local group coordinators Facebook page or by emailing us at lsg@fht.org.uk

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REGIONAL UPDATES

FIND YOUR LOCAL GROUP

A conﬁdent start for Colchester group Our new group opened its doors for the first time on what turned out to be a blustery winter’s evening in February, writes Colchester group coordinator Miranda Welton (pictured above, left). We met in Stanway at the village hall, with 10 enthusiastic people turning up for our inaugural meeting. I gave an introductory talk on confidence and motivation, which led to a group discussion, and I shared kinesiology tips on improving confidence and speaking in public. Our second meeting was on a sunny morning in March. We had a lovely turnout of nine people in the

local village hall in Layer de la Haye. This time I presented a topic I was introduced to in 2005 and have been fascinated with ever since – face reading. Normally when I teach about the face, it’s to do with the five elements, colours, meridian connections, lines and bald parts on our face and head. But face reading is about the shape of the face, mouth, eyes and ears, and dissecting the sections of the face that represent our parents and make us into the people we are. The group took to the subject and had a good time afterwards, discussing the various traits and discovering

things about themselves and each other. We are all looking forward to our next meetings in September and November. So far, we have had one meeting on a Thursday evening and one on a Monday morning and both have proved popular, with attendees supportive and keen. Being based in north Essex, we can feel a little cut-off, as we are closer to the Suffolk border than central Essex, so it’s great to have something for the local FHT members to attend. So far, as well as attracting people based in Colchester and Tendring, we have had visitors from Cambridge and Haverhill. I am looking forward to the coming months as group coordinator, and to seeing the group grow and develop.

Birmingham North group discovers ‘human design’ The Birmingham North group met at the Sutton Cancer Support Centre to hear speaker Jon Critoph talk about ‘human design’, writes group coordinator Alison Clamp. Jon calls this concept a ‘personal instruction manual’, and produced a chart for everyone who attended the meeting. He said each individual has their own human design, based on when and where they were born. Human design divides your personality into several attributes and allocates them to a ‘bodygraph’. How these attributes interact deﬁnes the strengths of your personality and how you interact with others. It was a fascinating topic, which was too vast to cover in one evening, but everyone was able to gain some understanding of how they interpret information and situations. As therapists, it was revealing to ﬁnd out how we process information and what motivates us.

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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, take part in outings and social events, enjoy treatment swaps and share best practice. EAST MIDLANDS Alfreton Leicester Lincoln Northampton Nottingham EAST OF ENGLAND Colchester Ely Essex Hertfordshire Luton Newmarket Norwich IRELAND Donegal NORTH EAST Durham Newcastle Stockton-on-Tees NORTH WEST Blackpool Chester Liverpool and Rainhill Manchester (North) Manchester (South) Morecambe Bay Wigan and Leigh NORTHERN IRELAND Belfast Coleraine Lisburn Lisnaskea Newtownabbey South Tyrone SCOTLAND Ayrshire Glasgow SOUTH EAST Basingstoke Brighton and Hove

Chichester Dartford, Gravesham and Medway Eastbourne and South Downs High Wycombe Horsham and Crawley Isle of Wight Kent (North) London (North) Oxfordshire (South) Reading and District Waterlooville Winchester Worthing SOUTH WEST Bath Bournemouth Bristol Exeter Gloucester Ipplepen Mendip Salisbury Swindon Taunton WALES Pontyclun and District Swansea Wrexham WEST MIDLANDS Birmingham (North) Birmingham (South) Coventry Hereford Stourbridge and Dudley Wolverhampton YORKSHIRE AND THE HUMBER Harrogate Kirklees and Calderdale Leeds Shefﬁeld

CAN’T FIND A GROUP IN YOUR AREA? Why not become a local group coordinator? It is a very rewarding role, and there are a range of additional beneﬁts available exclusively to coordinators. Go to fht.org. uk/create-your-own-local-group for your information pack.

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

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PUBLIC AFFAIRS AND PRACTICE

social prescribing

The next steps for

FHT PROVIDES AN UPDATE FOLLOWING A ust last year, social prescribing was an aspiration – something WESTMINSTER HEALTH FORUM KEYNOTE that was flourishing in forwardSEMINAR ON SOCIAL PRESCRIBING thinking communities up and down the UK, but not yet fully integrated into our national prescribing, which will help to take some pressure off general health and care system. practice while ensuring patients are getting appropriate support. Today, it enjoys government support, forms • To create, develop and support an army of 1,000 link workers, who part of NHS England’s Long Term Plan, and is are equipped to help the population they serve. one of six key components that together make up • To develop local, regional and national menus of social prescribing Universal Personalised Care. And with plans to activities available in the community that are locally grown. have 1,000 trained social prescribing link workers in place by 2021 • To decide who else social prescribing should be made available to (and even more by 2024), and to have worked with 900,000 patients – for example, could an upstream approach be used to help prevent in the space of just five years, it’s set to be an exciting and busy time patients with one long-term health condition developing more? for all involved. • To grow the existing evidence base for social prescribing through further auditing, using the Common Outcomes Framework.

WHAT IS SOCIAL PRESCRIBING?

AN UPDATE FROM THE EXPERTS... At a recent Westminster Health Forum keynote seminar, attended by the FHT, expert speakers and delegates discussed best practice and what the next steps are for rolling out social prescribing. Here are just some of the key messages that came out of the day... Top priorities Dr Michael Dixon (NHS England lead for social prescribing, and chair of the College of Medicine) highlighted what he considered to be the top five priorities: • To involve, inform and enable GPs to make the most of social

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Connectivity Bev Taylor (senior manager, personalised care, NHS England) stressed the need for connectivity to make social prescribing work. More local partnerships need to be formed, to build on existing social prescribing available in any given area, so that the link worker has appropriate services to refer people to. She made the analogy that you could have the best travel agents in the world, but if there aren’t any holidays for them to connect customers to, the system simply won’t work. Sustainability From a virtuous cycle perspective, Gerry Taylor (corporate director, public health, commissioning and procurement, Luton Borough Council) highlighted that many of those who go through social prescribing do voluntary work during the process or soon after, to help support others in the ‘same boat’, which helps to make the model sustainable. Keep it simple Chris Easton (head of person- and community-centred approaches, Tameside and Glossop Integrated Care NHS Foundation Trust) walked delegates through what he has learnt when providing services that, as with social prescribing, draw on solutions within the local community: • Don’t overcomplicate it – social prescribing is a bridge between two points. • Have a broad social prescribing narrative – it’s not just about primary care. • Don’t let the health system assume ‘ownership’ of something that the voluntary and community sector has already been doing for years – we need to work collaboratively. • Social prescribing fails without support from the voluntary and community sector – they need to be treated as respected partners. • Is social prescribing just a ‘health thing’? The concept of social prescribing should sit at the heart of public service reform, not just health and social care reform.

PICTURES: SHUTTERSTOCK

In its simplest terms, social prescribing enables GPs and other frontline health and care professionals to refer a patient to a link worker if they feel that patient might gain more benefit from practical or emotional support than from medication. The job of the link worker, following a face-to-face consultation, is to find out what truly matters to the patient and then connect them to relevant groups and services in their local community. While social prescribing has the potential to help lots of patients, it is particularly beneficial for those who have one or more longterm health conditions, need support with their mental health, feel lonely or isolated, or have complex social needs affecting their health and wellbeing. Examples of non-medical services that the link worker might refer someone to are arts activities, group learning, gardening, befriending, cookery, healthy eating advice, complementary therapy and a range of sports. More often than not, these activities are provided by voluntary and community sector organisations. At this stage, GP practices are busy joining forces and working alongside community, mental health, social care, pharmacy, hospitals and voluntary services to create local primary care networks, serving a population of around 30,000 to 50,000 patients. The aim is that by 2021, each network will have at least one employed link worker to whom they can refer people in order to access appropriate support.

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PUBLIC AFFAIRS AND PRACTICE

Economics Marjorie Wallace (chief executive, SANE) provided an illuminating case study, about how a woman with complex mental health issues accessed art classes through her local trust. The woman said that while she had been through every kind of medication and therapy, it was the art classes that totally transformed her life. She now sells her paintings and works with other mental health trusts to provide similar services for their patients. She also reflected on the economic sense of social prescribing, saying: ‘I used to cost something like £30,000 a year with hospital admissions and everything else, but the classes cost just £2,000 for two years. It was the best investment that the trust ever made.’ However, Marjorie also shared her concern that, within the context of mental healthcare, social prescribing might be used as a stopgap or even in place of certain mental health services, which are oversubscribed and have long waiting lists, but that the patient really needs to access. In addition, the people running communitybased projects might not be trained in mental health, and might struggle if the individual experiences a mental health crisis or problem while receiving their support. Research and evaluation Dr Marie Polley (senior lecturer, School of Life Sciences, University of Westminster, and co-chair, Social Prescribing Network), talked about researching and evaluating social prescribing, and some of the challenges this can cause. For example, a service provider may use a patient reported outcome measure (PROM) to audit their service, without appreciating that this could suffer from a ‘lift and shift’ effect (a PROM developed for one particular population may not perform as well if it’s used for a very different population). She also highlighted that many service providers have to report back different data to different stakeholders, which is not timeefficient. In addition, data collection is not always appropriate – for instance, when the person in front of the doctor, link worker or service provider is in the middle of a personal crisis – so it needs to be accepted that it’s not always possible to collect data from everyone, all of the time. However, in terms of moving forward, NHS England has co-produced an Outcomes Framework to help overcome some of these issues, and there are other useful approaches too, such as comparative effectiveness and whole system research. Finally, Dr Polley stressed that the evidence for social prescription shouldn’t come solely from the intervention, or where the individual ends up. The change starts the moment someone compassionately listens to a person and refers them to a link worker, and so the evidence also needs to look at the agency behind that change – what triggered the individual to go on and access, and make best use of, the service they’ve been signposted to.

MAKE THE MOST OF INTEGRATED HEALTHCARE REPORTS Sometimes, using a quote or statistics from a respected authority can go a long way when making a case for the services you provide. The FHT has contributed to two recent reports that members may find useful when highlighting how complementary therapies can help to benefit both patients and the health and social care system: Integrated Healthcare: Putting the Pieces Together Published by the All-Party Parliamentary Group for Integrated Healthcare, the report calls for complementary, traditional and natural medicine to rescue the NHS from financial crisis, outlining several key recommendations. fht.org.uk/PGIH-report Untapped Resources: Accredited Registers in the Wider Workforce This joint report, published by the Professional Standards Authority and Royal Society for Public Health, highlights how more than 80,000 practitioners listed on Accredited Registers – including FHT members – can contribute to improving public health. fht.org.uk/PSA-RSPH-report Another report that members may find useful is A Blueprint for Health System Sustainability, published by the Alliance for Natural Health. anhinternational.org/campaigns/healthsustainability-blueprint

LEARN MORE NHS England: england.nhs.uk/personalisedcare/ social-prescribing The Social Prescribing Network: socialprescribingnetwork.com Dr Michael Dixon on how therapists can get involved: fht.org.uk/IT-128-socialprescribing

As several speakers and delegates pointed out, social prescribing isn’t ‘new’ – lots of doctors and other conscientious health (and non-health) professionals have been effectively signposting people to services in the local community for many years. As Dr Dixon told delegates, what is new is that social prescribing has turned into a national movement, with buy-in and government support, and is now being scaled up to benefit the wider population.

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RESEARCH

Complementary therapy growing in England COMPLEMENTARY THERAPY USE IN ENGLAND HAS GROWN BY 4 PERCENTAGE POINTS BETWEEN 2005 AND 2015, ACCORDING TO A NATIONAL SURVEY (SHARP ET AL, 2018) Ipsos MORI asked 4,862 adults in England about their complementary therapy use over the past 12 months, with 766 saying they had seen a practitioner during that time. This means 16% of respondents had treatments in 2015, up from 12% in 2005. Those interviewed visited practitioners for therapies including massage, acupuncture, yoga, reflexology and mindfulness. They most commonly sought treatments to help with musculoskeletal conditions (68%), particularly back pain (38%). The second most popular reason was support with a mental health condition (12%), including for stress, anxiety or depression (7%) and sleep problems, tiredness or fatigue (4%). Around 11% had therapies to support general wellbeing and prevent ill health.

However, because therapies are predominantly self-funded, access is unequal, with wealthier people far more likely to get the support they need compared with people on a low income. More than two-thirds (67%) of complementary therapy users either pay for their treatments or have them paid for by friends and family, while 17% are referred by their GP and 4% by another health professional. Those who were referred by a GP or healthcare professional usually had treatments funded by the NHS and were more often than not unemployed, with lower socioeconomic status. Almost 40% felt that increased NHS funding and GP referrals and/ or endorsement would increase their complementary therapy use.

Aromatherapy may help improve sleep in patients with cancer SLEEP DISORDERS ARE COMMON IN CANCER PATIENTS, INCLUDING DIFFICULTY FALLING ASLEEP, MAINTAINING SLEEP AND DAYTIME SLEEPINESS (ROSCOE ET AL, 2006) Aromatherapy could be used to significantly improve the sleep of clients with cancer, a recent study suggests (Heydarirad, 2019). In a randomised controlled clinical trial in a hospital’s oncology clinic, researchers evaluated the effect of aromatherapy on sleep quality in 54 cancer patients with a life expectancy of at least six months. The participants were divided equally into three groups – a control group (no intervention) and two essential oil groups. The essential oil groups were assigned to receive a two-week course of inhalation aromatherapy each night with Rosa damascena, with one group using a dosage of 5% and the other 10%. The participants put five drops on a cotton wool ball and inhaled the oil for 20 minutes each night before bedtime, holding it four to five centimetres away from their noses. Sleep quality was significantly improved in the essential oil groups, compared with the control group. In addition, the essential oil groups had significantly lower sleep latency and longer night sleep duration. While both essential oil groups produced positive outcomes, 10% essential oil was more effective than 5% for improving sleep latency, sleep quality and duration of night sleep. View the study abstract at fht.org.uk/IT-129-research-Heydarirad

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Those in the south of England were almost twice as likely to have treatments as people living in the Midlands or the north of England. This could again relate to wealth, as the average person living in the south is more likely to have the disposable income to pay for treatments than those further north. Just over one-fifth of respondents (22%) claimed they would not be willing to pay for a therapy treatment. Read more about the survey at fht.org.uk/IT-129-research-Sharp

REFERENCES For full references, go to fht.org.uk/IT-references

Hand reflexology and acupressure equally effective for anxiety ANXIETY, FEAR, AND OTHER UNPLEASANT EMOTIONAL EXPERIENCES ARE COMMON AMONG PATIENTS BEFORE AND AFTER CARDIOVASCULAR INTERVENTIONAL PROCEDURES (CHANDRABABU, 2019) Hand reflexology and acupressure are equally effective for reducing anxiety in patients with coronary artery diseases, says a study (Vasokolaei, 2019). Aware that hospitalisation can increase anxiety in patients, a team of researchers in Tehran, Iran, set up a randomised controlled trial to determine whether hand reflexology or acupressure would produce beneficial effects. One hundred and thirty-five women with coronary artery disease were randomly assigned to three groups, receiving hand reflexology, acupressure or a placebo. For the first group, hand reflexology was performed on each hand, using the Ingham reflexology method, covering points corresponding to the solar plexus, pituitary gland and heart, with moderate pressure applied to each hand. The acupressure was also performed for 10 minutes on each hand, applying pressure to the Nei Guan point. The placebo group created similar conditions but touched thumbs without acupressure or hand reflexology. The patients were asked to complete a questionnaire to examine the effects. The results revealed significant changes in anxiety in the hand reflexology and acupressure groups, when compared with the placebo group. Mean anxiety scores reduced similarly with both treatments, indicating that they were equally effective. Access the full study at fht.org.uk/IT-129-research-Vasokolaei

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RESEARCH

Pressure massage and exercise may improve symptoms of Achilles tendinopathy ACHILLES TENDINOPATHY AFFECTS 150,000 PEOPLE IN THE UK EVERY YEAR (DAVIES, 2019) participants to complete a questionnaire and undergo tests to monitor progress. The exercise protocol was performed with both straight knee and bent knee for 12 weeks. In group two, participants received pressure massage from a therapist twice a week for six weeks and once a week for the next six weeks. Symptoms in all groups improved, but the pressure massage group improved significantly more than the eccentric exercise group after four weeks, suggesting that although both improved outcomes, the pressure massage group achieved faster results. Range of movement improved equally across all three groups. View the full study at fht.org.uk/IT-129-research-Stefansson

Pressure massage may be a useful therapy for supporting clients with Achilles tendinopathy (AT), according to research published in the Orthopaedic Journal of Sports Medicine (Stefansson et al, 2019). Scientists from the University of Iceland and University of Copenhagen conducted a randomised controlled trial to determine whether pressure massage to the calf muscles is useful for treating AT, by comparing it with an eccentric exercise protocol. The scientists recruited 60 patients with AT and randomly assigned them to three groups: one with the eccentric exercise protocol, another with pressure massage, and a third where participants underwent both the eccentric exercise protocol and pressure massage. The scientists asked the

Kinesio taping could help clients who have had a stroke MANY COMMON EFFECTS OF STROKE ARE PHYSICAL, INCLUDING WEAKNESS, NUMBNESS AND STIFFNESS, AND WILL DEPEND ON WHICH PART OF THE BRAIN IS DAMAGED (NATIONAL STROKE ASSOCIATION, 2019)

PICTURES: ISTOCK; ALAMY

Kinesio taping (KT) on the lower extremity (from the hip to the toes) may be beneficial for clients who have had a stroke, a systematic review published in Complementary Therapies in Clinical Practice finds (Wang et al, 2019). Researchers set out to establish the effects of KT on lower-extremity rehabilitation in patients after a stroke and conducted a systematic review and analysis of studies from scientific databases. The results indicated that KT may benefit clients who have had a stroke by improving lower-extremity spasticity, motor function, balance, ambulation, gait parameters and activities of daily living, with few adverse effects. The authors of the review say that KT may induce continuous muscle contraction and improve lymph and blood circulation, which could lead to an increased range of movement. However, they also call for studies of a higher quality to be conducted. Read more about the study abstract at fht.org.uk/IT-129-research-Wang

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LEARNING

Medical A-Z PLANTAR FASCIITIS Plantar fasciitis is where a layer of fascia on the bottom of the foot is inﬂamed, causing pain around the heel and arch (NHS, 2019; Peters, 2008).

CAUSES Plantar fasciitis is usually the result of straining or injury to the fascia connecting the heel bone to the toes. The reason why this happens isn’t always clear. However, activities that may heighten the risk of getting plantar fasciitis include exercising with a tight heel or on a hard floor, overstretching the sole, a sudden increase in walking or running, or wearing poorly cushioned shoes. Clients with ankylosing spondylitis or Reiter’s syndrome can also be more likely to develop the condition.

SYMPTOMS The most common symptom is pain in the sole, around the heel and the arch of the foot. Pain is often worse when walking after sleep or rest, and better during exercise. Clients with plantar fasciitis may find it difficult to raise their toes off the floor.

PICTURES: ISTOCK; SHUTTERSTOCK

ORTHODOX TREATMENT

Treatment can often be managed at home, and usually involves resting the foot and protecting it from pressure, including raising it on a stool when possible. Other good practices include using an ice pack or frozen peas wrapped in a towel for up to 20 minutes every two to three hours; lining shoes with soft heel pads or insoles; wearing wide, comfortable shoes with soft soles and wide heels; regular gentle stretching exercises or activities such as swimming, which don’t put pressure on feet; and taking paracetamol. Clients should see a GP if the pain is severe and interferes with everyday life, if it is getting worse and keeps coming back, if it hasn’t improved after two weeks, if there is a loss of feeling or tingling in the feet, or if they have diabetes.

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SPORTS AND COMPLEMENTARY THERAPIES As mentioned above, stretching exercises can help clients with plantar fasciitis. One study recruited 50 participants who had the condition for more than a month (Engkananuwat et al, 2018). The participants were randomly assigned to two groups, with group one instructed to stretch the Achilles tendon, while group two were asked to stretch the Achilles tendon and plantar fascia. After four weeks of stretches, group two reported significantly better outcomes, with twice as many participants experiencing complete relief from symptoms. Another study that shows the potential of stretches combined a stretching programme with the use of a temporary custom foot orthosis for plantar fasciitis (Drake et al, 2011). Fifteen participants were asked to wear the orthosis for two weeks while weightbearing, and then to remove the orthosis to begin a daily stretching programme. The participants reported short-term improvements in heel pain and foot and ankle function, for up to 12 weeks. Deep massage used in conjunction with neural mobilisation and stretching (DMS) might also help clients with plantar fasciitis. A pilot study compared DMS with ultrasound therapy to the painful heel area with the same self-stretch exercises in the treatment of plantar heel pain for four to six weeks (Saban et al, 2014). Data from the study revealed short-term improvement from both treatment protocols, with more significant improvements in the DMS group. Similarly, a therapeutic exercise programme combining Achilles and plantar fascia stretching, massage, cryotherapy and footwear advice may have potential for plantar fasciitis. One study compared the programme with iontophoresis,*

and revealed favourable results in the therapeutic exercise group, with increased ankle and foot range of motion after six weeks (Szabó et al, 2010). An analysis of randomised controlled trials found evidence to support the use of dry needling for plantar fasciitis. He et al (2017) searched a wide range of databases, from which they identified seven studies that examined the dry needling of myofascial trigger points for heel pain, using the visual analogue scale. Dry needling was reported to effectively reduce heel pain that was caused by plantar fasciitis. *An electrical treatment that can be used to treat certain sports injuries 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

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A DAY IN THE LIFE OF...

A DAY IN THE LIFE OF… SAL HANVEY, MFHT, BA (HONS), COMPLEMENTARY THERAPIST AND MAGAZINE FEATURE WRITER

I am out, I may run a few errands – getting some food top-ups and so on.

11AM My first client arrives – a pregnant woman with some hip pain, heartburn and constipation. She is in her third trimester. I treat her with reflexology to help her with the symptoms she is experiencing.

12.30PM I see my next client. I am working with a woman who has been for an embryo transfer IVF procedure, and she is coming to me for acupuncture, which we hope will increase her likelihood of conceiving.

7AM I wake up and listen to the birds chirping outside. Then I get up and make a cup of green tea. I usually make gluten-free granola or porridge for breakfast. I am not allergic or intolerant – I just prefer it that way. I then usually check my diary and embrace the day ahead. I am old-fashioned in that regard – I like to write lists with pen on paper, and tick and score things off.

1.30PM I have lunch. Today it is homemade soup and bread. The weather is nice today, so I can eat out in the garden and listen to the birds some more. As I have two raised vegetable beds, a vegetable plot, a greenhouse and loads of herb beds, I am kept busy.

4PM

I am back at work. This time it’s a nutrition advice consultation for a client with irritable bowel syndrome (IBS). We work through her food diary, highlight potential intolerances, and find alternatives for her to eat. We will note any changes we found at the next appointment.

8AM I have a shower and get ready. As I am self-employed, each day is different, especially as I support clients trying to conceive, so I’m working with women’s cycles and IVF dates. No two days are the same. I like variety in my job, and thrive on change.

9.30AM

Today is a Wednesday, and that means it’s Pilates day. The classes I go to are about a 10-minute drive away. While

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5.30PM

Reflexologist of the Year, Northern Ireland, 2019. I really feel that my career found me, and not the other way around. I had a reflexology treatment when I was 19 years old and by the end of the session, I knew it was something I would be trying again and pursuing further.

6.30PM

Today my dinner is a bean chilli stew with sweet potato. Yummy. I am writing a cook book at present, and also write a monthly feature for Northern Woman magazine. I am as passionate about this as I am about my therapy. Cooking is a way for me to relax relax.

7.30PM My last client of the arrives. She is a midwife who day arrive trying to conceive, which is tryin is difficult for her for obvious reasons. I am treating her with reason combination of reflexology a combi acupuncture. and acupun

9PM

I am now back home, where I can wind down, have a bath with essential h oils and Epsom salts, sal candles and music, followed shortly after by a cup of lemonbalm tea. I don’t look at what I do as a job per se – I look at it as a vocation, and something that I feel passionate about. I get immense satisfaction out of helping people achieve their goals, and strongly believe that it is important to enjoy what you do. Sometimes, at the very end of the day, today being no exception, my partner Jack gives me the look that says: ‘Would you mind giving me some reflexology?’

My next client arrives. She is suffering with anxiety and stress, mostly caused in the workplace. She has just arrived after sitting in traffic, as it’s rush hour and gives a sigh of relief knowing that relaxation time awaits with reflexology and clinical aromatherapy. I use chamomile oil and bergamot, to relax the body and uplift the mind. I am happy to say that I have recently won a LUX Life magazine award for

SUMMER 2019 INTERNATIONAL THERAPIST

08/07/2019 16:09

MEMBERS’ REVIEWS

HOW TO COMMUNICATE MORE EFFECTIVELY, BY DR KATE BEAVEN-MARKS This book shows you how to engage with a range of ‘real-world’ spoken and non-verbal strategies and personal skills to elevate the effectiveness of your communication beyond just simple words.

CLAIRE GILES, MFHT I found this book to be very 10/10 comprehensive with a clear introduction. I learned so much about words, non-verbal communication and self-care. I found the activities and reﬂections really helped me focus on what I wanted to achieve, and apply what I was learning to everyday conversations. I shall be keeping it at hand to continue practising new communication skills.

MARC JOHNSON, MFHT Dr Beaven-Marks has made the 10/10 whole subject very accessible. The book is easy to read, comprehensive, informative, and keeps the reader interested throughout. I teach many similar techniques, and have still learnt plenty from this book. This will remain on my desk to refer to for the foreseeable future. Highly recommended for all therapists, and for anyone else wishing to learn about communicating well with others.

BEST BUY For best prices, go to amazon.co.uk

BOTANICALS SANITISING SPRITZ This 100% natural, gentle alternative to conventional hand cleaners is certiﬁed organic by the Soil Association and suitable for all skin types, even sensitive skin.

GILL TREVOR, MFHT

KATHY BROOKE, MFHT

9/10

I recommend this gentle alternative. The pump-action is easy to use, it is fast-drying with a lovely fragrance, it leaves skin feeling refreshed, moisturised and clean, and the formulation adheres to the strictest standards.

9/10

I have really liked using this product. It is light, non-greasy and easy to apply. The dispenser works well, and the product coverage is really good. The essential oils used give a really pleasant aroma. I would happily buy this product to use going forward. A smaller bottle size would be useful to slip into a tunic pocket.

MEMBER OFFER Readers can receive a 15% discount on Botanicals Sanitising Spritz (RRP: £7.95), when buying from botanicals. co.uk and using the code FHT19 at checkout. Offer ends: 31 August 2019.

NEW PRODUCTS DEAD SEA NATURAL BLACK MUD MASK SOAP The Dead Sea has been a source of health and beauty since biblical times, due to a rich concentration of minerals found there. Malki’s Dead Sea natural black mud mask soap is made according to an old family recipe using olive, palm, coconut and vegetable oils, and harnesses potent minerals from the Dead Sea to deliver a beauty boost. The unperfumed soap is based on black Dead Sea mud, drawn from its waters.

PRICE: £3.75, available from boots.com

WOMEN’S HEALTH AROMATHERAPY, BY PAM CONRAD Many women self-treat with aromatherapy, which can increase risk factors, particularly during pregnancy and lactation. By condensing research into easy-to-digest language, Pam Conrad’s guide enables women’s healthcare professionals and aromatherapists to determine the safest and most effective way to apply aromatherapy. Aimed at nurses, midwives, doulas and therapists, the book covers 20 essential oils and their uses in women’s health, from pregnancy to menopause.

PRICE: £14.99, available from singingdragon.com

INTERNATIONAL THERAPIST SUMMER 2019

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CLINICAL EXERCISE PHYSIOLOGY (FOURTH EDITION) WITH WEB RESOURCE Edited by Jonathan Ehrman, Paul Gordon, Paul Visich, and Steven Keteyian, this book examines the effects of exercise on chronic disease and investigates 24 chronic conditions, covering the scope of each as well as the pathophysiology, medications, and clinical applications. This edition reﬂects American College of Sports Medicine standards and can be used by exercise physiologists, sports medicine practitioners, exercise and sport educators, therapists, athletic trainers and doctors.

PRICE: £89.99, available from uk.humankinetics.com

THE VITAL SHOULDER COMPLEX, BY JOHN GIBBONS In this book, the author and bodywork specialist looks at one of the most important areas of the body, teaching the reader how to recognise pain and dysfunctional patterns that arise from the shoulder complex. Gibbons addresses differential diagnosis of shoulder pathology; the relationship of the pelvis, sacroiliac joint and gluteals to the shoulder complex; pathologies of the shoulder and cervical spine; special tests associated with the shoulder; and rehabilitation and exercise protocols.

PRICE: £24.99, available from amazon.co.uk

FHT.ORG.UK

08/07/2019 12:39

MEMBERS’ REVIEWS

SPORTS INJURIES: A SELFHELP GUIDE, THIRD EDITION, BY VIVIAN GRISOGONO Vivian Grisogono passes on years of experience of effective methods of coping with injuries and getting back into sport.

MICHELLE JOHNSON, MFHT,

8/10

This is an ideal book for any sportsperson or student of sport massage/injury rehabilitation. It’s informative and well laid out, and provides the reader with relevant information about common injuries including the anatomy of the affected area, common causes of injuries, and ways to aid recovery. The author provides easy-to-follow stretching and strengthening exercises.

SARA MORGAN, MFHT,

9/10 I am very impressed with this book, and have found it really useful. Each chapter covers a section of the body and starts with a simple anatomically labelled diagram, followed by an explanation of the structure and its functions. It describes the types of pain, complications and injuries associated with that part of the body, along with rehabilitation and recovery, and clearly shown exercises.

MEMBER OFFER 15% discount (plus free P&P) on Sports Injuries: a Self-help Guide (RRP: £14.99), when purchasing from Combined Book Services. Call 01892 837171 and quote FHT15 when ordering. Offer ends: 30 September 2019.

Please note that product descriptions featured on these pages are provided by the supplier/manufacturer.

PEPTIDE4 ADAPTIVE DAY CREAM Elemis’ Peptide4 Adaptive Day Cream is a moisturiser that is formulated to adapt to the skin’s needs throughout the day, and to prime the skin for a ﬂawless-looking complexion – with or without make-up. The cream contains honesty seed oil, rich in nourishing fatty acids to support the skin’s natural moisture barrier; mineral microspheres, to help blur skin imperfections and absorb excess oil without leaving skin feeling dry; and Swiss botanical extracts, including butterﬂy bush, thyme and mallow, to help hydrate and maintain the skin’s natural defences against the environment.

Competition Ten lucky members will win a pot of WaveStone Therapies Relaxing Balm, worth more than £15. WaveStone’s Relaxing Balm (100ml) is vegan-friendly, and made with safflower oil, virgin coconut oil, avocado oil, castor oil, candelilla wax, mandarin, lavender, geranium and ylang-ylang. The balm is one of three recently launched massage balms that have been developed for use with WaveStone treatments. These include Muscle Ease Balm, Anti-Cellulite Balm and Relaxing Balm, all of which are made from natural, UK-sourced ingredients. The competition winners can also receive a £25 discount off WaveStone courses. This can be used for a WaveStone course at one of the company’s training centres across the UK. Developed by FHT member Adrian Jenkinson, the WaveStone is hand-carved from white jade, and has been designed with the therapist in mind to: reduce stress and strain on hands, fingers, wrists and elbows; assist with the application of more pressure; and reduce the risk of repetitive strain injury (RSI). The WaveStone can be heated or cooled (using tap water), uses infrared radiation to transmit heat, and can be used in spas, salons and clinics. thewavestone.co.uk

TO ENTER, PLEASE ANSWER THE FOLLOWING QUESTION: Which of the following oils would you expect to find in a WaveStone Relaxing Balm? Primrose Avocado Roman chamomile Simply email your name, address, membership number and answer to dralls@fht.org.uk, typing ‘WaveStone competition’ in the subject box. Alternatively, send your answer and details on a postcard to: WaveStone competition FHT 18 Shakespeare Business Centre Hathaway Close Eastleigh Hampshire SO50 4SR The closing date is 6 August 2019. For full competition terms and conditions, visit fht.org. uk/competitions

EACH PRIZ WOR E OVER TH £15

PRICE: £50, available from elemis.com

FHT.ORG.UK

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SUMMER 2019 INTERNATIONAL THERAPIST

08/07/2019 12:39

LEARNING

CPD questions

Fo r m o re in fo rm a ti o n ab h o w to g a in o u t p o in ts b y re C P D fl e o n y o u r fa v c ti n g o u ri a rt ic le s , v is te it fh t. o rg .u k /c pd

BELOW ARE QUESTIONS RELATING TO 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, YOU CAN POSE YOUR OWN TO ANY OF THE ARTICLES FEATURED IN THE MAGAZINE. TENNIS TRAUMA (P12-15)

In their article, Sarah Catlow and Dr Lance Doggart discuss common injuries that occur in tennis players. Write about common injuries that often occur to participants in a sport of your choice.

Taking inspiration from Sarah and Lance’s article, put together a prospective treatment plan of how you might support a client with one of the common tennis injuries mentioned in the table. Discuss how you might assess the client, treat the problem and return them to full fitness.

another lifestyle factor that could cause skin problems (for example, stress or diet), and write about how you might support a client.

2019 Diary Dates 21-22 September Magherabuoy House Hotel, Portrush Reﬂexology Conference and Gala Dinner reﬂexologyni.co.uk 29-30 September Olympia London Olympia Beauty olympiabeauty.co.uk 5-6 October Park Plaza Victoria, London Integrative Health Convention 2019 integrativehealthconvention.co.uk 13-14 October EventCity, Manchester Professional Beauty North professionalbeauty.co.uk

A MINDFUL MENOPAUSE (P24-27)

Clarissa Kristjansson talks about the benefits of mindfulness and selfcompassion for the menopause. Reflecting on your own experiences, discuss how you have used mindfulness and/or selfcompassion to improve your own or your client’s wellbeing.

24 October Royal Society of Medicine, London College of Medicine Food Conference collegeofmedicine.org.uk 29 November The King’s Fund, London FHT 2019 FHT EVENT Conference & Excellence Awards presentation fht.org.uk/2019-conference

SLEEPING BEAUTY (P20-22)

We discuss the impact of sleep deprivation on the skin, including how it can impair the skin barrier’s ability to repair itself. Reflecting on your own therapy practices, identify how you would help a client repair or protect their skin from damage caused by sleep deprivation.

TOP 10 reasons for being an FHT member 1

Professional status and recognition.

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

Professional representation.

AROMATIC MEMORIES (P40-43)

The industry’s leading professional therapist magazine.

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

Discounted continued professional learning.

The UK’s largest local group network for therapists

FHT-branded products and member discounts on therapy supplies.

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

Clarissa offers five practical tips to help clients transform their menopause. Put together your own top five self-care tips you might give clients after a treatment.

Sleep is not the only lifestyle factor that can affect the skin. Consider

Ann Carter, Dr Peter Mackereth and Paula Maycock explore how a scent can take a client back to the occasion where a memory was first formed. Discuss how you might use scents or other types of sensory input to improve client outcomes.

2019 ANNUAL MEMBERSHIP FEES* FHT Member: £62.99 FHT Associate: £68.24 Student Member**: £24.99 FHT Affiliate: £36.74 Overseas Member: from £44.09 Qualified Combined Medical Malpractice, Public and Products insurance: from £46.81

INTERNATIONAL THERAPIST SUMMER 2019

54 CPD_IT SUMMER 2019_International Therapist 54

*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 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.

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

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03/07/2019 16:14

LEARNING

In the reading room

FHT ACCREDITATION ADMINISTRATOR NICOLA JONES’ PICK Having personally struggled with acne in the past, I was inspired to read Candice Gardner’s article on chemical peels and how she helped her best friend literally turn her life around with these treatments. I didn’t know much about chemical peels before reading the feature, so found it encouraging that this beauty therapy can help people get their self-confidence back. Find this article in the Beauty Therapy section of the reading room (fht.org.uk/readingroom) under ‘chemical peels’.

FHT spiral no. 31

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.

DEEP OSCILLATION THERAPY FOR BACK PAIN In this short article, Jayne Burbidge describes how deep oscillation therapy – a non-invasive, gentle electrical field therapy – helped a client with chronic back pain. The client’s pain was affecting his sleep, mobility and overall quality of life, but within a few weeks of starting treatment, his condition started to ease. Over time, he no longer

required painkillers and was able to return to playing golf. fht.org.uk/IT-129-RR-deep-oscillation

TOP 10 READING ROOM ARTICLES With more than 450 articles and research summaries to choose from in the reading room, we thought it would be helpful to gather together the top 10 articles that our members read or are referred to by the In a class of FHT team. Articles include how to become a therapy training provider, making and retailing aromatherapy products, and providing g treatments to children at T pamper parties. fht.org.uk/ IT-129-RR-top-10 | Teacher EDUCATION

training

YOUR OWN AT THE KEY THE FHT LOOKS CONSID ER FOR FACTOR S TO STED IN MEMBE RS INTERE TRAINE R A THERAP Y

BECOMI NG

ing skills relevant underpinn you have the – from to teach others the better. While and knowledge design, have in that modality, requirement, many , planning and about course preparation are passionate l boundaries of there is no mandatory g professiona herapists who consider a minimum you to maintainin learning may well consider that industry experts their subject a safe and supportive ne you as career. desirable, so and creating point in their to defi two years’ experience It will also help teaching at some examples to draw and, more environment. with real-life would like to are equipped l from the outset Perhaps you a true professiona that has are teaching. standards are therapy on when you teach a core therapy will ensure high as to teach a new importantly, standards – such If you are looking therapy industry. then the the recognised across yourself, the nationally or electrolysis developed maintained sports massage that you have as a therapy teacher, with a desired aromatherapy, To be recognised own therapy that you thumb applies, in either same rule of developed your colleges stipulate to start. – or you have and most FE years’ experience where a Level 3 FHT two of know therapy minimum but don’t be working towards, or technique, into itself, or the core must have, or (AET), common routes and Training the new modality body Here are some it (for example, Award in Education Teach teacher and pointers Preparing to that underpins as therapy a known reiki). l becoming previously exology or Level 3 high professiona massage, refl teach in a Learning Sector. on how to maintain are hoping to in the Lifelong the way. Whether you from major awarding private standards along (FE) college or AETs are available City & Guilds, a training further education (AOs) such as or want to become organisations private AND training school, as well as some next thing EXPERIENCE own right, the VTCT and ITEC, ATIONS provider in your QUALIFIC G appropriate an providers. holding TEACHIN training how to gain as well as to consider is obvious but, ensure It may sound you intend cation. This will in the therapy teaching qualifi a qualification experience you more practical FHT.ORG.UK to teach, the

INTERNATI

ONAL THERAPIST

AUTUMN 2017

06/10/2017

12:51

TEST YOUR A&P KNOWLEDG E AND

WIN A £20 JOHN LEWIS GIF FT CARD

The winner and two runners-up also win an FHT natural plant wax candle of their choice (choose from Inspire, Relax or Meditate – see shop.fht.org.uk for more details).

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 word (plural) relating to the circulatory system. 13

TO ENTER Simply email the word that appears in the diagonal shaded boxes to dralls@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 6 August 2019.

CROSSWORD CLUES 1 2 3

Made of fibrous connective tissue, these connect two bones or cartilages (9) Myelin - - - - - - , outer tissue that protects nerve cells (6) Heat osmosis (anag), body’s ability to maintain a stable internal environment (11) An unpleasant response, for example, to a drug (4,6)

5 6 7 8

A solid form of medicine, often swallowed with water (6) Longest section of the spine (8) Found at the base of a fingernail or toenail (7) Natural chemicals that interact with receptors in the brain to reduce pain perception (10) - - - - - - - corneum, lucidum, granulosum (7)

10 These cover, protect or separate other structures or tissues in the body: for example, serous and mucous (9) 11 So tired (anag), type of medication used to treat inflammatory conditions (7) 12 A bone out of its correct position (10) 13 A reduction in these hours has been linked to seasonal affective disorder (8) 14 One of the five senses (5)

Where’s the solution for spiral no. 30? 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 ﬁve points per year). Turn to page 65 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. 30 featured in issue 128 (Spring 2019).

FHT.ORG.UK

55 SPIRAL_IT SUMMER 2019_International Therapist 55

SUMMER 2019 INTERNATIONAL THERAPIST

03/07/2019 16:14

Expand your skill set and grow as a therapist with an FHT Hosted Course

CPD is a requirement for all FHT Members and Fellows, refreshing DQG GHYHORSLQJ \RXU WKHUDS\ VNLOOV DQG NQRZOHGJH &3' SRLQWV FDQ EH gained through a variety of activities, including courses, and a full guide can be found at fht.org.uk/CPD

INTERNATIONAL THERAPIST SUMMER 2019

INT.Summer2019.056-057.indd 56

FHT.ORG.UK

04/07/2019 15:56

The FHT is committed to supporting every member with continuing professional GHYHORSPHQW &3' ZKDWHYHU \RXU Â¿HOG Following popular demand, the FHT is hosting a range of courses in the coming PRQWKV WKDW \RX FDQ EH VXUH PHHW WKH KLJKHVW VWDQGDUGV Plus, FHT members get a discount of at least Â£10 on each course!

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Courses key: Therapy couch required

Model required

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Case studies must be completed to pass course

Get Â£20 off when you book both highlighted courses

for our full list of courses and to book your place

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LEARNING

FHT accredited course provider news JENNIFER YOUNG FEATURED IN EUROPEAN SPA MAGAZINE

PICTURE: EUROPEAN SPA MAGAZINE

FHT accredited course provider Jennifer Young was recently featured in an article in European Spa magazine, highlighting how she has developed a range of skincare products and treatments for people affected by cancer. The article in this year’s February/ March issue goes on to cover Jennifer’s training courses for therapists who want to follow in her footsteps, and to offer a wide range off

treatments to clients affected by cancer. Jennifer says: ‘It was a great honour to be featured in European Spa. Sometimes I get bogged down in the day-to-day running of a business and forget just how pioneering our work has been. Being asked to contribute provided a wonderful opportunity to reflect. The world of beauty has changed for those affected by cancer, and I am proud to have been part of that change. ‘The FHT was involved right from the beginning. As soon as we had courses and insurance, I started to seek accreditation. Given the industry position at the time, I was expecting a fight. I couldn’t have been more wrong. The FHT was instantly very supportive of my work, awarded accreditation and has continued to provide unwavering support ever since.’

WAVESTONE LAUNCHES TREATMENT IN TOP SPAS FHT accredited course provider Adrian Jenkins is delighted that his WaveStone massage tooll is now b being used d in some of the UK’s leading spas. Companies such as Champneys Spa, Santai Spa and Low Wood Bay Spa have introduced, or are about to add, WaveStone treatments to their menus. Feedback is positive, with health and safety playing an important role, and avoiding stress to hands becoming a key part of protecting therapists in their work. Turn to page 53 for a chance to win a WaveStone Therapies Relaxing Balm.

FHT accredited course providers IRELAND Churchtown Institute of Beauty & Holistic Training cibht.ie Q Deirdre Murray Holistic Training deirdremurray2@gmail.com SC Golden Egg Holistic goldeneggholistic.com Q Irish Institute of Nutrition & Health Ltd iinh.net Q Kerry School of Reflexology kerryreflexology.com Q Saint Martin’s College of Physical Therapy stmartinscollegecork.com SC Soul Balance Holistic Training soulbalance.com SC

SCOTLAND Myofascial Release UK – MFR UK myofascialrelease.co.uk SC Rosslyn Alternatives rosslynalternatives.co.uk SC Start with Touch Ltd startwithtouch.co.uk SC The Glasgow School of Massage theglasgowschoolofmassage.com Q Therapia School of Reflexology therapiagourock.com Q

NORTHERN IRELAND Angel Haven angelhaven.co.uk SC Body and Sole School of Complementary Therapies bodyandsoleschool.co.uk SC Calm Confident Kids calmconfidentkids.co.uk SC Dorothy Kelly Academy of Reflexology dorothykellyacademyofreflexology. com Q Q

SC Logan Fertility Centre loganfertility.com Q New Beginnings School of Natural Therapies angelsanctuary.co.uk SC Sheila Nugent School of Reflexology sheilanugentschoolofreflexology.co.uk

NORTH WEST Acupuncture Training for Therapists Ltd acupuncturetrainingproviders.co.uk SC Alternatively Better alternativelybetter.co.uk SC Ashwood Beauty & Holistic Academy ashwoodacademy.co.uk Q Breathworks breathworks-mindfulness.co.uk Q SC British Academy of Crystal Healing britishacademyofcrystalhealing.co.uk SC Dawn Alderson & Co Training Academy dawnalderson.co.uk Q SC Dorn Method Academy UK (Jacqui Hamer) dornmethod.org SC Dorn Method Lake District dornmethodlakedistrict.co.uk SC Energy for Life energyforlife.today Q Gaia School of Natural Health gaiaschool.org.uk Q SC KORE Academy Ltd koretherapy.com Q Reiki Tradition reikitradition.me.uk SC The Master Academy/ Urban Body Balance urbanbalance.co.uk NEW Q The No1 Pain Relief Clinic theno1painreliefclinic.co.uk SC

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NORTH EAST Anna-Louise Haigh anna-louisehaigh.com SC Aries Academy of Holistic Therapies ariesacademy.co.uk SC Butterfly Touch Therapies butterflytouchtherapies.com Q Eve’s Garden (Alison Valerie Peart) alipeart@hotmail.co.uk SC Jong Baik Education jongbaik.co.uk SC Kinesio UK kinesiotaping.co.uk SC NHS Natural Health School nhsnaturalhealthschool.co.uk Q SC Pain Care Clinic paincareclinic.co.uk SC Total Therapies Training totaltherapies.co.uk SC

EAST MIDLANDS SC Cameron Reid Training cameronreidtraining.co.uk NEW SC Chi Medics™ chi-medics.com SC Extraordinary Kinesiology extraordinarychannels.com SC Fertility Massage fertilitymassage.co.uk SC Helen Mary Perkins helenperkins.com SC Infinity Training Academy infinitytrainingacademy.co.uk SC Lumiere College lumierecollege.co.uk Q Penny Price Aromatherapy Ltd penny-price.com SC Progressive Kinesiology Academy UK progressive-kinesiology.co.uk Q

SC Routes to Healing sarahling1@googlemail.com Q Shirley Price International College of Aromatherapy shirleyprice.co.uk SC The Active School of Complementary Therapy ukmassagecourses.com SC Total Body Therapy gentlereleasetherapy.com Q Tri-Dosha tri-dosha.co.uk SC Vitali-Chi Headquarters v-chi.com

WEST MIDLANDS Ascent Therapies Training Academy ascent-therapies.co.uk SC Central School of Massage centralschoolmassage.com SC Chakrascension™ Centre chakrascension.org.uk SC Just BE (Butterfly Experience) with Jacqui Mexson jacqui.mexson@virginmedia.com Q Lorraine Davis Holistic Healthcare and Education Centre lorrainedavistraining.com SC Lymphoedema Training Academy Ltd lymph.org.uk Q Meridian School of Massage & Bodywork jlmeridian.co.uk SC Microsystems Therapies and Training annavenables.com Q Paadena School of Yoga & Thai Yoga Massage Therapy paadena.co.uk SC The UK Dorn Method Centre dornmethod.co.uk SC Time and Fitness for You timeandfitnessforyou.com/ bt-workshop SC

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FHT accredited qualification(s)

SC Timeless Partnership Ltd timelesspartnership.co.uk SC Tranquil Heart Training Academy tranquilheart.co.uk

WALES Coleman’s Complementary Therapies holisticsforautism.wordpress.com SC de Prez Training challengeconquered.com SC Dynamic Massage dynamicmassage.co.uk Q Gaia Education gaiaeducation.com Q Glyndŵr University glyndwr.ac.uk Q SC Gower College Swansea gowercollegeswansea.ac.uk SC HB Training Wales Ltd hbtraining.org SC In The Pink! Therapies and Training inthepinktherapiesandtraining.co.uk SC Pembrokeshire College pembrokeshire.ac.uk Q SC Physiotherapy and Complementary Therapies Ltd batts81@aol.com SC Sally Kay reflexologylymphdrainage.co.uk SC Seren Natural Fertility serennaturalfertility.co.uk Q SC TEACH Therapy teachtherapy.co.uk Q The School of Naturopathic Nutrition lovenaturopathy.co.uk SC The Wellbeing Centre wellbeingtherapycentre.com SC

SOUTH WEST Advanced Massage School handsonclinic.co.uk SC Amethyst Trust amethysttrust.co.uk Q Barnes School of Sports Therapy barnesclinic-school.com Q SC Cheltenham School of Complementary Therapy & Beauty thetherapyschool.co.uk Q SC Core Elements coreelements.uk.com SC Cornish Wellessence Training – CWT cornishwellessence.co.uk SC Cotswold Academy of Health and Beauty cotswoldacademy.co.uk SC Devon Academy of Complementary Therapies devonacademy.co.uk Q Devon School of Massage and Bodywork lhbodywork.co.uk SC II Intuitive Ltd 2intuitive.co.uk SC JemmaCo Limited jemmaco.com/training SC LMC Training massagefordementia.co.uk SC Lovegrove Essentials Ltd lovegroveessentials.com SC Paula Ryland: School of Holistic Therapies paularyland.co.uk SC SpaNu Massage spanumassage.com SC Sue Chinn Holistic Training Academy suechinn@btinternet.com Q Sunshine Hair & Beauty Training Academy sunshinehairandbeauty.co.uk SC

LEARNING FHT accredited short course(s)

SC The Children’s Reflexology Programme kidsreflex.co.uk SC The Good Hand Holistic Therapy Instruction thegoodhand.info SC The Seed Institute theseedinstitute.co.uk SC Touchline Training Ltd touchlinetraining.co.uk SC Tranquillity Zone Training tranquillityzonetraining.co.uk Q University of St Mark & St John marjon.ac.uk SC Weston Hospicecare westonhospicecare.org.uk SC With Intention Healing withintention.co.uk

SOUTH EAST Academy of Advanced Beauty academyofadvancedbeauty.com SC Accredited Massage Courses Ltd accreditedmassagecourses.co.uk SC Aquamassage Ltd aquamassagetherapycushion.co.uk SC Ayurveda Institute of Europe ayurvedainstitute.org Q SC Ayurveda Pura Academy ayurvedapura.com Q SC Brighton Holistics brightonholistics.co.uk SC Brighton School of Massage brightonschoolofmassage.co.uk SC Calming Influences Ltd calminginfluences.com Q Centre for Nutrition Education and Lifestyle Management cnelm.co.uk Q Cherubs Training Academy – Hampshire cherubsbabyhealth.com SC College of Classical Massage Ltd collegeofclassicalmassage.com SC CPD Health Course c/o European School of Osteopathy cpdhealthcourses.com Q SC Elemi Training elemitraining.co.uk SC Freedom Therapies Training freedomtherapies.co.uk SC Functional Reflex Therapy functionalreflextherapy.co.uk SC Hatton Kalinowska jointpractice.co.uk SC Hawaiian Massage UK Training Centre huna-massage.com NEW SC Holistic Beauty Academy holisticbeautyacademy.co.uk Q HypnoTC: The Hypnotherapy Training Company hypnotc.com SC Innamincka Training Services itsperou@depinaperou.plus.com SC Jane Sheehan footreading.com Q SC Jivita Ayurveda Ltd jivitaayurveda.com SC Key Workshops keyworkshops.co.uk SC

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SC Kneads Must/Kneader Massage (KOM) kneadsmust.com SC London College of Massage/Massageworks londoncollegeofmassage.co.uk Q London Institute of Thai Yoga Massage learntomassage.co.uk SC London School of Complementary Health Ltd lsch.co.uk Q Lucis College Ltd lucisgroup.com SC Mark Stevens, Hands on Holistics hands-on-holistics.com Q SC Mary Atkinson Holistic Therapy Courses maryatkinson.org.uk SC Neal’s Yard Remedies School of Natural Medicine nealsyardremedies.com NEW SC On the Spot Training Centre sallymorris.co.uk Q Peter Symonds Adult and Higher Education College psc.ac.uk SC Purple Turtle Academy ptmassagetherapycourses.com SC Reflexmaster reflexmaster.co.uk SC RJ Buckle Associates rjbuckle.com Q SC Shared Beauty Secrets sharedbeautysecrets.com SC School of Natural Therapies schoolofnaturaltherapies.co.uk Q Shen Mantra shenmantra.com SC SKN-RG Academy skn-rg.com SC St Mary’s University College smuc.ac.uk/shortcourses SC Story Massage storymassage.co.uk SC The Holistic Academy holistic-academy.co.uk SC The School of Abdominal Sacral Massage abdominal-sacralmassage.com SC The Shakra Centre shakracentre.com SC Total Release Experience (TRE UK®) treuk.com SC TouchPro UK touchpro.co.uk SC Training4Healthcare training4healthcare.co.uk SC UnitedMind Ltd unitedmind.co.uk SC Vulsini Ltd vulsini.com SC Wavestone Therapies Ltd thewavestone.co.uk SC Ziggie Bergman with the London School of Reflexology zonefacelift.com

NATIONAL Anatomy and Physiology Online brightonholistics.co.uk SC

Q SC Essential Training Solutions Ltd essential-training.co.uk SC Fertility Massage fertilitymassage.co.uk Q SC Gateway Workshops gatewayworkshops.com Q Health Kinesiology UK hk-uk.co.uk SC Human Kinetics Europe Ltd uk.humankinetics.com SC Jennifer Young and Beauty Despite Cancer beautydespitecancer.co.uk SC Jenny Cox thebalanceprocedure.com Q SC London School of Massage londonschoolofmassage.co.uk Q Mind International Training Associates bodymindworkers.com Q Stonebridge Associated Colleges stonebridge.uk.com Q The College of Bowen Studies thebowentechnique.com SC The Chrysalis Effect thechrysaliseffect.com

INTERNATIONAL Akademi Ayu Jelita SDN BHD joanphang@yahoo.com SC Beijing ReStart Biotech Ltd 5restart.com Q Blossom & Berry Baby Massage & Yoga Training blossomandberry.com Q Cosmo Kemp School of Thai Yoga Massage cosmothaiyoga.com Q Health Coach Institute, LLC healthcoachinstitute.com SC Holistic Therapy Practice holistictherapypractice.com Q SC Jari Jari Spa jarijari.com.my SC Liddle Kidz Foundation liddlekidz.com SC PN Hands ON – Your Musculoskeletal Specialist yourmusculoskeletalspecialist.com SC PureAroma Healing Academy purearoma.com.tw Q Institute of Transformational Nutrition (ITN) transformationalnutrition.com SC RAPID NeuroFascial Reset rapidadhesionrelease.com Q Rinalda Therapeutic Kneads wix.com/rinalda/rinalda SC Rustic Nirvana PTE Ltd rusticnirvana.com NEW SC Shenzhen Hui Yun Aroma Health Consulting Co. Ltd huimeichiang@gmail.com SC Shiny Forest Ltd shinyforest.com SC The Arvigo® Institute LLC arvigotherapy.com Q SC The Institute of Aromatherapy aromashoppe.com Q Wellness Cosmetology SDN BHD beaubelle.com SC

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

SUMMER 2019 INTERNATIONAL THERAPIST

03/07/2019 16:14

INDUSTRY NEWS

Take control of your therapy business with MTH platform My Treatment Hub (MTH) provides a booking platform for independent therapists in London. MTH allows clients to check your live availability and book treatments 24/7 at their leisure, so you’ll be able to focus on giving treatments and never miss a booking again. MTH will send out booking confirmation emails to you and the client as well as a reminder the day before in order to reduce no-shows. After creating a profile on MTH, you will be given a unique URL and webpage, including a built-in booking system that can be used as your own website, meaning you don’t need to spend time and money creating your own. MTH will also promote your services to help you build your client base. Unlike other platforms, MTH only works with independent therapists, so you’ll never be in direct competition with spas and salons. MTH works with all types of holistic therapists ranging from reiki practitioners and aromatherapists to massage therapists and osteopaths. Visit the web address below to find out more information and join today. mytreatmenthub.com

Titanic Spa trains staff to spot melanoma The UK’s first eco-spa – Titanic Spa in Huddersfield, West Yorkshire – has announced a new partnership with skin cancer charity Skcin. The spa will be supporting Skcin’s mission to raise awareness of skin cancer by promoting the importance of prevention and early detection. As part of its support, Titanic Spa has enrolled its therapist team in MASCED – or melanoma and skin cancer early detection – Skcin’s national accreditation programme for hair, health and beauty industry professionals. This will enable Titanic Spa’s staff to spot the early signs and symptoms of skin cancer on spa guests as well as on its own staff and family members, giving them the confidence to communicate concerns and advise clients to take appropriate action. skcin.org

All-natural vegan massage wax from Wales Welsh company the Vegan Wax Co has produced a range of handmade, highquality, organic massage wax without any animal content. Responding to the increasing need for vegan products for clients and therapists, beeswax has been substituted with a plant wax. There are three varieties made with essential oils, and one aroma-free. Using no animal testing, parabens, petrochemicals or plastic, the waxes are presented in reusable and recyclable tins. Deals are available for charities and training providers. veganwax.co.uk

SKN-RG announces new eco range SKN-RG introduces its new eco range – Waterless. The bambooencased multi-tasking products create a beauty regime that is a little greener from the inside out, without compromising on performance. The range features the new cellular ‘stress less’ zen active and each product is handmade in small batches in the village of Salcott in Essex. SKN-RG founders Deborah and Robert Scott have also created an adaptive skin-tint SPF30 stick that corrects and protects from the sun using clean, natural and organic ingredients. They are thrilled to announce they have also been shortlisted for Natural Health magazine’s International Beauty Awards. skn-rg.com

NB: The information featured on the industry news page is based on information supplied by the training providers and product manufacturers featured. Please always check with the FHT that courses will be covered for membership and insurance purposes before booking.

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FHT.ORG.UK

08/07/2019 16:18

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Judy Buckley has been practising reflexology for 11 years, and now advanced reflexology to help people with many different symptoms. Her tailor-made techniques have proven to relieve the symptoms associated with SEBD. Reflexology is the holistic understanding, study and practice of meeting points and areas in the feet that relate to corresponding parts of the body. Using precise techniques, Judy may improve circulation, induce relaxation and enable homeostasis. This encourages the person’s own healing systems to be activated to maintain well-being. Judy is a qualified advanced reflexologist and works in a number of primary and post-primary in Co. Fermanagh. She has also been working with private clients, both adults and children from Fermanagh, Donegal, Sligo, Leitrim and Mayo since 2007. Judy is the past chair of the Irish Reflexologists’ Institute where she served 3 years at this post. Alongside treating clients, she also runs a number of workshops for both parents and reflexologists.

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FHT.ORG.UK

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SUMMER 2019 INTERNATIONAL THERAPIST

08/07/2019 14:19

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Full cer ﬁed Training... ...consists of a blended learning approach to give you the skills in Lymphoedema management. It enables you to holis cally assess your client with Lymphoedema and advise on a management strategy as part of treatment applying the ‘Fill & Flush’ MLD technique to help them.

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Health Kinesiology (HK) Foundation Training October 26/27 2019 Chesterfield, Derbyshire

School of Natural Health, Covent Garden Join us on one of our CPD courses and discover practical tips for building your practice and giving your clients a unique experience.

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*All course fees correct at time of going to print and subject to change without notice.

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Tutor: Ann Parker BA MFHT AKFRP

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FHT.ORG.UK

05/07/2019 10:01

CLASSIFIED

GENERAL CLASSIFIED USED THERAPY ITEMS FOR SALE Bosch Interferenz 4. Frequency 50-60 Hz. Mains 220-240v. Vacomed 4s. Mains 240v. Complete with all accessories. £199. Very good condition. T. 07961 155126 Genuine, made in Israel, GeneO Super Facial machine with radio frequency. Eight months old. Cost £12000, selling for £8000 ono. T. 07377 881320 E. cdwhitehead0@ gmail.com Oxyjet Basic machine. Good condition. Pumps oxygen. 80%. Slight crack in case and hand holder. £200. Buyer collects. T. 01799 541888 White massage couch, £35. Hot stones with heater, £60. Waxing set new, open to offers. Yorkshire. T. 07519 573141

SITUATIONS VACANT Volunteer therapists needed for busy clinical renal units around the North West. Salford, Wigan, Bolton, Oldham and Rochdale. E. janet.cairnie@srft. nhs.uk T. 0161 206 4812

TREATMENT ROOMS AVAILABLE Beautiful equipped treatment rooms to hire. Central Birmingham. E. info@ birminghamtherapyrooms. co.uk or visit birminghamtherapyrooms. co.uk for details. Therapy room available. Suitable for all kinds of therapies, including medical. T. 07712 828092 Treatment room available for rent in Didcot, Oxfordshire. Situated in a commercial gym. T. 01235 391593 E. tshaw@ utcoxfordshire.org.uk

JOB WANTED Massage therapist, holistic facials and reiki healer seeking employment in the Derby/ Derbyshire area. Extensive knowledge on energy work. T. 07774 346889

FHT, its Directors and staff accept no responsibility for the accuracy of any description within the classified section and members should ensure they are satisfied with goods and services offered/advertised before accepting/purchasing.

FHT DISCLAIMER: Please note that the inclusion of a product or training advert in International Therapist does not mean the FHT endorses that product or training, or that it will be automatically recognised for membership and/or insurance purposes by the FHT.

COMPETITION, SPIRAL AND PRIZE DRAW WINNERS INTERNATIONAL THERAPIST, ISSUE 128

Training Congress feedback prize draw (p39) Vaseem Gill, MFHT The Stress Solution book prize draw (p41) Ann McHale, MFHT Rachel Murtagh, MFHT Tri-Dosha competition (p53) Clare Leake, MFHT Spiral £20 John Lewis & Partners gift card and The Concise Book of Muscles (p55) Stephanie Beckham, MFHT

BEFORE EMBARKING ON ANY PAID OR VOLUNTARY WORK OPPORTUNITY, WE STRONGLY ADVISE MEMBERS TO ENSURE THEY HAVE APPROPRIATE TRAINING, PREREQUISITES AND INSURANCE COVER (WITH THE FHT OR AN ALTERNATIVE PROVIDER) TO CARRY OUT THIS WORK.

MEMBERS CAN ADVERTISE IN INTERNATIONAL THERAPIST FOR FREE !

Write your advert here:

Name: .......................................................... Membership no:........................................... Tel no: ..........................................................

Classification (please tick): o Situations Vacant o Job Wanted o Used Therapy Items for Sale o Treatment Rooms Available o Treatment Rooms Wanted o Therapy Items Wanted

Deadline date for Autumn issue: 23 September 2019 Please post to: IT Free Ads, FHT, 18 Shakespeare Busines Centre, Hathway Close, Eastleigh, Hampshire SO50 4SR Alternatively email full details to classified@fht.org.uk or complete our online form at fht.org.uk/classifieds

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Please note that members are entitled to one free lineage ad, per issue. We regret that FHT/International Therapist does not publish lineage ads of a commercial nature free of charge. All adverts that do not meet the free ad classifications criteria and/or word count are charged at 90p per word (nonmembers £1.50) plus VAT.

Please use capital letters and one word per box only, including a contact number

Please contact Annabel Boorman-Shiffer on 020 7880 6230 or email: annabel.boorman-shiffer@redactive.co.uk

SUMMER 2019 INTERNATIONAL THERAPIST

04/07/2019 16:36

ON THE COUCH

Organically speaking

WE TALK TO GEORGIA BARNES, BUSINESS DEVELOPMENT MANAGER FOR HEALTH AND BEAUTY AT THE SOIL ASSOCIATION

TELL US A BIT ABOUT YOUR BACKGROUND…

After completing a politics and international relations degree at Manchester University, I settled into corporate life and worked through several roles, from international account executive to product development and category management. My key focus has been on building and maintaining effective business relationships, to the benefit of both the brand and the buyer. Following the arrival of my son, I found myself needing to align my work with my personal ethics, so in a moment of serendipity I searched the Soil Association’s roles and the vacancy was here. I manage a fabulous team, who work hard to support the organic and natural beauty and wellbeing market, and champion brands that make sustainable products.

WHEN AND HOW DID YOU DEVELOP AN INTEREST IN HEALTH AND BEAUTY?

My mum is a strong advocate for complementary therapies, having trained as an aromatherapist, and I’ve been a keen advocate of the organic lifestyle my whole life. As a user of beauty and holistic health products, it’s an area that is continuously developing, and this is such an exciting time for the industry.

WHAT ARE THE BENEFITS OF USING ORGANIC PRODUCTS?

‘Organic’ means working with nature. It means higher levels of animal welfare, lower levels of pesticides, no manufactured

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herbicides (weed killers) or artificial fertilisers, and more environmentally sustainable management of the land and natural environment, which means more wildlife. Whatever you’re buying, when you choose organic food, drink, beauty or textiles, you choose products that promote a better world.

WHY IS IT IMPORTANT TO USE PRODUCTS THAT ARE CERTIFIED BY AN ORGANISATION LIKE THE SOIL ASSOCIATION?

We believe that our lotions and potions shouldn’t come at a cost to our health or the planet. What we put onto our body is just as important as what we put into it. This is where the Soil Association comes in. Certified organic cosmetics ensure that everything from farm to finished product is traceable. This includes the restriction of synthetic fertilisers, GM ingredients and harsh chemicals. Certified organic beauty also means no animal testing g and the sourcing of ingredients sustainably. ably. Look for an accredited logo such as the Soil Association or COSMOS (Cosmetic Organic Standard) to make sure that what you’re ou’re buying is a genuine organic product. ct.

– otherwise known as ‘greenwashing’. The only way you can guarantee what you’re buying is truly organic is to go for certified products, so always look for the logo.

WHAT KEY CHANGE WOULD YOU LIKE TO SEE IN THE INDUSTRY?

It would be great to bring organic into the mainstream – organic products are such a simple swap as people begin to look for a more sustainable lifestyle. As people demand more from their products, I hope we will see a real shift towards sustainable production, manufacturing and usage. The challenges facing us can feel overwhelming, but swapping your purchases for certified organic beauty and wellbeing products really does make such an impact throughout the whole supply chain.

WHAT DO YOU DO TO RELAX AND UNWIND?

I love to play in the garden with my toddler and spend time outdoors – preferably in the sun – riding my bike and enjoying the fresh air. Nature is a real healer, and having access to it is such a gift. There is also nothing that can’t be fixed by a long, calm bath – I particularly love the Neal’s Yard bath soak – and some deepbreathing mindfulness techniques.

Georgia Barnes is the business development manager for health and beauty at Soil Association Certiﬁcation, a charity that certiﬁes more than 70% of all organic products sold in the UK. soilassociation.org soilassociation io .orrg

TELL US ABOUT ‘GREENWASHING’…

The terms ‘natural’ and ‘organic’ beauty eauty aren’t regulated in the same way as food and drink products. As brands don’t ’t need to meet a minimum percentage of organic ingredients to claim that they are organic, they can use the term ‘organic’ even n if only 1% of the ingredients actually y are

FHT.ORG.UK FHT FH F H T.OR OR R G.U .U UK K

03/07/2019 16:15

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tailor-made insurance Now with personal accident cover as standard At the FHT, we’re extremely proud to support members with our robust package of membership EHQH¿WV. 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 • 5HSODFHPHQW RI¿FLDO GRFXPHQWV LI ORVW RU irrevocably damaged

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04/07/2019 16:35