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International

Therapist fht.org.uk

Running smoothly Running injuries and prevention

Raising eyebrows A look at microblading

Addressing the SYMPTOM Aromatherapy in symptom management PUBLISHED BY THE FHT ISSUE 119 (WINTER 2017) THE LEADING MAGAZINE FOR PROFESSIONAL THERAPISTS Cover__International Therapist 1

16/01/2017 12:09


Samantha Flower COMPLEMENTARY THERAPY IN NORTH LONDON WELCOME

ABOUT ME

MY THERAPIES

BOOK AN APPOINTMENT

MY LOCATION

CONTACT ME

Realise your full potential for physical health and emotional wellbeing Striking the right balance between body and mind plays a major role in how you feel and function. Your quality of life is highly dependent on these two factors.

I have found that combining Complementary Therapies with intelligent lifestyle choices can help you achieve optimal health levels, abundant vitality and an enhanced lifestyle. My passion in life is health and well-being. My goal is to help you improve yours.

MY INDIVIDUAL APPROACH TO YOUR HEALTH

MY LOCATION Practising in North London; Highgate, Crouch End & surrounding areas.

Samantha Flower

COMPLEMENTARY THERAPY IN NORTH LONDON

MENU

CALL 07745 578347 CLICK HERE TO EMAIL

Realise your full potential for physical health and emotional wellbeing Striking the right balance between body and mind plays a major role in how you feel and function Your quality of life is highly

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10/01/2017 17:42


CONTENTS

International

Therapist fht.org.uk

ISSUE 119 (WINTER 2017)

FEATURES 12

Addressing the SYMPTOM Dr Peter Mackereth and Paula Maycock look at aromatherapy in symptom management

ON THE COVER

18

Running smoothly Sarah Catlow, MFHT, and Lance Doggart, MFHT, discuss running injuries and prevention strategies

12

22

28

Little feet, big benefits Susan Quayle, FFHT, provides an introduction to reflexology for children

18

28

Dishes for doshas Sunita Passi of Tri-Dosha provides an introduction to Ayurvedic principles in food and nutrition

41

31

22

Raising eyebrows Naomi O’Hara takes a look at the popular permanent make-up technique, microblading

36

Tom Fortes Mayer discusses the value of self-hypnosis in the workplace

43 REGULARS

LEARNING ZONE

08

Your views

44

Research

10

News update

45

Tell me about

26

What’s new at FHT

50

32

2016 FHT Excellence Award winners

CPD questions and diary dates

38

41

‘B’ is for belly FHT Vice President, Jonathan Hobbs, looks at some everyday foods that are good for gut health

42

Soft touch Sue Gassick and Lesley Salt provide some self-help EMMETT Techniques for therapists with neck tension

43

51

New in the Reading Room and spiral quiz

52

Medical A-Z – carpal tunnel syndrome

Local support group news

The power of suggestion

All in good time Lisa Barber looks at the benefits of offering a free taster online

MEMBERS’ PAGES

40

Public affairs and practice

58

Industry news

54

Education matters

66

On the couch...

56

FHT accredited courses

47

Members’ news

with Elaine Wilkins, FHT 2016 Tutor of the Year

67

FHT learning

48

Reviews, competition and new products

FHT.ORG.UK

Contents__International Therapist 3

46 A day in the life of… Lisa Mansell, MFHT, a beauty and complementary therapist, and teacher

WINTER 2017 INTERNATIONAL THERAPIST

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13/01/2017 16:57


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-editors Rima Evans, John Windell

Design Nicola Skowronek

Advertising Joe Elliott-Walker at Redactive T. 020 7880 6217 joe.elliott-walker@redactive.co.uk

Deadlines – Issue 120 Deadlines for IT Spring 2017 Editorial – 7 Feb 2017 Classified adverts – 30 March 2017 Display adverts – 7 April 2017 Published – 27 April 2017

Senior management team Jade Dannheimer; Matthew Furner; John Parsons; Annie Walling; Karen Young

Governing Council President – Paul Battersby Vice Presidents – Gerri Moore; Mary Dalgleish; Herman Fenton; Shailini Karia; Christopher Byrne; Jonathan Hobbs; Maria Mason Lay members – Helen Chambers; Peter Wren

FHT expert advisers Julian Baker, MFHT; Lynne Booth, MFHT; Amanda Brooks, MFHT; Cheryl Cole, SfFHT; Lorraine Davis, FFHT; Christine Fisk; Sally Kay, FFHT; Cameron Reid; Tina Reid; Neil Sheehan, MFHT; Denise Tiran

15,169 1 July 2015 to 30 June 2016

S

o, how’s the diet going?’ That’s what my friends will be asking me round about now – towards the end of January – knowing that ‘sticking to a healthy, balanced diet’ will have once again featured on my list of New Year’s resolutions. As I’m actually writing this welcome page in November 2016, I’m also intrigued to know what my answer will be in two months’ time. That’s because I have decided that in early January, rather than follow my ‘usual’ diet (which feels more punishing than balancing), I am going to visit an Ayurvedic practitioner to discover what foods are ideal for my mind-body type, according to this ancient Indian health system. While I’m pretty confident the practitioner I see won’t be recommending that I should eat lots of chocolate, cake and biscuits, I am keen to know if gnawing my way through bowlfuls of certain raw vegetables when I’m ‘trying to be good’ is good for my constitution. Intrigued? Then I’d highly recommend reading Sunita Passi’s article on page 28, which is what has got the Ayurveda ball rolling in my mind. Sticking with digestive health, you’ll find a short article by FHT Vice President, Jonathan Hobbs, on everyday foods that can support good gut health on page 41, and Dr Peter Mackereth and Paula Maycock introduce the SYMPTOM model for reviewing aromatherapy in the management of constipation (see page 12). For those of you who have been keenly following our FHT Excellence Awards, we will, of course, be featuring articles about the work of our 2016 winners and finalists

in IT and online. In this issue you can find an overview of the winners on page 32, with more in-depth information about Elaine Wilkins, Tutor of the Year, on page 66, and a piece by Susan Quayle, Highly Commended Complementary Therapist of the Year, on page 22, that looks at reflexology for children. And training provider Teresa Rich talks about why she chose to nominate Lorraine Ryder for an award, who went on to win Student of the Year (page 54). As always, please do let us know your news and views about anything featured in the magazine – simply email kyoung@fht.org.uk or call our office and ask for me.

Karen Young, Editor

USEFUL FHT CONTACTS 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

CPD REQUIREMENTS

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

Kiah Myatt 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 AND LINKEDIN

This issue of International Therapist has been published on behalf of the Federation of Holistic Therapists by Redactive Media Group, 17-18 Britton Street, London EC1M 5TP. 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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Editors welcome__International Therapist 5

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PRESIDENT’S WELCOME

WELCOME

H

appy New Year to you all. I hope you had a nice break over the Christmas period and that 2017 has already got off to a great start, whatever your goals are for the year ahead. Before I go on further, just one thought to last year – I’d like to say what a pleasure it was to see so many of you at our 2016 FHT Members’ Lunch and Excellence Awards presentation at One Whitehall Place in October. Looking around the room I felt genuine pride, seeing so many distinguished guests under one roof to celebrate the achievements of our members. We received

that simply doesn’t lend itself to holistic lots of really positive feedback about the treatments which, by their very nature, day and not least about the incredible are tailored to suit the needs venue, which really did make the of the individual and are whole event feel extra special Paul Battersby, not ‘standardised’. (for photographs and more MFHT, has been a practising therapist for And of course there’s information, see page 32). more than 20 years. A former the good old matter of As I write, I know the therapy tutor in colleges of money. Any of you who team at FHT HQ are HE and FE, he is now a senior are involved in research busy firming up details lecturer at Glyndŵr University, teaching rehabilitation, will know how notoriously for our 2017 Excellence traditional Chinese medicine difficult it is to secure Awards and training and complementary funding, and all the more so events, so watch out for therapies. if it’s for an intervention that more information in future typically focuses on improving issues of the magazine and your quality of life and doesn’t involve a e-newsletters. We’re confident that we’ll product or technique that can be have something for everyone, whatever commercially protected. your specialism. I have had extensive talks with FHT’s In terms of what else we’re planning for Governing Council and staff about 2017, we’ll soon be sharing some exciting these challenges and I am determined news on the research front. As many of to find a way to support our members you will know, the therapy industry is on the research front in the months, or under increasing pressure to provide more hopefully years, to come. So, as I say, ‘robust’ evidence that the interventions we watch this space... offer are safe and effective, and particularly when being used in a healthcare context. There are many reasons why it’s not easy to provide this evidence, including the fact that often those demanding it consider randomised controlled trials (RCTs) to Paul Battersby, President be the gold standard – a research model

FHT GOVERNING COUNCIL VICE PRESIDENTS PRESIDENT Paul Battersby HFST (International Council of Health, Fitness and Sports Therapists) FHT EXPERT ADVISERS Julian Baker, MFHT; Lynne Booth, MFHT; Amanda Brooks, MFHT; Cheryl Cole, SFFHT; Lorraine Davis, FFHT; Christine Fisk, MFHT; Sally Kay, FFHT; Cameron Reid; Tina Reid; Neil Sheehan, MFHT; Denise Tiran.

Gerri Moore

Shailini Karia

Maria Mason

IFHB (International Federation of Health and Beauty Therapists)

HBEF (Health and Employers Federation)

IFHB (International Federation of Health and Beauty Therapists)

Herman Fenton

Christopher Byrne

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

ICAT (International Council of Acupuncture Therapists)

Mary Dalgleish

Jonathan Hobbs

ICHT (International Council of Holistic Therapists)

ATL (Association of Therapy Lecturers)

LAY MEMBERS

Helen Chambers and Peter Wren (representing the interests of the public)

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

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President Welcome__International Therapist 6

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13/01/2017 17:52


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WINTER 2017 INTERNATIONAL THERAPIST

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HAVE YOUR SAY PLEASE KEEP IN TOUCH WITH US... Email dralls@fht.org.uk Facebook facebook.com/fht.org.uk

Your views

FHT website fht.org.uk

Twitter @FHT_Org

Write to 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hants S050 4SR

Therapy presentation in Parliament

STAR COMMUNICATION In the next issue of IT, the lucky member who wins our star communication prize will receive a free copy of Marma Therapy, by Dr J Ramanuja Raju and Stefan Schrott. Keep emailing us (dralls@fht.org.uk), tweeting (@FHT_Org), facebooking (facebook.com/fht.org.uk) or commenting on our blog (fht.org.uk/blog) for a chance to win.

Member and FHT Excellence Healthcare (PGIH) meeting Award winner Angela Green and (see page 40). her colleague Dr Anne ‘Working in a hospice Johnson were recently environment, I have seen invited to give first-hand the benefits LORRAINE MILLARD, a presentation of complementary MFHT about the therapy in palliative Well done Angela and complementary care. Well done for team! Lighting up and therapy service at raising awareness at leading the way x Velindre Cancer this high level.’ Helen Perkins, Centre at an AllFHT accredited Party Parliamentary course provider Group for Integrated

Anne-Marie is a bronze health hero I am delighted to have recently won a Bronze Health Hero Award. The Health Hero Award, run by Total Wellness Club, is achieved by gaining more than 10 customer reviews with an average score of 4.5 or more out of five. Total Wellness Club director Neil Fellowes said: ‘Our work helps people see what works for their health, fitness and well-being. People see a therapist, go to a gym or buy a product online. They then leave reviews on our website. These reviews help other people make more informed decisions about their health.

‘When a health provider, such as Rose Holistic Treatments, gains recognition from their clients, we like to recognise that. It shows they are doing valuable work. This is why Rose Holistic Treatments won the Bronze Hero Award.’ It is wonderful to receive such positive feedback. It’s always rewarding to hear that clients feel confident about visiting me for massage and reflexology, that they value their visits highly, and that I help them feel relaxed. I’m also delighted that they rate the level of care they receive as exceptional. Anne-Marie Rose, MFHT

Twitter talk WHAT ARE SOME OF THE LATEST TWEETS FROM FHT MEMBERS? TAKE A LOOK HERE... TWEET US @FHT_ORG AND YOU COULD FEATURE IN A FUTURE ISSUE.

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Your Views__International Therapist 8

nication Star Commu

Welcome to the FHT

In the zone

EMMA LIVINGSTONE, STUDENT MEMBER, @MARKETINGEM

ZIGGIE BERGMAN, MFHT @ZONEFACELIFT

It’s all coming together nicely! Received my @FHT_Org membership pack and I’m now reading IT magazine in my therapy room #bliss

Thank you @FHT_Org for sharing my @zonefacelift tips & advice in this month’s issue. #CPD #naturalbeauty #reflexology

FHT.ORG.UK

13/01/2017 17:53


HAVE YOUR SAY

Sitting comfortably In your summer edition (International Therapist, Issue 117) in News in Brief (page 11), there was an item with the headline ‘Mindfulness could keep depression at bay’. Accompanying this, there was a photo of a woman in an uncomfortable looking position: head tilted back on to one side, legs crossed with knees raised and her hands drawn forward off her knees. This would not be a comfortable position to sit quietly in. Someone sitting upright in a chair might have been a better image choice. I teach yoga, and meditation is part of my practice. I also teach meditation. It is important to be both comfortable and alert to be mindful, and choose a different position to that which you would use for reading, thinking and so on. If the body is in the same position as for other tasks, it makes it more difficult to be relaxed and focused as the mind will likely be diverted. Sitting is best if you are completely upright with a thick book under each back leg of the chair to give an angle to the seat, making it easier to stay upright. Keep the chin in slightly to lengthen the back of the neck. If you can sit cross-legged on the floor have a firm cushion under the hips (so you feel as if you are about to slide forward and off). The cushion helps the hip flexors and keeps the knees below the level of the hips. The knees, resting on the ground, anchor the body and keep it from sliding off the cushion. The amount of elevation provided by the cushion can be increased so the knees come to the ground. If they can’t reach the ground, a chair is the answer. The knees being below the hips stop the tendons linking the body and thighs from

Therapy support for Ben’s mammoth marathon challenge

eing raised and being rod-like. Raised tendons get very tired. Assuming you are able to get your knees down to the floor, the next thing is to keep the back straight, shoulders back and down. Then place hands on legs with elbows bent. This keeps the shoulder blades in place, rather than being drawn outwards, which strains the arms and shoulders because of their weight. The wrists or palms can then be used to push down gently on the mid-thighs to help the back stay straight. Draw the chin in gently to lengthen the back of the neck. Then you are in a position to be mindful. Juliet Green, MFHT Editor’s comment Thank you for bringing this image choice to our attention. Our aim is to use images that are as accurate as possible and this is something we will continue to strive towards in future issues.

excellence Awarded for

Two FHT members provided muchneeded therapy support to runner Ben Smith, as he completed a staggering 401 marathons in 401 days towards the end of 2016. Annette Rainbow, MFHT, (pictured) and Anne-Marie Rose, MFHT, both helped Ben with massage along the way, while he ran more than 10,000 miles to raise in excess of £300,000 for charities, Stonewall and Kidscape, and increase awareness of bullying. ‘I massaged Ben after his 80th marathon in November 2015 in Oxford and after his 397th marathon in October 2016 in Salisbury. ‘It was such a great day seeing Ben again and Kyle, who organised everything behind the scenes. Their drive and passion is so inspiring.’ Annette Rainbow, MFHT ‘I was delighted to have offered Ben a massage when he was in Bath after his 373rd marathon. Ben said: “A massive thank you to Anne-Marie for my relaxing massage tonight, almost fell asleep, lol. It was so nice.”’ Anne-Marie Rose, MFHT

ALISON BROWN, FFHT Thanks everyone for a lovely afternoon. It was a very enjoyable and inspiring day. Well done to all the team! :)

Jolly good Fellow DIANE LEOPARD, FFHT, @DIANELEOPARD

MICHAEL MORRIS, MFHT, @MIKEMAGICHANDS

NICHOLAS FLANAGAN, MFHT, @PUPPYFLANAGAN

Delighted to have been made a Fellow of @FHT_Org. Such a #proudmoment

Still revelling in yesterday! FHT Complementary Therapist of the Year 2016. Thanks @FHT_Org @TonicHealth2 @janeyleegrace

@FHT_Org I am delighted to finally have my #FHTExcellenceAward on display at the clinic! bodywrxrehabilitation.com

FHT.ORG.UK

Your Views__International Therapist 9

WINTER 2017 INTERNATIONAL THERAPIST

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NEWS

Mental wellbeing of school pupils worse than in 2005 Worrying is detrimental to health A study has found that worrying about your health may make you more likely to develop heart disease. Published in BMJ Open, the study set out to discover whether there was a link between health anxiety and a risk of developing ischaemic heart disease (IHD).

The health of more than 7,000 people was examined, with a followup after 12 years. Those with health anxiety were found to have a 70% increased risk of IHD than those who didn’t worry about their health. The researchers suggested that this outlines the importance of correct diagnosis and treatment of health anxiety and the negative consequences that can arise if the problem is ignored. For the study, visit bit.ly/BMJ_16_worrying

Winter skin protection The mental well-being of year 10 school pupils in England has worsened since 2005, according to a recently published Government study. The study on the health and well-being of young people in England from 2005 to 2014 highlights that the mental health of girls was of particular concern. However, the study found that year 10 pupils in 2014 were significantly more work-focused than those surveyed nine years earlier. They also had a more positive overall attitude towards school, while truancy reduced by 10%. Educational aspirations are also on the rise with the number of students studying A-levels going from 59% to 65 % and university intake increasing from 60% to 71%. Young people in 2014 were also less likely to engage in risky behaviour, such as drinking alcohol, smoking cigarettes or cannabis, committing vandalism or shoplifting. Pupils from disadvantaged backgrounds tended to fare less well in terms of educational experience and risky behaviour. However, young people from reasonably advantaged backgrounds were more likely to experience psychological distress than those from disadvantaged families. To read the study, visit bit.ly/DfE_16_year10

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News__International Therapist 10

The winter weather can play havoc with the skin, especially for those with existing skin conditions, such as eczema or psoriasis. Each winter our body is exposed to harsh changes, leading the blood vessels in the skin to change rapidly to account for the fluctuating temperature. This can leave the skin looking flushed, red and weather beaten. Wind, rain, central heating and soggy clothing can all irritate the skin. Consultant dermatologist and British Skin Foundation trustee, Dr Bav Shergill, has some top tips for keeping

skin in good shape this winter. ‘One of the best and simplest ways to combat the winter effects on skin is to regularly apply moisturisers and lip salves. This will help replenish the lost moisture from the skin. All skin types benefit from a moisturiser. ‘Be careful with the kind of clothes you wear. Some materials, for example, lamb’s wool may irritate skin and cause flare-ups.’ Read more on the FHT blog at fht.org.uk/winter-skinprotection

Smartphone use linked to poor sleep Using smartphones before bedtime may be detrimental to your chances of getting a good night’s sleep, according to the University of California. Researchers tested the hypothesis that increased screen time was associated with poor sleep. They enrolled more than 650 participants over the age of 18, who took part in an internet-based study over 30 days, where they would report the number of minutes in each hour their smartphone

screen was on, along with average screen time during their typical bedtime hours. Results indicated that individuals who spent more time on their phones slept for fewer hours. And those who reported longer-than-average screen times during bedtime hours had poorer sleep quality and found it more difficult to transition from wakefulness to sleep. To access the research, go to bit.ly/PLoSONE_16_sleep

FHT.ORG.UK

13/01/2017 17:54


NEWS

Playing golf may help with both physical and mental health, according to a study in the British Journal of Sports Medicine. A review conducted by researchers at the University of Edinburgh assessed the relationship between golf and health, looking at more than 300 studies. Findings from the review associated golf with ‘physical health benefits that include improved cardiovascular, respiratory and metabolic profiles, and improved wellness’. The researchers indicated that practitioners and policy-makers should be encouraged by the benefits of golf for both physical and mental well-being and added that playing the sport could potentially increase life expectancy. The researchers also recommended further assessment of the association between golf and mental health. Visit bit.ly/BJSM_16_golf

Moby releases licence-free ambient music

News in brief

American musician Moby has released an album of ambient music that is free to listen to, download, stream, share or play in treatment rooms. Moby, who has sold more than 20 million albums worldwide, originally created the album, called long ambients1: calm.sleep, to listen to while he did yoga, slept, meditated or felt anxious. However, he has since released the album as a free download for anyone to use as they wish. On his website Moby says: ‘It’s really quiet: no drums, no vocals, just very slow calm pretty chords and sounds and things for sleeping and yoga and feel free to share it or give it away or whatever, it’s not protected.’ To find out more about music licencing, go to fht.org.uk/ music-licences-and-the-therapist To access the music, visit moby.com/la1/

TAKING SELFIES MAY MAKE YOU HAPPIER Taking pictures of yourself smiling on a smartphone may improve your mood, according to new research. Scientists from the University of California studied more than 40 students who took selfies every day for four weeks and shared the pictures with friends. The students felt happier and more confident as the study progressed, even when they felt their smiles in the pictures weren’t genuine. Visit bit.ly/PWB_16_selfies

Wearable technology no more effective than traditional weight loss methods

A randomised controlled trial on the effectiveness of wearable technology in addressing obesity has found that devices that provide and offer feedback on physical activity may not offer an advantage over standard behavioural weight-loss approaches. The study, published in JAMA (The Journal of the American Medical Association) sought to establish whether

FHT.ORG.UK

News__International Therapist 11

wearable technologies specific to physical activity and diet were effective at improving weight loss. A total of 470 participants were placed on a low-calorie diet, given a physical activity plan and had counselling sessions. These participants were then randomly split into two groups, with one initiating ‘self-monitoring of diet and physical activity using a website’ and the other given ‘wearable devices and a web interface to monitor diet and physical activity’. There were ‘significant improvements in body composition, fitness, physical activity, and diet, with no significant difference between groups’. Read more on the FHT blog at fht.org.uk/wearable-technology or bit.ly/JAMA_16_obesity for the study.

BLACKCURRANT GOOD FOR SPORTS PERFORMANCE New Zealand blackcurrant extract may enhance sports performance, after a study showed that eight athletes had higher running times to exhaustion when consuming the extract. However, the extract had no effect on heart rate and vertical jump power. Go to bit.ly/S_16_blackcurrant

BAGGED SALAD AND BACTERIA RISK Scientists urge people to eat bagged salads on the same day they purchase them, as the moist conditions within the bag can lead to salmonella. Within five days, salmonella bacteria can reproduce at an alarming rate, substantially increasing the risk of food poisoning. However, the chances of a salad bag being contaminated by salmonella or other bacteria in the first place are thought to be low (between zero and three per cent). Visit bit.ly/AEM_16_salad

WINTER 2017 INTERNATIONAL THERAPIST

PICTURES: SHUTTERSTOCK/ISTOCK/GETTY

Golf may help well-being

11 16/01/2017 14:06


COMPLEMENTARY | Aromatherapy

TREATING THE SYMPTOM,

not the cause IN THIS BOOK EXCERPT, FROM AROMATHERAPY, MASSAGE AND RELAXATION IN CANCER CARE, DR PETER MACKERETH AND PAULA MAYCOCK EXPLAIN THEIR MODEL FOR REVIEWING AROMATHERAPY IN SYMPTOM MANAGEMENT

A

s aromatherapy and other complementary therapies have become popular, therapists are increasingly being asked to help with ‘difficult to treat’ symptoms. These requests can come from a patient’s medical team, which may have thoroughly investigated a symptom and provided interventions, but still not been able to ease it. It may be that contributing behavioural or psychological issues are exacerbating the

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Aroma Book excerpt__International Therapist 12

symptom, which could be helped by skilful use of a complementary therapy intervention. A complementary therapist is not trained to make a medical diagnosis but may work collaboratively with a medical team to assist in managing symptoms and disorders. We have developed a model exploring how best to assess, support and/or refer on patients with complex symptoms, such as constipation or nausea. We have found this model to be useful in our work with a variety

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Aromatherapy | COMPLEMENTARY

SYMPTOM – a model for reviewing the role of aromatherapy in symptom management S

Symptom definition and causation. Is there a medical term to describe the symptom? Is it part of a cluster? Is it a ‘red flag’ for a health concern/medical emergency? Is there a psychological component to the definition? Is there a known causation?

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Your patient’s experience of the symptom. How does he/she describe it? Is there a means of measuring the symptom, for example the visual analogue scale (VAS)? Is it generalised, specific to an area or activity or time of day? Are there any triggers and does it migrate to other parts of the body?

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Medical management. Has the patient reported the symptom to medical staff? Has the symptom been investigated? Does the patient receive any medication or intervention to help with the symptom now or in the recent past? (He/she may have stopped taking the medication or be using it only occasionally.) Have you been asked/been given permission to provide aromatherapy to the patient, or is he/she self-referring? Will you or the patient report back to the medical staff?

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Purpose of you providing aromatherapy. What are your expectations? What is the evidence of benefit? What does your patient expect from receiving aromatherapy?

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Technique/treatment delivery/route. Assess and review method, for example aromastick, base, gel, lotion, and/or combined with acupressure, reflexology or hypnotherapy.

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Options/advice. Ensure that this is within your professional role/organisation’s policy. Record and provide confidential written/electronic detail, if appropriate. You will be accountable for all aspects of the intervention(s).

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Monitor/maintain symptom control. Ensure that the patient has a means of reporting any change or outcome of the intervention(s). If in doubt, always refer patients back to a medical practitioner. Remember, a symptom can be a warning sign of a change in their medical condition or health.

“A symptom is more often part of a cluster of physical, psychological and behavioural concerns” of patient and carer concerns. It needs to be acknowledged that a symptom rarely occurs as a singular problem; more often, it is part of a cluster of physical, psychological and behavioural concerns. Cognizant of this complexity, it is important that therapists be holistic in the information gathering and assessment of a patient’s well-being. As the therapeutic relationship develops, and trust is gained, patients often disclose more detail about what troubles them. Sometimes this information, and associated fears, may not have been shared with the patient’s medical team. As therapists, we need to remain aware of such disclosures, their relevance to medical care and how we can best manage patient confidentiality. The elements of the SYMPTOM model are outlined in the table above.

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Aroma Book excerpt__International Therapist 13

APPLYING THE SYMPTOM MODEL In this article, we use constipation to describe the SYMPTOM model in action. Here is how it would be applied: Definition of symptom and causation Constipation is perhaps most conveniently thought of as a symptom. In contrast, functional constipation and secondary constipation are disorders. Changes in bowel habits may require investigation if they persist. When clinicians investigate health concerns, they are trained to be alert to ‘red flags’; these are paramount for making an assessment and triggering further investigations. Red flag symptoms may prompt a health professional to make a rapid referral to a medical specialist or, in certain circumstances, instigate attendance at an emergency care department.2, 3 They can include alternating constipation and diarrhoea; persisting nausea and vomiting; bleeding – fresh blood and/or tarry stools; and severe abdominal pain/guarding. Leakage of loose stool can occur around impacted faeces, with small quantities of stool being passed frequently and without sensation. This is also known as bypass soiling. Encopresis is an

S

alternative term for faecal incontinence, but is rarely used in patient communication. Secondary constipation is also known as organic constipation. There was no agreement on diagnostic criteria and terminology until the Rome II diagnostic criteria for functional gastrointestinal disorders.4 According to the updated Rome III criteria,5 a patient must have experienced at least two of the following symptoms over the preceding three months: • Straining • Lumpy/hard stools • Sensation of incomplete evacuation • Sensation of anorectal blockage • Manual manoeuvring required to defecate • Fewer than three bowel movements per week. It is important to remember that drugs commonly prescribed for people living with cancer can induce constipation; these can include opioids, iron, antacids, calcium and anticholinergic agents. Disease can induce constipation from, for example, direct pressure/obstruction from a localised tumour or from spinal cord compression secondary to advanced disease. Indirectly, cachexia, immobility and low mood or depression can also compromise bowel function and appetite/ability to eat.6

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MACKERETH AND MAYCOCK, 20141

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COMPLEMENTARY | Aromatherapy

The ‘I Love You’ abdominal massage routine for self-massage by the patient This routine utilises gentle stroking, working in a clockwise direction only.

1 2 3 4

“A therapist can encourage patients to adhere to medical and dietary advice” Your patient’s experience Eliciting a history of, and changes to, bowel habits is essential. Nearly 80% of the population believes they should open their bowels daily, with 90% believing that bowel regularity is essential for good health. Episodes of temporary constipation can occur when people are away from home, anxious or travelling. There are complications of persisting constipation made worse by straining; these can include discomfort and pain, rectal bleeding, haemorrhoids and anal fissures.3 In a cancer care setting, there can be complex reasons for constipation.

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Medical management It is important to know if the patient has reported the constipation to his/her doctor, so the current underlying cause can be investigated. It is therefore also vital that the aromatherapist knows of these possibilities and treats within safe guidelines, and always within their own sphere of knowledge and the rules of the employing body. If you are working within a medical setting, you will be adding your findings to the patient’s medical notes, as well as taking responsibility for your results.

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14

Dietary change and exercise are first line recommendations rather than reaching for laxatives, enemas and suppositories.7 In particular, the latter may not address the underlying problem, but can lead to side effects and dependency. A therapist can encourage patients to adhere to medical and dietary advice, but if conservative measures fail and the patient is clearly compliant with the advice, a more detailed evaluation should be performed by medical staff. Purpose Defining the purpose of your aromatherapy intervention is paramount. You may need to help a patient uncover the underlying cause or triggers of the constipation and then work with their expectations. These should always be based on what might be achievable within your role and skill set. We have always found a reliable first port of call in managing constipation to be managing the anxiety that surrounds it. When anxiety is reduced, other concerns linked to constipation, such as fear or low mood, may be eased. It is important to set goals, which could include changing behaviours around bowel care rather than promises of ‘regular’ bowel motions. We have coined the term ‘aromaease’ to describe using aromatherapy combined with other complementary modalities to promote symptom relief. In terms of constipation, this would be to promote peristalsis, reduce anxiety and low mood, improve comfort and ease effort linked to bowel movement. Integral to the aromaease work is increasing the patient’s awareness and understanding of influences on bowel function and processes, for example, to

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Aroma Book excerpt__International Therapist 14

P

Wash and dry hands.

Apply oil supplied by therapist.

Place cupped hands over tummy.

Scoop down left side of tummy using the heel of your hand six times – the‘I’.

5

Scoop up starting on the lower right side, then move across your tummy, finishing down the left side six times (following the large bowel) – the ‘L’.

6

Partially circle the umbilicus in a ‘U’ shape clockwise, again six times. Finish by gently holding the tummy with cupped hands.

7

Adaptions – work the same areas over the lower back using oil; include gentle massage of upper buttocks.

8

Work either the tummy or lower back over clothes or a towel without oil. If trained as a reflexologist, utilise the hand or foot bowel/helper areas. This routine can be carried out by the patient while toileting (to reinforce association with bowel routines). Avoid after a meal or if any areas are tender.

promote peristalsis (see panel and case study one). Carers can play an important part, with the patient’s ongoing consent, in delivering simple techniques and encouraging a loved one to practise a taught self-help activity (see panel and case study two). Techniques It is important to remember that a therapist can provide intervention over clothed areas or parts of the body distant to the area(s) of discomfort/concern. If it is possible, and with the patient’s consent, the therapist can deliver abdominal/lower back massage using base oil with or without essential oils. Therapists with additional training can

T

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Aromatherapy | COMPLEMENTARY

The SYMPTOM model in practice To illustrate how the model has been applied in practice, two case histories can be found below, together with a reflective statement.

CASE STUDY ONE A SINGLE ‘GETTING GOING’ SESSION Symptom/medical management: David was recovering from bowel

CASE STUDY TWO A ‘COMFY’ TUMMY WITH MASSAGE AND GUIDED IMAGERY

surgery, which included formation of a temporary colostomy. David had

Symptom/medical management: Sandra had breast cancer and lung and

had no bowel movement since surgery, three days previously.

bone metastasis. She was receiving oxygen therapy and pain relief via a

Your patient’s experience: David reported tension in his neck and a headache and he felt very conscious of everything going on around him. Purpose: David was offered interventions (including self-help techniques) to promote relaxation and parasympathetic action (for

syringe driver plus patches. Sandra was also provided with laxatives. Your patient’s experience: Sandra talked about being breathless on exertion, confined to bed with poor appetite and being uncomfortable when sitting on the commode for any length of time.

example, peristalsis).

Purpose: To promote comfort and relaxation during the use of the commode.

Techniques/Options: To support self-help, the therapist demonstrated a

Techniques/Options: Sandra was offered massage movements in the form

simple hand massage combined with an aromastick. David selected one

of a simple ‘I Love You’ on her tummy and lower back. With Sandra’s

that reminded him of his garden. He was encouraged to self-massage and

agreement, this approach was also demonstrated to her daughter. A grape

use the aromastick three times a day.

seed oil base, plus sweet orange essential oil (chosen by the patient) was

Monitoring: During the session, David reported ‘rumblings’ audible to the therapist and an awareness of thirst. This was an opportunity to encourage David to drink to hydrate the stools and help with their passage. He

used. During the massage, the therapist provided a short visualisation using the metaphor of a ‘comfy’ train or other vehicle travelling to a preferred destination using the senses.

requested that the therapist return in two days. However, feedback from

Monitoring: Sandra reported that her comfort was improved by having her

the nurses included that his stoma had worked and therefore he had

therapist (or her daughter) massage her lower back, while she was sitting on

been discharged.

the commode.

Reflection: During a gentle foot massage, David talked about his former

Reflection: Aside from the feedback from Sandra, her daughter had requested

work as a manager, the shock of diagnosis, his unfamiliarity with hospitals,

massage to help her at this time, disclosing during the session that she wanted

and lack of privacy within hospital. The therapist talked about promoting

to make the most of her time with her mum. Providing the massages for her

peristalsis through relaxation, listening for tummy gurgles and the overall

mum made her feel especially close and important to her care. Sandra drifted

importance of bowel movement for his recovery. David was very interested

into unconsciousness and died during the night the following week.

in the mechanics of the gut and links to the nervous system.

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Aroma Book excerpt__International Therapist 15

“Self-hypnosis has been used to help patients gain control of bowel function, with evidence from literature that emotions and mood can have a direct effect on gut motility” are encouraged and regulated using either massage movements or holding techniques that promote the flow of peristalsis. There can be a release of emotions and a sense of connectedness that arise after this welcomed and sensitive work.9 It is worth exploring the aromatherapy and constipation literature to uncover current evidence for interventions and essential oil choices. The method of administration for the treatment (massage, gel, lotion and so forth) and the blend to be used must be agreed upon, appropriate and convenient for patients to use. For example, we have found that a blend of essential oils in an

aromastick is a popular and empowering method for introducing blends to help with insomnia, nausea and anxiety.10 Aromasticks could be combined with hypnotherapy, reflexology and even acupressure to help some forms of constipation. Options/advice Techniques are offered to patients to assist with constipation. These include abdominal massage, or hand and foot massage using an appropriate and patientpreferred blend. If a therapist holds reflexology training, and has the patient’s consent, they could work reflexology areas

O

WINTER 2017 INTERNATIONAL THERAPIST

PICTURE: SHUTTERSTOCK

advance this work by: • Considering the use of integrating acupressure points/meridian/ reflexology work • Combining hypnotherapy/guided imagery using a selected aromastick • Using ‘in the right place/at the right time’ practice – associating the intervention(s) with the activity, for example toileting • Offering to teach a family member or partner the ‘I Love You’ abdominal massage routine or, if a reflexologist, show how to gently work the specific bowel areas of the hands/feet. Self-hypnosis has been used to help patients gain control of bowel function, with evidence from literature that emotions and mood can have a direct effect on gut motility.8 Listening to peristalsis is possible using an extended stethoscope or even using a natal heart monitor. Bowel movement can often be heard and even felt; the sounds of these gurgles are indicative of peristalsis. When patients receive welcomed comfort and touch, these sounds can become noticeably louder. Within the field of biodynamic massage therapy, these sounds

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COMPLEMENTARY | Aromatherapy

What is the evidence from research? This is a summary of a study relating to constipation entitled ‘Effectiveness of aroma massage on advanced cancer patients with constipation: a pilot study’.[11]

Purpose and methodology

on the hands. Patients may have been given medical/lifestyle/behavioural advice, but not had support in carrying out the activity or change in behaviour. An aromatherapist could review these options and advise and support patients to make the appropriate changes. If the patient is unsure about the advice, they can be encouraged to obtain clarification from the appropriate health professional.

Dr Peter Mackereth has recently retired after working as Clinical Lead for Complementary Therapies and Smoking Cessation at The Christie NHS Foundation Trust in Manchester for the past 15 years. He is a registered nurse and has worked in intensive care, neurology and oncology.

The purpose of this study was to verify the effect of aromatherapy massage on constipation in advanced cancer patients. The method employed a randomised control group pre- and post-test design and included an aroma massage group, a plain massage group and control group. To evaluate the effect of aromatherapy, the degree of constipation was measured using the Constipation Assessment Scale (CAS), severity level of constipation and the frequency of bowel movements. Data was analysed by repeated measures of the Mann-Whitney U test, Wilcoxon Signed Rank test, Spearman’s rho and analysis of variance (ANOVA) using the Statistical Package for the Social Sciences (SPSS) programme. Results

Monitoring It is useful to assess both the quality and quantity of bowel activity. A visual analogue scale (VAS) scored in 0 to 10 centimetre sections, which features opposing terms either end of the continuum, could be used. For example, the opposing terms could be, ‘I comfortably attempt to/open my bowels’ to ‘It was uncomfortable to attempt to/open my bowels.’ It is useful to ask: ‘How frequently do you open your bowels in a week?’ Be careful about being tied to bowel movement outcomes. It may be more appropriate in a palliative and supportive care setting to consider comfort or anxiety linked to bowel movements or even achieving a satisfactory release of wind/flatus.

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Paula Maycock is a clinical hypnotherapist with a focus on health, well-being and managing stress. A senior therapist within The Christie, as well as working in private practice, Paula places emphasis on supporting patients and carers through their experiences using an integrated therapy approach.

Aromatherapy, Massage and Relaxation in Cancer Care Edited by Ann Carter and Dr Peter Mackereth, this book is available from singingdragon.com

The score of the CAS of the aroma massage group was significantly lower

References

than that of the control group. Apart

1 Mackereth P, Maycock P. (2014) Aromatherapy

from improvement in bowel movements,

and the SYMPTOM model. In Essence 13(3): 9-12. 2 Candelli M, Nista EC, Zocco MA, Gasbarrini A. (2001) Idiopathic chronic constipation: pathophysiology, diagnosis and treatment. Hepatogastroenterology 48(40): 1050-7. 3 Collins BR, O’Brien L. (2015) Prevention and management of constipation in adults. Nursing Standard 29(32): 49-58. 4 Drossman DA, Corazziari E, Talley NJ, Thompson WG, et al. (1999) Rome II: a multinational consensus document on functional gastrointestinal disorders. Gut 45(2): II1-80. 5 Shih D, Kwan L. (2007) All roads lead to Rome: update on Rome III criteria and new treatment options. The Gastroenterology Report 1(2): 56-65. 6 Laugsand EA, Jakobsen G, Kaasa S, Klepstad P. (2011) Inadequate symptom control in advanced cancer patients across Europe. Supportive Care in Cancer 19(12): 2005-14.

the results showed significantly improved quality of life in physical and support domains of the aroma massage group. Conclusion The findings of this study suggest that

PICTURES: SHUTTERSTOCK

aroma massage can help to relieve

16

constipation in patients with advanced cancer. Selection was made from the following essential oils: bitter orange, black pepper, rosemary and patchouli. The base used was olive oil.

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Aroma Book excerpt__International Therapist 16

7 Bush S. (2000) Fluids, fi bre and constipation. Nursing Times Plus 96(31): 11-2.

8 Taylor E. (2010) Hypno-psychotherapy for functional gastrointestinal disorders: In: Cawthorn A, Mackereth P. (Eds.). Integrative hypnotherapy: complementary approaches in clinical care. Churchill Livingstone: London. 9 Carroll R. (2002) Biodynamic massage in psychotherapy: reintegrating, re-owning and re-associating through the body: In: Staunton T. (Ed.). Body psychotherapy. BrunnerRoutledge: Hove. 10 Stringer J, Donald G. (2011) Aromasticks in cancer care: an innovation not to be sniffed at. Complementary Therapies in Clinical Practice 116(21): 9-15. 11 Lai TK, Cheung MC, Lo CK, Ng KL, Fung YH, Tong M, Yau CC. (2011) Effectiveness of aroma massage on advanced cancer patients with constipation: a pilot study. Complementary Therapies in Clinical Practice 17(1): 37-43.

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SPORT | Running

Running smoothly

SARAH CATLOW, MFHT, AND LANCE DOGGART, MFHT, DISCUSS RUNNING INJURIES AND PREVENTION STRATEGIES

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Sport Running injuries__International Therapist 18

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Running | SPORT

Examples of common running injuries Hip and thigh injuries Hip bursitis

Also known as trochanteric bursitis, hip bursitis is inflammation of a bursa, or small sack of fluid, between the tendon and bone, which prevents friction. The bursa can become inflamed causing pain in the hip.

Snapping hip

Sometimes called dancer’s hip, snapping hip is a condition in which you hear a snapping sound or feel a snapping sensation in your hip.

Iliotibial band syndrome

Iliotibial band syndrome results in pain on the outside of the knee that is caused by friction of the iliotibial band on the side of the knee. It is also known as ITB syndrome or ITBFS and is sometimes referred to as runner’s knee.

Pulled hamstring

A strained or pulled hamstring is felt as a sudden sharp pain at the back of the thigh.

Knee injuries Patellofemoral pain syndrome

Patellofemoral pain syndrome (PFP) also known as runner’s knee, chondromalacia patellae, anterior knee pain and patellofemoral joint syndrome, is a generic term used to describe pain at the front of the knee and around the knee cap.

Plica syndrome

Plica syndrome (also known as synovial plica syndrome) is a condition that occurs when a plica (an extension of the protective synovial capsule of the knee) becomes irritated, enlarged, or inflamed.

Leg injuries Shin splints

Shin splints, also known as medial tibial stress syndrome (MTSS), is defined as ‘pain along the inner edge of the shinbone’.

Stress fractures

A stress fracture, also known as a hairline fracture, is a fatigue-induced fracture of the bone caused by repeated stress over time. Instead of resulting from a single severe impact, stress fractures are the result of accumulated trauma from repeated submaximal loading, such as running or jumping.

COMMON RUNNING INJURIES Most running injuries occur in the lower extremity, although upper body injury, as a result of a fall, is not uncommon. Upper body injuries normally occur due to runner fatigue, change in running surface, inappropriate footwear or poor technique resulting in a fall and subsequent injury. Nonetheless, most runners tend to report lower limb injury (specifically from the knee downwards) as a result of their activity. The knee is the most common injured site on runners, followed by the lower leg, foot and upper leg. The top five injuries are: 1. Patellofemoral pain 2. Iliotibial band (ITB) syndrome 3. Tibial stress fractures/syndromes 4. Plantar fasciitis 5. Achilles tendonitis.4 Examples of common injuries are shown in the table.

CAUSES OF INJURY The aetiology of running injuries are multifactorial and include overtraining, non-specific training methods, previous injury history, inappropriate or poorly fitting footwear, as well as abnormal running mechanics. The risk of injury is significantly

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Sport Running injuries__International Therapist 19

Ankle injuries Ankle sprains

A sprained ankle is a common injury where a sprain occurs on one or more of the ankle ligaments.

Achilles tendinopathy

Achilles tendinopathy is a condition that causes pain, swelling and stiffness of the Achilles tendon. It is thought to be caused by repeated tiny injuries to the Achilles tendon.

Foot injuries Plantar fasciitis

Plantar fasciitis is a disorder that results in pain in the heel and bottom of the foot.

Arch pain

Arch pain (often referred to as arch strain) refers to an inflammation and/or burning sensation at the arch of the foot.

Blisters

A blister is a small pocket of lymph within the upper layers of the skin, typically caused by forceful rubbing (friction), burning, freezing, chemical exposure or infection. Most blisters are filled with a clear fluid, either serum or plasma.

increased should any of these factors, or a combination of these factors, affect the runner. Indeed, research has noted that higher running miles per week in male runners is a risk factor 5 as is a history of previous injury, which will predispose the runner to further injuries. A few specific anatomical factors

consistently appear in running injury research including cavus foot (high-arched foot); leg length difference; and muscle weakness. Individuals who suffer with cavus foot have shown that an excessive amount of body weight is placed on the heel and ball of the foot. This foot type also demonstrates more rigidity (less flexibility/shock

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PICTURES: SHUTTERSTOCK

R

esearch shows that an estimated 1.6 billion people across the world take part in running as a form of exercise or competition.1 In the UK alone, around 10.5 million people run or jog as a leisure and/or fitness activity.2 It is popular with all ages for a wide variety of reasons including fitness, training, recreation, competition, health and social well-being. However, the high injury rate still remains a cause for concern. Running injuries can happen to both experienced and inexperienced runners – up to 79% of runners will get injured in any given year.3 Understanding their cause is key to effective prevention and informing appropriate treatment. Since many runners fail to take simple steps to avoid injury, educating them about preventative strategies will decrease their chance of developing a serious problem. Sports therapy and rehabilitation practitioners have an important role to play in both the treatment and prevention of injury as well as in the long-term education of the runner.

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SPORT | Running

Top 10 tips to help clients prevent running injuries

1

Listen to your body – if you feel physically tired do not run or reduce the running duration.

absorbency capacity) and subsequent higher ground reaction forces (impact forces).6 This foot type has been implicated as a risk factor in PFP syndrome, stress fractures as well as general lower limb injuries. Leg length difference has also been shown to be a factor in the onset of injury. Average leg length differences range from 0.5cm to 4cm and this difference often leads to asymmetry in gait, which is exacerbated when running. Common injuries associated with this are lower back pain, hip pain, ITB syndrome and stress fractures of the lower leg. Muscle weakness appears to be a major factor associated with lower extremity injuries in runners. These weaknesses cause imbalances and, if allowed to persist, will place undue stress on particular areas of the body, which may result in injury. For example, weak and inhibited gluteal muscles can lead to ITB injury and weak shin muscles (tibialis anterior), which combined with tight calf muscles can often result in shin splints or stress fractures of the tibia. Generally, muscle weaknesses on one side of the joint, as with leg length discrepancy, cause the weak muscles to fight the tight muscles. As a result, fatigue sets in and when coupled with poor biomechanics, this

compromises joint integrity and ultimately leads to the onset of injury.

SHOE CHOICES The science involved in shoe design based on technological advancements around shock absorbency, material development and active control, have attempted to reduce the incidence and rate of injury in runners. However, runners appear to be more influenced by colour, brand and look, rather than the fit and its terrain-specific suitability. The key aspects of shoe design, and shoe choice, involve the interaction between the foot and shoe and the shoe with the surface. The modern running shoe has an array of features to help with foot function. Manufacturers have embraced the concept that fitting the shoe to the foot and gait type decreases injury incidence. Understanding the terrain on which an individual will predominantly be running is also imperative for correct fitting and in reducing running injury. For example, motion control running shoes for overpronators (which typically have an elevated in-step) have been developed and cushion type shoes for pes cavus/supinators,

“Muscle weakness appears to be a major factor associated with lower extremity injuries in runners”

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Sport Running injuries__International Therapist 20

2 3

Create a sensible individualised running plan – do not over-train.

Get fitted with the correct shoes based on foot type and terrain, and replace after 400 to 500 miles.

4

If you vary your running terrain, ensure you have the appropriate footwear.

5

Warm up and stretch – static or dynamic stretching pre and post running is essential.

6

Strength train – incorporate into your running plan and use this as a form of active rest.

7

Cross train, for example with rowing/cycling – this helps maintain cardiovascular fitness, but can reduce impact forces around the joints.

8

Visit a practitioner to help reduce the risk of injury and as part of your training and recovery plan.

9

Stay hydrated – ensure appropriate fluids are consumed pre, post and during running.

10

Nutrition – fatigue can often set in quickly if the body is not appropriately fuelled and is a factor in the onset of injury. Keep the body appropriately fuelled especially before and after running.

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Running | SPORT

TRAINING ERRORS

Examples of strengthening exercises • Prone core stabilisation • Single leg balance drills • Lunges • Heel walking • Toe walking

It is estimated that 60% of running injuries are due to training errors.7 One of the most common that is linked with an increase in running-associated injuries is excessive mileage, or a sudden increase in training. Running experience has also been linked to running injuries. Inexperienced runners report more hamstring and knee injuries, while experienced runners report more foot problems.6 Every athlete is different and responds differently to the stresses put on the body. Individual training programmes are not just recommended, but a necessity to help prevent injury.

PREVENTING INJURY So what techniques can be used to prevent running injuries? 1. Exercises. Exercises to strengthen muscles (see panel for examples) are essential when trying to address/reduce muscular imbalances. These exercises should be performed two to three times a week with one to two sets of 15 to 20 repetitions per exercise. 2. Stretching programmes. Stretching should form part of the athlete’s warm up and deeper stretching should be performed after exercise when the muscles are warm and more pliable. Encourage your athletes to stretch every day especially if they have a sedentary job. 3. Foam rollers. The roller should be used

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Sport Running injuries__International Therapist 21

before the athlete stretches the muscles. This is a very effective method of applying self-massage. The best approach is to roll on a tight aspect of the muscle for no more than a minute at a time. 4. Appropriate footwear. Running shoe selection is critical. In general, a motion control shoe is best for overpronators with flat feet. A shoe with extra cushioning is best for those with a rigid, high-arched foot. Many injuries can be related to running shoes that have broken down in terms of losing cushioning integrity and sufficient support. A pair of running shoes should be worn for no longer than 400 to 500 miles.

5. Sports massage. This should be part of every runner’s training programme. Sport massage/soft tissue release can be linked to three different aspects: Performance enhancement. Tight muscles can have poor circulation and can get inhibited. Inflexibility linked to muscle tightness can cause movement pattern problems and/or lack of strength, which can prevent efficient training and performance. Injury prevention. Tightness can be a cause for muscle strains and other soft tissue injuries. Chronic tightness can cause muscle and connective tissue inflammation, resulting in: • Back and shoulder problems • ITB syndrome • Shin splints • Achilles tendinopathy • Plantar fasciitis. Injury rehabilitation. When undertaken along with medical treatment and sports therapy, deep tissue work provides a faster recovery for athletes. Scar tissue will develop as the muscle heals and this can lead to pain and limited range of motion. After healing the therapist can break down the scar tissue using certain sports massage techniques. When accompanied by joint movements and assisted stretching this can help with recovery.

AWARENESS AND EDUCATION Running injuries are common and many variables can contribute. Modifying one or more of these variables will help reduce injury. Practitioners should be aware of the array of factors that can influence the onset of injury in runners, as well as recognise the appropriate techniques to help reduce the downtime associated with the problem. Educating the runner in their approach to training, footwear selection, muscle strengthening and flexibility can aid in the prevention process and can return the runner to full fitness quickly, as well as reduce future injury risk. 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, Plymouth. Sarah has published a number of articles on kinesiology tape and also holds qualifications in manual therapy, acupuncture, kinesiology tape (Rockdoc certified) and pitchside first aid. Lance Doggart, MFHT, PhD, is Head of Sport at the University of St Mark & St John and a Fellow of the British Association of Sport and Exercise Sciences. Lance has published articles on kinesiology taping, as well as other areas of sport science.

References 1 Hulteen RM, Smith JJ, Morgan PJ, et al. (2016) Global participation in sport and leisure-time physical activities: a systematic review and metaanalysis. Preventive Medicine 95: 14-25. 2 Sports Marketing Surveys Inc. (2014) UK’S running population reaches remarkable 10.5m says Sports Marketing Surveys Inc. See: sportsmarketingsurveysinc.com/uks-runningpopulation-reaches-remarkable-10-5m-sayssports-marketing-surveys-inc (accessed 13 October 2016). 3 Altman A, Davis IS. (2012) Barefoot running: biomechanics and implications for running injuries. Current Sports Medicine Reports 11(5): 244-50. 4 Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. (2002) A retrospective case-control analysis of 2002 running injuries. British Journal of Sports Medicine 36(2): 95-101. 5 van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SMA, Koes BW. (2007) Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. British Journal of Sports Medicine 41(8): 469-80. 6 Fields KB, Sykes JC, Walker KM, Jackson JC. (2010) Prevention of running injuries. Current Sports Medicine Reports 9(3): 176-82. 7 Jacob SJ, Benson BL. (1986) Injuries to runners: a study of entrants to a 10,000 metre race. The American Journal of Sports Medicine 14(2): 151-5.

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which have greater shock absorbency capability on the lateral aspect of the shoe.6 Increasingly popular is barefoot running in which the shorter stride and lower impact midfoot and forefoot strike (as opposed to heel strike in a cushioned shoe) are hypothesised to decrease risk injury.6 However, unless the transition to this natural running preference is managed correctly, with a gradual introduction on appropriate terrain, the risk to lower limb stress fractures and associated foot injuries are increased.

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COMPLEMENTARY | Reflexology

Little feet,

BIG BENEFITS SUSAN QUAYLE, HIGHLY COMMENDED 2016 FHT COMPLEMENTARY THERAPIST OF THE YEAR, PROVIDES AN INTRODUCTION TO REFLEXOLOGY FOR CHILDREN

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s therapists and adults, we know the power of reflexology and the huge benefits to be had from this gentle, non-invasive complementary therapy. Today, reflexology is also becoming popular with children, and particularly as a way of empowering parents to help their little ones at home. With the creation of children’s interactive reflexology story books, which bring this lovely treatment right into the heart of family life at bedtime, parents are increasingly realising that reflexology is a valuable tool that promotes relaxation and well-being in their children. Children really enjoy reflexology and in my clinic, when they are in need of the balancing benefits of treatment, you will see their eyes glaze over as they drift off

into a whole new realm of relaxation. The treatment often works quite quickly and when they come out of their daze, they are usually ready to head off and re-join their playmates. However, at home, in the warm embrace of their family, no amount of reflexology can be too much. I don’t know any children who willingly pull their feet away once they have warmed to the knowledge of this beautiful therapy.

A SOOTHING TOUCH For parents, there are a number of benefits. One of the most important is the simple act of being able to do something at those times when you would normally be pulling your hair out. Having a simple, easy-to-access and instantly available resource at these times is priceless. From the perspective of a child – who is feeling unwell, anxious, afraid or in pain – having a parent who can instantly calm you simply through touch is very powerful. If children have been introduced to reflexology through storytelling, it is only a matter of time before it becomes part of their play, their role play and their own strategy for self-help. Parents will wonder why their children are so quiet, only to discover them lying down somewhere comfortable, giving each other reflexology and reading the story to go with it. One will be fast asleep while the other meticulously copies the moves from the book. And it doesn’t stop there – before you know it, children will be practising on parents and the whole family

will be involved in a new evening ritual of mutual respect through the power of loving touch. Children will quickly include reflexology in their everyday lives and will happily self-treat at school, at home, at the dentist, at the doctors’, on the bus or train – in fact, anywhere and at any time they feel the need for it. What our children learn and love in their childhood, they will readily carry with them for the rest of their lives, and these will be the important parts of their childhood that they will want to share and pass on to their own children.

GENTLY DOES IT Of course it is important that reflexology is an experience that children truly enjoy. By introducing reflexology when children are happy and all is well, parents create a positive opening for them to use this therapy at times when they really need it, for example, when they are poorly or fretful. When working on children, reflexology should of course be gentle. They don’t need a heavy touch and babies only need a feather-light touch. If teaching parents to use reflexology on children, I would strongly discourage them from practising when they are upset or angry themselves, as their own mood will certainly be communicated through touch and affect the pressure they use. If you hurt a child when giving reflexology, he or she is unlikely to let you have a second chance. But when parents see the wonderful effects this treatment has for everyone involved (including a peaceful night’s sleep, among many other things), they will be sure to deliver it calmly, gently, lovingly and with good intention. Just as all reflexology treatments should be delivered.

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“From the perspective of a child - who is feeling unwell, anxious, or afraid - having a parent who can calm you through touch is very powerful”

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Therapist and child Susan offers some top tips for reflexologists working with child clients… When a therapist is carrying out reflexology on a child, things can be a little different, especially if the child has never met you or had reflexology before. For children under 16, the parent or guardian is required to stay in the room with you throughout the treatment.* It is important not to force the child to have treatment. It may be that on the first visit, no actual reflexology takes place.

During the consultation, the child may choose to answer some of the questions themselves. Give them the chance by being inclusive. This space to observe you, their parent and the room (if they have come to you for treatment) may well be enough to put them at ease. When it comes to the treatment itself, always offer it to them first. If they say no, offer to treat mum or dad first and show them how it is done. Explain some of the reflexes and what part of the body these are used for, in a way that is easy to understand. If they begin to take an interest, get them to try it on mum or encourage them to sit on mum’s lap, so that they can see how relaxed and happy she is.

In terms of contraindications, all those relevant to adults are relevant to children. However, children are notoriously prone to catching a wide range of colds, coughs and other bugs. It is part of the body’s immunological education. So do check to see what’s going around and be sure to ask too – you don’t want time off work with a nasty infection. If children are sick, they won’t want to be poked and prodded, no matter how nice you are. Always encourage parents to take children who are very poorly to see their GP. For serious conditions, if you are uncertain, seek advice or don’t treat. When treating children, you may have only a short amount of time before they have had enough, so treat the reason for the visit first. When the child has had enough or is getting restless, conclude your treatment and end on a positive note. Spend a bit of time at the end showing the parent a few specific reflexes that would help at home. You

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*See the FHT Code of Conduct and Professional Practice (fht.org.uk/code) for guidance on working with children.

Susan Quayle, FFHT, is a complementary therapist specialising in fertility, maternity and children’s reflexology. She is the author of interactive reflexology children’s story books, The Mouse’s House series, published by Jessica Kingsley Publishers. She is also the creator of FHT accredited ‘The Children’s Reflexology Programme’, an award-winning, unique programme that offers the original ‘business in a box’ instructor training, with online marketing support, teaching parents to give their children reflexology. See kidsreflex.co.uk for more information.

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Instead, you could get them to draw around their feet and put the reflexes on the drawing. This way they can practise at home, so that next time, they may feel a

Once you are able to work on the child, adapt your usual treatment to a more basic one and base it on the consultation form. Alternatively, follow a set routine that you have created specifically for children that includes all the main areas and gives a good all-round treatment.

could show the child too and if you show them the relevant reflex on their hands, they could use this whenever they feel they need it during the day. It is a worthwhile area to work in, as the next generation are your future clients, so teaching them early ensures work for you in the future. But it also ensures a future for reflexology.

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If they have a doll or teddy with them, encourage them to practise reflexology on this. Then ask if they would like to feel it themselves, and if they can remember where a certain reflex was. Young children can be interested and inquisitive and they tend to learn quickly. Again, there should be no pressure on them to agree to have treatment if they are clearly unhappy.

bit more willing and ready to try it out. Flexibility is the key to working with children. Don’t expect things to be the same as when working with an adult. Make the session fun and engaging to get them interested.

Mo

Connect with the child before you start. Having toys for them to play with and interesting things to look at can be a useful distraction for children who are particularly shy.

MORE ONLINE

Read an excerpt from Mouse’s Best Day Ever, Susan’s interactive reflexology story book for children, at fht.org.uk/quayle-mouse-best-day CH

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Tell us all what you think in our 2017 FHT M ember Survey Your feedback is really important to us, as it helps us to deliver the support and services you need as a valued member of the FHT. Please take just 10 minutes to complete our 2017 FHT Member Survey, so that we can learn more about you and what you think HIV\[[OLTLTILYZOPWILULÄ[Z we provide. As a thank you, we’ll enter you into a free prize draw to win an Amazon Gift Card – one lucky winner will receive a £100 Gift *HYKHUKÄ]LY\UULYZ\W^PSS receive a £20 Gift Card.*

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*Entries to be received by no later than 20 February, 2017. A prize of equivalent value will be provided if the winning member lives outside of the UK. Standard FHT competition terms and conditions apply – please see fht.org.uk/competitions. If you would like a printed copy of the survey, please contact the FHT by post, telephone or email (see contact details on page 5).

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WHAT’S NEW

FHT in the press The FHT often contributes to articles in the media, which helps to promote the FHT and the benefits of complementary therapies. FHT Vice President, Jonathan Hobbs, was recently featured in Natural Health magazine on two occasions, talking about the benefits of vitamin D in the December issue, and good gut health in the October issue. In addition, FHT Expert Adviser, Christine Fisk, recently contributed to a question and answer section about natural approaches to travel sickness in the October edition of Your Healthy Living. This article also directs readers to the FHT’s Complementary Therapist Register, visit fht.org.uk/findatherapist Visit our blog to see the full articles at fht.org.uk/blog

New initiative with FHT Ambassadors Our mission is to promote the highest standards in professional practice, promoting the FHT’s mark of quality to therapists, healthcare providers and the public. We do this nationally in several ways including advertising in print and online; ensuring coverage in publications such as Practice Management, Arthritis Digest, Psychologies and Natural Health, to name but a few; lobbying Parliament and key Government stakeholders; and working closely with decision-makers within health and social care, employment and education. We are thrilled to announce our new initiative to help to raise awareness on a regional level, through the FHT Ambassador programme. Our FHT Ambassadors are trusted and involved members of the FHT and active in their therapy communities, helping to represent the FHT in their local areas, delivering talks to therapy students and healthcare professionals. If you’d like to get involved, please email ambassadors@fht.org.uk

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Promoting the FHT Accredited Register We’re thrilled at the success of our latest consumer advertising campaign, and are excited to share with you a sneak preview of our next advert. Nick is an FHT Member and FHT’s 2016 Sports Therapist of the Year. He provides regular exercises and treatments to Kevin, helping him to stay fit, and manage his injuries. Developed to make the public more aware of the FHT and its members, by gaining coverage and advertising you in both magazines and online, our adverts are an honest and emotional representation of how our members help and support real clients.

“Nick helps me to manage my injuries” Nick is a sports therapist.

Kevin, Belfast

Alongside standard medical care, he provides a range of exercises HUK[YLH[TLU[Z[V2L]PUOLSWPUNOPT[VHJOPL]LOPZÄ[ULZZNVHSZ

;VÄUKHWYVMLZZPVUHS[OLYHWPZ[SPRL5PJR]PZP[[OL-/;»Z*VTWSLTLU[HY` /LHS[OJHYL;OLYHWPZ[9LNPZ[LY^OPJOOHZILLUPUKLWLUKLU[S`HJJYLKP[LKI`[OL 7YVMLZZPVUHS:[HUKHYKZ(\[OVYP[`MVY/LHS[OHUK:VJPHS*HYL ^^^MO[VYN\RÄUKH[OLYHWPZ[

Making sure you’re in safe hands

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Find out more at fht.org.uk/ findatherapist

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Raise your game: become an FHT Fellow in 2017

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:

BREAST CANCER PATIENTS BENEFIT FROM REFLEXOLOGY STUDY USING TECHNIQUE DEVELOPED BY SALLY KAY A new study conducted by researchers at Cardiff Metropolitan University has found that reflexology reduces arm swelling in women with breast-cancerrelated lymphoedema.

an academic at the University of Minnesota, suggests that ‘individuals practising yoga are more aware of their bodies and less likely to objectify them’.

EXCHANGING SEDENTARY BEHAVIOUR FOR LOW-INTENSITY PHYSICAL ACTIVITY CAN PREVENT WEIGHT GAIN IN CHILDREN

MY PERFECT RETREAT – KAGYU SAMYE LING

FHT Fellow is a mark of distinction recognised by other members, therapy professionals and the public to show the highest standards of expertise, achievement and success. If you have been an FHT member for five consecutive years, you can apply for FHT Fellow status today at no extra charge. FHT Fellows are awarded with a prestigious badge, logo and certificate to promote their enhanced status, providing they meet certain acceptance criteria. FHT Fellow and Vice President, Chris Byrne (pictured), says: ‘Many practitioners start the New Year with various goal setting ideas for their business and their clients. Providing new services or raising profitability are usually on everyone’s list. Remembering that you, as a therapist, are key to your business, maybe it is time you raised your own profile within your business. ‘As a therapist and business owner, I took the plunge and applied for FHT Fellow status in 2016, and was happy to be accepted. The process is fairly straightforward, and most practitioners who have been practising or running a business for several years will easily be able to demonstrate their level of expertise and professionalism. ‘Becoming a Fellow has raised my profile with my employees, with my business colleagues, and with my clients. It is hard to put it all into words what “raising your game” feels like, but becoming an FHT Fellow might just deliver it for you too.’ Find out more and apply at fht.org.uk/fht-fellow

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FHT Vice President Maria Mason visits Kagyu Samye Ling, a monastery and international centre of Buddhist training, known for the authenticity of its teachings and tradition. Now more than 40 years old, its work has far-reaching effects, offering spiritual guidance, charitable aid, health and therapy.

TOP TIPS ON CREATING A WEBSITE THAT WORKS FOR YOU Your website greets your clients when you can’t. While you’re looking after an existing client, a potential new one can be deciding to book. Your website is your front of house when you can’t be. It’s a reflection of who you are and the problems you help people with.

As little as 10 minutes of high-intensity physical activity per day reduces the amount of adipose tissue and enhances cardiorespiratory fitness in six- to eightyear-old children, according to a new study from the University of Eastern Finland.

FHT MEMBER LAUNCHES NATIONAL CAMPAIGN HELPING THOSE IN NEED FEEL PAMPERED FHT Member, Accredited Training Provider and award-winning entrepreneur Jemma Cooper has launched a national campaign ‘Look Good Feel Fab’ to offer free beauty treatments to those in need, to help them look good on the outside and feel fabulous on the inside.

NEW RESOURCE LAUNCHED TO TACKLE LONELINESS IN THE UK

CHARCOT-MARIE-TOOTH AWARENESS FILM LAUNCHED

For the first time in the UK, a short film has been launched to raise awareness of the world’s most common inherited neurological condition, Charcot-Marie-Tooth (CMT).

YOGA COULD BE GOOD FOR BODY IMAGE Yoga can be a ‘vehicle for improving selfimage’, according to an article published in The Guardian. Dianne Neumark-Sztainer,

The Campaign to End Loneliness has launched a practical guide to identifying and talking about loneliness, as more than a million people over the age of 65 are believed to suffer from chronic loneliness. Visit fht.org.uk/blog and enter a title to the search box for more.

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COMPLEMENTARY | Ayurveda

DIETS AND DOSHAS SUNITA PASSI OF TRI-DOSHA PROVIDES AN INTRODUCTION TO AYURVEDIC PRINCIPLES IN FOOD AND NUTRITION

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’ll always remember the first time my father gave my sister and I soaked and blanched almonds as a snack and started talking to us about ‘nourishing’ foods. My grandfather was an Ayurvedic doctor and regularly treated his patients’ ailments with Ayurvedic nutrition and herbs. He introduced the idea of nutrition into our family and believed that teaching us how to use and prescribe food specifically for regulation or to support a health regimen was just as important as

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Ayurveda | COMPLEMENTARY

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teaching us to read and write. The idea that diet and health are closely related is one the people of India have long appreciated. More than two millennia ago, Ayurvedic physician Caraka recognised that wholesome foods are essential for good health and disease prevention. As such, an entire section of the Charaka Samhita – an ancient Sanskrit text on the art and science of Ayurveda – is dedicated to nutrition and diet. India’s ancients also understood the complex needs of the human body and that nothing is right for everyone, while everything is right for someone. This makes perfect sense when you consider that every person is biochemically unique, with different levels of hormones, enzymes and neurotransmitters. We all react to the world and our circumstances in different ways. When we consider this in relation to food,

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it stands to reason that one ‘diet’ or nutritional programme may not necessarily be best for everyone. Ayurveda teaches us the tools we need to live a balanced way of life, giving health and happiness to the mind, body and soul. By evaluating a person’s body structure, and how their digestive, nervous and other body systems function, it is possible to develop a food plan that is specific to that individual’s needs.

DIET AND THE DOSHAS

have one that is particularly dominant. By recognising the client’s dominant dosha, the practitioner can compose an Ayurvedic treatment and diet programme to address their individual needs. The aim is to arrive

VATA

Sanskrit: ‘what moves’ Elements: ether (space) and air People who have a vata nature tend to be thin, dry and often feel the cold. When balanced, they are vibrant, enthusiastic and imaginative. When out of balance, they are restless, anxious and underweight. Vata types need grains, oils, salt and a little spice in their diet (those who do not receive enough are prone to anxiety, constipation, and sleeplessness, among other conditions). They need nourishing foods and often have difficulty maintaining a vegetarian diet. People of vata nature should avoid too much raw salad, fruit and beans, and enjoy more cooked grains, cooked vegetables, dairy and nuts.

The first task of any Ayurvedic practitioner when seeing a client is to establish their mind-body type, or ‘dosha’ as it’s known in Sanskrit. The three doshas – vata, pitta and kapha – are derived from the five elements and each has its own caring and nurturing regimen. Each of us has all three doshas in our constitution (or prakriti), but most tend to

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Sanskrit: ‘what cooks’ Elements: fire and water People of pitta nature tend to be warm and have an intense and highly focused nature. When balanced, they are articulate, courageous and have a sharp intellect. When out of balance, they are irritable, demanding and suffer from skin problems. Pitta types need raw vegetables and food which is only mildly spiced (hot, spicy food is believed to lead to a greater incidence of skin rashes, liver weakness and anger). Large salads are ideal. Pitta types should avoid too much hot, spicy or sour food, deep fried food or fermented food (such as yogurt). They should enjoy more raw salad, cooked grains, milk and seeds.

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The

tastes in Ayurevda Ayurvedic eating is all about nourishing the body and satisfying the inner self. There are six tastes, or ‘rasas’, and according to Ayurveda, a balanced diet should include an appropriate quantity of each, depending on the individual’s constitution (prakriti) and current state of health (vikriti). All six rasas contain each of the five elements of the universe – earth, water, fire, air and ether – but each taste is predominantly made up of just two of these.

1

Sweet (earth and water) – found in bananas, figs, melons, almonds, coconut, milk, basil, sweet potatoes, rice and wheat. Sweet balances vata and pitta, and aggravates kapha.

2

Sour (earth and fire) – foods that make us ‘pucker’ when eaten, such as grapefruits, lemons, pickled vegetables, tomatoes, butter, sour cream, yoghurt, vinegar, alcohol and garlic. Sour balances vata and aggravates pitta and kapha.

3

Salty (water and fire) – this taste can be found in table, sea and rock salt, but also celery, cottage cheese, soy sauce and fish such as tuna. Salt balances vata and aggravates pitta and kapha.

4

Pungent (fire and air) – this taste is likened to dry heat in the mouth and can be found in chillies, radishes, onions, garlic, buckwheat, and lots of spices, including black pepper, mustard seeds and paprika. Pungent balances kapha and aggravates pitta and vata.

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Bitter (air and ether) – a taste that many try to avoid, Ayurevda considers bitter to have numerous therapeutic benefits. It can be found in kale, aubergine, Jerusalem artichokes, dark chocolate, sesame seeds, fenugreek and cumin. Bitter balances kapha and pitta, and aggravates vata.

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Astringent (air and earth) – a dry flavour, this taste can be found in pomegranates, cranberries, bay leaf, coriander, basil, chicken and most beans and raw vegetables. Astringent balances pitta and kapha, and aggravates vata.

HEALTH IMPROVEMENTS While maintaining good health and preventing disease is at the heart of Ayurveda, below are a couple of examples of how this approach to eating can help bring someone back to their ideal self...

at a more vibrant, grander version of the self (see circles for an explanation of each dosha).

MINDFUL MOUTHFULS

Ayurvedic eating promotes a natural and mindful approach to preparing and enjoying food: • Use natural ingredients wherever possible • Cook with butter or ghee (clarified butter) BALANCING THE MIND • Prepare fresh meals every day Poor mental health can be linked to an • Avoid processed/fast food imbalance in any of the three dosha • Avoid refined sugars types, but for this example, we and desserts will look at a solution based • Eat at fixed times, on a pitta imbalance that KAPHA in peace and manifests in the body Sanskrit: ‘to embrace’ quiet, without as anger, irritability Elements: water and earth People of kapha nature tend to be a larger build rushing or frustration. Early and often move and speak slowly. When balanced, • Drink a signs of this may they are affectionate, compassionate, forgiving and mixture be intense hunger, steady; when unbalanced, they are lethargic, of warm excessive thirst or overweight and possessive. water, two indigestion. The Kapha types benefit from lighter foods and thrive on hot, spicy foods. If sweet, heavy, oily foods are taken tablespoons practitioner would in too great a quantity, it can lead to greater mucous of lemon encourage the accumulation, as well as further weight gain. juice, one client to eat foods Kapha types should avoid all sweets, dairy tablespoon that are sweet, bitter, and nuts, and grains such as wheat of honey and astringent, colder and rice. They should enjoy more salads, cooked vegetables, a hint of black and heavier – such as spicy foods and grains. pepper regularly lukewarm salads, steamed throughout the day, to vegetables, fruit and coconut keep purifying the system. oil, all of which help to cool the Ayurveda teaches us to select, pitta fire. This client would be encouraged prepare and eat food mindfully and with to eat less pungent (spicy) foods so as not to awareness. It teaches us to be conscious exacerbate the fire. of ingredients and how they are grown, conscious of the way food is cooked, and conscious of the way we eat and digest food Sunita Passi is the properly. Take time to chew and taste food, founder of Tri-Dosha, an and appreciate its temperature and texture, ethical Ayurvedic company, and so on. specialising in skincare products, training and holistic treatments. She is also a meditation teacher, journalist and keynote wellness speaker. She runs FHT accredited qualifications in Ayurvedic massage, Ayurvedic therapy and shirodhara. tri-dosha.co.uk; info@tri-dosha.co.uk

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EASING PAIN Pain is generally linked to a vata imbalance and so the practitioner would recommend a vata pacifying diet of freshly cooked wholefoods, soft in texture, rich in protein and fat, and seasoned with warming spices to support proper digestion and elimination. As vata is cool, dry and mobile, cold foods and raw ingredients would generally be avoided.

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Microblading | BEAUTY Before

After

RAISING eyebrows NAOMI O’HARA TAKES A LOOK AT THE POPULAR PERMANENT MAKE-UP TECHNIQUE, MICROBLADING

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from treatments from a digital machine, and some clients will want permanent eyeliner or lip liner to complement their new-look eyebrows. Some permanent make-up technicians even feel it is a backward step to start using a hand tool when we have state-of-the-art digital machines that can create excellent results in brow treatments and more. In terms of After training, it is fair to say there is an increasing demand for microblading and a number of my students have asked if I run courses on this technique. However, as someone who is Before passionate about the permanent make-up industry, I want to be able to offer a training course that meets industry standards and will be widely recognised by employers, professional associations and even councils from a licensing perspective. That’s why I was delighted to work with VTCT on developing a Level 4 Microblading qualification, which will be available in February 2017. As soon as this is available, I will certainly be offering this qualification at my academy.

Naomi O’Hara has been working in the beauty and aesthetic industry for 20 years. As well as offering a variety of advanced permanent make-up techniques to clients, she runs a training academy where she offers a range of VTCT beauty therapy qualifications, including Level 4 Micropigmentation. Visit theclinicalacademy.com 02392 382000

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PICTURES: NAOMI O’HARA/SHUTTERSTOCK

make-up, as for some, pigment particles will never fully disappear. Like digital permanent makeup techniques, microblading is a sought after treatment – by both women and men – as it is a very effective t’s a little known fact that many permanent way of producing shapely, fuller eyebrows, make-up technicians and therapists all and covering up scars or gaps. It is also a over the world have been using a pen-like great solution for clients who have little hand tool (microblade) to implant pigment time to spare into the skin, years before digital machines on their beauty revolutionalised this treatment. regimen and Microblading originated in China want to look and is sometimes referred to as eyebrow their best, 24/7, embroidery. The term ‘micro’ obviously without the means small and ‘blade’ refers to a row (or need to check other configuration) of fine, disposable and reapply needles that will be used during the their make-up treatment to implant pigment into the skin. throughout Extremely fine hair strokes can be the day, such as mimicked by a skilled therapist in a shade sports people. of colour to suit the client, inserted into the And of course epidermal layers of the skin. Hair strokes it is of benefit are slightly fuller at the bulb of the hair and to clients experiencing hair loss as a result taper off to a finer tip, to create a realistic of alopecia or chemotherapy treatments, look. Fuller, powder or ombre effects can also helping to boost their self-esteem. be added to the eyebrows of clients who want The most obvious benefit to therapists extra definition or a stronger make-up look. is they can offer an advanced permanent Many microblade tools are fully disposable, make-up technique without the need (and while others have disposable needles and expense) of a digital machine. It is thought require an autoclave for sterilising by some that the finest, most the hand piece. In each case, natural of hair strokes can be the needles are always single created with a microblade LOOKING TO use and must be disposed due to the lightness of TRAIN? of in a sharps bin. pressure used. However, Please contact the FHT, The sensation of it is worth noting here before you book your course, the technique can be that, arguably, there is to check if you will be covered described as ‘scratchy’, also more margin for for membership and with some clinics able error, as digital machines insurance. Prerequisites to offer topical numbing control the amount will apply. creams to make the of pigment and depth treatment more comfortable. of treatment. Two treatments are usually With different needle sizes necessary, spaced at least four weeks and configurations available, many apart. This enables the therapist to review different skin types and brow effects can the shape and colour and add more pigment be treated, however I wouldn’t suggest where necessary. Lasting six months making your permanent make-up machine to four years with regular maintenance redundant yet. Some skin types, such as appointments, it is classed as permanent mature or excessively oily, may still benefit

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FHT AWARDS | Winners

Raising the bar

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he FHT was once again delighted to shine a spotlight on those practitioners, tutors and students raising the bar in therapy practice and education at its 2016 FHT Excellence Awards presentation. Held at a special FHT Members’ Lunch on 26 October at One Whitehall Place, London, the awards serve to inspire others within the industry, and to show the world at large the real difference that complementary, holistic beauty and sports therapists can make to the nation’s health and well-being. Honourable guest, David Tredinnick MP, Chair of the All-Party Parliamentary Group for Integrated Healthcare, opened the awards with a special speech, in which he thanked the FHT for its ‘fantastic contribution to the health of the country’. Following lunch, best-selling author,

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presenter and natural health advocate Janey Lee Grace started the awards presentation as master of ceremony. Following a short introduction to their work, each of the winners of the 2016 FHT Excellence Awards was invited on stage to receive a special glass trophy from the awards judge and sponsor for that category. On the pages that follow, you will find an introduction to the winner of each category, along with a special President’s Award for outstanding contribution to integrated healthcare and the complementary therapy industry. Paul Battersby, President of the FHT, says: ‘These awards recognise individuals and businesses that are excelling in therapy practice and education. The winners should be exceptionally proud to be selected from

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WE CELEBRATE THE WINNERS OF THE 2016 FHT EXCELLENCE AWARDS

a pool of high-calibre peers, in a ceremony that is recognised across the industry. Well done.’ A warm and much deserved ‘Congratulations!’ to our 2016 winners and finalists, and a special thank you to everyone who entered these awards. Please keep up the excellent work you do in helping to support the nation and do consider entering our 2017 FHT Excellence Awards (entry date to be announced).

MORE ONLINE For more information about the Excellence Awards and previous winners, visit fht.org.uk/awards

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Winners | FHT AWARDS

FHT Complementary Therapist of the Year This award is for complementary therapist members who have demonstrated excellence in practice: in client service, research, innovation, leadership or representation.

Winner: Michael Morris As well as running a busy practice, where he personally treats in the region of 40 clients a week, Michael trains people in Bowen therapy and is currently gathering data for one of the largest Bowen studies to date, involving more than 800 subjects. Earlier this year, he transferred his clinic business into a charitable incorporated organisation, Tonic Health, and has raised more than £25,000 to deliver projects within his local community. This included dementia, mental health and children’s projects, and a free health promotion day, an event open to the public. This was arranged in association with his local council, clinical commissioning group and press, to highlight and celebrate the healthcare provision available to the people of South Holland in Lincolnshire, including complementary therapies. Speaking of his win, Michael says: ‘I’m thrilled to receive this award, as it celebrates my hard work and effort over the last 20 years of study, practice and running a business. It is a wonderful achievement to receive this award from a leading organisation in the industry and in front of a prestigious group of people. I hope this recognition will help push me further, and inspire others to move their own practice, learning and development to the next level.’

FHT Beauty Therapist of the Year This award is for beauty therapist members who have demonstrated excellence in practice in: client service, research, innovation, leadership or representation.

Winner: Angela Wheat Angela has been working in the beauty therapy industry for nearly 40 years, in a variety of roles – as a therapist, salon manager and owner, college lecturer, examiner and consultant. She has also authored books, contributed to magazine columns and produced beauty therapy teaching materials. Angela was awarded FHT Beauty Therapist of the Year for her work in remedial electrolysis, which is a form of permanent hair removal. As well as her own private practice, where her treatments offer physical and psychological support to men and women whose daily lives are blighted by unwanted hair growth, she works as an NHS service provider, giving electrolysis to transgender patients in preparation for their gender reassignment surgery. Speaking about her win, Angela says: ‘I feel honoured to have the title of Beauty Therapist of the Year bestowed on me by the FHT and thrilled to have my skills and professionalism recognised. I hope that winning this award will put the spotlight on the benefits of remedial electrolysis for men and women alike, as this treatment has the ability to change lives. ‘It has been a privilege to treat and help support my clients, especially my transgender patients, enabling them to become the person they have always wanted to be. Electrolysis is such a rewarding job – you literally see people change before your eyes, with their self-confidence growing as the hair diminishes and they achieve their dream to be hair-free.’

Finalist: Robert Sylvester Coleman

“These awards recognise individuals and businesses that are excelling in therapy practice and education“

Highly Commended: Susan Quayle

Finalists: Catalin Carcea, Tina Farrell, Lorna Mair, Anita Newton, Beverly Power, Anne-Marie Rose, and Rima Shah

FHT Sports Therapist of the Year This award is for sports therapist members who have demonstrated excellence in practice in: client service, research, innovation, leadership or representation.

Winner: Nicholas Flanagan When a close friend was diagnosed with HIV, Nicholas was shocked by people’s initial reaction to this news, including his own. While completing his sports therapy degree, this prompted him to focus his dissertation on exploring manual therapy interventions in the clinical area of HIV. He then went on to create an innovative, experiential presentation to engage the minds and hearts of sports therapists, and inform and educate them on the subject of HIV. This has taken him to universities, workplaces and community settings, and in the words of one student, his presentation ‘opened my eyes to the possibilities we have as manual therapists to affect the health of not only sports people but everyone’. Speaking of his win, Nicholas says: ‘I am honoured to win this award, as it amplifies my ability to reach and connect with patients and peers. I am in a unique position to drive forward with positive change, allowing me to continue to champion diversity in healthcare. It is a platform to showcase what we, as therapists, can do to improve collective health.’

Finalists: Adrian Jenkinson and Nicholas Mulryan

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PICTURES: SHUTTERSTOCK

Through her books, The Mouse’s House and Mouse’s Best Day Ever, and her innovative training programme, Susan has introduced parents and their children to the wonderful benefits of reflexology. Speaking of her win, Susan says: ‘I am so proud to have been nominated as a finalist and then to have been highly commended for this award. For me, it is the culmination of four years’ hard work in creating an innovative new concept in children’s reflexology and the ultimate recognition within the complementary therapy industry for all my hard work. I feel that this award was specially created just for me and I am so grateful. Thank you, FHT.’ Read Susan’s article on reflexology for children on page 22.

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FHT Student of the Year This award is for student members who are out of th the ordinary, have truly excelled in their learning or have overcome adversity to complete their studies.

Winner: Lorraine Ryder Lorraine, who is a Marie Curie Nurse, was nominated for this award by her former tutor, Teresa Rich of ReflexologyUK. Throughout her reflexology training, Teresa was extremely impressed by Lorraine’s drive to constantly improve her theory and practice, her thorough case study work, and her natural ability to truly empathise and care – not just for her clients, but also her fellow students. It wasn’t until the end of Lorraine’s training that Teresa discovered her exemplar student had endured a difficult personal year while completing her studies. Despite this, the fantastic reputation that Lorraine had built up while training has meant that her new jointbusiness venture is starting to flourish. Speaking of her win, Lorraine says: ‘Just being nominated and shortlisted as a finalist was overwhelming, but to win has been unbelievable! Teresa has been a fantastic, dedicated, enthusiastic and supportive tutor. She is an incredible lady in her own right and was also recognised for this as a finalist in the 2016 FHT Tutor of the Year award category. ‘I have since set up a joint therapy business with fellow student Sharon Lee, called Butterflies Therapies. This award has given both of us such encouragement in our quest to succeed with the business and reach out to more people and share the relaxing and beneficial therapies we can offer. My award will take pride of place and be looked upon often with pride and humbleness.’ Read more about why Teresa nominated Lorraine for this award on page 54.

FHT Tutor of the Year This award is open to FHT members and non-members, nominated by an FHT member. It is for tutors who have gone the extra mile; for example, given additional support or helped a class achieve its full potential.

Winner: Elaine Wilkins Elaine’s career path was shaped by her own health challenges and her determination to help others affected by the same condition to get better, using an integrated, holistic approach. Having herself recovered from ME, she launched The Chrysalis Effect – the first ever accredited, specialist practitioner training for therapists wishing to support clients in their recovery from ME, chronic fatigue syndrome and fibromyalgia. As well as being highly praised by students for her expertise, passion and commitment as a tutor, many of the people she has trained are working within GP surgeries, which is a step towards her vision of The Chrysalis Effect being integrated into the NHS. Speaking of her win, Elaine says: ‘This award means so much. It is formal recognition of the standard of The Chrysalis Effect specialist training we provide. Our pilot for direct GP referral to Chrysalis Effect practitioners and a fully integrated approach is planned and I am delighted to have the support. Thank you, FHT.’ Read an interview with Elaine Wilkins on page 66.

Finalists: Joseph O’Dwyer, Dwyer, Teresa Rich, and Barbara Scott

Finalists: Pauline Brown and Carmen Newton

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Winners | FHT AWARDS

FHT President’s Award Each year, FHT’s President also selects a special individual to receive an award in recognition of his or her outstanding contribution to integrated healthcare and the complementary therapy industry.

Winner: Dr Peter Mackereth

FHT Employee of the Year This award category is for therapy employees and volunteers who are out of the ordinary and truly excel in their work.

Special recognition: Complementary Therapy Team, Velindre Cancer Centre The team supports patients, physically and emotionally, at all stages of their journey – from the point of diagnosis, throughout treatment and on to rehabilitation or end-of-life care. By helping patients to cope with anxiety and a range of symptoms, the team also helps to ensure medical treatments are successfully completed, which means cost and time efficiencies within the NHS. The team also educates patients in self-help techniques and works with other agencies to promote support networks and group activities. The team is fully committed to specialist training and high standards, and has worked to develop an excellent service, which it continues to push forward in order to gain more recognition for the benefits of complementary therapies alongside mainstream healthcare. To read more about the complementary therapy service at Velindre, turn to page 40.

“The winners should be exceptionally proud to be selected from a pool of high-calibre peers“

With thanks to our awards sponsors:

In 2001, Peter started work at The Christie, a specialist cancer centre in Manchester. As Clinical Lead for Complementary Therapy, his role was to develop a team of therapists and look at ways to generate income to support a complementary therapy service at the hospital. At the time, there were only two part-time therapists. Today, there is a team of 30-plus therapists on hand to support patients, carers and staff. They also run a comprehensive training programme, which is extremely popular with therapists looking to specialise in cancer care. Peter has also completed a master’s degree and PhD, authored numerous research papers and books, and has been a regular national and international speaker on complementary therapies, cancer care and smoking cessation. He has even been kind enough to regularly contribute to the FHT’s own membership magazine, and to training events over the years, as have other members of his team. For this, FHT and its members are extremely grateful. Peter tells the FHT: ‘It was an honour and I feel blessed to have been presented with the FHT President’s Award. I would like to thank the FHT team for its support over the years in my role as Clinical Lead at The Christie NHS Foundation Trust. It’s been a pleasure to share our work through International Therapist magazine and at FHT workshops and conferences.’

MORE ONLINE Visit fht.org.uk/blog and enter ‘awards’ in the search box to see awards-related videos and articles.

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COMPLEMENTARY | Hypnosis

The power of

suggestion TOM FORTES MAYER REVEALS HOW SELF-HYPNOSIS IN THE WORKPLACE CAN IMPROVE RELATIONS BETWEEN MANAGEMENT, STAFF AND CUSTOMERS

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s a hypnotherapist for the past 16 years, I have spent a lot of time inspiring people to make the most of their life, encouraging them to overcome difficulties and focus on being their most generous and effective self. When working with business owners, they often say they want to become better bosses. They also quickly recognise that their employees could benefit from similar training because they understand it makes for happier and more productive workers. In response, I created a social enterprise called FreeMind, which is all about making empowerment psychology more mainstream. We believe a free mind is a full heart; happy people make good citizens.

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One of my most satisfying projects involved creating a training programme for supermarket staff. Long opening hours and lack of budget meant that the more typical classroom-based training courses were not an option. Ideally, the owner of the company wanted to be able to sit down and have a chat with every member of staff, so he could build a personal relationship with each individual. However, with 200 staff members, there was simply not the time.

VALUING EMPLOYEES Having spent a number of years researching what it means to be an amazing company to work for, the owner was keen I brought my

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understanding and insight to bear on this challenge. I had learned a core, basic principle – if you look after your staff, they will look after your customers. But how do you make staff on or near the minimum wage feel well looked after? What can you do to make people feel truly cared for and valued? Various activities, perks and benefits can positively affect a company’s culture. Highly paid professionals may, for example, be provided with an on-site gym or protected time to pursue hobbies or support local charities during work time. Meanwhile, some companies set aside generous budgets to support staff personal development or invest heavily in activities and courses to build team working and increase a sense of ‘togetherness’ in a company. However, what if a company is on a shoestring training budget or simply cannot bear the cost of having staff on training days and away from the business? This is where hypnosis comes in. It is a brilliant tool for connecting people to what they truly want, making people present, resilient, focused and energised. It can remind people of who they are when they are at their very best and show how that is the most natural, self-loving way to be. If you create a workplace where people can unleash their potential, you will build an incredible working culture.

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Hypnosis | COMPLEMENTARY

A GYM FOR THE MIND We created a series of short hypnosis recordings to be listened by staff at the start of each work shift. We used these in conjunction with a core principle at the heart of all our FreeMind professional training, called the ‘Character Gym’. This is based on the premise that encouraging staff to see work as a place to develop their character means they are motivated to bring excellence to their work and actually be grateful for the opportunity. In other words, the workplace becomes a ‘gym’ for practising developing their character. Rather than attempting to get staff excited about company values, it is about getting staff excited by their own values. The first recording was an introduction from the owner. I helped him write a motivational speech that was personal, supportive and kind. This was also his opportunity to formally launch the training initiative and introduce new staff benefits such as giving employees an extra day’s holiday on their birthday and more involvement in the setting of the company’s vision and values. It also included the launch of a customer service competition and a simple method for staff to remind themselves of the importance of always dealing with customers in a warm and smiley way. The latter was seen as a key indicator of whether

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the project was a success or not. This first motivational launch speech was 20 minutes long. Following that, employees had to listen to one recording of between 10 to 15 minutes before they started work, for a month. They were paid for their time. Hypnosis recordings were repeated three or four times across the month, to deepen the learning and reinforce the messages. Some recordings included brief hypnotic motivational pieces aimed at connecting employees to the value of being better at work. For example, one recording asked them to think about why generosity would benefit their life (see More Online). Other recordings focused on being more enthusiastic, confident, present, accepting and inclusive. The recordings were not just aimed at increasing workplace productivity. They were also designed to help staff recognise how being more amazing as a person becomes possible if they choose to use work as a place where they can practise being that. So, while such training improves company performance, more importantly, this was about improving employee’s lives. This is the key to motivation. The workplace needs to become a place where personal values are supported, encouraged and inspired.

BOOST TO CUSTOMER SERVICE Staff were given employee satisfaction surveys before and after the programme.

MORE ONLINE Sample a complimentary FreeMind recording that focuses on generosity, called Professional Best. This simple self-hypnosis recording inspires the listener to use work as a way to develop their capacity to be generous. To download the sample, go to freemindproject.org/generosity

Tom Fortes Mayer is a Harley Street hypnotherapist, happiness author and senior hypnotherapist trainer at FreeMind. His work has taken him into prisons to reduce reoffending, corporations to increase effectiveness, schools to increase engagement, and even to Nigeria to combat corruption. He is a regular contributor on Radio 5 live and on a number of TV programmes, hosts popular monthly substance-free hypnosis raves in Camden and has spoken at numerous international conferences. Tom’s latest book, What is Hypnosis?, is available from watkinspublishing.com

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“Hypnosis is a brilliant tool for connecting people to what they truly want, making people present, resilient, focused and energised”

The response was extremely positive. Employees started to talk much more to their boss when he walked around the store. Their own personal rating of how appreciated and valued they felt increased and therefore, unsurprisingly, they did a much better job of engaging with customers and with each other. The business owner said the FreeMind recordings ‘made a huge difference to our working culture. Customer service was greatly improved’. As part of the programme, customers could nominate staff for excellent customer service. Customer surveys showed that they felt the supermarket to be much more like a community supermarket, which had been a key goal for the owner. He even changed the marketing strap line to ‘Your community supermarket that cares’. The owner was also inspired to start his own consultancy, which is all about getting other business owners to recognise that being more caring and inclusive of staff is key to success. Another significant benefit was that this programme was delivered at a fraction of the cost of traditional classroom-based training and without anywhere near as much disruption. It just demonstrates how hypnosis at the start of the day can be invaluable in putting you in the best frame of mind to make the very most of your day.

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REGIONAL UPDATES

Local support groups Wolverhampton group supports worthwhile causes Our group’s aim is to provide our community with natural health therapies, workshops and fundraising events for local charities, writes Wolverhampton LSG coordinators Sharon Lounds and Margaret Wootton. We recently raised £160 from two raffles, donating £80 to Macmillan Cancer Support and £80 to Crohn’s and Colitis UK. Representatives from each charity were presented with the money at our meeting. Our next raffle will raise money for The Animal Healing Trust and Horse Rescue. Some of the group members have recently completed a foundation course for Aura-Soma with Robert Brown. Aura-Soma is a self-selective soul therapy

that uses the language of colour to guide you to understand your life purpose, gifts and talents. It was an amazing experience and we really enjoyed working with it. The group recently celebrated the summer solstice at Margaret’s, where good food, good company, joy and laughter are always on the menu. We warmly welcome both current members and new members. We enjoy meeting with like-minded souls at our venue, Pear Tree Lane care home, Wolverhampton.

MEET THE COORDINATORS Anna Gatland

Debbie Smallbones

CHICHESTER LSG

CHICHESTER LSG

I established Freedom Therapies, a holistic clinic in 2002, and have since had my first Reiki attunement. I knew I wanted to help others make a positive change in their lives. I had taught at a college for more than nine years and, in 2013, set up Freedom Therapies Training in Bognor Regis, where we provide a range of VTCTaccredited professional therapy courses. I have trained with the Massage in Schools Programme to teach children about massage. I am also a qualified baby and infant massage instructor. I look forward to growing the group.

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I qualified as a massage therapist in 1999 and provide massage therapy to all ages, male and female, including older people and those with dementia. Having gained additional massage qualifications over recent years, including hot stone therapy, I decided to cease my part-time role as a social worker and work full-time as a massage therapist. Working as a therapist is very rewarding. It is both a humbling and satisfying occupation. Being a member of the FHT led me to take on the joint coordinator role, a responsibility I very much enjoy.

Are you interested in...? FHT local support groups produce an exciting and varied calendar of events throughout the year. Here are some examples of topics that will be covered at forthcoming meetings to give you a taste of what’s happening across the UK in the next few months:

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REGIONAL UPDATES

GROUP CONTACT LIST IRELAND Donegal T: 00353 74 91 38457

Thinking of becoming a coordinator? Are you an enthusiastic member who would like to run an FHT local support group in your area? These groups are a valuable hub for our members, students and even the public, where all those with a passion for therapies can meet and hear from speakers on various topics within the fields of complementary, beauty and sports therapy. Nicola Gee, MFHT, (pictured) recently formed a group in Blackpool and spoke to us about her experience: ‘I have always wanted to run a local support group and after making enquiries at the FHT, I was thrilled when I got the call to ask if I was interested. I felt out of my comfort zone at first, but FHT gave me lots of support. I received a welcome pack with posters, leaflets, detailed information sheets, suggestions for speakers, information on how to time and advertise meetings, and some forms that helped me keep up with what everyone was doing. It was a huge help. ‘My first meeting was a great evening. Those who came along all had slightly different skillsets so we were introduced to new therapies and new ways of thinking, and had a discussion about what we each wanted to get out of the meetings. The meeting was due to end at 8.30pm, but the tea, biscuits and chat were still flowing 45 minutes later – a good sign. I am now looking forward to planning the next one. ‘If you are thinking about applying to be an LSG coordinator in your area, I hope this encourages you. It is a straightforward role and the FHT is always on hand. I never feel I am alone in this.’ There are currently vacancies in a number of regions across the UK, so please get in touch to find out if there is an opportunity to set up a group in your area. • To find out more, visit fht.org.uk/local-support-groups or contact the FHT on 02380 624350 or lsg@fht.org.uk

February EMMETT Technique Monday 6 February, 7pm Swansea LSG Iridology Thursday 9 February, 7.30pm Tadley LSG Kinesiology Monday 13 February, 7.15pm Lisburn LSG

March Creating an accessible environment for all Tuesday 14 March, 6pm Leeds LSG First aid Monday 20 March, 9.30am Milton Keynes LSG Ear acupuncture Tuesday 28 March, 7.15pm Nottingham LSG

Topics, dates and venues are subject to change. Pre-booking may also be required. Visit fht.org.uk/lsgs for more information.

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NORTHERN IRELAND Ballymoney T: 07707 411101 Lisburn T: 07709 550173 Lisnaskea T: 028 6772 2368 Newtownabbey and Belfast T: 07835 999989 SCOTLAND Ayrshire T: 07989 193146 Edinburgh T: 07851 275095 Glasgow, Toryglen T: 07754 546689 NORTHERN ENGLAND Blackpool T: 07563 772556 Durham T: 07855 175726 Grimsby T: 07761 598865 Harrogate T: 07801 885207 Kirklees and Calderdale T: 07900 336067 Lancaster T: 07969 922137 Leeds T: 07949 772713 Newcastle T: 07737 274066 Skipton T: 07740 467057 Sunderland T: 07985 053263 West Cumbria T: 01946 726013 SOUTH WALES & WEST MIDLANDS Birmingham, East T: 07751 942234 Birmingham, North T: 07771 915141 Birmingham, South T: 07812 773505 Birmingham, West T: 07748 902104 Carmarthen and District T: 07787 377483 Haverfordwest T: 07971 393714 Hereford T: 01684 540372 Newport T: 07740 774590 Pontyclun T: 07889 029933 Stourbridge and Dudley T: 01384 865126 Swansea T: 01792 402242

Wolverhampton T: 07929 030931 Worcestershire Redditch T: 07712 649091 NORTH WALES, WEST & CENTRAL ENGLAND Caernarfon and District T: 07811 969840 Chester, Cheshire T: 07512 127013 Liverpool (Rainhill) T: 07733 115474 Merseyside T: 07803 306880 Staffordshire, North T: 07967 094188 Telford T: 07709 119880 Warrington T: 07739 694470 Wigan and Leigh T: 07977 262022 Wrexham T: 07976 978315 EASTERN & CENTRAL ENGLAND Derbyshire, Alfreton T: 07882 777587 Leicestershire, City T: 07801 190919 Northampton T: 01604 882143 Nottingham T: 01636 815739 Sheffield T: 07936 506012 South Holland and Peterborough T: 07921 553849 Warwickshire, Coventry T: 07980 543139 EAST ANGLIA & NORTHERN HOME COUNTIES Bury St Edmonds T: 07891 689552 Colchester T: 07738 006340 Hertfordshire T: 07534 199126 Lowestoft T: 01502 560258 Luton and Beds T: 01582 596 929 Milton Keynes T: 07704 265521 West Norfolk T: 01362 854137 LONDON & SOUTH EAST Bromley Kent T: 01689 871964 Croydon T: 07739 146935

Dartford T: 01474 872479 Essex, South East T: 01621 774827 Hastings & Rother T: 01424 433254 London, Isleworth, SW T: 07810 154195 London, Islington T: 07572 609374 London, North East T: 07791 879256 North Kent T: 07971 898568 Surrey and North Hants T: 07595 765439 Surrey, Dorking T: 01306 882291 Sussex, Brighton and Hove T: 01273 447890 Sussex, Eastbourne and South Downs T: 01323 644007 Sussex, Worthing T: 07773 702942 CENTRAL & SOUTHERN ENGLAND Berkshire, Reading T: 07931 301487 Bucks (South), High Wycombe T: 07981 294595 Hampshire, Alresford T: 07780 953143 Hampshire, Waterlooville T: 01730 261842 Oxford, South T: 07885 185307 Oxfordshire, Banbury T: 07768 166668 Salisbury and District T: 07855 589892 Somerset, Bath T: 01225 315718 Somerset, Bristol T: 077153 18523 Tadley T: 0118 9832607 West Sussex, Chichester T: 07815 455732 Wiltshire, Marlborough T: 07834 180500 SOUTH-WEST ENGLAND Cornwall, North and North West Devon T: 01409 261388 Cornwall, South East T: 07968 075581 Devon, Exeter T: 07450 213980 Devon, South West Ipplepen T: 07877 145866 Somerset, Taunton T: 01278 451013 South Cornwall T: 01736 788472

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PUBLIC AFFAIRS AND PRACTICE

FHT Excellence Award winner gives presentation in Parliament Member and FHT Excellence Award winner Angela Green and her colleague Dr Anne Johnson (pictured) were invited to give a presentation about the complementary therapy service at Cardiff’s Velindre Cancer Centre at an All-Party Parliamentary Group for Integrated Healthcare (PGIH) meeting. Held on 18 October at the House of Commons and chaired by David Tredinnick MP, the meeting was attended by representatives from professional therapy organisations and other advocates of complementary and integrated healthcare, including a number of MPs. Dr Johnson, Macmillan Consultant Clinical Psychologist, opened the presentation by providing an overview of Velindre Cancer Centre, the prevalence and impact of cancer, and the importance of an integrated model of care to support patients on every step of their cancer journey. Angela Green, the Clinical Lead for Complementary Therapies, then provided in-depth information about Velindre’s complementary therapy service, including staffing and service delivery, therapy interventions, the referral process, case

studies, service evaluation, therapist training and the challenges. Throughout the presentation, both experts illustrated the many physical and psychological benefits complementary therapy interventions have to offer patients, carers and staff in the field of cancer care. Similarly, the presentation highlighted that by reducing anxiety in patients, the complementary therapy team help to ensure challenging medical treatments are successfully completed, creating cost and time efficiencies within the NHS. Angela and Dr Johnson were praised for their insightful presentation, which sparked debate about how to harness further support and recognition for services like Velindre’s and roll out this successful healthcare model into other NHS hospitals and settings. The FHT thanks Angela Green and Dr Johnson for helping to stimulate wellinformed debate on integrated healthcare and contributing to the development of knowledge and policies on the subject.

The FHT – representing you The FHT Governing Council and staff regularly attend meetings and events to ensure that your professional interests are represented and protected; to keep abreast of any changes that may impact your practice; and to make useful contacts and alliances. Below are just some of the events that we attended and industry contacts we developed between October and December 2016: • 2016 Association Awards – FHT: Finalist, Best Association E-Newsletter • CEN 409 meeting – European beauty salon standards • CNHC – verifying organisations meeting • JCCP – non-surgical cosmetic procedures meetings

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• Olympia

Beauty – exhibition stand, show partner and stage sponsor • PGIH meeting – integrated healthcare: Velindre Cancer Centre (see news above) • Therapy Expo – exhibition stand. CEN (European Committee for Standardization) CNHC (Complementary and Natural Healthcare Council) JCCP (Joint Council for Cosmetic Practitioners) PGIH (All-Party Parliamentary Group for Integrated Healthcare)

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Velindre Cancer Centre and its complementary therapy service • The centre serves a population of 1.5 million in south-east Wales and beyond. It is one of the 10 largest cancer centres in the UK and the largest in Wales. • Support care services include complementary therapy; clinical psychology and counselling; physiotherapy; occupational therapy; dietetics; speech and language therapy; supportive care nursing; review radiotherapy; chaplaincy; and welfare and benefit advisers. • Complementary therapy interventions include reflexology, aromatherapy, massage, reiki and relaxation techniques. • The interventions are used to help to alleviate symptoms and side effects, including anxiety, pain, fatigue, insomnia, restlessness, constipation, stress, low mood, breathlessness, and end-of-life support. • On 11 October, David Tredinnick MP gave Velindre’s complementary therapy service as an example of best practice in a question in Parliament, highlighting that if this model was more widely spread in England, cost savings and patient satisfaction would increase. • Angela Green won a 2013 FHT Excellence Award for developing an education programme for therapists working in cancer care. • The Complementary Therapy Team won a 2016 FHT Excellence Award (Special Recognition) as Employee of the Year.

FHT.ORG.UK

16/01/2017 12:19


NUTRITION

is for belly FHT VICE PRESIDENT JONATHAN HOBBS LOOKS AT SOME EVERYDAY FOODS THAT ARE GOOD FOR GUT HEALTH

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he relationship between your gut’s microbiota (microorganisms) and immune system is crucial for maintaining good health.1 If this relationship breaks down, it can lead to the development of small intestinal bacterial overgrowth (SIBO), which is thought to be responsible for some of the more common symptoms associated with digestive disorders, such as irritable bowel syndrome (IBS), as well as an overall reduction in general well-being.2 Research in this field has identified a number of key everyday foods that may support healthy gut bacteria and enhance overall well-being, some of which is referenced below...

FIVE ‘BS’ FOR GOOD GUT HEALTH Bananas: These are a good source of fibre containing pectin, which helps to improve stool quality, and resistant starch, which helps to maintain a healthy lining in the large intestine and reduces the risk of chronic disease.3 Broccoli (and also cabbage, cauliflower, kale and other cruciferous vegetables): These food types are often avoided by IBS sufferers as they increase the production of hydrogen sulphide, which can trigger symptoms. However, as well as containing fibre, cruciferous vegetables contain natural components called glucosinolates, which have antiviral, antibacterial and anti-

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Blueberries: Studies have shown blueberries may help to improve memory6 and increase and diversify the gut’s microbiota, improving its health and supporting overall immune function.7 For their size, blueberries are also considered to be relatively abundant in antioxidants, vitamin K compounds and fibre.8-10 Beans: Legumes can support the health of the gut by releasing short chain fatty acids (SCFA). Research suggests that SCFA can help to strengthen cells in the intestines, enhance the absorption of micronutrients and aid weight management by helping us to feel full. They are also rich in fibre, protein, folate and B vitamins. Beet radish (sauerkraut, kimchi, tempeh, soy sauce and other fermented plant-based foods): These foods are considered probiotics that improve the health of the intestine, support the immune system, decrease digestive disorders and potentially reduce the

risk of bowel cancer by enhancing the population of healthy microbiota within the gut, which counter unhealthy bacteria.

References 1 Quigley EMM. (2013) Gut bacteria in health and disease. Gastroenterology and Hepatology 9(9): 560-9. 2 Lin HC. (2004) Small intestinal bacterial overgrowth: a framework for understanding irritable bowel syndrome. Journal of the American Medical Association 292(7): 852-8. 3 Birt DF, Boylston T, Hendrich S, Jane JL, Hollis J, Li L, McClelland J, Moore S, Phillips GJ, Rowling M, Schalinske K, Scott MP, Whitley EM. (2013) Resistant starch: promise for improving human health. Advances in Nutrition 4(6): 587-601. 4 Hecht SS. (2000) Inhibition of carcinogenesis by isothiocyanates. Drug Metabolism Reviews 32(34): 395-411. 5 Murillo G, Mehta RG. (2001) Cruciferous vegetables and cancer prevention. Nutrition and Cancer 41(1-2): 17-28. 6 Willis LM, Shukitt-Hale B, Joseph JA. (2009) Recent advances in berry supplementation and age-related cognitive decline. Current Opinion in Clinical Nutrition and Metabolic Care 12(1): 91-4. 7 Molan AL, Lila MA, Mawson J, De S. (2009) In vitro and in vivo evaluation of the prebiotic activity of water-soluble blueberry extracts. World Journal of Microbiology and Biotechnology 25(7): 1243-9. 8 Prior RL, Cao G. (2000) Analysis of botanicals and dietary supplements for antioxidant capacity: a review. Journal of AOAC International 83(4): 950-6. 9 Wolfe KL, Kang X, He X, Dong M, Zhang Q, Liu RH. (2008) Cellular antioxidant activity of common fruits. Journal of Agricultural and Food Chemistry 56(18): 8418-26. 10 Wu X, Beecher GR, Holden JM, Haytowitz DB, Gebhardt SE, Prior RL. (2004) Lipophilic and hydrophilic antioxidant capacities of common foods in the United States. Journal of Agricultural and Food Chemistry 52(12): 4026-37.

Jonathan Hobbs, FHT Vice President, is qualified in a range of complementary therapies, specialising in physiotherapy and acupuncture. He has worked in a variety of roles within the NHS, private sector, professional sport and higher education. Jonathan is an external assessor for Wrexham Glyndwr University and consultant and sessional lecturer to a number of UK universities. For more, go to acupuncturetrainingproviders.co.uk

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inflammatory effects. Glucosinolates have even been shown to inhibit tumour blood vessel formation and cell migration (which is required for metastasis).4,5

41 13/01/2017 18:18


Complementary | Self-help

Soft touch SUE GASSICK AND LESLEY SALT PROVIDE SOME SELF-HELP EMMETT TECHNIQUES FOR THERAPISTS EXPERIENCING NECK TENSION

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e therapists are busy people, often juggling our time and efforts between our therapy work and family lives. The weight of that stress can often lead to neck and shoulder tension and we are usually the last ones to receive therapy ourselves. So, we’d like to show you how to quickly improve your neck tension and flexibility using the EMMETT Technique. Referred to as the chameleon approach, due to its adaptability to a client’s individual needs, the EMMETT Technique is a gentle way to release muscle tension and improve discomfort and movement restrictions using only light finger pressure. Developed over 30 years ago by Australian remedial massage therapist Ross Emmett, this non-invasive technique is effective in gaining access to important deeper muscles, and can easily be combined with massage and other therapies. In this article, we will take you through the steps required to release the discomfort and stiffness in your own neck. We like to refer to the middle finger as the Emmett finger, as that is the easiest finger for most people to perform this work with. You may follow these instructions while sitting or standing. Note, it may not be as effective if you are lying down. When following the instructions to move your finger, pretend your finger pad is stuck to your skin, so your

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finger only moves as far as the skin will comfortably stretch – usually about 1cm when under the collar bone, and usually less when on the mastoid bone behind the ear (about 1mm). Work on the most restricted side, which is the side you have most difficulty turning towards. This example is for restriction turning to the right.

LOWER MOVES Using your left hand, place the flat pad of your middle finger immediately below your right collarbone, just to the side of your breastbone. Keeping contact, move your finger in towards the centre line of the body with light pressure. Immediately lift your finger off. Staying directly underneath the right collarbone, relocate your finger 1cm further out from position 1 and repeat the inwards movement towards the centre line. Immediately lift your finger off again. Staying directly underneath the right collarbone, relocate your finger 1cm further out from position 2 and repeat the inwards movement towards the centre line. Immediately lift your finger off.

1

Keeping contact, move your finger towards your chin with light pressure. This is a very small movement. Immediately lift your finger off. Staying directly underneath the bone, relocate your finger 1mm back from position 4 and repeat the small movement towards the chin. Immediately lift your finger off. Staying directly underneath the bone, relocate your finger 1mm back from position 5 and repeat the small movement towards the chin. Immediately lift your finger off.

5

6

Repeat moves 1 to 6 twice more. Reassess your neck rotation. If necessary, repeat on the most restricted side now. If both sides feel and move evenly, you have finished.

2 3

UPPER MOVES Using your left hand, place the flat pad of your middle finger immediately under the bone, directly behind your right ear.

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Sue Gassick and Lesley Salt are the Directors and Senior Instructors for EMMETT Therapies UK. Trained by Ross Emmett in 2007, they offer workshops around the UK and Ireland, and are responsible for training other EMMETT instructors and tutors. For more information, visit emmett-uk.com or email info@emmett-uk.com

FHT.ORG.UK

16/01/2017 12:20


Online | BUSINESS

All in

GOOD TIME

CAPTURE THE INTEREST The best way to do this is offer something of value for free. This taster is given in exchange for an email address and it helps people get to know you, like you and trust you from a distance. It gives them a genuine feel for what you’re all about and whether there is likely to be a fit. (You may have heard this taster called a ‘freebie’, an ‘opt-in’ or even a ‘pink spoon’ elsewhere). How to create a perfect taster: It needs to be free and it’s in exchange for potential clients sharing their contact details and giving you their permission to stay in touch. Make it genuinely sought after and compelling – a true taste of what’s to come if they book. It can be small. Resist the urge to give away everything, or copious amounts of information, in a freebie. You’ll burn out delivering freebies before reaching the money-making stage. This shouldn’t be something that needs your time or energy on an ongoing basis. We want this to stand up on its own. So you can create it once and then let it do the work for you. Make it relevant to the problems and needs of your ideal client. For maximum impact, make it niche and relevant. Your taster, freebie, opt-in or pink spoon can take many different formats. And there’s no need to re-invent the wheel. Look at what other websites are offering. What do you find compelling? What makes you sign up to something? I’ve supported clients with audios, videos, reports, e-booklets, how-to guides and online courses and they all work. This is perfect for you if you don’t like the thought of self-promotion and don’t have the bandwidth to be out there. What would you like to see more of in your business? Now create a freebie that feeds into that. Share an opt-in that gives people a genuine taste of what it would be like if they paid you for this thing you want to sell.

1 2 3 4

LISA BARBER LOOKS AT THE BENEFITS OF OFFERING A FREE TASTER ONLINE

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t’s frustrating when you are passionate • Are ready to pay someone to help them about the work that you do and not with that problem. enough of the right people seem to notice. Your marketing needs to make it easy for After all (and let’s be honest here), you are potential clients to decide if you tick the trying to help them. first four boxes for them. You got into therapy work so you Have you been networking with could help people, and you a view to finding clients or HAVE didn’t invest in your training people who may refer you to YOU GAINED so you could spend your clients? Did you hand out days marketing yourself. or collect any business NEW CLIENTS You know there has to be cards? This exchange WITH AN ONLINE some way clients get to of contact information FREEBIE? hear about you. But you’re is the beginning of any Share your story with others already time-strapped relationship. You’re giving by emailing Dan at and you don’t want to (or being given) permission dralls@fht.org.uk spend lots of money on selfto continue the conversation promotion. Is there some secret at a later date. formula to finding clients? Imagine if you could do this without setting foot inside a networking DRAW THE ATTENTION event. You can. Here’s something to remember, clients buy Exactly the same principle applies online from us when we (subconsciously) tick five as it does offline. Your website’s job is to boxes for them. They: greet potential customers when you can’t. • Know us It can start those conversations and begin • Decide they like us building those relationships for you. So • Begin to trust us when your perfect-fit people are ready, • Believe we have the answer to their problem they call.

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Lisa Barber helps complementary, sports and holistic beauty therapists to get more perfect-fit clients and to set up their businesses for the long term. She is the founder of Roots and Wings, and a regular contributor to International Therapist and the FHT blog. For more, visit rootsandwings.biz

MORE ONLINE Read an article by Lisa on why many therapists dislike marketing and how it is simply about connecting at fht.org.uk/here-to-help

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RESEARCH

Is reflexology the answer to hot flashes in menopausal women? HOT FLASHES (ALSO KNOWN AS HOT FLUSHES) ARE A COMMON MENOPAUSAL COMPLAINT AND HAVE A NEGATIVE IMPACT ON THE QUALITY OF LIFE OF MANY WOMEN

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While HRT (hormone replacement therapy) is said to be very effective at relieving menopausal symptoms – and hot flashes and night sweats in particular – the treatment is known to have a number of potential sideeffects, ranging from headaches and vaginal bleeding to an increased risk of blood clots and breast cancer in some women.1 For this reason, it is understood that many in the postmenopausal period search for natural alternatives to help them manage their symptoms.2 A study recently published in Complementary Therapies in Clinical Practice2 aimed to identify the effects of foot reflexology when applied to menopausal women on vasomotor complaints and quality of life.

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Pain sensory receptors are particularly concentrated in the hands and feet and there is evidence that hand and foot massage can be beneficial in terms of postoperative pain relief, affecting the motor, nervous and cardiovascular systems, promoting total body relaxation.1 Research in Iran1 involving 156 primiparous (first-time) mothers who had undergone elective caesarean section was conducted to determine the effect of massage on post-caesarean pain and anxiety. Subjects taking part in the trial were assigned in equal numbers (52) to either a foot massage group, hand and foot massage group or control group (receiving usual care). Those in the experimental groups received a massage comprising petrissage, kneading and friction techniques, with each limb massaged for five minutes, four hours after receiving the last dose of analgesic typically prescribed on the ward.

The study involved 120 women attending a menopause polyclinic in Turkey, in the menopause, premenopause or postmenopause phase, and experiencing untreated hot flashes at least three times a day. They were randomly assigned to either the experimental or control group (58 and 62 women, respectively). Those in the experimental group received two 25-minute sessions of the Ingham method of reflexology, once a week for six weeks. Those in the control group received two 25-minute foot massages, once a week for six weeks. Data was collected through an identification and assessment form, Visual Analogue Scale (VAS), MenopauseSpecific Quality of Life Questionnaire (MENQOL) and hot flash diaries.

References 1 NHS Choices. (2015) Treating symptoms of the menopause. See: nhs.uk/Conditions/Menopause/ Pages/Treatment.aspx (accessed 15 December 2016). 2 Gozuyesil E, Baser M. (2016) The effect of foot reflexology applied to women aged between 40 and 60 on vasometer complaints and quality of life. Complementary Therapies in Clinical Practice 24: 78-85.

The impact of massage on post-caesarean section pain and anxiety CAESAREAN SECTION IS ONE OF THE MOST COMMON SURGICAL PROCEDURES IN THE WORLD AND IMPOSES A NUMBER OF PHYSIOLOGICAL STRESSES

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The results showed that hot flashes, sweats and night sweats decreased in both groups, however the women receiving reflexology demonstrated a statistically significant larger decrease compared to those in the foot massage group. Reflexology also significantly improved problems in the sexual domain (for example, alterations in sexual desire and sex avoidance).

Data was collected using a demographic information form, analgesic use form, checklist for vital signs, Visual Analogue Scale (VAS) and Spielberger’s State Anxiety Inventory (SSAI), with relevant measurements taken immediately and 90 minutes after treatment. The results showed a significant reduction in pain intensity and anxiety and an increase in breastfeeding in postcaesarean subjects after massage. The authors state in their conclusion

that ‘given its simplicity, effectiveness, safety, cost-effectiveness and lack of side effects, massage therapy is recommended to be performed on patients as a pain and anxiety reducing intervention’. However, ‘given the small sample size and the single gender of the subjects assessed, the results of the study cannot be easily generalised to other patients with different genders and undergoing different surgeries’ and therefore ‘further studies are recommended’.

Reference 1 Saatsaz S, Rezaei R, Alipour A, Beheshti Z. (2016) Massage as adjuvant therapy in the management of post-cesarean pain and anxiety: a randomized clinical trial. Complementary Therapies in Clinical Practice 24: 92-8.

FHT.ORG.UK

13/01/2017 18:23


THERAPY OVERVIEW

TELL ME ABOUT… IN THIS FEATURE, YOU WILL FIND A BRIEF OVERVIEW OF TWO DIFFERENT THERAPIES OR MODALITIES OF TREATMENT

The Total Release Experience

Information supplied by Helen Cockle

WHAT IS IT? Animals are said to self-regulate their stress levels by tremoring in order to maintain homeostasis and thereby complete the act of survival. However, humans no longer remember how to induce the same mechanism to shake off stress. While psychology deals with memories and thoughts by using therapy, for instance, to make changes on a mental level, the Total Release Experience (TRE) acts together with the brain on a neurological level. TRE influences how the brain processes information by altering the way the negative impact of our life stories, such as stress and trauma, is stored in our bodies. By inducing the neurogenic tremors of the psoas muscle, the brain is able to discharge the negative energy of the story. Thereby the ‘act of survival’ is completed the way nature intended, and negative stories are finally released. The reason that we have lost this instinctual tremoring is that shaking or tremoring during a stressful or traumatic event is culturally interpreted as a sign of weakness.

WHEN AND WHERE DID IT ORIGINATE? TRE was created by Dr David Berceli, who developed it when working with traumatised communities in Africa and the Middle East. Caroline Purvey discovered this technique in South Africa and introduced it to the UK, setting up TRE UK in 2011.

WHAT ARE THE BENEFITS?

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TRE allows you to activate the natural tremor response of your psoas muscle so that it releases the stored memory of trauma and stress. It is a method to release tension in the psoas, so that the pent-up energy in our nervous system no longer accumulates.

IS IT COVERED BY THE FHT?

Aurum Technique WHAT IS IT? The Aurum Technique (pictured above) is an integrated system of facial rejuvenation using ‘four keys’ over a short course of treatment. The four keys are facial diagnosis, products, acupuncture and partnership (working closely with clients to help them achieve their goals). Through the application of the four keys, with the use of mineral technology and many raw ingredients, including 24-carat gold, therapists are able to work on a deep and more tailored level.

WHEN AND WHERE DID IT ORIGINATE? Helen Cockle, a wellness expert and a traditional Chinese medicine practitioner in acupuncture, created the technique through her expertise in aromatherapy, massage and acupuncture and through listening to her clients. After lengthy studies of facial treatments and techniques dating back to the concubines in the palaces of the Chinese emperors, the use of oils and resins from the Etruscan era, and information learned while working in Southeast Asia, Helen has developed a system of what she terms ‘higher wellness’.

WHAT ARE THE BENEFITS? The technique is delivered over a course of six to 10 treatments and demystifies facial acupuncture into a practical 10-point protocol, which lifts sagging eyebrows, reduces puffy bags and softens fine lines and wrinkles. It works on the main areas of stress and imbalance in the face.

IS IT COVERED BY THE FHT? Not yet, but the FHT will review covering it in the future for membership and insurance purposes if there is demand.

Yes, with relevant prerequisites. Call the FHT on 023 8062 4350.

WHERE CAN I FIND OUT MORE?

WHERE CAN I FIND OUT MORE?

Visit treuk.com

Visit fullcirclehealth.today

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Information supplied by Caroline Purvey

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45 13/01/2017 18:26


A DAY IN THE LIFE | Lisa Mansell

A DAY IN THE LIFE OF… LISA MANSELL, MFHT, A BEAUTY THERAPIST, COMPLEMENTARY THERAPIST AND TEACHER

11AM

We have a 20-minute break. I catch up with my colleague Helen, and discuss any issues we might be having or to plan CPD. We do a minimum of 30 hours of CPD each year and it takes a lot of research to find things that are relevant and inspiring to us both.

11.10AM

The next class arrives. We are working on a unit about creating an image based on a theme. I try to get them thinking creatively and they never disappoint.

My alarm goes off. I am definitely an owl not a lark, so I struggle with getting up early.

I see a massage client next. I love doing massage and I’ve lost count of th courses I’ve attended in advanced the m massage techniques. I work closely with a c chiropractor, who comes once a week to my b business, and between us we have had some b brilliant results with clients who have had long-term issues.

My second alarm goes off..

7.30AM

I’ve had breakfast, fed my fish and am ready to leave the house for thee drive to school. I teach Level 1 and 2 Hair d and Beauty (City & Guilds) to years 10 and 11 in a secondary school. It’s pretty challenging working with teens but it’s also really rewarding.

8.10AM

I’ve arrived at school, the kettle is on and I’m preparing for my classes. I attend a staff meeting and check my emails – the only chance I get to do this before the students arrive for class. I am always looking for interesting and creative ways to present a lesson, and a bit of research can help with all sorts of tricky subjects.

9.10AM

The first class has arrived. Health and safety in the workplace is on the agenda and it’s a challenging subject to teach teens. However, it is covered in every single unit they will complete over the two-year course, so it’s vital they know the many aspects of it from the start. I also try to make it relevant to them in school and in any Saturday jobs that they might already have.

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7PM 1.30PM

I’m on the road home now to my home-based salon, Calm Treatment Rooms, which I’ve had for over seven years. It’s one of the best jobs I’ve ever had and I have worked all over the world, on cruise ships, in ski resorts and in five-star hotel spas. This is the most rewarding because I have got such a great client base, including several families of three generations, which is lovely. I have some lunch, homemade soup, before I go into treatments. I do need some time between school and doing treatments to change my energy. They require a different mind-set.

3PM

My first client has been coming to me from the start. She has a facial every month as her treat. I use an organic Welsh brand called Wellbeing Skincare. I have a great working relationship with Dr Ieuan Nicholas who created the brand.

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one of its beautiful beaches for some fresh air, a cup of ginger tea and a chat and play wi with my sister-in-law and two nieces.

5.30PM 5

6.15AM

6.30AM

4.15PM I have popped into Tenby to

Nails and brows for my next client. I offer threading for this client, as she has really sensitive skin so waxing is out, but threading works really well for her.

8PM

I’ve finished for the day. I absolutely love my job – it’s what I have wanted to do from the age of six. While my day is varied, it means I rarely get the urge to work abroad now, maybe in January (a month I dislike greatly). I think this passion might have been picked up by my four-yearold niece, who is adamant she wants to do what I do when she’s grown up. I watch some Strictly: It Takes Two with my mum and have dinner. I’ve been a vegetarian since I was very young, so steamed veg and sweet potato is on the menu tonight.

10PM

Finally, I’m off to bed. I read before sleep every night and find it helps me to quiet my mind and wind down. There’s nothing better than a good book.

FHT.ORG.UK

13/01/2017 18:27


MEMBERS’ NEWS

For example, an athlete with spastic CP may present with stiff, hypertonic muscles and those with poor coordination may have ataxic CP. Generally though, CP can be characterised by abnormal muscle tone, involuntary spasms and poor motor development. Other issues to consider in how you can support an athlete with CP include: can they transfer out of the chair themselves? Are they able to move at all? Issues like scoliosis (spinal curvature), dysarthria (difficultly with speech and communication), deafness, altered sensation and possible predisposed osteoporosis will require adaptations. Also consider whether they use a catheter; have a baclofen pump fitted (to help reduce spasm); wear a back/trunk brace, or ankle and foot splints; if they use a sleep system; and what type of chair they use (manual or power). As I mentioned previously, boccia athletes are not limited to CP. I have also supported athletes with muscular dystrophy and other less common disabilities, and their presenting symptoms would differ greatly. Those with muscular dystrophy were unable to walk and had very limited function. This can present a more challenging situation as most of the treatments need to be performed in the wheelchair.

Samantha Holloway is a soft tissue therapist with the GB Boccia squad

Rising to

the challenge

TIMING IS CRUCIAL

SAMANTHA HOLLOWAY, MFHT, TALKS ABOUT HER WORK SUPPORTING THE GB BOCCIA SQUAD

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career as a soft tissue therapist appointed to the GB Boccia squad has taken me on a challenging, but equally rewarding journey around the globe. My involvement with the squad began almost 10 years ago, while attending a GB acclimatisation camp in Hong Kong. I was working there for the British Paralympic Association in preparation for the Beijing 2008 Paralympic Games, representing the English Institute of Sport (EIS). I had worked at the EIS for just over a year, regularly supporting a broad spectrum of able-bodied and Paralympic athletes competing in dressage, track and field, swimming and archery, to name but a few. It was in Hong Kong that I was first exposed to one of the most highly skilled Paralympic sports, boccia. For those of you unfamiliar with it, it is a game of precision and tactic similar to bowls. Individuals, pairs or teams play using sets of soft balls on an indoor court. The aim of the game is to get the balls as close as possible to the white target ball, ‘the jack’. Boccia is very competitive and tests accuracy. Individuals are divided into four classifications depending on their condition and severity of disability. The most severe athletes I worked with were athletes from the BC3 group who have cerebral palsy (CP)

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or another impairment. They are unable to throw, kick or grasp a ball so use a ramp and assistant to propel the ball on to court. This is made possible by the use of a head pointer, therefore I would often support this classification for upper thoracic and cervical tension, often releasing their lumbar region to influence the distal fascial tightness. It was not long after this camp in Hong Kong that the team manager asked if I would work with the GB Boccia squad, exclusively.

TREATMENT CONSIDERATIONS

An important part of my work was timing the treatments around the athletes’ training, competition, and conditioning phases. During competition, the timing and the techniques used would be significant. For example, prior to a boccia game, a soft tissue treatment for an athlete with spastic CP would emphasise managing tone, rather than completely reducing it, but lessening trigger point activity and limiting any effleurage techniques so as not to relax the muscles before play. This would be saved for post competition when the athlete has time to relax and maximal carry over of intervention can be achieved. A key piece of advice to share is to treat how you find. In other words, your skills as a soft tissue therapist can be delivered to people with a wide range of disabilities all over the world. They may just need to be modified. Working with the GB Boccia squad has been one of the most rewarding roles in my career. I have very fond memories of my camps, trips and competitions over the years, including three Paralympic Games.

“Most treatments need to be performed in the wheelchair”

Many boccia athletes have CP and there are several subtypes, each with its own unique characteristics. They include spastic, ataxic, dyskinetic or mixed CP. Researching these conditions prior to treatments will help you prepare for a client’s predisposed concerns and makes the treatment sessions as smooth and comfortable for them as possible.

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MEMBERS’ REVIEWS

ZEPHORIUM CARNELIAN CRYSTAL FACE SERUM This face serum combines carrot and sweet orange oil, along with carnelian crystal, to encourage freedom and creativity while helping to rebalance the sacral chakra. Orange oil is often known as ‘the smiley oil’ for its uplifting and refreshing qualities.

HELEN SCHOLFIELD, MFHT My first impressions were of the oil’s beautiful orange gold colour, all 9/10 packaged in a neat glass dropper bottle, and its gorgeous smell. I massaged one to two drops twice daily into my skin, left it for five minutes, then used moisturiser. It gave a glow to the skin. My skin is quite dry and sensitive and it suited it well. It is a lovely product that I will continue to use.

RIMA SHAH, MFHT As an aromatherapist who has worked in natural skincare, I was 6/10 excited to try this. I am a big user of skin oils and this product is an oil, not a serum, as the name suggests. It is rich but absorbs easily with massage and has a strong fragrance. It left my skin well nourished and soft. I used it at night, as I think it would have been too oily to use in the day.

MEMBER OFFER Zephorium is offering FHT members 20% off its entire product range from zephorium.com Enter the code ‘ZFHT20’ at the checkout. Offer ends: 31 March 2017.

AROMATICA: A CLINICAL GUIDE TO ESSENTIAL OIL THERAPEUTICS, BY PETER HOLMES The first of two volumes, this text focuses on the principles behind the clinical use of essential oils. It builds an important foundation for essential oil therapy and includes profiles of the most important 30 essential oils used in practice.

ANN JONES, AFHT Aromatica is an exceptional read, extremely thorough and informative. 10/10 It opened up a new avenue of thought for me. I liked the way the author told the story of how it all began with a visit to a pharmacy in Paris in the 80s. He has done a considerable amount of research. The sections covering essential oils were comprehensive, giving all therapeutic functions and indications of the oils on different parts of the body.

PATRICIA OSBORNE, MFHT The book is a well-written resource for students and clinicians from a wide range of disciplines. It beautifully incorporates the history of the plant/oil, integrating systems and 10/10 functions that expand thinking about the therapeutic importance of how the oil/ plant works optimally with the human body, and how this relates to clinical practice.

MEMBER OFFER Take advantage of a 15% discount on Aromatica (RRP £40) when purchased from singingdragon.com Enter the code ‘PHA’ at the checkout. Offer ends: 28 February 2017.

NEW PRODUCTS SCAPE SEASCAPE FT UPLIFT KE OIL AWAKE pe Seascape Island ecary Apothecary uces introduces its new Uplift Awake Oil, a ating stimulating cribed oil described as an ‘alarm clock in a bottle’. When feeling tired or in need of a pick-me-up, apply a small amount of the oil using the roller ball applicator to the wrists, temples or under the nose and feel its effects in seconds. The Awake Oil (8ml) contains 100% natural essential Jersey eucalyptus oil, lime oil and lavender oil.

Price: £10, available from seascapeuk.com

48

MAKING SENSE OF LEARNING HUMAN ANATOMY AND PHYSIOLOGY, BY EARLE ABRAHAMSON AND JANE LANGSTON The book takes the reader through a journey of both studying and making sense of anatomy and physiology. Written for both learners and teachers, it provides a road map for understanding problems and issues in anatomy and physiology. For the learner, it gives hints on study skills to help understand and retain the information. For the teacher, it explores practical assessment techniques and different teaching methods.

Price: £18.99, available from lotuspublishing.co.uk

INTERNATIONAL THERAPIST WINTER 2017

Reviews Comp New Prod__International Therapist 48

SPORT THERAPY FOR THE SHOULDER, BY TODD ELLENBECKER AND KEVIN WILK This book guides readers through functionall anatomy and biomechanics of the shoulder, examination techniques and pathology, rehabilitation, and return-to-play progressions. It is aimed at physical therapists, athletic trainers, massage therapists, strength and conditioning professionals, personal trainers, and those in sports medicine. The book provides evidencebased principles on joint stabilisation, strength, muscular endurance, and range of motion.

Price: £47.49, available from humankinetics.com

THE INNER POWER OF STILLNESS, BY ALEXANDER FILMERLORCH, MARGARET GILL AND CAROLINE BARROW ROW OW This title focuses on inner development by therapists, practitioners and teachers of the mainly dormant potential of stillness and the storage capacity of stillness-stimulus and imprints in our tissue/fascia, as well as their benefits, use and application. The authors anchor the possibility of this inner evolution of the power of stillness to the latest research into tissue and cell memory.

Price: £29.50, available from handspringpublishing.com

FHT.ORG.UK

15/01/2017 16:05


FUNCTIONAL ANATOMY OF THE PELVIS AND THE SACROILIAC JOINT, BY JOHN GIBBONS This book shows readers how to recognise pain and dysfunctional patterns that arise from the pelvic girdle. John Gibbons provides step-by-step techniques to identify and correct a number of impaired patterns, as well as exercises that promote recovery.

Competition

TWO T BE WO O N

ROSEMARY COOPER, FFHT It was a pleasure to review this book. I 10/10 felt as if I had been transported back 10 years to when I attended a John Gibbons course on the dysfunction of the sacroiliac joint. This book is extremely thorough, with excellent illustrations. I found the detail of leg length discrepancy, gait analysis and screening very useful. I would highly recommend this book.

MIKE MURPHY, MFHT This is a very informative and wellstructured resource that allows the reader to understand the principles and 10/10 applications of the areas covered. It also develops the clinical knowledge of both the anatomical and physiological issues and imbalances a therapist could encounter. I particularly liked the variety of approaches covered – an excellent book to aid healthcare students and professionals at all levels.

MEMBER OFFER FHT members can purchase the book for £20 (RRP £24.99), including postage and packaging, by ordering from Combined Book Services Ltd on 01892 837171 and quoting ‘pelvis FHT’. Offer ends: 31 March 2017.

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

DOCTEUR RENAUD RASPBERRY HYDRATING PROGRAMME GIFT BOX This gift contains two face care products from the Docteur Renaud Raspberry Hydration range. Rich in water, glucides and minerals, raspberry is an active ingredient that is simultaneously refreshing, softening and extremely sensorial. This gift box includes a 50ml Raspberry Soft Cream, formulated to fight dehydration, and a 50ml Raspberry Soft Mask, designed to help the skin regulate moisture levels. Docteur Renaud skin care products include organic flower, fruit and vegetable extracts to deliver both health and nutrition to the skin.

Two lucky members will win Natural by Nature Massage Oils, worth more than £75. Natural by Nature Oils has been blending oils for over 40 years, with hundreds of tried and tested recipes for many everyday common conditions. This new range of body oils from Natural by Nature Oils has been expertly and carefully blended using only the purest of oils. Essential oils have been blended with pure almond, organic argan and jojoba oil to create eight different blends: • Tranquil – orange, geranium, patchouli, Roman chamomile • De-stress – lavender, geranium, rosewood • Calming – lavender, mandarin, rosewood • Detox – celery, fennel, rosemary, juniper needle • Hair and scalp – bay, rosemary, cedarwood • Muscle and joint – ginger, rosemary, marjoram, black pepper • Exotic – orange, rosewood, ylang ylang • Indulgence – rose, neroli, frankincense. These oils are designed to nourish and hydrate the skin, as a relaxing massage oil or moisturising body oil. Natural by Nature Oils manufactures all products within its own factories, sourcing

the highest quality oils from around the world to ensure the best therapeutic quality. Natural by Nature Oils has never tested products on animals and do not use ingredients derived from them. Its products are also free from synthetic or harmful chemicals and sodium lauryl sulphate (SLS) or parabens. For more information, visit naturalbynature.co.uk

TO WIN ONE OF THE OIL SETS, ANSWER THIS QUESTION: Which of the following ingredients would you find in Natural by Nature’s muscle and joint massage oil? Ginger Rosewood Lavender Email your name, address and answer to dralls@fht.org.uk typing ‘Natural by Nature Oils competition’ in the subject box. Alternatively, send your answer and details on a postcard to: Natural by Nature Oils competition, FHT, 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hampshire SO50 4SR. Closing date is 17 February. For full FHT competition terms and conditions, visit fht.org.uk/competitions

Price: £40, available from skinevolution.co.uk

FHT.ORG.UK

Reviews Comp New Prod__International Therapist 49

WINTER 2017 INTERNATIONAL THERAPIST

49 15/01/2017 16:06


LEARNING

CPD questions

FOR MORE INFORMATIO N ABOUT HOW TO GAIN CPD POINTS BY REFLECTI NG YOUR FAVOU ON RITE ARTICLES, V ISIT FHT.ORG.UK /CPD

BELOW ARE QUESTIONS RELATING TO KEY ARTICLES IN THIS ISSUE. TO GAIN TWO CPD POINTS (UNLESS OTHERWISE STATED), ANSWER ONE OR MORE QUESTIONS RELATING TO THE SAME ARTICLE, USING A MINIMUM OF 300 WORDS IN TOTAL. IF YOU DON’T THINK THE QUESTIONS ARE HELPFUL, DON’T BE AFRAID TO POSE YOUR OWN.

2017 Diary Dates 26-27 Feb Professional Beauty London ExCel, London professionalbeauty.co.uk

21-22 May

FHT STAND & Holistic Health TRAINING NEC Birmingham holistichealthshow.co.uk

ADDRESSING THE SYMPTOM (P12)

1

As Dr Peter Mackereth and Paula Maycock suggest in their article, explore ‘the aromatherapy and constipation literature to uncover current evidence for interventions and essential oil choices’ when supporting patients with constipation.

21-22 May Beauty UK NEC Birmingham beautyukshow.co.uk

11 June Professional Beauty Belfast Belfast Waterfront professionalbeauty.co.uk

2

Do you use an acronym, similar to SYMPTOM, to assist you in a particular area of therapy practice? Provide full details and give an example of how you have applied this.

1-2 October Olympia Beauty Olympia, London olympiabeauty.co.uk

22-23 Nov TherapyExpo NEC Birmingham therapyexpo.co.uk

DISHES FOR DOSHAS (P28)

1

RUNNING SMOOTHLY (P18)

1

Sarah Catlow and Lance Doggart look at typical running injuries and prevention strategies. Using your own research and experience, outline typical injuries that would occur from another sport or form of exercise and highlight some injury prevention strategies.

2

Choose one of the injuries cited in the table on page 19 and create a prospective treatment plan, outlining what therapy you would use to support this and how you would carry out treatments.

In this article, Sunita Passi looks at Ayurveda’s three mind-body types (vata, pitta and kapha) and how an individual diet plan can be composed, based on a person’s dominant ‘dosha’. Pick a dosha that you think closely relates to you and research some of the characteristics of this mindbody type and different ways it can be balanced.

SOFT TOUCH (P42)

1

Sue Gassick and Lesley Salt provide self-help directions for therapists, using the EMMETT Technique. Using a similar format, write your own self-help article for therapists, focusing on a therapy you practise.

2017 ANNUAL MEMBERSHIP FEES* FHT Member: £59.99 FHT Associate: £64.99 Student Member**: £24.99 FHT Affiliate: £34.99 Overseas Member: from £41.99 Qualified Combined Medical Malpractice, Public and Products insurance: from £46.24

50

INTERNATIONAL THERAPIST WINTER 2017

CPD Top 10__International Therapist 50

*Ask our membership team about paying by Direct Debit – it could save you 5% on membership fees. **Includes free case study insurance cover. 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.

Top ten reasons for being an FHT member 1

Professional status and recognition.

2

Campaigning, promoting and protecting your interests as a therapist.

3

Professional representation.

4

The industry’s leading therapist magazine.

5

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

6

Discounted continued professional learning.

7

The UK’s largest local support group network.

8

FHT branded products and member discounts on therapy supplies.

9

Members’ helpline.

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

FHT.ORG.UK

15/01/2017 15:42


LEARNING

Could you find what you’re looking for...

EDITOR’S PICK

In the reading room

‘I enjoy reading every article we feature in IT or online (every day’s a school day!) but one that really fascinated me was by Anita Mehrez and Dr Peter Mackereth, about the nocebo effect, which in basic terms, is the opposite to the placebo effect. In this article, they explore the possibility that the therapist rather than the therapy might actually trigger a ‘healing crisis’ in clients.’ Find this article in the complementary therapy section of the reading roo room under ‘Nocebo effect’.

FHT spiral no. 21

At the FHT, we receive lots of queries from related articles and research summaries, members looking for information on a which members can browse, download whole variety of topics and read at their convenience. – from therapy research So be sure to log in and and complementary have a look! ISIT V therapies in cancer care, To help you find what Y L P SIM G.UK/ to business advice and you’re looking for, we FHT.OR OOM GR historical information. have placed all of the READIN R YOUR TE N E In most cases, this articles into subfolders: D N A ME AND information can be complementary therapy; USERNA D WHEN R found in our online beauty therapy; sports PASSWO PTED M O R P reading room, where we therapy; business advice; have uploaded more than general interest; research; 350 therapy and businessinterviews and sharing zone.

TEST YOUR A&P KNOWLEDG E AND

1

WIN A £20 AMAZO N GIFT VOUCHER Aromatherapy Consultation form Personal details Telephone (day):

Name:

Evening:

Address:

Mobile:

Postcode:

Email:

Occupation::

The winner and four runners-up will also receive a pad of 50 FHT consultation forms of their choice (aromatherapy, body massage, ear candling, Indian head massage or reflexology).

Emergency co contact:

Doctor:

Body massage

Telephone:

Practice address: dress:

GP practice tel:

Postcode: Postcode:

General eral state of health Do you exercise regularly?

Yes

Are you taking any medication?

Yes

Are you on any special diet?

Height:

No

Weight:

No

Yes Yes __ _ per day da ay

Do you drink alcohol?

Yes __ units per per week

Consultation

Date of Birth:

No

Do you smoke?

No

Personal details No

How would uld you describe your stresss levels?

Name: Med High

Low

How would uld you describe your energyy levels?

High

Low

Med

Address:

How would uld you describe your sleep pattern?

Yes __ weeks

No

Yes

No

Telephone (day):

Date of last period?

What do you do for relaxation? Have you u ever had an aromatherapy aromatherap py treatment? treatmentt? Reason for treatment?

Yes

Occupation:

Evening:

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No

Yes

No

Mobile:

Doctor:

Conditions symptoms ons and/or symp mptoms

Email:

Practice address:

Do you suffer er from any swelling/oedema? swelling/oede ema? Do you suffer er from asthma conditions? conditionss? Do you suffer er from unstable blood pressure? pr Do you suffer er from any heart disorders? disorde ers? Do you have e a history of thrombosis/embolism? thrombosiss/embolism? ? e epilepsy? Do you have Do you have system? e a dysfunction of the nervous ne systtem? Do you suffer er from any infectious diseases? diseases? Do you suffer er from any skin disorders? disorde ers? Do you have e any severe bruising? Do you have e any recent scar tissue? tissu ue? Have you recently ecently suffered from a haemorrhage? haemorrha age? Do you have e any varicose veins? Do you have e any recent cuts or abrasions? ab Have you recently ecently had any operations? opera ations?

Yes Yes Yes Yes

No No No No

form

Female clients only Could you be pregnant? Are you breastfeeding?

Have you recently had any inoculations? Have you ever had or do you have cancer? Postcode: Do you have any recent fractures or sprains? Are you currently suffering from a fever?

Yes No Do you have diabetes? General Yes No o state Do youof have osteoporosis? health Yes No o Do you suffer from arthritis?

Yes Yes Yes Yes Yes Yes Yes

No No No No No No No

Do you exercise regularly? No Yes No o Yes Do you suffer from any back problems? Yes Are No Yes No o Yes Do you suffer from any allergies? you taking any medication? NoYes No Do you suffer from anxiety or depression? Yes No o Yes AreYes you onNo No Do you suffer from headaches/migraines? o special any No Yes diet? No Have you recently consumed alcohol? No o Yes Yes DoYes you No Yes No Have you recently consumed a heavy meal? Yes smoke? No Yescondition? No No Do you have any other medical N o Yes Do Yes __ per day you drink alcohol? No Yes N o No Yes __ units per week your stress levels? No High Med describe your Low energy levels? How would you High Med describe your Low sleep pattern? What do you do for relaxation? Yess No Verbal consent obtained? Yes* No *(client to sign and date declaration below) Have you Written Yes* No (attach) ever consent had a obtained? massage treatment? Reason for treatment? Yes No How would you How would you

Emergency contact: Telephone: GP practice tel:

Height: Weight: Date of Birth:

describe Please give e details if you answered d yes to any of the e previouss questions:

Section for usese by therapist

consent GP cons nsent required? requ uired?

Client declaration: aration: I declare the information informatiion that tha at I have e given is true tru rue and correct and that, as far as I am aware, I can undertake treatment with this establishment

without any adverse effects. I have b been een fully y informed inform med about ab bout contra-indications contra--indications and am willing, therefore, to proceed. I understand that aromatherapy is not a substitute for medical advice dvice and/or treatment. t.

Conditions and/or

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Female clients

only

Could you be pregnant? Yes __ weeks Are you breastfeeding? No Yes Date of last period? No +DYH\RXKDGDQ ,8'ÀWWHGLQWKHOD VWZHHNV" Yes  No

symptoms

Do you suffer from unstable 'DWH 7KHUDSLVW·VVLJQDWXUH   'DWH blood pressure? Do you suffer from any heart Yes disorders? Do you suffer No from phlebitis? Yes Do you have No a history of thrombosis/embol Yes Do you have No ism? epilepsy? Yes Do you have No a dysfunction Yes of the Do you suffer No from any infectious nervous system? Yes Do you suffer diseases? No from any skin Yes disorders? Do you have No any severe bruising? Yes Do you have No any recent scar Yes tissue? Have you recently No suffered from Yes Do you have a haemorrhage? No any varicose Yes veins? Do you suffer No from any swelling/oedema? Yes Do you have No any recent cuts Yes or abrasions? No Please give details Yes No if you answered yes to any of the previous questions:



7

6

TO ENTER



Have you recently had any operations? Have you recently had any inoculations? Have you ever had or do you have Do you have any recent fractures cancer? Are you currently or sprains? suffering from a fever? Do you have diabetes? Do you have osteoporosis? Do you suffer from arthritis? Do you suffer from any back problems? Do you suffer from any allergies? Have you recently consumed alcohol? Have you recently consumed a heavy Do you have meal? any other medical condition?

Section for use by therapist

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No No No No No

GP consent required? Yes No Verbal consent obtained? Written consent Yes* obtained? (attach) No *(client to sign and Client declaration: Yes* date declaration No I declare the below) information that without any adverse I have given is effects. I have true and correct been fully informed for medical advice and that, as far about contra-indications and/or treatment. as I am aware, I can undertake and am willing, treatment with therefore, to proceed. this establishment I understand that body massage is not a substitute    'DWH  7KHUDSLVW·VVLJQDWXUH    'DWH

&OLHQW·VVLJQDWXUH

Write your answers in a spiral from the start, working worki king ing in an anticlockwise direction, towards the centre of the grid. The last letter of each answer is the first letter of the next. The shaded diagonal line will spell out a type of bone tissue.

Simply email the word that appears in the diagonal shaded boxes to dralls@fht.org.uk (writing Winter 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 (see fht.org.uk/ competitions). Entries to be received no later than 17 February.

12

13

16

10

11

18

5

15

8

17

14

2

9

4

3

CROSSWORD CLUES 1 2 3 4

Blackheads (9) Secretion produced in the mouth (6) Fatty tissue (7) Hardest substance in the human body, this protects the teeth (6) 5 Nodes that help to fight infection (5) 6 Ache tip (anag.) relating to the liver (7) 7 Collarbone (8) 8 Uppermost layer of skin, comprising five layers (9) 9 If our disc (anag.) causing or inducing sweat (9) 10 Fleshy part at the back of the leg, below the knee (4)

11 Short for influenza (3) 12 Arm bone (4) 13 Abbreviation used for adrenocorticotrophic hormone (1,1,1,1) 14 Examples include the elbow and knee (5,5) 15 Section of the spine consisting 12 vertebrae (8) 16 The ‘C’ in CNS (7) 17 System associated with smell (6) 18 These are made up of membrane, cytoplasm, nucleus, golgi apparatus and mitochondria (5)

Solution for spiral no. 20… where is it? We no longer publish spiral solutions in International Therapist, as completing spirals published in the magazine can now count towards your CPD (one CPD point per spiral quiz, a maximum of five points per year). Turn to page 65 for the names of the members who sent in the first correct spiral solutions to be independently drawn from all eligible entries sent in by the allocated closing date for spiral no. 20 featured in Issue 118 (Autumn 2016).

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CPD Top 10__International Therapist 51

WINTER 2017 INTERNATIONAL THERAPIST

51 15/01/2017 15:43


LEARNING

Medical A-Z CARPAL TUNNEL SYNDROME Carpal tunnel syndrome (CTS) is a condition in which the median nerve at the wrist is compressed, causing pins and needles, numbness, pain and odd sensations in the fingers and hand.1-4

CAUSES There’s not always an obvious cause of CTS. The compression of the median nerve in the wrist and tendons of the carpal tunnel often occurs due to a combination of factors.5 One factor is family history, as people are more likely to develop the condition if a close relative already has CTS. People who are pregnant or have conditions such as diabetes and arthritis are also at risk of developing CTS, as well as those who have injuries to the hand, such as fractures and sprains, as this can put pressure on the median nerve. Similarly, certain activities and types of work can also trigger the condition, such as assembly packing, manual labour, playing a musical instrument and work involving vibrating tools.

SYMPTOMS The main symptoms of CTS are numbness, pain, itching and tingling sensations occurring in the thumb, index finger, middle finger and part of the ring finger. These usually develop gradually and can be worse at night or first thing in the morning and may occur in one hand or both. People with CTS may feel their hands need ‘shaking out’ in the morning, as this can relieve the pain and tingling sensations. Other less common symptoms include a burning or prickling sensation, a dull ache in the hand or arm, dry skin, changes in the colour of the hand and muscle atrophy. Repetitive actions of the hand and wrist can make symptoms worse.

PICTURES: ALAMY/GETTY

ORTHODOX TREATMENT

52

Treatments can vary, depending on the severity of the condition and how long people have had it. CTS can sometimes improve without treatment after a few months. However, non-surgical treatments, such as wrist splints and corticosteroid injections, are usually recommended.

Wrist splints prevent the wrist from bending and provide support, and are often sold at larger pharmacies. Corticosteroids injections relieve inflammation by targeting steroids into the affected area. Typically one injection will be given and more may follow if needed. Surgery may be required if the treatments fail to alleviate symptoms. Carpal tunnel release surgery or carpal tunnel decompression is given on an outpatient basis. Activities that make symptoms worse should be avoided.

COMPLEMENTARY THERAPY A number of studies support the efficacy of acupuncture for short-term relief from CTS. One randomised controlled trial, published in The Clinical Journal of Pain, recruited 77 patients, who either had acupuncture or a course of prednisolone tablets.6 The patients were then given a questionnaire to rate their major symptoms on a scale of 0 (no symptoms) to 10 (very severe). The results showed that acupuncture was as effective as short-term low-dose prednisolone for mild-to-moderate CTS, with both groups reporting significant improvements after two and four weeks. Massage could have potential for CTS. One study looked at the therapy, in conjunction with trigger-point therapy, with 21 participants receiving 30 minutes of massage twice a week for six weeks.7 Assessment was in the form of questionnaires and two-point discrimination tests, with results demonstrating significant changes in symptom severity and function. Chamomile oil, applied topically, may also benefit people with CTS. A pilot study, published in Complementary Therapies in Clinical Practice, assessed the effectiveness

INTERNATIONAL THERAPIST WINTER 2017

Medical A-Z__International Therapist 52

of the oil in 26 patients with severe CTS.8 The patients were randomly allocated to either an intervention or placebo group. The intervention group was prescribed a chamomile oil to apply, and the placebo group was given a paraffin and sesame oil mixture. A significant improvement was observed in the chamomile group in relation to symptomatic and functional status when compared to the placebo group. NB: The information provided in this article is not all encompassing, and is 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 1 Arthritis Research UK. (2016) Carpal tunnel syndrome. See: arthritisresearchuk.org/arthritisinformation/conditions/carpal-tunnel-syndrome. aspx (accessed 14 November 2016). 2 Berkow R, Beers MH, Fletcher AJ. (Eds.). (1997) The Merck manual of medical information (home edition). Merck Research Laboratories: Whitehouse Station, New Jersey. 3 NHS Choices. (2016) Carpal tunnel syndrome. See: nhs.uk/conditions/carpal-tunnel-syndrome/Pages/ Whatisit.aspx (accessed 11 November 2016). 4 Peters M. (Ed.). (2008) BMA A-Z family medical encyclopedia. Dorling Kindersley: London. 5 National Institute of Neurological Disorders and Stroke. (2012) Carpal tunnel syndrome fact sheet. See: ninds.nih.gov/disorders/carpal_tunnel/ carpal_tunnel.htm (accessed 11 December 2016). 6 Yang CP, Hsieh CL, Wang NH, Li TC, Hwang KL, Yu SC, Chang MH. (2009) Acupuncture in patients with carpal tunnel syndrome: a randomized controlled trial. The Clinical Journal of Pain 25(4): 327-33. 7 Elliott R, Burkett B. (2013) Massage therapy as an effective treatment for carpal tunnel syndrome. Journal of Bodywork and Movement Therapies 17(3): 332-8. 8 Hashempur MH, Lari ZN, Ghoreishi PS, Daneshfard B, Ghasemi Ms, Homayouni K, Zargaran A. (2015) A pilot randomized double-blind placebo-controlled trial on topical chamomile (Matricaria chamomilla L.) oil for severe carpal tunnel syndrome. Complementary Therapies in Clinical Practice 21(4): 223-8.

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INT.Winter17.053.indd 56

13/01/2017 15:41


EDUCATION MATTERS

Acknowledging outstanding students TUTOR TERESA RICH TALKS ABOUT THE IMPORTANCE OF PUTTING STUDENTS FORWARD FOR AWARDS As a tutor, I was thrilled when one of my working full-time and in spite a number of students – Lorraine Ryder (pictured) – was personal issues that were simultaneously awarded 2016 FHT Student of the Year. unfolding in her life. When I nominated her for this From the very beginning of her ITEC FHT Excellence in Education Level 3 Reflexology qualification, 2017 FHT award, I highlighted many Lorraine was not only achieving EXCELLENCE of Lorraine’s qualities: the highest standards, but also AWARDS the exceptionally thinking ahead and including The opening date is yet to be high standard of her her own research, ideas and announced – look out for more work throughout the touches to the treatments information in your member entire course; that she she gave. As a result of her e-newsletters, future issues of remained really positive consistent efforts, she was International Therapist and and bubbly in class when awarded a much deserved at fht.org.uk/awards the going got tough; and distinction by the external that she naturally took on the examiner in the final exams. role of helping other students, Since qualifying last spring, she giving them inspiration and confidence has thrown herself into setting up a when they doubted themselves. All business with one of her fellow students, this, I should highlight, was while still called Butterflies Therapies, and between

them both they are going from strength to strength while still working full time as Marie Curie nurses. I personally believe that if a student is outstanding, it’s part of our role and commitment as tutors to put them in for awards like the FHT’s, so that they have the opportunity to shine to their full potential. If we don’t, then I believe we are doing them a disservice.

Teresa Rich is founder of ReflexologyUK.org, and a 2016 FHT Tutor of the Year finalist.

Awarding orgnanisation VTCT acquires ITEC Leading awarding organisation, the Vocational Training Charitable Trust (VTCT) was delighted to recently acquire EMS Limited which trades as ITEC, the internationally-recognised awarding organisation and examination board. The Trustees of VTCT and Directors of EMS Limited view the takeover as an opportunity to combine the strengths of both respective organisations and to enhance services for centres and learners. Alan Woods OBE, CEO of VTCT (pictured) said: ‘We were keen to acquire ITEC not only because it’s highly respected in our sector, but crucially it also shares our values and ambitions, placing strong emphasis on quality assurance, learner

54

success, employer recognition and exceptional customer service alike. ‘This acquisition aligns with our growth strategy to continue the development of our portfolio in beauty and spa, complementary therapy, hairdressing, sports and fitness, and customer service qualifications. We’re very excited about the strong international profile ITEC brings, along with a rigorous and highly reliable examination approach, which contrasts well with VTCT’s assessment models, allowing all of our approved centres to choose how they would like their learners assessed. ‘We are confident that by bringing together ITEC, VTCT and Digital Assess –

INTERNATIONAL THERAPIST WINTER 2017

Education Matters_18-Jan-2017_International Therapist 54

our e-assessment business – we will be able to further enhance the experience we offer to learners while continuing to provide the excellent service our customers expect from us.’ Representatives from VTCT and ITEC were keen to stress that for approved centres of both organisations it would be ‘business as usual’, with no interruptions to their services or support.

EDUCATION MATTERS TELL US YOUR NEWS Have some exciting news you’d like to share about your therapy students or college? Please send information and highresolution pictures to Karen Young at kyoung@fht.org.uk

FHT.ORG.UK

15/01/2017 15:51


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news 11/01/2017 14:23


LEARNING

FHT accredited course provider news updates JEMMA COOPER PICKS UP BEAUTY INDUSTRY AWARD

SUNITA STRIKES GOLD

FHT accredited course provider, Jemma Cooper, MFHT, has reason to celebrate after her therapy business, HI Therapies beat hundreds of salons to the title of Beauty Salon of the Year South West at the Professional Beauty Regional Awards. A panel of independent

Sunita Passi has also recently celebrated after a win at the Janey Loves 2016 Platinum Awards, set up by radio DJ, Janey Lee Grace. Sunita, director of Tri-Dosha, and an accredited course provider, won Gold in the Natural Multi-Purpose Product for her sweet orange and rose geranium hand wash and shower gel, Neem. Sunita told the FHT: ‘For more than 10 years I’ve developed my business around a range of

industry experts judged all the finalists before mystery clients put them through their paces, experiencing treatments and reporting back to the expert judges. Jemma said: ‘All I aim to do is help and inspire people, whether my team or clients. To win this feels like a great achievement. I’m so proud of everyone.’

products which I’m proud to say embodies my values and delivers my mission. My business exists to make a difference to everyday people by raising their awareness and helping them make more informed decisions about their health.’ Read an article by Sunita on page 28.

FHT accredited qualification providers IRELAND Deirdre Murray Holistic Training deirdremurray2@gmail.com Irish Institute of Nutrition & Health Ltd iinh.net Saint Martin’s College of Physical Therapy stmartinscollegecork.com

SCOTLAND Myofascial Release UK - MFR UK myofascialrelease.co.uk Sandy Newbigging sandynewbigging.com Therapia School of Reflexology therapiagourock.com

NORTHERN IRELAND Body and Sole bodyandsoleschool.co.uk New Beginnings School of Natural Therapies angelsanctuary.co.uk Sheila Nugent School of Reflexology sheilanugentschoolofreflexology.co.uk Tara Centre taraomagh.com

NORTH WEST Beauty Room Training Academy beautyroomuk@yahoo.co.uk Breathworks breathworks-mindfulness.co.uk British Academy of Crystal Healing britishacademyofcrystalhealing.co.uk Dorn Method Academy UK (Jacqui Hamer) dornmethod.org Elaine Ellis Courses elaineellis.wixsite.com/courses KORE Academy Ltd koretherapy.com Reiki Tradition reikitradition.me.uk Rossiter System Ltd therossitersystem.com

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NORTH EAST E.T.H.O.S. (Education, Training, Health and Online Services) ethos.uk.com Eve’s Garden (Alison Valerie Peart) alipeart@hotmail.co.uk Leeds Holistic Training & Therapy Centre (LHTTC) cheraki@fsmail.net Pat Ki Equine Therapies patkitherapy.co.uk

EAST MIDLANDS Blossom & Berry Baby Massage & Yoga Training blossomandberry.com Cosmo Kemp School of Thai Yoga Massage cosmothaiyoga.com Infinity Training Academy infinitytrainingacademy.co.uk Penny Price Aromatherapy Ltd penny-price.com Shirley Price International College of Aromatherapy shirleyprice.co.uk

WEST MIDLANDS Lorraine Davis Holistic Healthcare and Education Centre lorrainedavistraining.weebly.com Meridian School of Massage & Body Work lhmeridian.co.uk Paadena School of Yoga & Thai Yoga Massage Therapy paadena.co.uk

WALES Complementary Therapies Ltd p.battersby@glyndwr.ac.uk Gaia Education gaiaeducation.com Glyndŵr University glyndwr.ac.uk Gower College Swansea gowercollegeswansea.ac.uk TEACH Therapy

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teachtherapy.co.uk Zodiac Complementary Therapy Training zodiactherapytraining.co.uk

SOUTH WEST Barnes School of Sports Therapy barnesclinic-school.com Cheltenham School of Complementary Therapy & Beauty thetherapyschool.co.uk NEW Devon School of Massage and Bodywork lhbodywork.co.uk University of St Mark & St John marjon.ac.uk

SOUTH EAST Ayurveda Pura Academy ayurvedapura.com Brighton Holistics brightonholistics.co.uk Centre for Nutrition Education & Lifestyle Management cnelm.co.uk Cherubs Training Academy Hampshire cherubsbabyhealth.com Crimson Catz crimsoncatz.com Elemi Training elemitraining.co.uk Expectancy Ltd expectancy.co.uk HypnoTC: The Hypnotherapy Training Company hypnotc.com JB Training Academy – Bedford jbtrainingacademy.co.uk London Institute of Thai Yoga Massage

learntomassage.co.uk Lucis College lucisgroup.com Mary Atkinson Holistic Therapy Courses maryatkinson.org.uk R.J. Buckle Associates rjbuckle.com Shared Beauty Secrets sharedbeautysecrets.com Shen Mantra shenmantra.com Tri-Dosha tri-dosha.co.uk

NATIONAL Essential Training Solutions Ltd essential-training.co.uk Gateway Workshops gatewayworkshops.com Health Kinesiology UK hk4health.co.uk London School of Massage bodybasicsonline.co.uk Mind International Training Associates bodymindworkers.com Stonebridge Associated Colleges stonebridge.uk.com

INTERNATIONAL ASET School for Holistic Therapies bedandbreakfastgozo.com Beaubelle Academy of Cosmetology & Management beaubelle.com Jari Jari Spa jarijari.com.my Rinalda Therapeutic Kneads wix.com/rinalda/rinalda The Institute of Aromatherapy aromashoppe.com

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

WWW. NEEDED? If any link above does not work, please type in www. at the beginning.

FHT.ORG.UK

15/01/2017 16:07


LEARNING

FHT accredited short course providers IRELAND Institute of Beauty & Holistic Training ibht.ie Golden Egg Holistic goldeneggholistic.com

SCOTLAND Myofascial Release UK (MFR UK) myofascialrelease.co.uk Rosslyn Alternatives rosslynalternatives.co.uk Synergy Holistics synergy-holistics.co.uk

NORTHERN IRELAND Body and Sole bodyandsoleschool.co.uk Logan Fertility Centre loganfertility.com Yoga & Reflex NI yogaandreflexni.co.uk

NORTH WEST Alternatively Better alternativelybetter.co.uk Ashwood Beauty & Holistic Academy ashwoodacademy.co.uk British Academy of Crystal Healing britishacademyofcrystalhealing.co.uk Dorn Method Academy UK (Jacqui Hamer) dornmethod.org Holistic Therapy Practice holistictherapypractice.com Jennifer Young & Beauty Despite Cancer beautydespitecancer.co.uk KORE Academy Ltd koretherapy.com The Master Academy/Urban Body Balance urbanbalance.co.uk

NORTH EAST Anna-Louise Haigh anna-louisehaigh.com Aries Academy of Holistic Therapies ariesacademy.co.uk Butterfly Touch Therapies butterflytouchtherapies.com Jong Baik Education jongbaik.co.uk Kinesio UK kinesiotaping.co.uk Lincolnshire Hair, Beauty Therapy & Make-up Academy lincsbtma.co.uk Seven Wellbeing Centre sevenwellbeingcentre.org.uk ZIIBER eileenbaron@btinternet.com

EAST MIDLANDS Cameron Reid Training cameronreidtraining.co.uk Fertility Massage fertilitymassage.co.uk Helen Mary Perkins helenperkins.com Infinity Training Academy infinitytrainingacademy.co.uk Makiage Training Academy MakeUp Artistry & Massage Therapies makiage.co.uk Routes to Healing Sarahling1@googlemail.com

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The Active School of Complementary Therapy ukmassagecourses.com The Studio Academy Ltd thestudioacademy.co.uk

WEST MIDLANDS NEW Beyond the Limits beyondthelimits.co.uk NEW Central School of Massage centralschoolmassage.com Just BE (Butterfly Experience) with Jacqui Mexson jacqui.mexson@virginmedia.com Microsystems Therapies & Training annavenables.com The UK Dorn Method Centre dornmethod.co.uk Timeless Partnership Ltd timelesspartnership.co.uk NEW Tranquil Heart Training Academy tranquilheart.co.uk

WALES Acupuncture Training for Therapists Ltd jon_acupuncture@btinternet.com Coleman’s Complementary Therapies holisticsforautism.co.uk Complementary Therapies Ltd p.battersby@glyndwr.ac.uk Dynamic Massage dynamicmassage.co.uk Glyndŵr University glyndwr.ac.uk Gower College Swansea gowercollegeswansea.ac.uk HB Training Wales Ltd hbtraining.org Keep in Touch Training keepintouchtraining.co.uk NEW Mandala Complementary Studies mcscourses.co.uk Sally Kay reflexologylymphdrainage.co.uk Seren Natural Fertility serennaturalfertility.co.uk TEACH Therapy teachtherapy.co.uk Velindre Cancer Centre velindrecc.wales.nhs.uk

SOUTH WEST Advanced Massage School handsonclinic.co.uk Bridgwater College bridgwater.ac.uk Cheltenham School of Complementary Therapy & Beauty thetherapyschool.co.uk Complementary Therapy College complementarytherapycollege.co.uk Cornish Wellessence Training cornishwellessence.co.uk Cotswold Academy of Health & Beauty cotswoldacademy.co.uk Devon Academy of Complementary Therapies devonacademy.co.uk II Intuitive Ltd 2intuitive.co.uk JemmaCo Ltd jemmaco.com

NEW Liepa Health and Safety Ltd liepahealthandsafety.co.uk LMC Training lifenlimb.co.uk Paula Ryland: School of Holistic Therapies paularyland.co.uk Sue Chinn Holistic Training Academy sue.chinn@btinternet.com Susan Quayle Complementary Healthcare kidsreflex.co.uk Touchline Training Ltd touchlinetraining.co.uk Tranquillity Zone Training tranquillityzonetraining.co.uk Weston Hospicecare westonhospicecare.org.uk NEW With Intention Healing withintention.co.uk

SOUTH EAST Abdominal-SacralMassage.com abdominal-sacralmassage.com Academy of Advanced Beauty academyofadvancedbeauty.com Accredited Massage Courses Ltd accreditedmassagecourses.co.uk Affable Therapy affabletherapy.com Ayurveda Institute of Europe ayurvedainstitute.org Ayurveda Pura Academy ayurvedapura.com Bharti Vyas Training Academy bharti-vyas.com Brighton Holistics brightonholistics.co.uk Corpus et Animus Holistic Therapies corpustherapies.co.uk Elemi Training elemitraining.co.uk Expectancy Ltd expectancy.co.uk Freedom Therapies Training freedomtherapies.co.uk NEW Functional Reflex Therapy functionalreflextherapy.co.uk Hawaiian Massage UK Training Centre huna-massage.com Innamincka Training Services itsperou@depinaperou.plus.com Jane Sheehan footreading.com Key Workshops keyworkshops.co.uk Kneads Must/Kneader Massage (KOM) kneadsmust.com London College of Massage/ Massageworks londoncollegeofmassage.co.uk London School of Complementary Health lsch.co.uk London School of Reflexology learnreflexology.com Mary Atkinson Holistic Therapy Courses maryatkinson.org.uk Neal’s Yard Remedies School of Natural Medicine nealsyardremedies.com On the Spot Training School massageonthespot.co.uk

Purple Turtle Academy ptmassagetherapycourses.com Reflexmaster reflexmaster.co.uk RJ Buckle Associates rjbuckle.com School of Natural Therapies schoolofnaturaltherapies.co.uk Shared Beauty Secrets sharedbeautysecrets.com St Mary’s University College smuc.ac.uk/shortcourses St Wilfrid’s Hospice stwh.co.uk Story Massage storymassage.co.uk Tamara Association UK tamara-association.co.uk The Chrysalis Effect thechrysaliseffect.com The Holistic Academy holistic-academy.co.uk The Quiet Way thequietway.co.uk Total Release Experience (TRE UK®) treuk.com TouchPro touchpro.co.uk Training4Healthcare training4healthcare.co.uk Vital Body Clinic chirokinetictherapy.com Wavestone Therapies Ltd thewavestone.co.uk Ziggie Bergman zonefacelift.com

NATIONAL Essential Training Solutions Ltd essential-training.co.uk Fertility Massage fertilitymassage.co.uk Gateway Workshops gatewayworkshops.com Jenny Cox thebalanceprocedure.com London School of Massage bodybasicsonline.co.uk The Arvigo® Institute LLC arvigotherapy.com The Seed Institute theseedinstitute.co.uk

INTERNATIONAL Academy of Holistic Therapies joyful@jpicot.co.uk Akademi Ayu Jelita SDN. BHD joanphang@yahoo.com Bala Training greg@balaclinic.com Health Kinesiology NZ healthkinesiology.co.nz Jari Jari Spa jarijari.com.my NEW Liddle Kidz Foundation liddlekidz.com Paul Lewis paullewis.ca Rustic Nirvana PTE Ltd rusticnirvana.com The Arvigo® Institute LLC arvigotherapy.com The Institute of Aromatherapy aromashoppe.com

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INDUSTRY NEWS

Lava Shells at MTV EMA Awards

Samantha Flower

WebHealer Silver Design special offer

COMPLEMENTARY THERAPY IN NORTH LONDON WELCOME

ABOUT ME

MY THERAPIES

BOOK AN APPOINTMENT

MY LOCATION

CONTACT ME

Realise your full potential for physical health and emotional wellbeing Striking the right balance between body and mind plays a major role in how you feel and function. Your quality of life is highly dependent on these two factors.

I have found that combining Complementary Therapies with intelligent lifestyle choices can help you achieve optimal health levels, abundant vitality and an enhanced lifestyle. My passion in life is health and well-being. My goal is to help you improve yours.

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Realise your full potential for physical health and emotional wellbeing Striking the right balance between body and mind plays a major role in how you feel and function Your quality of life is highly

WebHealer has refreshed and enhanced its popular Silver Design service for 2017 and is offering a 20% discount, valid until 28 February 2017. Phil Hulme of WebHealer explains the ethos behind the service: ‘We’re passionate about delivering value for money to customers of our website services. Not everyone can afford

meticulously crafted design by a skilled designer, but many customers want something more professional than they can achieve with our built-in design tools. Silver Design fills this gap offering beautiful customised design at very low prices and has been taken up by hundreds of WebHealer clients.’ webhealer.net/blog

Support for pregnant clients INT.Winter17.002.indd 56

Lava Shells took centre stage as the official gifting sponsor backstage at the MTV awards in Rotterdam in late 2016. On hand to pamper and relax highprofile celebrities, the massage treatment warmed up performing acts with full body and foot massages from the comfort of their dressing rooms, keeping them relaxed before and after performing. Two of the talented team of Lava Angels LTD (founded by Shared Beauty Secrets), Jackie and Annabel, were tirelessly working their magic backstage to ease any muscle aches and pains on celebrities including Zara Larsson, and even host Bebe Rexha. sharedbeautysecrets.com

10/01/2017 17:42

The KIH Bed (pronounced ‘key’) is a prone-laying pregnancy cushion that allows clients to lay comfortably on their front during treatments. KIH Products Ltd won a 2015 FHT Excellence in Innovation Highly Commended Award for the bed, which is used worldwide by therapists and mums in the home. It has received excellent reviews and was designed by Julie Hawkins, herself a qualified massage therapist, since 2011. Practitioners have also reported using the KIH Bed for other post-operative complications to enable clients to lay on their front. kihproducts.co.uk | T. 020 8123 9625

Elemis recognised at AsiaSpa Awards 2016

Weleda Skin Food wins Classic Product of the Year Weleda recently celebrated its Skin Food, winning Classic Product of the Year at The Beauty Awards 2016. Weleda Skin Food was up against products from major beauty brands for this particular award, including Elizabeth Arden, Urban Decay, Bare Minerals, Guerlain, Palmers, Seven Seas and Bio Oil.

The awards were presented by Ferne McCann (from reality TV show, The Only Way is Essex). The star-studded event brought together brands, retailers, beauty journalists, bloggers, vloggers and celebrities to recognise some of the most successful beauty launches of the past 12 months. weleda.co.uk

Elemis’ Skin IQ and Facial for Men at Anantara Spa in Bangkok won ‘Men’s Spa Treatment of the Year’ in the AsiaSpa Awards 2016. Hong Kong’s most anticipated spa and wellness event of the year, the 12th annual AsiaSpa Awards, took place in November last year at Woobar, with the glamorous occasion attended by representatives of the region’s outstanding brands. The 2016 awards honoured nominees, industry icons and guests, for an evening themed ‘Eternal Beauty’. elemis.com

NB: The information featured in 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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1 day CPD courses:     $ & "      ,( $   &       "   #      ' Myofascial Release Deep Tissue Massage Trigger Point Massage Sports Massage Techniques Pregnancy Massage Cupping Massage & Moxibustion

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Thai Yoga Massage is a unique & powerful therapy combining acupressure, gentle stretching and applied yoga. Hands on training in this beautiful, ancient art under the guidance of an experienced teacher at a purpose built studio in tranquil rural Worcestershire. Suitable for complete beginners to health care professionals looking to widen their expertise and an introduction for those interested in attending the TYMT Diploma Course. Diploma Course is accredited by the Federation of Holistic Therapists, and earns 10 CPD. For more information contact Barbara on 07990 501498 mail@paadena.co.uk www.paadena.co.uk

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School of Natural Health, Covent Garden We’ve been running courses for over 35 years in all areas of Natural Health, Beauty and Wellbeing. Taught by some of the world’s leading practitioners, we run a range of CPD courses for therapists. FHT Accredited CPD Courses Indian Head Massage | Holistic Facial | Pregnancy Massage Dynamic Deep Tissue Techniques | Business & Marketing

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AROMATHERAPY

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CLASSIFIED

GENERAL CLASSIFIED SITUATIONS VACANT Massage clinic in Arbroath looking for health/clinical therapists to join existing team. Brand new. Modern. Fresh. Central location. T. 01242 439760 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 4827

USED THERAPY ITEMS FOR SALE Ascott reflexology stool with carry case and matching therapist stool. Navy. Excellent condition. £50. T. 01492 534550 Jade WaveStone. As new (all packaging). Use warmed/cooled. Efficient tool to protect hands/ wrists. Was £70. Sell for £45 + p&p. T. 01454 772126 Lafuma ST RSX support canvas reclining chair. VGC £80. Buyer collects. E. robin@ sensoryhealthcare.co.uk T. 07986 583920 Portable black massage coach. £90. Good condition. With arms and face support. Width 70 and length 193cm. To collect. Birmingham. T 07710 241780

TREATMENT ROOMS AVAILABLE Space available for 2nd therapist in lovely treatment rooms in Sible Hedingham Essex. Day and hourly rates available. E.wellbeing.treatments@gmail.com Spacious ground floor room in Chester city centre, UK. Recently decorated with fully adjustable treatment table and comfortable sofa. T. 07545 221167 Treatment room for rent. Hemel Hempstead, Hertfordshire. Call Karen to discuss. T. 07969 652135 Treatment room in Dartford/ Stone. Holistic therapy centre. Daily or weekly basis. Suits all therapies. T. 07814 249978 E.shireen.burgess@ntlworld.com

JOBS WANTED Mobile reflexologist in Thame area. Excellent interpersonal skills. DBS in place. VTCT Level 3; BSc (hons). Call Louise T. 07861 685506/01844 218278

COMPETITION, PRIZE DRAW AND SPIRAL WINNERS INTERNATIONAL THERAPIST, ISSUE 118

WaveStone competition (p49) Yulian Stankov, MFHT Spiral £20 M&S voucher and Elemis Face Forward Collection (p51) Adam Whiteman, 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.

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.

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.

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

Deadine date for Spring issue: 30 March, 2017. 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 see online at www.fht.org.uk/classifieds

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INT CLASS Template.indd 65

Please note that members are entitled to one free lineage ad, per issue. We regret that FHT/International Therapist no longer 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 Joe Elliott-Walker on 020 7880 6217 or email joe.elliott-walker@redactive.co.uk

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ON THE COUCH

What’s important

to ME

ELAINE WILKINS, FHT 2016 TUTOR OF THE YEAR, TALKS ABOUT HAVING ME AND HER PIONEERING WORK IN SUPPORTING OTHERS WITH THE CONDITION

Q

TELL US A BIT ABOUT YOUR BACKGROUND...

Before I had myalgic encephalomyelitis (ME), I was a director and trainer for a cosmetic company, travelling the world, working long hours and running a large team. I was suffering with migraines, IBS and insomnia, which had become my ‘normal’. I tipped over into crash phase after a long-haul flight and a throat virus. I was completely exhausted and became bedbound with ME. The biggest problem was not having proper answers about my illness. It took 18 months to get a medical diagnosis and no treatment was offered. I had to give up work and sell our family home. Over the years, I improved, only after researching as much as I could between suffering symptoms. If people are given the education and information at the outset so much misery could be prevented.

YOU HAVE DEVELOPED THE CHRYSALIS EFFECT... WHAT IS THIS?

Q

The Chrysalis Effect, which is FHT accredited, was developed for therapists willing to take a team approach when supporting clients with ME, chronic fatigue syndrome or fibromyalgia all the way to recovery. It covers the pre-dispositions, underlying causes, mindset and obstacles to recovery with protocols for each phase of recovery.

WHAT ARE YOUR PLANS TO ROLL OUT THE CHRYSALIS EFFECT INTO THE NHS?

Q

I have presented to NHS England and local clinical commissioning groups. We were asked to build our quantitative evidence of recovery, which we have done. Now we are delighted to have Dr Ravi Ramiah on board, who is heading up our first GP pilot in the north of England. This will involve working with and training GPs to provide integrated provision of this totally holistic model. Patients will have 24/7 access to support with an online recovery programme and benefit from referral to a specialist team of therapists. The aim is to have well-being centres attached to or within GP surgeries. We have another pilot planned for Buckinghamshire. I am keen to hear from forward-thinking GPs, who would like to launch similar schemes.

Q

It means a great deal, because my lifelong passion has always been teaching. I believe education is all-powerful. It changes the world. To be recognised by as prestigious a body as the FHT, which is active in transforming our health service to a holistic model, is truly wonderful.

IS IT IMPORTANT FOR GPS AND THERAPISTS TO TAKE AN INTEGRATED APPROACH WHEN WORKING WITH THESE CLIENTS?

Q

Working as a cohesive team is vitally important. Sufferers get very disheartened and anxious between appointments, so supporting them and keeping them focused on recovery when doubts creep in is essential.

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INTERNATIONAL THERAPIST WINTER 2017

On the couch__International Therapist 66

WHAT DOES WINNING FHT TUTOR OF THE YEAR MEAN?

“A friend told me to ‘stay in the queue eventually you will get to the front’. This has kept me going”

Q

WHAT INSPIRES YOU AS A TRAINER?

Seeing others grow, succeed and thrive. I love it when people are empowered to act or resolve a worrying situation as a direct result of a training webinar or course.

Q

WHAT IS THE BEST ADVICE YOU HAVE BEEN GIVEN?

Attending meeting after meeting and feeling like I was getting nowhere, it would have been easy to give up. However, a friend told me to ‘stay in the queue – eventually you will get to the front’. This has kept me going.

Q

TELL US A BIT ABOUT ELAINE…

Q

HOW DO YOU TAKE CARE OF YOUR OWN HEALTH?

I love family life and am blessed to have been married to my soulmate, Rob, for 32 years. I have a daughter, Kelly, who works alongside me. She and her husband, Tom, have two sons, Joshua, 10 and Oliver, six. I also have a son Kristian and his partner Amy. I am a great one for concocting ideas for days out or weekends away. The children recently hired a canal boat, which was brilliant fun. Rob and I love music and dancing so theatre and concerts are always on the agenda.

I eat healthy food; finish work at 2.30pm most days; walk my two-year-old cockapoo, Millie; do yoga regularly; and get plenty of sleep. If I look at my diary and it feels overwhelming, I reschedule things and keep space in my life, so I can be spontaneous. I believe health is our true wealth.

Elaine Wilkins is an FHT accredited course provider and founder of The Chrysalis Effect, the first ever accredited, specialist practitioner training for therapists wishing to support clients in their recovery from ME, chronic fatigue syndrome and fibromyalgia.

FHT.ORG.UK

16/01/2017 12:21


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International Therapist : Winter 2017