International
Therapist fht.org.uk
Market movement The demand for vegan and halal cosmetics
FHT pull-out training e m programre see cent pages
Reflex and development Reflexology for children with autism
Trials and tribulations Triathlon injuries, treatment and rehabilitation
An apple a day An interview with Dr Rangan Chatterjee
PUBLISHED BY THE FHT ISSUE 123 (WINTER 2018) THE LEADING MAGAZINE FOR PROFESSIONAL THERAPISTS 01 Cover__International Therapist 1
12/01/2018 16:12
So, how are we doing? Let us know in our 2018 Member Survey Your feedback is really important to us, as it helps us to ensure we deliver the support and services you need as a valued member of the FHT. Please complete our 2018 FHT Member Survey when you have a short tea break, so that we can learn more about you and what you think about WKH PHPEHUVKLS EHQH¿WV ZH SURYLGH As a thank you, we’ll enter you into a free prize draw. One lucky winner will receive a £100 Amazon Gift Card and a year’s free PHPEHUVKLS WR WKH )+7 DQG ¿YH UXQQHUV up will receive a £20 Amazon Gift Card.*
Visit fht.org.uk/FHT-survey
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*Entries to be received by no later than 19 February, 2018. A prize of equivalent value to the Amazon Gift Card 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). INTERNATIONAL THERAPIST WINTER 2018
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CONTENTS
International
Therapist fht.org.uk
ISSUE 123 (WINTER 2018)
FEATURES
ON THE COVER
12
Market movement The FHT explores the growing demand for vegan and halal beauty products and certification
18
An apple a day The FHT talks to Dr Rangan Chatterjee from the BBC’s Doctor in the House
21
42
12
28
Things to consider before new data protection regulation comes into effect this May
22
22
28
REGULARS
LEARNING ZONE
08
Your views
34
10
News update
FHT training programme (pull-out)
15
Ask an expert
50
CPD questions and diary dates
16
Essential oil profile
51
New in the reading room and spiral quiz
Cedarwood
36
FHT at events
39
Public affairs and professional practice
40
Local support group news
52
Tell me about…
54
Research Cryotherapy and ice bath treatments, and yoga in pregnancy
60
Industry news
66
On the couch…
56
FHT learning
with Reg Hall, co-founder of Cancer Connections
58
FHT accredited courses
FHT.ORG.UK
03 Contents__International Therapist 3
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The autumn years Heather Godfrey, MFHT, reflects on the work of Marguerite Maury, the ageing process and aromatherapy
Medical A-Z
Reflex Resonance Technique™ and Ayurvedic kansa wand face massage
Spotlight on success We celebrate the winners of the 2017 FHT Excellence Awards and the human stories that lie behind their achievements
HIV
53
Trials and tribulations Sarah Catlow, MFHT, and Lance Doggart, MFHT, discuss triathlon injuries, treatment and rehabilitation
18
What’s new at FHT
Reflex and development Lorraine Senior, MFHT, talks about introducing reflexology in a school for children with autism
32
26
GDPR checklist
MEMBERS’ PAGES 46 A day in the life of… Michele Hall, MFHT, remedial massage therapist
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Members’ news Nick Gilks, AFHT, supports an athlete on a 27-hour challenge
48
Reviews, competition and new products
WINTER 2018 INTERNATIONAL THERAPIST
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Protectingssets... your a Running your own business? It’s not just you and your clients that need protecting; it’s your stock and equipment too! Our business stock and equipment insurance can provide cover from £1,000 to £10,000 for accidental loss and damage. It includes: • business contents used and kept at the business premises, or in your/your employee’s home, for business use • any stock or equipment in transit • the personal belongings of your employees or visitors to your business premises It also covers glass breakage, personal assault, rent of business premises and loss of money. Not taking advantage of our marketleading insurance policy yet? Make sure you ask your current provider what’s included, or give our membership team a call today for information about upgrading.
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INTERNATIONAL THERAPIST WINTER 2018 FULL DETAILS AT FHT.ORG.UK/INSURANCE
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EDITOR’S WELCOME
WELCOME Federation of Holistic Therapists 18 Shakespeare Business Centre Hathaway Close Eastleigh, Hants SO50 4SR
Contact
T. 023 8062 4350 E. info@fht.org.uk W. fht.org.uk
Editor
Karen Young
Deputy Editor Daniel Ralls
Sub-editor
James Hundleby
Design
Nicola Skowronek, Sarah Auld
Picture Editor Chloe Crisford
Advertising
Joanne Rose T. 020 7880 6231 joanne.rose@redactive.co.uk Aliza Cave T. 020 7880 6230 aliza.cave@redactive.co.uk
Deadlines – Spring 2018 (Issue 124)
Editorial – 6 February Classified adverts – 29 March Display adverts – 10 April Published – 26 April
Executive Director Jane Long
Senior management team
Jade Dannheimer; Matthew Furner; Julie McFadden; John Parsons; Annie Walling; Karen Young
Governing council
President – Paul Battersby Vice Presidents – Gerri Moore; Mary Dalgleish; Herman Fenton; Christopher Byrne; Jonathan Hobbs; Maria Mason; Cheryl Cole. Lay members – Helen Chambers; Peter Wren
FHT Expert Advisers
Julian Baker, MFHT; Lynne Booth, MFHT; Amanda Brooks, MFHT; Lorraine Davis, FFHT; Christine Fisk; Sally Kay, FFHT; Cameron Reid, MFHT; Tina Reid; Neil Sheehan, MFHT; Denise Tiran
H
appy New Year, everyone! I hope you had a lovely break over the Christmas period and managed to recharge your batteries for the year ahead. A few months ago I attended the College of Medicine’s annual conference – Food. The Future Medicine – and came away with a real fire in my belly. In the space of a single day I had learned the most incredible information, all from leading experts in their field, which could quite literally transform the health of – well, everyone. But how could I translate this new knowledge into something meaningful? How could I turn words into action? My first decision on the train ride home was to apply what I had learned to myself. My second was to share some of the information in International Therapist. After all, who is better placed than you, our members, when it comes to suggesting small but positive lifestyle changes to help people improve their health? As stated in the recent report, Untapped Resources: ‘The AR [Accredited Register] workforce is in contact with members of the public thousands of times every day, and on each occasion has the scope to pick up on possible signs of lifestyle health issues, taking steps to support their associated health needs’ (Professional Standards Authority and Royal Society for Public Health, 2017). So please turn to page 36 for an overview of some of the key topics discussed at the conference, which I hope you, and your clients, will find useful.
USEFUL FHT CONTACTS
Rather serendipitously, in this issue we also share an interview with Dr Rangan Chatterjee, who many of you will recognise from the popular BBC series Doctor in the House. He talks to FHT members about transforming health through lifestyle, how he has benefited from different therapies, his new book and much more (see page 18). Finally, a big ‘Congratulations!’ to our recent FHT Excellence Award winners. In this issue, you can find a little write-up about each (page 32), as well as an article by Tutor of the Year, Lorraine Senior, on reflexology for children with autism (page 22). Look out for more features by our winners in future issues of IT.
Karen Young, Editor
International Therapist (IT) is printed on FSC® responsibly sourced paper. If you can bear to part with your copy of IT, please pass it on to a friend to read or recycle.
ACCREDITATION Annie Walling E. accreditation@fht.org.uk W. fht.org.uk/accreditation
INTERNATIONAL THERAPIST Daniel Ralls E. dralls@fht.org.uk W. fht.org.uk/IT
CPD REQUIREMENTS
MEMBERSHIP AND INSURANCE Beverly Bartlett E. bbartlett@fht.org.uk W. fht.org.uk
Heidi Hinton E. cpd@fht.org.uk W. fht.org.uk/cpd
PRESS AND MEDIA Karen Young E. kyoung@fht.org.uk W. fht.org.uk/press-and-media FOLLOW FHT ON FACEBOOK, TWITTER, LINKEDIN & INSTAGRAM
FHT is a trading name of the Federation of Holistic Therapists, which is authorised and regulated by the Financial Conduct Authority (FCA) under firm reference number 502095. You may check this on the Financial Services Register by visiting the FCA’s website, register.fca.org.uk or by contacting the FCA on T. 0800 111 6768. Registered in England and Wales, No. 02864349. Registered office: Chilworth Point, 1 Chilworth Road, Southampton SO16 7JQ. This issue of International Therapist has been published on behalf of the Federation of Holistic Therapists by Redactive Media Group, 78 Chamber Street, London E1 8BL. The Federation has taken all reasonable steps to ensure the accuracy of the information contained in the magazine. Except in respect of death or personal injury caused by the Federation’s negligence, the Federation shall not be liable, by reason of any error in or omission from the information contained in this or any previous editions of the magazine, for loss or damage whatsoever arising therefrom. Neither FHT, Redactive Media Group nor the authors can accept liability for errors or ommisions. Neither the Federation nor Redactive Media Group necessarily associates itself with any views that may be expressed in this magazine, to which readers are invited to submit articles of general interest for publication. Responsibility cannot be accepted for unsolicited manuscripts or transparencies. No part of this magazine may be reproduced in any form or by any means, whether electronic, mechanical or optical without written permission from the Federation.
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05 Editors welcome__International Therapist 5
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PRESIDENT’S WELCOME
WELCOME
A
slightly belated Happy New Year to you all. I hope you had a nice break over Christmas and New Year, and that 2018 has got off to a great start. Before I go any further, I’d just like to say how proud I was to attend our 2017 FHT Members’ Dinner and Excellence Awards presentation in November. If you’ve attended one of these events before, you’ll know first-hand how humbling it is to learn about the person behind each
bit more about her on page 39 until then. trophy, and to share in the excitement Finally, I’d like to ask a small favour. If when they hear their name read out on the you get a spare 10 minutes or so, please night. I’m sure you’ll learn more about our could you complete our 2018 FHT winners in future issues of IT but in Member Survey (see page 2 or the meantime, turn to page 32 Paul Battersby, fht.org.uk/survey for more for an overview of who they MFHT, has been a information). It’s a great are and why they won. And practising therapist for opportunity for you to tell it goes without saying – more than 21 years. A former therapy tutor in colleges of us what really matters to please enter someone for HE and FE, he is now a senior you as a therapist, and to our 2018 awards when we lecturer at Glyndŵr University, provide feedback about open for entries in a few teaching rehabilitation, the different membership months. I think most of traditional Chinese medicine benefits you receive. This us know a colleague, tutor, and complementary therapies. information will help the student or LSG coordinator FHT ensure you get the best that we admire and think are an support possible as your practice and inspiration to others. Let’s make sure the industry continue to evolve. We have they get the recognition they deserve. taken on board your comments that last I’d also like to make a special year’s survey was a little long, so we have mention of Jane Long, who joined the streamlined the questions and changed FHT as Executive Director in December. the format to make the process more userShe has a great deal of experience across a friendly and engaging. number of sectors, including education, Thank you for your support. media and finance. Jane is also a reiki master, so the board and I are very confident that she’s the ideal person to move FHT forward, whatever challenges our industry might face in the months and years to come. Jane will be appearing in our regular feature, ‘On the couch’, in Paul Battersby, President the Spring issue, but you can read a little
FHT GOVERNING COUNCIL VICE PRESIDENTS PRESIDENT Paul Battersby PACT (Professional Association of Clinical Therapists)
Gerri Moore
Christopher Byrne
Cheryl Cole
IFHB (International Federation of Health and Beauty Therapists)
ICAT (International Council of Acupuncture Therapists)
IFHB (International Federation of Health and Beauty Therapists)
Herman Fenton
Jonathan Hobbs
HFST (International Council of Health, Fitness and Sports Therapists)
FHT EXPERT ADVISERS Julian Baker, MFHT; Lynne Booth, MFHT; Amanda Brooks, MFHT; Lorraine Davis, FFHT; Christine Fisk; Sally Kay, FFHT; Cameron Reid, MFHT; Tina Reid; Neil Sheehan, MFHT; Denise Tiran.
Mary Dalgleish ICHT (International Council of Holistic Therapists)
LAY MEMBERS
ATL (Association of Therapy Lecturers)
Maria Mason HBEF (Health and Beauty Employers Federation)
Helen Chambers and Peter Wren (representing the interests of the public)
For biographies, please visit fht.org.uk/about-us 6
INTERNATIONAL THERAPIST WINTER 2018
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Back issues of IT available from the FHT shop
Ther apist
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Have you recently joined the FHT and would like to purchase back issues of International Therapist? Or maybe you have misplaced one of your old magazines, would like copies to display in your waiting area, or were featured in an issue and want extra copies for your portfolio?
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WINTER 2018 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
Reflexology champions
STAR COMMUNICATION
Glowing review INGVILD SKODVIN PRESTEGÅRD, MFHT Thanks to the excellent work of the FHT, I am a member of a community. I belong, learn and contribute here as a holistic therapist. It makes a huge difference as I’d be very isolated (as I am in another country) otherwise.
During World Reflexology Week, fellow therapist Rebecca Barfield and I visited the Parkinson’s disease Ely support group at its headquarters in Bell Holt community hall, Ely, Cambridgeshire. We carried out a presentation promoting reflexology, its origins, how it works and the amazing benefits that result from treatments. This was followed by a practical demonstration in which we indicated various key reflex points on the feet and the corresponding reflex points on members’ hands. The members also enjoyed participating in a group therapy session, administering mini-treatments to their caregivers and vice versa. Julie Constable, MFHT
Towel troubleshooting
Celebrating recovery A unique conference celebrated inspirational stories of recovery from chronic fatigue and fibromyalgia. Attendees heard how sufferers regained their health through The Chrysalis Effect’s online recovery programme and how the work of our practitioners is gaining momentum, with plans for NHS pilot trials in the near future. Olympian and world canoeing champion Anna Hemmings MBE – now a Chrysalis ambassador – talked about her personal journey
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after an ME diagnosis in 2005. Other speakers included former sufferer Kerry Munson; Gosia Gorna, transformational coach and author of The Expansion Game; Yvette Taylor, creator of the energy alignment method; Shaku Burrell, who treated the audience to the joys of chakra dance; and wellbeing, recovery and healing consultant Kuljit Kaur Sehmi. We have helped more than 2,500 people in 24 countries with our online recovery coaching programme.
Our aim is to integrate a therapeutic and coaching approach and transform the current healthcare model. Elaine Wilkins, FHT Accredited Course Provider and 2016 FHT Excellence Award winner
In the Spring 2017 issue of International Therapist (page 45) there was advice for getting oil out of towels. I had this problem, but much less now. I stopped using almond oil, which seems to go rancid on towels, and the hotter the water the worse they smell. I use a base of coconut oil now and hardly ever have a problem, so my advice to members would be to try the same. Juliet Green, 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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8-9 Your views__International Therapist 8
Membership perks
Welcome distraction
TANJA LAY, MFHT @BELLAARMONIA
NATALIE SIMPSON, MFHT @WYCHBOLDMASSAGE
Perks of being an FHT member – borrowing a fabulous banner for an event I attended. Thank you so much. #massage #bishopswaltham @FHT_Org
Always a treat when my @FHT_Org Therapist magazine arrives! Housework can wait, right?!
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HAVE YOUR SAY
Healing war wounds I recently stepped out of my day-to-day work in Chester as proprietor of Bliss Holistics and a self-employed therapist at Beehive Healthcare to volunteer with Healing Hands Network (HHN) in Sarajevo, Bosnia-Herzegovina. I came across the charity at a networking event and was intrigued. HHN works in Sarajevo for six months of the year and sends two volunteer complementary therapists each week to perform treatments over a two-week tour of duty, supporting those affected by war and its aftermath. HHN is UK-based and self-funding, and volunteers need to raise funds to travel to its base clinic in Sarajevo. HHN has been established in Bosnia for 21 years and provides training workshops and treatment sessions for survivors of the Bosnian War. I left the UK for Sarajevo in September, flying for the first time in 25 years. I spent my first full day sightseeing and familiarising myself with the beautiful Austro-Hungarian and Ottoman old town, which was streaming with souvenirs, local goods and amazing traditional Bosnian, Serbian, Jewish and German restaurants.
The kitchens were tiny, though they produced the most amazingly appetising meals. I particularly enjoyed visiting a vegetarian restaurant called Karuzo and another called Park Prinčeva, with an amazing mountain view across the city. The local bread, butter and tomatoes tasted better than any I’ve ever had in the UK. It was also great to hear local mosque calls to prayer. Although I could see several buildings pocked with bullet holes, most of the city has now been restored from damage, and there are so many places of interest in Sarajevo – such as the Latin Bridge, the Miljacka river and many museums. On the first day at the HHN clinic we had seven clients, all with post-war damage such as scarring, musculoskeletal injuries and gun and explosion wounds, as well as injuries from falls and post-traumatic stress disorder (PTSD). Many of these clients had also witnessed family members beaten and murdered, and many are still missing since the conflict and presumed dead. Women who lost their husbands receive no state help until the bodies are found and murder is proven. After a few days, two of our therapists travelled to outreach clinics in Ilidža, Vogošća and Hadžići, offices converted into improvised therapy settings. Our other two therapists remained in the main clinic and continued to see clients. After two weeks, I learned that most clients had been subjected to war atrocities such as rape and sexual abuse, house arrest, concentration camps, beatings, being shot or affected by explosive ammunitions.
I also noticed recurring conditions and symptoms, such as coughing, which is probably, for the most part, due to smoking. However, I suspected an emotional connection as well. I observed more muscular tension of the erector spinae, trapezius, deltoid, latissimus dorsi and lumbar regions than in my clients in the UK. Many clients were also diagnosed with sciatica. Other common conditions included spondylosis, lordosis and kyphosis. PTSD is a common psychological post-war condition that also affected clients physically. There was sadness in their facial expressions and body language. Many of the clients had ‘flaccid’ muscles, with little or poor muscle tone. By the end of the second week, I had provided massage, reflexology or Indian head massage to 70 clients. They appeared to really appreciate their therapies. In my view, the relaxing effects of these therapies were particularly beneficial for those suffering from PTSD. Lynsey McCabe, MFHT
Featured in IT
Benefits of touch
AMY DAY, FHT STUDENT MEMBER @AMY_LOUISE_82
JIL WILD, MFHT @WILDBIRTH
So excited to be featured in the autumn edition of @FHT_Org International Therapist! @RJacobHarris @marjonuni @MarjonSPT @Sedwars3 #unilife
#reflexology at my local #ageconcernuk today. Short, gentle, regular treatments for wellbeing, relaxation and the immeasurable benefits of touch.
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8-9 Your views__International Therapist 9
PICTURES: JULIE CONSTABLE; LYNSEY MCCABLE; ELAINE WILKINS
STAR COMMUNICATION
Fascial facts In the next issue of International Therapist, the winner of our star communication prize will receive a copy of Fascial Fitness, by Robert Schleip. Get in contact for a chance to win (details above left).
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NEWS
Health and beauty will be a fifth bigger by 2022 The health and beauty market is expected to grow by 21% over the next five years, according to research from Global Data. While shops are currently the main point of purchase, spending will shift towards online shopping by as much as 65.9% by 2022, the research indicates. Skincare is reported to be the fastest-growing subsector in health and beauty, primarily because of product innovation.
The findings, published in the UK Health and Beauty Market 2017-2022 report, form part of the industry’s analysis of major trends, consumer attitudes and leading brands. While the health and beauty market is still female-dominated, the report suggests that retailers need to do more to appeal to males and ‘exploit interest’ in health, wellness and fitness. Visit bit.ly/GD_18_ healthandbeauty for more.
Being physically active can improve your mental health Physical activity plays an important role in building resilience and supporting mental health recovery, according to mental health charity Mind. The findings are revealed in the Get Set to Go programme evaluation summary, a report on a landmark two-year project to help people with mental health problems become active. With help from Sport England and the National Lottery, the project has seen more than 3,500 people take part in physical activity projects across the country. The report also showed that people who were physically active on a regular basis were more likely to experience better wellbeing. After seeing the benefits of physical activity on their mental health, those who took part have, on average, spent 1.3 more days a week taking a daily 30 minutes of exercise. Access the full programme evaluation summary and receive advice on mental health issues at bit.ly/Mind_18_sport
Smoking cessation in the UK at highest rate in 10 years One in five attempts to quit smoking are now successful, says a new study. Research carried out by University College London and funded by Cancer Research revealed a 19.8% success rate for those who attempted to quit smoking in the first half of 2017. This shows a significant improvement from an average of 15.7% over the past 10 years. Cancer Research tobacco policy manager George Butterworth welcomed the findings, attributing some of this success to the new popularity of vaping. More than half (53%) of those taking part in Stoptober last year used e-cigarettes as a quitting aid. He said: ‘It’s great news that quitting success rates are higher than ever, but smoking is still the biggest preventable cause of cancer so more needs to be done to help smokers to give up. ‘Research has shown that e-cigarettes are the most popular way to quit, and the evidence so far tells us they’re much safer than smoking and are helping many people to beat their addiction.’ Find out more at bit.ly/CR_18_smoking
Scientists identify muscle proteins most responsive to exercise Scientists have established a new technique for studying muscle growth in humans that could rapidly advance treatments to prevent frailty in old age. This technique, carried out by Liverpool John Moores University and the Australian Catholic University in Melbourne, measures muscle responses at a finer level of detail and could lead to better training methods,
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nutritional strategies or medicines to promote muscle growth or prevent muscle wasting. The method, known as dynamic proteome profiling, provides comprehensive coverage of the early changes that occur within human muscle in response to exercise training. Read the abstract at bit.ly/LJMU_18_proteins
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NEWS
ACCESS TO WALKING INFRASTRUCTURE A PRIORITY FOR COUNCILS
Students spend more on fitness than alcohol Contrary to popular opinion, student budgets aren’t disappearing on alcohol and nights out but on rising travel costs, health and fitness, and clothes and fashion products. Research commissioned by student lettings app SPCE compared how today’s university students are spending their money with previous graduates. At an average of £68 a month, alcohol ranked bottom on the list of regular
expenses budgeted for by students. This is £11 less than students who graduated in 1997 budgeted for. Meanwhile, health and fitness expenditure – including gym membership, exercise classes and sports teams – accounts for an average of £120 a month among current students. This is almost four times the amount spent by previous graduates (£33). Find out more about SPCE at bit.ly/SPCE_18_students
PICTURES: ALAMY; SHUTTERSTOCK; ISTOCK
Skin health seen as more important than attractiveness Having healthy skin is seen as more important than looking attractive, according to a recent survey by Lycored on skincare market insights. Surveying 480 skincare consumers in the UK and France, researchers found that 87% saw the health of their skin as a bigger priority than how attractive they appeared to others. Asked to list five reasons why they use skincare products, and which were the most important, nearly 80% said they wanted to keep their skin healthy, 62% to feel good about themselves, 18% to be seen as attractive by others and 14% to look younger. Respondents were also asked about the most important factors for maintaining healthy skin. The top answer, with more than 40%, was having a healthy diet. Other popular answers were avoiding too much sun exposure (22%), living a stressfree life (18%) and getting plenty of exercise (15%). For more information, visit bit.ly/lycored_18_skin
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Nine out of 10 councils think walking infrastructure is a priority, but only five out of 10 say developers agree with them. Local democracy think-tank LGiU and walking charity the Ramblers interviewed 118 officers from councils across England for the Building Connected Communities report. The report also found that half of councils see the lack of resources in planning departments as a barrier. Read the LGiU report at bit.ly/LGiU_18_walking
WORK FROM HOME FOR BETTER WELLBEING People who work from home have higher job satisfaction and leisure time satisfaction, according to a study. The Economic and Social Research Council was looking at the effect of work commutes on wellbeing. Findings also suggested that bus commuters were the most negatively affected by longer commutes. Surprisingly, relatively short rail commutes impact wellbeing more negatively than longer journeys. See the findings of the study at bit.ly/ESRC_18_commuting
PARTNERSHIP PROMOTES EQUALITY IN FOOTBALL
Sauna baths keep blood pressure in check
The Premier League and Stonewall have announced a partnership to further LGBT (lesbian, gay, bisexual and transgender) equality in football. The partnership aims to encourage more LGBT people to get into football and to improve the experiences of those already involved. Discover more by visiting bit.ly/Stonewall_18_football
Frequent sauna bathing reduces the risk of dy elevated blood pressure, according to a study from the University of Eastern Finland. The risk of developing elevated blood pressure was 46% lower among men who went to a sauna four to seven times a week y compared with men who used a sauna only g once a week. The risk was 24% lower among men with a sauna frequency of two to threee times a week. k The Kuopio Ischaemic Heart Disease Risk Factor Study looked at 1,621 middle-aged men living in the eastern part of Finland. The findings were published recently in thee American Journal of Hypertension. For an abstract of this research, visit bit.ly/UEF_18_saunas
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BEAUTY | Trends
PICTURE: DMITRY FISHER
Market movement
THE FHT EXPLORES THE GROWING DEMAND FOR VEGAN AND HALAL BEAUTY PRODUCTS AND CERTIFICATION
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Trends | BEAUTY Yoga | COMPLEMENTARY
T
oday’s consumers want choice; more than that, they want beauty products that are good for both their bodies and the world around them. A growing number want to know what the ingredients are in a product and are interested in the path those ingredients take before arriving in shops. Many people, for example, are concerned about the impact of cosmetics manufacturing on animals. In the UK, we can rest assured that any beauty product purchased here is cruelty-free and has not been tested on animals. This is enforced by law: in 2013 the European Union passed a complete ban on the sale of cosmetic products that have been tested on animals (BBC, 2013). However, other global markets have very different stances on animal testing: in China, for example, a cosmetic product cannot be legally sold unless it has been tested on animals (Hughes, 2017). The term ‘cruelty-free’ refers specifically to animal testing, but animals are affected in other ways by the manufacturing of cosmetic products. For example, a cruelty-free product may not be organic, vegetarian, vegan, halal or kosher. Vegan and halal beauty products are achieving significant sales growth and although consumers of these products may not always be vegan or Muslim, they place great emphasis on animal welfare and the purity of ingredients.
VEGAN BEAUTY As with dietary habits, key differences exist between vegetarian and vegan products. A vegetarian product must not contain any ingredients from a slaughtered animal, including by-products, whereas an item that is vegan-friendly must not contain any ingredients from an animal at all. This includes any animal product, by-product or derivative (Vegan Society, 2017). Vegan products must also be prepared separately to ensure they are not contaminated with ingredients from non-vegan products. Wendy Stirling, founder and managing director of Botanicals, a skincare brand whose entire range is vegan-friendly, explains the benefits of stocking vegan products: ‘The vast majority of vegan
products contain only natural ingredients. Opting for vegan products is therefore better for animals, the environment and our health. Using vegan-friendly skincare helps care for our health and beauty, feeding the skin from the outside in. And you don’t have to be a vegan to enjoy the benefits of veganfriendly products.’ Trending In its 2017 Beauty Trends report (skincare edition), Google identified vegan skincare as one of its top beauty trends. In the US, vegan skincare was the number one ‘spotlight trend’. Google searches in 2016 for vegan skincare in the US are said to have increased by as much as 83% from the previous year (Google, 2017). The most popular search terms were ‘vegan soap’, ‘vegan skincare’, ‘vegan chapstick’, ‘vegan face wash’, ‘vegan lotion’ and ‘vegan body wash’. In demand The number of people who classify themselves as vegan in the UK has grown significantly over the past decade, from 150,000 to 542,000, according to the Vegan Society (Vegan Society, 2016). Young people appear to be driving the trend, with around 42% aged between 15 and 34, and 14% over 65. If this trend continues, it is clear that more cosmetic brands will need to produce vegan-friendly products to meet the demands of consumers or risk losing out to their competitors. Furthermore, Mintel’s Meat-Free Foods UK Market Report 2017 revealed that 28% of British consumers had cut back their meat intake over the past six months (Mintel, 2017a). This was partly attributed to meat reduction campaigns – including Meat-free Mondays, National Vegetarian Week and Veganuary – that had made 39% of meat reducers more aware of the benefits of eating less meat. These benefits are not entirely dietary as 24% attributed their reduced intake to concerns over animal welfare and 24% to protecting the environment. Mintel suggests that French fragrance brands are missing an opportunity by rarely using vegetarian or vegan claims, despite nearly 20% of French 16- to 24-year-olds identifying as vegetarian or vegan (Mintel,
“The vast majority of vegan products contain only natural ingredients. Opting for vegan products is therefore better for animals, the environment and our health” FHT.ORG.UK
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The number of people who classify themselves as vegan in the UK has grown significantly over the past decade, from
150,000 to 542,000 2017b). In addition, Mintel claims that nearly 20% of US consumers consider vegan or vegetarian claims important when purchasing personal care products. Young people are again identified as the main drivers of change, creating demand for products that are healthy, cruelty-free and eco-friendly. Similarly, while less than 1% of the UK population is thought to be vegan, and 2% vegetarian, teenagers represent the highest proportion (NHS Choices, 2015). Wendy Stirling says: ‘Awareness of the benefits of using natural and organic skincare is at an all-time high, as is the growth in veganism. There are increasing concerns over what chemicals we’re placing on our skin when using conventional skincare brands and how this could be detrimental to our health and beauty. This is particularly prevalent in the younger generation. Growing numbers of millennials are adopting vegan lifestyles and sharing these on social media. Being a vegan is no longer considered wacky and weird; it’s now trendy, especially since many A-list celebrities advocate the benefits of living a healthy vegan lifestyle. The increased availability of vegan options online and on the high street helps. ‘Many holistic therapists already offer their customers vegan-friendly skincare and treatments. However, the growth of veganism is also likely to impact on the broader salon and spa market, with more customers seeking treatments that are natural, effective and safe, and which support their vegan ethics.’ Certified vegan A number of organisations certify products as vegan. The Vegan Society is perhaps the best known, having coined the term vegan
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BEAUTY | Trends | Yoga COMPLEMENTARY
in 1944 and certified more than 22,000 products worldwide (Vegan Society, 2017). A product certified vegan by the Vegan Society may contain the organisation’s certification logo on its packaging, which features a sunflower in a circle and the word vegan. Wendy says: ‘Look for the Vegan Society trademark or one of the other recognised vegan-friendly logos used around the world. Each Botanicals product carries a number of logos confirming its vegan credentials. The “Suitable for vegans” V logo and “Not tested on animals” bunny logo sit side by side on the back of each product. On the front, Botanicals products carry the Soil Association “Organic” logo.’
HALAL BEAUTY Halal is an Arabic word meaning ‘permissible’ or ‘lawful’ (Food Standards Agency, 2010). When used to describe cosmetics, it means Muslims are permitted to use the product under Islamic law. ‘Haram’ products are the opposite and are prohibited under Islamic law. Haram ingredients include alcohol and products from an animal that hasn’t been slaughtered in a halal way. In addition, certain types of animals are also considered haram. This includes products or by-products from pigs, carnivorous animals, birds of prey, reptiles, amphibians, insects, and marine animals excluding fish (Halal Certification Europe, 2017). Market growth The driving forces behind the growing halal market are not too different from those making vegan beauty products more popular. Sharon Kwek of Mintel again identifies the younger population as the prime movers. She says: ‘Today’s young Muslims are interested in fashion, grooming and beauty, and are poised to be an economic force to be reckoned with’ (Kwek, 2017). She also points out that as the global Muslim population grows, so will the need for halal beauty products and for global brands to achieve halal certification. Linda Devine, manager of Botanical Brands, a distributor of halal-certified beauty products, says there is a growing demand for halal products here: ‘With 2.8 million Muslims living in the UK, Islam is the second largest religion. Halal beauty products are therefore not new to the market – what is new is the growing demand for halal-certified beauty products. ‘This upsurge in demand is especially evident among the younger Muslim population. Young women with disposable incomes want a modern lifestyle without
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“Today’s young Muslims are interested in fashion, grooming and beauty, and are poised to be an economic force to be reckoned with” compromising on their beliefs. This new generation of Muslims is driving the halal beauty market to provide more choice and make halal-friendly products more readily available.’ One report valued the global halal cosmetics market at $16.32bn in 2015, a figure expected to rise to $52.02bn by 2025 (Grand View Research, 2017). The report notes that the growth in halal-certified beauty products may be linked to the rise in sales of vegan, natural and organic products, as many Muslims also want products that are natural. In addition, it states that improved levels of education have led to an increasing number of people seeking safe, high-quality products. Campaigns and news stories have also made the public more aware of the benefits of safe, high-quality products. In a report on this shift in awareness, the Campaign of Safer Cosmetics writes: ‘Consumer demand for safe alternatives has made [natural and organic products] the fastest growing sector of the cosmetics market’ (Sarantis et al, 2011).
One report valued the global halal cosmetics market at
$16.32bn in 2015 This figure is expected to rise to $52.02bn by 2025
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Halal certification Linda Devine warns that, as with natural and organic products, it is important to look for halal certification from a reputable independent organisation. ‘The halal beauty market is similar to the natural and organic market when it comes to “greenwashing” – using misleading terms that make consumers think a product is natural or organic. ‘Consumers need to be aware the same applies to the halal beauty market and to always look for halal certification on product packaging. Also, they need to remember that different countries use different halal certification bodies, so depending on where a product has been sourced from, they will carry different halal certification logos.’ She continues: ‘Natural Being, New Zealand’s certified natural manuka honey skincare range, is halal-certified by the Federation of Islamic Associations of New Zealand, and has been for a number of years. However, in light of the upsurge in demand for halal-certified products, the Natural Being range now carries the halal certification logo, alongside the BDIH Germany-certified natural logo, on the front of the outer packaging box. Both logos are prominently positioned to provide increased clarity that Natural Being is an authentic, certified halal and natural manuka honey brand.’ As with vegan beauty products, a number of organisations certify halal cosmetics, pharmaceuticals and food in the UK, including Halal Certification Europe. However, it is important to note that halal beauty products are not always vegan or organic, nor can you guarantee that vegan products will always be halalfriendly. Therefore, if you want to buy these types of products you should always check the ingredients and look for the respective certification logos on packaging before purchasing.
REFERENCES For full references, go to fht.org.uk/IT-references
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Members’ questions | BUSINESS
Ask an expert MARY DALGLEISH AND JULIE MCFADDEN ADVISE ON STUDYING AROMATHERAPY AND GOING BACK TO WORK Q. I AM A MASSAGE THERAPIST BUT DON’T HOLD A QUALIFICATION IN AROMATHERAPY – CAN I USE PRODUCTS THAT CONTAIN ESSENTIAL OILS?
PICTURE: ISTOCK
FHT Vice President Mary Dalgleish says: This depends on the type of product and how it will be used. For massage, it should be fine to use a pre-packaged massage oil or cream that contains essential oils, providing it comes from a reputable supplier. This product will largely be made up of a carrier oil or cream, to which a small amount of essential oils has been added at a ratio safe to be used by non-aromatherapists. That said, if your client has reacted to products containing essential oils in the past, or has allergies or very sensitive skin, you may need to stick to a plain carrier oil (see the FHT’s guidelines on skin sensitivity tests in the Members’ area at fht.org.uk).
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Even when clients don’t have a history of allergies or sensitive skin, I would err on the side of caution and check if the supplier has issued any precautions when using a product containing essential oils. This might include, for example, not using it on pregnant clients. If there isn’t any information on the supplier’s website or packaging, you can always contact them for advice. Our regular essential oil profiles in International Therapist (see page 16) will also give you an insight into some of the safety issues relating to different oils. Some suppliers sell essential oil ‘blends’ or ‘pre-blended’ essential oils, which contain essential oils only and are not intended to be applied directly to the skin. These contain a small selection of essential oils that complement each other – for example, in easing congestion – and a very small quantity of the blend is typically used via steam inhalation, on a tissue or in an oil diffuser. From an FHT membership and insurance perspective, what you mustn’t do is make
Q. I’VE HAD A CAREER BREAK AND NOW WANT TO RETURN TO MY WORK AS A THERAPIST. WHAT SHOULD I DO? FHT registrar and compliance manager Julie McFadden says: Welcome back! First of all, call the FHT to ensure you have the right level of membership and insurance to cover your therapy work. While it’s not compulsory, we would recommend that you take refresher courses, where available. These are usually provided through private training providers and some courses – particularly for anatomy and physiology – can be done online. If you can’t find a suitable refresher course, make sure you have a good read through your old training notes and textbooks, and you could also try to source a good DVD. Finally, consider exchanging treatments with another FHT member you are friendly with and who has remained in practice – they can provide you with invaluable feedback before you start working with clients again.
your own massage medium or skin product containing essential oils – whether that involves adding individual essential oils or pre-blended essential oils to a base oil, cream or similar. Only qualified aromatherapists are appropriately trained to blend such products for professional use. If you are keen to know more about essential oils and how these can enhance your treatments, my advice would be to study aromatherapy – it will be a great addition to your existing skill set, whether your core interest is complementary, beauty or sports therapy. As always, check the training standards before you book onto a course, otherwise you may spend a lot of time and money on a qualification that the FHT doesn’t accept and can’t be added to your Accredited Register listing. Ask the training provider if its aromatherapy qualification meets the core curriculum and national occupational standards for that therapy. If you’re in any doubt, please just get in touch with the FHT for advice.
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ESSENTIAL OIL PROFILE | Cedarwood
CEDARWOOD (Cedrus atlantica) There are different varieties of cedarwood, but the one featured in this profile is Cedrus atlantica, commonly known as Atlas cedar or cedarwood. Native to the Atlas mountains of Morocco, this large evergreen tree grows up to 35 metres tall and has needle-like leaves and ovoid cones. The essential oil, which is steam-distilled from the wood, is yellow in colour and has a warm, woody fragrance and base note. Cedar was used by many ancient civilisations in medicine, cosmetics and perfumery, and in the Egyptian embalming process (Davis, 2005). The highly aromatic wood was also used to make storage chests, as its odour is said to repel termites, moths and other harmful insects. Still used in traditional Tibetan medicine and incense, cedarwood has been used throughout history for bronchial and urinary tract infections. It is also indicated for skin problems, including acne, and its ‘masculine’ aroma makes it a more popular choice for male toiletries and clients than sweeter-smelling alternatives.
lavender, lemon, patchouli, peppermint, rosemary, sandalwood, tea tree.
Safety data A number of aromatherapy titles and essential oil suppliers state that Cedrus atlantica should not be used during pregnancy. This includes Clinical Aromatherapy for Pregnancy and Childbirth, in which Tiran (2000) writes that a few sedative oils, including cedarwood, ‘are not suitable for use in maternity care’. Price and Price (1999) state that cedarwood is ‘considered in France to be neurotoxic and abortive, and not normally used there for pregnant women and infants’. Davis (2005) also lists
Cedrus atlantica as an oil that should not be used during pregnancy. In Essential Oil Safety, however, Tisserand
Botanical family Pinaceae
Chemical composition Sesquiterpenes – cedrene, β-himachalene, α-himachalene, cadinene Alcohols – atlantol, cedrol Ketones – α-atlantone, γ-atlantone NB: The chemical composition of any essential oil can vary according to the plant species; the climate, altitude and soil where the plant is
“The essential oil, steam-distilled from the wood, is yellow in colour and has a warm, woody fragrance and base note”
and Young (2014) state that there are no known contraindications for Cedrus atlantica, and do not list it as an oil that should be avoided or restricted during pregnancy and lactation. Therapists wishing to err on the side of caution can choose alternative essential oils.
RESEARCH Cattle farming Sadly, there is a lack of published research on cedarwood in peer-reviewed journals that focus on complementary therapy and healthcare. However,
grown; and when it is harvested. Refer to the
one recent study from Brazil, published in Cairo
manufacturer’s safety data sheet for a
University’s Journal of Advanced Research,
breakdown of an oil’s chemical profile.
supports the essential oil’s role in combating harmful insects (Pazinato et al, 2016).
Body systems
According to the authors, the cattle tick
Digestive, endocrine, immune, nervous,
Rhipicephalus microplus is ‘the most harmful
respiratory, skin, urinary.
pest for cattle’ in Brazil, causing animal stress, lower growth and poor performance. In addition,
Therapeutic properties
anti-parasitic treatments can prove extremely
Aphrodisiac, antibacterial, antifungal,
expensive as well as problematic, because of
antiseptic, astringent, balancing,
restrictions on the use of certain insecticides that
cicatrisant, decongestant, diuretic,
can affect human and animal health.
mucolytic, sedative, stimulant, tonic.
In this in vitro study, the effects of seven essential oils – including Cedrus atlantica – were
Indications
tested on engorged ticks (30 per essential oil) at
Acne, bronchitis, catarrh, cellulite,
concentrations of 1%, 5% and 10%. Treatment
cystitis, dandruff, dermatitis,
effectiveness was measured by tick oviposition
eczema, lymph circulation
(laying of eggs), the egg’s weight and hatchability.
problems, nervous tension,
Cedarwood, along with palmarosa and lemongrass,
neuralgia, sebum (excessive),
showed efficacy of 99% at all concentrations
pruritus, rheumatism, scalp
tested. In addition, juniper, ginger, geranium and
problems, stress-related conditions,
bergamot showed efficacy ranging from 73% to
urinary tract infections, wounds.
95%. The authors called for more tests as ‘the use great potential for the future as an alternative
Chamomile (German),
method besides chemical products’.
PICTURE: BOB GIBBONS/ALAMY
of essential oils in the control of R. microplus shows
Blends with cypress, eucalyptus, grapefruit, juniper berry,
REFERENCES For full references, go to fht.org.uk/IT-references
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FHT.ORG.UK
12/01/2018 16:19
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12/01/2018 11:41
INTERVIEW | Dr Rangan Chatterjee
An apple a day DR RANGAN CHATTERJEE TALKS TO THE FHT ABOUT TRANSFORMING HEALTH THROUGH LIFESTYLE, MYOFASCIAL RELEASE, BARRIERS TO SELF-CARE, HIS NEW BOOK AND MORE
Q. WHAT MADE YOU REALISE A DIFFERENT APPROACH TO MEDICINE WAS NEEDED, TACKLING HEALTH ISSUES BY GOING BACK TO THE ROOT CAUSE? Looking back, I always had a slight disconnect between the way I’d been told to practise and treat my patients, and what felt intuitively right. But things really came to the fore for me when our son was six months old and became very unwell. He was in hospital for five nights and it all came down to a vitamin D deficiency, which was preventable. There was no question that modern medicine saved his life, but once the acute problem was fixed, no real attention was given to addressing the underlying problem. As a father, I felt a lot of guilt and it drove me to look for a solution. I started to read up about vitamin D and how important it is for the immune system. The more time I spent online, the more research I came across, and I often found myself thinking: ‘Why don’t I know this?’ I began applying what I had learned to my son, myself and the whole family. Seeing and feeling the benefit first-hand, it was a
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natural progression to start applying this knowledge to some of my patients. I felt alive again as a doctor because I now understood how to really get my patients better, rather than just give them another prescription for suppressing symptoms.
Q. TELL US ABOUT ‘PROGRESSIVE’ OR ‘LIFESTYLE’ MEDICINE... Conventional medicine can be incredible for so many conditions. But I think the fundamental problem is that we are trying to apply principles that work well for acute problems to chronic problems, and it’s simply not working. The chronic health problems I see as a GP are often multifactorial, so we need to do multiple things to try and get people better, not just one thing. For me, progressive medicine is using the best of what we learned in the 20th century and combining this with new information and knowledge about medicine, lifestyle, nutrition, complementary therapies, and so on. It’s about an integrated, holistic approach. Whether we call it progressive, lifestyle or functional medicine doesn’t really matter.
I refer to it as progressive medicine because it’s a progression of our understanding of medicine. I think, somewhere along the line, conventional medicine has gone a little bit off-track. We’re handing out drugs like sweets, when some of these can have severe side-effects. Yes, the side-effects might be very rare, but I think we’ve got to take a step back and look at when using a medicine is best, and when we should try a safer intervention first, to try and get to the root of the problem.
Q. TELL US ABOUT YOUR NEW BOOK, THE 4 PILLAR PLAN… I’ve been a doctor for more than 16 years and seen tens of thousands of patients. In that time I’ve learned that, in the majority of cases, lifestyle is contributing to whatever problem a patient comes to see me about. I’ve also learned that there is no single magic bullet – good health is a combination of multiple factors. The book is based on what I consider to be the four main pillars of health, which most people have control over: food, movement, sleep and relaxation. For each pillar there are five chapters, and each
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Dr Rangan Chatterjee | INTERVIEW
chapter is based on a suggestion the reader might like to try to improve their health. The idea is that you don’t have to be perfect in all four pillars, but you need to pay attention to each area. Rather than excelling in just one or two of these, such as food and movement, it’s about achieving balance across all four. That way, the changes and improvements are going to be much more sustainable in the long term. Contrary to what people might expect, the book starts with the relaxation pillar because I think stress is one of the biggest reasons patients come to see me. Our modern lives are incredibly busy and stressful, and we need to learn how to relax and switch off. I want to empower people to become the architects of their own health, and I believe that if everyone applied the principles in this book, we’d take a significant amount of pressure off the NHS.
Q. TELL US ABOUT THE SCREEN-FREE SABBATH… It’s the final suggestion in the relaxation pillar of the book, and I think it will give a lot of people palpitations when they first read it! I basically suggest not looking at any screen for a whole day, once a week. An awful lot of us, including myself, are addicted to our electronic devices and I don’t think it’s good for our health. There’s a constant bombardment of noise and information coming into our brains all day, until last thing at night, from emails, texts, tweets, Facebook, Instagram. When I go for a day without looking at a screen, I feel like I’ve had a holiday. A day might be too much for some people, in which case, try half a day. If that’s too much, start with an hour. Technology is brilliant, and has helped us in many ways, but we probably need to learn some practice rules. The screen-free Sabbath is a really useful tool to aim for each week.
PICTURES: ISTOCK; SHUTTERSTOCK
Q. HAVE YOU USED ANY THERAPIES TO IMPROVE YOUR HEALTH? I regularly have myofascial release to get rid of the tension my body is storing, and I have sports massage several times a year. Postural analysis also helped me to solve a back problem I had for 10 years. I was in a lot of pain and had to take time off work and give up sport – it had a horrendous impact on my quality of life. I went round the houses trying to find a solution and then eventually saw a guy called Gary Ward, who told me that my right foot and right gluteal muscles weren’t working properly, which was making my back take the strain. In about five minutes, he had showed me how to address the problem. The way he looks at the musculoskeletal system, using a 360-degree approach, is how I look at the human body when someone comes to me with a health problem.
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Q. DO YOU THINK THERAPISTS PLAY AN IMPORTANT ROLE IN HELPING THEIR CLIENTS TO MOVE TOWARDS THIS 4 PILLAR APPROACH TO HEALTH? Absolutely. Helping their clients to relax, sleep better and make healthier lifestyle choices is what complementary therapists are excellent at doing. Based on conversations I’ve had with my patients and my experience of utilising these services myself, I know therapies can be incredibly beneficial. One of the reasons the NHS is struggling to cope is because there is so much pressure being placed on it by lifestyle-driven illness. We have to take some of that pressure off the NHS, and I think that’s where FHT members can be incredibly helpful.
Q. WHAT DO YOU THINK ARE THE KEY BARRIERS TO SELF-CARE? WHY ARE PEOPLE FAILING TO PROPERLY EAT, SLEEP, RELAX AND MOVE? There are so many answers to this question but on an individual level, I think that health has become incredibly complicated and we’re living in an era of information overload. People who want to make healthier choices are reading conflicting advice and it’s leaving them confused. On a wider scale, healthy living is hard because the environment around us doesn’t make it the easy option. If you look at cultures around the world, such as the ‘blue zones’, where people live to a ripe old age and are in good health, they’re not necessarily trying to be healthy – their lifestyle and environment make healthy living the default. I think that’s ultimately what determines a society’s health. One big tip I give throughout my book is to control those environments that you can. It’s hard enough when you step outside the front door to resist temptation, so make your home a safe zone. Don’t bring junk food into your house. If you want to work out regularly, don’t keep that skipping rope, step or set of dumbbells in a cupboard – leave them out, so that you can pick them up and use them when you have five minutes. We need to create our own healthy environments.
Q. DO YOU THINK THE GOVERNMENT COULD BE DOING MORE TO PROMOTE HEALTHY LIVING? Absolutely, but the only way we can get a society healthy is with joined-up thinking. If people think it’s the sole responsibility of the government, doctors, complementary therapists or the individual, it’s never going to work. One in three children leave school
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INTERVIEW | Dr Rangan Chatterjee
MEMBERS’ PRIZE DRAW W Win one of five copies of Dr Chatterjee’s new w book, The 4 Pillar ar Plan, published by Penguin Life (penguin.co.uk, RRP £16.99). TO ENTER Email your name, address and dd d membership number to kyoung@fht. org.uk, typing ‘Dr Chatterjee’ in the subject box. Alternatively, send your answer and details on a postcard to Dr Chatterjee Book Comp, FHT, 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hampshire SO50 4SR. Closing date is 13 February 2018. For full competition terms and conditions, visit fht.org.uk/competitions
overweight or obese – that should not be acceptable. The only way we change that is across the board – in hospitals, schools, workplaces and at home. We all need to embrace the principles of healthy living and make it a priority. I find it utterly ridiculous that, in 2018, lifestyle and diet is crippling the health system and the government isn’t doing more. It amazes me that there are still sweet machines in schools, and hospitals serving junk food in the wards and staff canteens. Very soon, what’s essentially a health issue is going to become an economic issue for this country, and then the government is going to have to get involved. If the moral imperative of getting people better is not a good enough reason, then I believe the financial imperative will be.
Q. DOCTOR IN THE HOUSE SHOWED THAT A HOLISTIC APPROACH TO TACKLING CHRONIC HEALTH CONDITIONS WORKS, BUT HOW CAN GPs HELP THEIR PATIENTS IN A 10-MINUTE APPOINTMENT? There are two factors here: time and education. Some of the results I am most proud of in my career are those I saw in the people I stayed with during the first two series of Doctor in the House. By making some simple changes over four to six weeks, these people achieved long-term improvements to their health, which have lasted for months and years – not just a week or so. Clearly it’s not scalable to achieve the same results in a 10-minute appointment.
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Q. HOW REALISTIC WOULD IT BE TO INCORPORATE LIFESTYLE TRAINING INTO MEDICAL TRAINING? That would clearly be the dream scenario, but these things are not easy. That’s why I’ve worked with a number of colleges to create a CPD course for doctors that’s been accredited by the Royal College of General Practitioners. Next year, we’re hoping to train 1,000 GPs in how to apply the principles of lifestyle medicine, which is a massive start. It won’t change how long they get to spend with patients, but it will give them a bigger toolbox and teach them how to communicate effectively and connect with their patients, which is also really important. And it will teach them to be more inventive. They can say to a patient: ‘Look, I think stress or your diet might be playing a role here – would you be interested in making some changes?’ If they say yes, then they can direct the patient to a good book or website and encourage them to make a list of any questions or challenges they come across, which can then be discussed at a follow-up appointment in two weeks’ time. Or even better, if they have a therapist or meditation teacher based in the practice, they can suggest trying a treatment if they think this might help the problem. I’ve had great responses from patients with knee pain and back pain, which wasn’t getting better, by sending them for myofascial release or sports therapy.
So I think one critical step to transform the way GPs deliver care comes down to how we are trained. We need to learn how we can use different therapies and lifestyle changes as medicine, to help different conditions. I often help patients get rid of migraines by asking them to try meditating, working through an elimination diet and sometimes using the supplement Coenzyme Q10. But currently, GPs are trained to prescribe pills. I have no problem prescribing painkillers to help a patient who is suffering, but these patients need to know it’s a short-term fix, and there are other things we can do to try and identify what’s causing these migraines long-term and get rid of them.
Q. WHAT ARE YOUR THOUGHTS ON SOCIAL PRESCRIBING? I’m a big fan and hugely supportive of social prescribing projects. My family and I use Parkrun and I recommend it to my patients. I think a reason initiatives like this are doing
incredibly well is because it’s not just about exercise and getting outdoors, it’s about meeting local people and feeling part of the community, which is just as important to health.
Q. WHAT’S NEXT FOR DR CHATTERJEE? I’m currently filming a new programme with the BBC, so watch this space, as they say. I’m also looking to take my book to the US, with the aim of getting my message across to a wider audience.
Dr Rangan Chatterjee is a GP on a mission to transform healthcare through lifestyle. Star of the popular BBC series Doctor in the House, he has recently published a book, The 4 Pillar Plan. drchatterjee.com
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Data protection | BUSINESS
The policy does not have to be long and complicated, but make sure people are aware of the policy and how to access information.
ACCESSING INFORMATION People already have the right to access personal data you hold on them, but GDPR means this information must be supplied within one month of their request. The ICO advises that in most cases you will not be able to charge for this service, unless the request is ‘manifestly unfounded or excessive’.
CONSENT
GDPR
is on its way MATTERS TO CONSIDER BEFORE NEW DATA PROTECTION REGULATIONS COME INTO EFFECT IN MAY
T
he General Data Protection Regulation (GDPR) comes into effect on 25 May 2018, replacing the Data Protection Act 1998 (DPA). In many ways, it will simply reinforce the obligations you already have under the DPA; however, GDPR has a wider scope and carries tougher penalties for those who fail to comply. Whether the personal data you use and store relates to clients, students, staff or local support group attendees, this article outlines a few key matters to consider to be compliant.
PICTURE: ISTOCK
WHAT IS PERSONAL DATA? GDPR defines personal data as any information relating to an identified or identifiable natural person. It defines this person as someone who ‘can be identified, directly or indirectly, in particular by reference to an identifier such as a name, an identification number, location data, an online identifier or to one or more factors specific to [...] that natural person’ (Article 4, GDPR).
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WHAT INFORMATION DO YOU HOLD? Start by documenting what personal data you hold, how it’s stored, where it came from and who you share this with. This will help you identify any areas of risk – such as storing, using and sharing data securely – and also give you an idea of any processes that need improving.
PRIVACY NOTICES You should have a privacy policy in place, which explains who you are and how you intend to use a person’s information. This includes how long you will hold their personal data for; how and when you will delete their personal data records (three years after their final appointment, if you have a medical malpractice insurance policy through the FHT); that they have a right to access any personal information you hold about them; and that they have the right to complain to the Information Commissioner’s Office (ICO) if they think there is a problem with the way you are handling their data.
Review how you seek, record and manage consent to use and store personal data, and whether you need to make any changes. According to the ICO, consent must be freely given, specific, informed and unambiguous. There must be a process of ‘opting in’ – consent cannot be inferred from silence or by having pre-ticked boxes. Reviewing the personal data you hold in order to be GDPR compliant is a good opportunity to ensure this information is current and reflects the other person’s wishes. Ask those who have engaged with your services in the past year: • If the information you hold about them is accurate and up to date • If they are happy to ‘opt in’ and be contacted by you for information relating to your services, for example reminders, special offers or newsletters. Make it clear they can opt out of these communications at any time, quickly and easily • How they would like to be contacted by you going forward for each of the above (by phone, text, email or post). In the process of checking someone’s personal data, be very careful not to disclose this information to anyone other than that specific individual. Other points to consider are: • Obtaining permission from a parent or legal guardian for consent to process the personal data of a child • Having a process in place to detect, report and investigate a personal data breach.
STILL HAVE QUESTIONS? This article is intended for guidance only. It is not allencompassing, nor does it constitute legal advice. Contact the ICO helpline if you have any questions about data protection or GDPR on 0303 123 1113. Advice and a copy of the GDPR is also available at ico.org.uk
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REFLEXOLOGY | Autism
REFLEX
and development LORRAINE SENIOR, MFHT, TALKS ABOUT INTRODUCING REFLEXOLOGY TO A SCHOOL FOR CHILDREN WITH AUTISM
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Autism | REFLEXOLOGY
PICTURE: ALAMY
A
fter more than 20 years in teaching, I changed career path in 2008 to work as a full-time reflexologist, building a private client base in my local area. I also worked as a volunteer at Mencap every Saturday, delivering reflexology to some of my former pupils who had autism spectrum disorders, intellectual disabilities and complex or additional needs. This gave me time to develop an approach that I hoped to implement in schools. The following few years gave me the opportunity to attend many CPD courses and develop my skills and confidence post-training. Both this and the work at Mencap provided me with valuable experience of working alongside young people with autism spectrum disorders. Diagnosis seems to be growing at present for many developmental disorders, including autism spectrum disorder, Asperger’s syndrome, pervasive developmental disorder and attention deficit hyperactivity disorder. Although there are similarities, it is important to be aware that we refer to these developmental disorders as occurring across a spectrum and that they affect individuals differently. There are many theories and definitions, but no one can say what the exact causes are. The National Autistic Society defines autism as ‘a lifelong, developmental disability that affects how a person communicates with and relates to other people, and how they experience the world around them’. I now work in a school for young people with a variety of conditions, including information processing disorders, where
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time must be allowed for communication to be meaningful and effective. I deliver reflexology to support the wellbeing of each young person: to encourage them to be in a better frame of mind, relax, reduce stress and calm tension throughout the body. Feeling calmer may help them to focus, concentrate and be in a better frame of mind for learning. This may also help others by improving the atmosphere in the classroom. The reflexology framework I have developed and use with these young people is called functional reflex therapy (FRT), a combination of relaxation techniques delivered in a repetitive, rhythmical routine. FRT uses the statement ‘more of less = more’, increasing repetition and reducing the change of techniques and the number used. This approach to delivering reflexology uses a structured method of operation. It considers the best methods of communication and objects of reference that can be used to help the young person understand what will be happening. Before the touch therapy begins, I try to alleviate anxiety and help with the transition from the end of one activity to the beginning of another. The FRT toolkit contains relevant communication aids and fun resources to encourage those attending sessions to take a little responsibility in the therapy room. This includes helping to prepare the environment and communicating what is going to happen. At the end of the session, pupils are also encouraged to help tidy up. It helps them to understand the session is finished and may make it easier to stop and transition to the next activity.
NURTURING TOUCH Repetition and rhythm are important to children and adults with autism spectrum disorders. They give the mind and body time to process information being delivered by touch and to feel the movement. When the body enjoys the nurturing touch, it encourages an increase in the release of calming oxytocin. See online references for more information about the benefits of oxytocin (Ishak et al, 2010). FRT can be used as a standalone therapy, and it provides a base for reflexology sessions in which reflexologists can draw on the skills, techniques and experiences they feel will best meet the needs of the individual. It is the intention and repetitive delivery of the techniques and the consistency of the framework that is important. For example, in the sessions I provide at school my intention is to encourage relaxation in the moment and to help the young person be in a better frame of mind. This includes addressing issues that may have been highlighted by parents,
“The release of oxytocin will subdue the cortisol and encourage the person to become a little calmer and to relax in the moment” such as digestive problems or sleeping disorders. Some pupils receive a set number of sessions, while others have an ongoing treatment schedule. Working as a reflexologist in a school means that I work as part of a multidisciplinary team. I can support the sessions by addressing individual learning targets: this might involve using signs, symbols or other methods of communication suggested by the speech therapist, or working on independence skills, such as removing socks and shoes or sitting appropriately in the Lafuma chair. I provide brief feedback to the class teacher, and staff observe the pupil for changes. In addition, I produce a short written report at the end of every half term and contribute to an annual review, sharing the many benefits of reflexology and how the sessions progress and develop for each child. High levels of anxiety, stress and tension can go into overdrive in people with autism. Stress hormones are released into the bloodstream, and levels of cortisol are often high. Encouraging the body to augment the release of oxytocin will subdue the cortisol and encourage the person to become a little calmer, to relax in the moment and to give the body a little ‘downtime’. Reflexology delivered using FRT considers the interaction you have with the person coming to the session. The touch is adapted to meet the pupil’s needs: some require firm pressure and others a more gentle approach. How we communicate and use the appropriate method is important, as well as what the intention of the session is – thus, it is multidimensional. Some days and times are much better than others. I may arrive to collect a pupil when they are having a difficult time, are anxious or displaying challenging behaviours. Here, I will follow advice from the staff supporting the young person. If they are willing to offer their feet then it is important that the session goes ahead. When the session finishes, my reflection always starts with the same question: ‘Was that young person in a better frame of mind when the reflexology session finished?’
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REFLEXOLOGY | Autism
CASE STUDY I have had the privilege of working with a young man on a weekly basis for nearly five years. I have watched him grow up and he is now 16 years old. This young man (pictured right and below) has been diagnosed with severe autism and a complex health condition called ShwachmanDiamond syndrome (SDS). SDS is a rare genetic disease characterised by exocrine pancreatic insufficiency, bone marrow dysfunction and skeletal abnormalities. When I began sessions with him in 2012, he was a very anxious young person and needed a lot of adult support to move around the school. He also required constant encouragement and calm verbal reassurance. He was not sensitive to touch and particularly liked the firm pressure work on his feet. He seemed sensitive to certain sounds and noises. Even if it sounded quiet to us, it may not have been for him. However, when he was offered the choice to have music on or off, he would usually turn it on and enjoy taking responsibility to do this, as well as setting the volume and switching it off at the end. During the first few sessions he would lift his legs up to right angles mid-treatment and sit in that position for a few minutes, taking a little time, then placing them back for more. At first I questioned whether he was uncomfortable or didn’t like a particular movement, but he was always keen to replace his feet and continue. He was also happy and never got agitated or behaved in a disapproving way. I have come to the conclusion that he was experiencing a feeling that he didn’t quite know what to do with or how to react to. He now enjoys the reflexology sessions and being touched. He was initially offered a blanket, but in all the years I have worked with him he
has never wanted to use it. He was happy to recline in the Lafuma chair and snuggle, pulling his sweatshirt up over his face when he became comfortable and relaxed. His jumper worked just as well as a blanket would have. Within the first term, he began to enjoy carrying the FRT bag and getting a towel out to help prepare the session. This helped him to prepare for what was going to take place. The length of the touch time increased from eight to 20 minutes during his first 12 sessions. To this day they remain at 20
“He smiles, takes deep breaths and gives little kicks if I am working one foot, when he prefers both worked at the same time” minutes – sometimes we even sneak a few minutes extra. It continues to be an important part of his preparation to collect and carry his bag and to prepare and pack the towel away at the end. Sometimes it can be difficult to stop an activity and move on to another; countdowns, symbols and objects of reference may be required to help with the transition. I have witnessed a real change, even within the 20-minute sessions. On occasion, he now allows himself to drift off to sleep. We have a little banter, as he mutters ‘Help me’ when it comes to replacing his shoes and socks. To
which I reply: ‘You can do it. You don’t need my help.’ I have also noticed that he now walks more calmly back to the classroom after a session. When he started the sessions many years ago, he often had time away from school with illness. Now he is rarely absent. Of course, many factors could have contributed to this, but I would like to think that reflexology has supported him in a positive way through these five years, and I know his parents are delighted with his progress. He has favourite techniques that I have learned over the years by watching and listening to his responses. He smiles, takes deep breaths and gives little kicks if I am working one foot, when he prefers both worked at the same time. Over time he has learned to understand the word ‘wait’ and we have changed the sessions a little. Part of my work in school is to support parents. I offer workshops, teaching them a basic FRT relaxation routine, so they can use the techniques at home at a time that is right for them and their child. This really supports my work as a reflexologist. At the end of the summer term, I provided this client’s parents with a selection of photographs of the sessions throughout the four years and a brief update of more recent sessions. I received a lovely reply updating me on how his mum uses the FRT relaxation routine at home every night and how it has become an important part of their life. Lorraine Senior is an FHT Accredited Course Provider, reflexologist and the founder of functional reflex therapy. An experienced teacher, Lorraine was named 2017 FHT Tutor of the Year. She offers CPD courses for reflexologists working with young people with developmental disorders, including autism. functionalreflextherapy.co.uk
REFERENCES For full references, go to fht.org.uk/IT-references
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WHAT’S NEW
Getting the word out in 2018 It’s our mission to make the public more aware of our members, the therapies they offer and the FHT’s Accredited Register. In 2017, the FHT’s ‘My therapist helps me…’ campaign was promoted in leading health publications including Healthy for Men, In the Moment, Liz Earle Wellbeing, Men’ss Fitness, Men’s Health and Natural Health. In addition to advertising, we also supplied editorial contributions from our experts, covering topics such as ‘Hot and healthy’ in Liz Earle Wellbeing, ‘Have you tried reflexology?’ in In the Moment, and n ‘Therapy of the month: kinesiology’ and an al eight-page complementary therapy special in Natural Health, to name just a few. In 2018, we look forward to continuing this campaign with another robust t. advertising schedule and editorial support. Look out for updates in your monthly e-newsletter, on the FHT blog, Facebook, Twitter and LinkedIn. A full advertising schedule can be found at gn ns fht.org.uk/consumer-campaigns
New year, fresh ideas
FHT events in 2018
January is the perfect time to think about the new skills you would like to develop this year. The FHT has a programme of training courses that have been vetted and approved, so you can be sure they meet the highest standards. Courses also qualify for points towards your CPD, which is a requirement for all FHT members and Fellows. Members looking to obtain CPD at little or no cost can write a case study, perform reflective practice, attend an FHT local support group meeting or develop a business plan, and lots more. You can even turn to page 51 to complete our spiral quiz for one CPD point. Make sure to pull out your education programme from the middle of this issue (page 34) and start planning your best year yet.
This is set to be another exciting year of events for the FHT. In 2018, we will be attending some of the industry’s leading therapy shows, as well as holding our own Training Congress.
For further information, to book courses or to access CPD guidance, visit fht.org.uk/training
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2018 FHT TRAINING CONGRESS We are proud to host our annual FHT Training Congress at the Holistic Health Show again this year. It takes place at the NEC Birmingham, where we have dedicated training rooms just outside the show, and we offer affordable CPD sessions on a range of business and therapy topics with respected industry experts. Turn to the middle of this issue for your pull-out programme.
COPA COPA is the leading show for rehabilitation professionals, covering a range of specialisms and learning opportunities. The FHT will be exhibiting to raise awareness of our members and Accredited Register.
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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:
REPORT HIGHLIGHTS PRACTITIONERS LISTED ON ACCREDITED REGISTERS ARE AN UNTAPPED RESOURCE IN TACKLING PUBLIC HEALTH CHALLENGES
ECZEMA MAY BE TRIGGERED BY DEFICIENCY IN THE SKIN BARRIER
Scientists from Newcastle University and skincare company Stiefel have discovered that a protein in the skin barrier could be key to triggering eczema.
POSTURAL AWARENESS LINKED TO IMPROVEMENTS IN CHRONIC NECK PAIN Postural awareness training can be a useful tool in improving chronic neck pain in clients, according to a study published in the journal Spine.
NHS ENGLAND COMMISSIONS GUIDE TO SOCIAL PRESCRIBING
The FHT welcomes a joint report published by the Professional Standards Authority and the Royal Society for Public Health that highlights how more than 80,000 practitioners listed on the Accredited Register – including more than 10,000 FHT members – are able to contribute to improving public health.
CHANGES TO DATA PROTECTION REGULATION
Social prescribing – often referred to as community referral – makes nonmedical options available to healthcare professionals to improve a patient or client’s health and wellbeing.
DO THE EMOTIONS PLAY A ROLE IN CHRONIC PAIN? Chronic pain can be extremely debilitating and cause signifi cant emotional distress. The role of the emotions was the focus of the 2017 Stress Illness Recovery Practitioners Association Conference.
IS REFLEXOLOGY THE ANSWER TO HOT FLASHES IN MENOPAUSAL WOMEN?
General Data Protection Regulation comes into force on 25 May 2018, and the FHT is looking at how this regulation will impact both the FHT and its members.
OLYMPIA BEAUTY For the second year running, the FHT will be sponsoring the Nutrition & Wellbeing live stage and exhibiting at the show. Make sure to say hello and grab a goody bag. For more information, visit fht.org.uk/events
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INCREASING CASES OF KNEE OSTEOARTHRITIS COULD BE DUE TO MORE THAN AGE AND WEIGHT Cases of osteoarthritis of the knee have dramatically increased in prevalence since the mid-twentieth century, which is largely believed to be caused by rising obesity rates and people living longer.
Hot flashes (also known as hot fl ushes) are a common menopausal complaint and have a negative impact on many women’s quality of life. A new study suggests that refl exology can help manage symptoms. To read more, visit fht.org.uk/blog and enter a title in the search box.
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SPORT | Triathlon injuries
TRIALS AND TRIBULATIONS
SARAH CATLOW, MFHT, AND LANCE DOGGART, MFHT, DISCUSS THE TREATMENT AND REHABILITATION OF INJURIES ASSOCIATED WITH TRIATHLON
A
t the London 2012 Olympics, the Brownlee brothers put triathlon at the forefront of British sport when Alistair won the gold medal and Jonathan the bronze. In 2016, Jonathan went one place better, finishing second behind his brother. Although the siblings were involved in triathlon for many years before 2012, their success has elevated the sport in the UK and seen significant increases in participation (British Triathlon, 2015). The sport is characterised by three sequential and continuous events: swimming, cycling and running. The standard Olympic distance is 1500m in the pool, 40km on the bike and 10km on the road. The physiological and physical demand of the sport is quantified not only by the individual characteristics of the three events but also by the cumulative effect of all three taking place uninterrupted, other than by the transition phases. Coupled with the technical demands of each event, the risk of injury is greatly
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increased in both training and competition environments (Zwingenberger et al, 2014). Triathletes are vulnerable to the full spectrum of injuries that could be sustained from swimming, cycling and running. In addition, the cumulative effect of minor injury, addressed through the body’s compensation mechanisms, can further heighten the risk of serious injury. Most triathletes suffer from overuse or overtraining injuries and although
“Tightness in the quadriceps and hip flexors reduces the range of motion in the hip, increasing the energy cost of running”
acute injury has been reported, during competition the associated incidence of this is relatively low (Andersen et al, 2013). A triathlete is naturally a cross-trainer and less likely to develop muscle imbalances than a single-discipline participant such as a distance runner. None of the Olympic distance triathlon disciplines are as long in duration or as high in intensity as the individual disciplines of running, swimming or cycling. However, a triathlete must master the technical and physiological demands of each discipline to avoid an array of injury possibilities. If the athletes engage with the longer Ironman events (3.8km swimming, 180km cycling and 42.2km running), physical and physiological demands are further amplified and increase the risk of injury. Most injuries occur during the running event (50%), followed by cycling (43%) and swimming (7%) (Zwingenberger et al, 2014). The lower extremities are injured more frequently – ankle (20.6%), knee (18.3%) and thigh (15%) – than the upper extremities – lumbar region (12.6%) and shoulder (8.3%) (Galera et al, 2012). These figures are not surprising, given that running is a higherimpact sport and this impact is coupled with the potential onset of fatigue as the third and final event in the triathlon.
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Triathlon injuries | SPORT
“A triathlete must master the technical and physiological demands of the disciplines of swimming, cycling and running to avoid an array of injury possibilities”
WHY DO TRIATHLETES GET INJURED?
PICTURES: ISTOCK; SHUTTERSTOCK
The ways in which a triathlete can get injured include the following: • Doing too much too soon in training • Not allowing for proper recovery from competition and/or training • Muscle strength and flexibility imbalances • Environmental conditions: for example, water temperature being too low • Wearing incorrect or inappropriate footwear • Riding a poorly fitted bike: for example, wrong seat height and pedal alignment. These factors tend to exaggerate the injury risk potential when coupled with the demands of the event and yet are easily rectified, minimised or preventable prior to participation. For example, the correct footwear is essential to reduce the repetitive impact during running; an appropriate wetsuit thickness can minimise temperature differentials between the body and water; a correctly fitted seat height can reduce lower back pain; and suitably aligned shoe or pedal interfaces can significantly reduce hip and knee pain.
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TABLE 1: EXAMPLE OF MUSCLE IMBALANCE OUTCOMES Muscular imbalance
Resultant injury
Weak and inhibited gluteal muscles
Iliotibial (IT) band injury, anterior knee pain, anterior cruciate ligament injuries
Tight anterior shoulder muscles
Swimmer’s shoulder (tendon impingement injury)
Tight hamstrings
Lower back injuries, breaststroker’s knee
MUSCLE STRENGTHENING AND FLEXIBILITY
STRENGTHENING EXERCISES AND GLUTE INHIBITION
Muscle and tendon stretching and muscle strengthening will help reduce muscular imbalances for the triathlete. But if left untreated or unattended, imbalances and weaknesses will escalate and place undue stress on particular areas of the body, which may result in injury. Many imbalances cause a weakness on one side of a joint, which can lead to injury. If that weak muscle is fighting a tight muscle on the opposite side, fatigue will set in more quickly and lead to poor biomechanics, specifically joint alignment affecting the dissipation of impact forces, which can compromise the integrity of a joint and increase injury risk. Table 1 above illustrates some key resultant injuries.
Many athletes are often told that their gluteal muscles (glutes) are weak or ‘switched off’. This can have a negative influence on performance as research has indicated a relationship between diminished glute function and the onset of athletic injury (Distefano et al, 2009). There are two main types of problem that occur around the hips and pelvis, affecting glute function and thus creating muscular imbalances and the potential for injury: glute inhibition and glute weakness. Table 2 overleaf highlights the common causes associated with glute inhibition and weakness, and how specific exercises can help prevent and reduce these problems.
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SPORT | Triathlon injuries
“The thickness, fit and buoyancy of the wetsuit is important. Keeping the body warm is necessary to prevent the onset of cramp and maintain full body range of motion” STRETCHING EXERCISES Triathletes who have greater flexibility perform more effectively and efficiently. During swimming, a flexible shoulder allows the hand to recover close to the body, thus permitting a full range of motion and a longer stroke. An ankle capable of completely flattening out reduces drag when swimming, while quadriceps and hip flexors that are more flexible aid running by allowing the recovery leg to swing through a wider arc. Tightness in the quadriceps and hip flexors reduces the range of motion in the hip, increasing the energy cost of running.
During cycling, tight hamstrings limit performance by restraining the leg during the downstroke. Some triathletes compensate by lowering their saddle, which tends to reduce force generation and thus efficiency and performance. By preventing the leg from straightening, it reduces the maximum transmission of the force produced through hip and knee extension. Hamstrings are also a common cause of a tight lower back, and can restrict performance and increase injury risk in every triathlon discipline. Table 3, right, provides examples of basic stretches targeting specific muscle groups.
TABLE 2: GLUTE INHIBITION AND WEAKNESS – CAUSES AND EXERCISES Glute inhibition Causes
Exercises
Daily lifestyle factors such as excessive sitting can result in the hip flexors becoming tight and overactive; this will put the pelvis into an anteriorly tilted position. The hip flexors (iliopsoas) will become overactive, which can cause reciprocal inhibition, where the glutes are inhibited by the hip flexors.
Very common in triathletes who spend a lot of time on the bike, cycling is a ‘quadricep (quad) dominant’ exercise. If left unaddressed in terms of adding exercises to target the glutes, this kind of strength imbalance can cause injury problems over time, as the body learns not to use the glutes and tries to favour the stronger quads.
To correct an anterior tilted pelvis you need to: 1. Stretch and mobilise the lumbar spine, thoracic spine and anterior hip 2. Strengthen anterior core 3. Strengthen glutes and hamstrings.
Examples of exercise that can be used to strengthen the glutes: • Isometric contractions for the weaker glute • Side-lying abductions with the weaker leg • Side-lying clams with the weaker leg • Quadruped hip extensions with the weaker leg • Single leg glute bridges with the weaker leg.
Examples of exercise that can be used: • Glute bridge (feet on floor and box elevation) • Planks.
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Glute weakness
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INJURY PREVENTION As well as the strengthening and flexibility exercises, triathletes should consider the equipment they use, specifically anything affecting technical performance. Correctly fitting footwear for both running and cycling is imperative from both a safety and performance perspective. Having the bike professionally fitted in terms of frame size, weight, seat height, crank length and shoe-pedal interface are useful aspects to consider prior to training or competing. However, after making adjustments from a proper bike fit, minor aches and pains may develop, and it is important that the therapist and athlete realise this common scenario. It is therefore useful to have a basic understanding of bike fitting and how anatomical factors and training errors contribute to injuries. The following are examples of specific pains caused by those factors. Pain in the anterior aspect of the knee This could be due to powerful ‘cycling quads’, which might deliver too much shear force across the joint – check saddle height, saddle fore and aft, and/or crank length. If the athlete has no knee pain, the correct saddle height should allow for 25 to 30 degrees of flexion of the extended leg when the pedal is at the bottom, dead centre. If the triathlete has this knee pain, they would require greater than 30 degrees of flexion, and therefore the seat should be lowered. If the saddle is too low, it could increase the shearing force across the patella, which could result in a tendinopathy and, as such, the seat should be adjusted accordingly.
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Triathlon injuries | SPORT
TABLE 3: TARGETED MUSCLE GROUP STRETCHES Stretch
Targeted muscle group
Explanation
Deep lunge
Glutes (front leg)
• Step your right leg far forward into the lunge position • Lower hips as much as you can • Hold for 30 seconds and then repeat on the opposite side.
Pigeon stretch
Glute muscles
• Place your front lower leg crossways onto a mat • Stretch your other leg back as far behind you as you can • Lean forward to increase the stretch in your glute muscle • Hold this for 30 seconds and then swap sides.
Kneeling quad stretch
Quad muscles
• Kneel on your right knee and put left foot in front of you so your left knee is at 90 degrees • Grab your right foot behind you • Pull your right foot up to your buttocks • Hold for up to 30 seconds and then switch sides.
Proprioceptive neuromuscular facilitation (PNF)
Hamstring muscles
• Lie on your back and get a partner to lift one leg up gently, as far as it will go • Contract – push against resistance with a straight leg at 25% effort. The resistance must be great enough so that the leg cannot move • Hold for 10 seconds then relax • Use hip flexor muscles (agonists) to pull the leg up as high as you can, keeping it straight and holding this for up to 10 seconds • Repeat process until no more gains are possible (contract).
Pain in the posterior aspect of the knee This is less common than pain in the anterior aspect, and is usually due to overextending the knee. To correct, the saddle could be lowered slightly or brought forward on the frame. Pain on the medial side of the knee If the athlete has pain on the inside of their knee, observe their foot position on the pedal and check the cleats. Improper cleat placement, which can affect the Q angle, is normally the problem. Too much float in the pedals can also cause medial knee pain. Pain on the lateral side of the knee This is normally caused by IT band syndrome and can be linked to misaligned cleats that cause the foot to be excessively ‘toed in’. Adjust the shoe alignment on the pedal.
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All these injuries are usually associated with the technical set-up of the bike and the choice of footwear. In addition to the land-based disciplines of triathlon, the swimming component of the sport can also result in injury. Most competitive triathlon events start with an open-water swim, so the thickness, fit and buoyancy of the wetsuit is important. Keeping the body warm is necessary to prevent the onset of cramp and maintain full body range of motion, particularly in the shoulder. The maximum thickness of a wetsuit for competitive triathlon events is 5mm and triathlon-specific wetsuits combine warmth, flexibility and buoyancy to aid the swim. The wetsuit should fit snugly and allow full range of motion around the shoulders. The wetsuit tends to get slightly thicker around the middle
of the body and the thighs, which has the dual purpose of keeping the essential organs of the body warm – thus maintaining blood flow to the large working muscle groups – and helping with buoyancy. If the wetsuit does not fit correctly and inhibits full shoulder range of motion, the onset of injury is likely, as noted in Table 1.
CONCLUSION The triathlon is one of the most physiologically and technically demanding Olympic events. Not only do the individual disciplines have their own specific injury risk factors but when performed sequentially, in a competition setting, they provide a potentially cumulative effect that can significantly increase the risk of injury onset. Technical preventative measures such as bike fitting, footwear and wetsuit choice can help reduce injury; however, muscle strength, balance and flexibility are imperative to ensure the likelihood of injury is minimised. Our knowledge of the causes of sports injuries is fundamental to our ability to help athletes recover. But triathlon is a unique sport that tests our knowledge not only of injury and rehabilitation but also of the technical demands and cumulative effect that participation can have on the onset of injury in this sport.
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 in Plymouth. Sarah holds qualifications in manual therapy, acupuncture, kinesiology tape (Rock Doc certified) and pitchside first aid. Lance Doggart, MFHT, PhD, is head of the department of sport at the University of St Mark & St John in Plymouth, and programme leader of MRes sport and health sciences. Lance is a fellow of the British Association of Sport and Exercise Sciences.
REFERENCES For references and further reading, visit fht.org.uk/ IT-references
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FHT AWARDS | Winners
Spotlight on success T he FHT was once again delighted to share the achievements of those raising the bar in therapy practice and education at its 2017 FHT Excellence Awards presentation. Held at a special dinner on 17 November at the Royal Pump Rooms in Leamington Spa, the awards aim to inspire others within the industry and to show the world at large the human success stories that lie behind each deserving winner. We were delighted to once again have as master of ceremonies the best-selling author, presenter and natural health advocate Janey Lee Grace. She provided a brief introduction to the work of each of the winners, who were then presented with a special glass trophy, certificate and personal cheque for £250. On the pages that follow, you will find a brief insight into their work, along with
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WE CELEBRATE THE WINNERS OF THE 2017 FHT EXCELLENCE AWARDS
details about two special President’s Awards for outstanding contribution. Paul Battersby, President of the FHT, says: ‘These awards were launched seven years ago to recognise practitioners, tutors and students who are truly excelling. I hope the winners feel extremely proud to have been selected from a vast number of professionals who were nominated, at one of the most prestigious and talked-about ceremonies in the therapy industry. Well done.’ A heartfelt ‘Congratulations!’ to our 2017 winners and finalists, and a special
thank you to everyone who entered this year’s awards. Keep up the excellent work you do, and please consider entering our 2018 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 Winner: Barbara Scott
Winner: Cristina Coelho
Barbara’s career path was firmly established two decades ago, when she provided reflexology to a lady who had difficulty conceiving. As a result of supporting this client, many more came to her door, presenting with a range of fertility issues. At the time, she struggled to find any courses to further her knowledge in this complex field, so she began to research the subject extensively and develop her own reflexology treatment protocols. Twenty years on, Barbara has helped hundreds of couples struggling to conceive – through her own private practice and by training other therapists in reproflexology. She has collaborated with medical professionals, presented at major events and authored a book so that others can benefit from her vast experience. She is currently working with Cardiff Metropolitan University to extract data from a reproflexology study and put together a research paper. Speaking about her win, Barbara says: ‘I am truly delighted to have received this award in recognition of not just my own work, but the fantastic work that our practitioners do in supporting couples having difficulties in conceiving. My hope is that it allows us to let couples know that there is support for them, that reflexology is an excellent tool and that making even the smallest changes can be beneficial to them on their journey to parenthood.’ Read an article by Barbara about reproflexology at fht.org.uk/scott-reproflexology
Cristina has been a beauty therapist for 12 years, five of which she has dedicated to running her own clinic. She specialises in CACI and Environ facials, creating bespoke, holistic treatments for clients with a range of skin challenges. Having lived most of her adult life with a condition that can cause different health and skin complications, she understands first-hand the importance of skin health to a person’s wellbeing and self-esteem. Her nomination was accompanied by more than 30 client testimonials, from men and women seeking treatments for ageing concerns, sun pigmentation, hypersensitive skin and acne, among others. One client, with discoid lupus and lesions on her face, commented: ‘I feel Cristina is committed to helping me, which calms my fears and encourages me to be patient as my skin continues to heal.’ Speaking of her win, Cristina says: ‘I’m so pleased to have won this award. My passion is to achieve outstanding results for my clients and make them look and feel their very best, so I’m truly grateful that this has been recognised. I carefully research and source the best technology and products available in order for my clients to attain and maintain excellent skin health. My overall aim is that my clients find my bespoke facials as effective as they are enjoyable.’
Highly commended: Emma Holly
Sheree has only recently started up a therapy business, but has already made a huge impression on the clients she treats – from amateur and professional sportspeople through to hospital surgeons and families impacted by rare health conditions. As well as providing massage in the corporate world, she has been providing a voluntary service to the Welsh Rugby Union’s elite women’s programme, covering major campaigns such as the Six Nations and Rugby Europe. With a background in competitive sport, Sheree can fully empathise with clients dealing with an injury, and offers lots of advice on training and competing in addition to rehabilitation and therapeutic treatments. The letters of support submitted with her nomination make it clear that she thoroughly researches any condition affecting her clients, is committed to developing her knowledge and skills, and has a friendly and positive outlook that boosts morale and enhances treatment outcomes. Sheree says: ‘This award means so much to me. Coming from a competitive sporting career, it has always been important for to me to build a professional and welcoming practice for my clients. Having the knowledge to clearly explain why and how I am going to treat them, in an empathetic and relaxing environment, so that they can unwind from their daily stresses has always been my ultimate goal.’
Using an innovative yet gentle massage technique called ScarWork, Emma helps those affected by painful, tight and unsightly scar tissue. Clients include people with scars resulting from caesarean section, cancer treatment and war injuries.
Highly commended: Anne-Marie Rose PICTURES: SHUTTERSTOCK;; MADBOOTHS;; ANDRE CRANER
FHT Beauty Therapist of the Year
Anne-Marie has built up a thriving business and offers much-needed support to local carers and charities, including providing a regular clinic at VOICES, a charity for survivors of domestic abuse and violence.
Finalists: Margaret Ayres, Catalin Carcea, Claire Owens, and Nia Roberts and Diane Leopard
Finalist: Katherine Tonkinson
FHT Sports Therapist of the Year Winner: Sheree Phelps
Finalists: Amelia Darlington and Nicole Neillings
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FHT AWARDS | Winners
FHT Local Support Group Coordinator of the Year Winner: Nicola Gee Nicola is a crystal therapist and reiki master who took up the role of local support group coordinator in Blackpool in October 2016 – at the same time that she was establishing her own business, offering treatments, training and jewellery workshops. Despite this, she goes to great lengths to organise monthly meetings that cover a wide range of interests – from deaf awareness to presentations on up-and-coming therapies – attracting therapists from far and wide to attend. In the words of regular group attendee Audrey Dickson, MFHT, who nominated Nicola: ‘Deciding to get involved and set up a group takes time and courage. It requires a character with a serious sense of community spirit. I personally have been grateful for her effort and interest in serving the local community of therapists. It’s only through dedicated individuals like Nicky that such groups are possible.’ Nicky tells the FHT: ‘I feel very honoured and my thanks to Audrey for nominating me. To think that only a year ago I applied to the FHT to become a coordinator and now our Blackpool group is attended by nearly 50 therapists from all over Lancashire. We have all become great friends – there to support and offer advice to each other, and have a laugh while learning. I have had a great year as an FHT coordinator and look forward to many more.’
Finalists: Liz Cox, Teresa Heath and Hazel Tudor
FHT Student of the Year Winner: Stacey Radcliffe Stacey was nominated for this award while studying for a BSc in complementary therapies in healthcare at Glyndŵr University. She won in recognition of her drive and commitment to complete her studies despite facing exceptional personal setbacks. Following a breast cancer diagnosis, Stacey underwent numerous gruelling treatments, a single then double mastectomy and corrective surgery after a failed breast reconstruction. Stacey also lost her mother and a fourth child just before she was born. Stacey says: ‘I am so grateful for the support, kindness and empathy that I have been shown by my family, friends, tutors, peers and the FHT.’
Finalist: Katie Taffinder
“At RedArc we refer to the FHT ’s Acrredited Register to source qualified and professional therapists to support our patients. It was great to attend the Excellence Awards presentation and gain insight into how some of the FHT ’s members help improve people’s health and wellbeing and make such a difference to their lives” Sue Kinsella, RGN, head of nursing services at RedArc
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Winners | FHT AWARDS
FHT President’s Award Each year, the FHT President selects a special individual to receive an award in recognition of their outstanding contribution to integrated healthcare and/or the therapy industry. This year, Paul Battersby presented two awards.
FHT Tutor of the Year Winner: Lorraine Senior With 20 years’ experience in the education arena, Lorraine has developed a reflexology framework that aims to support children and adults with autism, learning difficulties and special educational needs and disabilities. Alongside running her own successful therapy practice, she travels throughout the UK to train qualified reflexologists in functional reflex therapy (FRT), so that a growing network of practitioners have the relevant tools to offer support to this particular client group. Caroline Teague, MFHT, the LSG coordinator who nominated Lorraine, invited her to Northern Ireland to train 16 of the group’s members. Caroline commented: ‘She is an excellent teacher – friendly and down-to-earth, offering easy-to-follow training. She is also open to learning from her students if they have any ideas they find are beneficial, which is refreshing. Her passion really shines through and she wants all of us to shine too, so that we can help so many in our communities.’ Speaking of her win, Lorraine says: ‘Receiving this FHT award is a real honour. Sharing the FRT framework through my training courses is giving me the opportunity to meet and work with many reflexologists. It’s a privilege to see how they might use FRT alongside their own experience and reflexology practice to support their local communities.’ Read an article by Lorraine on reflexology and autism on page 22.
Finalists: Emma Jones Phillips and Jackie Winters
In memory of Professor George Lewith – for outstanding contribution to integrated healthcare The first doctor in England to receive specialist training in complementary medicine, Professor Lewith set up and partnered the largest practice of integrated medicine in the UK between 1980 and 2010. A practitioner of acupuncture, nutritional and herbal medicine and homeopathy, he was a prominent researcher in the CAM field, and passionate about the importance of building the scientific evidence base for complementary medicine. Indeed, he had more than 350 peer-review papers published, and raised more than £5m in research funding – a huge accomplishment by anyone’s standards.
Gill Morris – for outstanding contribution to the beauty therapy industry Gill has been involved in the industry for more than 35 years. After becoming an expert in electrolysis while running beauty salons, she went on to work for Sterex, where she was involved in the development of the Sterex Blend epilator, which Gill considers one of her career highlights. Today, Gill is the director of commercial development for Sterex, chair of the City and Guilds National Advisory Committee for Beauty, and an international trainer and presenter. To read Gill’s article about starting up a salon, visit fht.org.uk/morris-salon
With thanks to our awards sponsors:
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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FHT AT EVENTS
Thought for food THE FHT LOOKS AT SOME KEY TOPICS DISCUSSED AT THE COLLEGE OF MEDICINE’S ANNUAL FOOD CONFERENCE Food is one of the most important means of preventing disease and can also be a useful adjunct to medicine when we are ill. Yet the medical world and many of those who produce and sell food seem to have turned a blind eye to the important role it has to play in health and disease. The FHT was delighted to attend the College of Medicine’s second annual conference on food and health in September 2017 – Food. The Future Medicine – at which leading experts came together to review the latest research, what the ‘optimum’ diet should look like and what needs to change to produce better-quality food and make it more accessible to those who need it most. As always, the presentations were informative and thought-provoking, and stimulated a lot of debate among the speakers and delegates. Here is a small insight into some of the key topics and ‘take home’ messages from the day…
HEALTHCARE AND SELF-CARE In his introduction, conference chair Phil Hammond – an NHS doctor, journalist, presenter and comedian – said that ‘healthcare begins with self-care’, which set the tone for the day. He emphasised that ‘every day you don’t need to use the NHS, someone else benefits’, and that one
FOOD FOR THOUGHT PROGRAMME LAUNCHED The College of Medicine and ITN Productions launched a news and current affairs-style programme at the conference, called ‘Food for Thought,’ which explores social prescribing. The programme focuses on fresh approaches to common healthcare challenges, as well as reducing the strain on healthcare providers.
of the best ways to achieve this is to do our ‘CLANGERS’ daily: C – Connect with people L – Learn something new A – be Active N – Notice the world around you G – Give back, by doing something nice for someone else E – Eat well R – Relax, enjoy some ‘me time’ S – Sleep, ideally six to eight hours.
CONFLICTING INFORMATION Most of us are acutely aware that the food industry and the media are responsible for creating many misleading and confusing messages about food. However, Professor Tim Spector pointed out that guidelines from official sources also conflict with the latest research and evidence, which makes it all the more difficult for the public, and health professionals, to get a handle on what a ‘good diet’ should look like. For example, there is currently no agreed consensus regarding whether it’s better for our health to: • Have less saturated fat and replace this with more starch • Consume less fructose • Eat regularly or occasionally skip meals • Avoid alcohol altogether or drink low levels of red wine • Take food supplements to prevent certain conditions • Switch sugary foods and drinks for alternatives that contain artificial sweeteners. However, while the jury is still out on these matters, it seems to be universally agreed that we should: • Eat less • Eat more fruit and vegetables • Eat less red meat • Eat less processed food.
PICTURES: GETTY; SHUTTERSTOCK
THE MIGHTY MICROBIOME
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The microbiome is a newly discovered ‘virtual’ endocrine organ in the body. It’s also a term given to the community of microbes – bacteria, archaea, viruses, fungi, and so on – that live in the body. Hundreds of trillions of microbes are inside each of us, mainly in our colon, playing a crucial role in how we digest our food.
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Microbes are essentially tiny chemical factories that interact with the food we eat, producing a range of proteins, enzymes, metabolites and chemicals, which all have different effects on the body. They also play a key role in maintaining the immune system, preventing allergies and autoimmune disease. Interestingly, no two people have the same microbes – we share around 25% but have at least one or two that are completely unique to us. This potentially explains why none of us react in the same way to food and medicines. Spector stressed that we need to move away from the ‘medieval concept’ of food as macronutrients and setting limits as to what percentage we should have of each to be healthy, as food generally contains a mixture. Bananas, for example, contain carbohydrates, protein and a small amount of saturated fat. We need instead to think of food as chemicals that interact with our microbes and are converted into thousands of more chemicals. It’s this that has a key impact on our health. It’s now established that our microbial health is linked to our overall health, and that people with obesity, diabetes, irritable bowel syndrome, allergies, colitis, rheumatoid arthritis, Parkinson’s disease, depression and autism all have a lack of microbe diversity in the gut. To improve our microbial ‘garden’, Spector advises us to eat a diverse range of plants, more fibre and polyphenols and less processed food, and to take fewer antibiotics. ‘We all have a unique soil,’ he explained. ‘Understanding our food and our microbes is key to our health. The future is about personalising our choices to maximise the power of food.’
THE IODINE ISSUE The thyroid needs iodine to produce two hormones, thyroxine (T4) and triiodothyronine (T3). The latter, the active form
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In the doctor’s kitchen Dr Rupy Aujla is an NHS GP who started the Doctor’s Kitchen, a web resource to inspire patients about the beauty of food and the medicinal effects of eating well. Here, he shares one of his favourite recipes with FHT members…
Harissa spiced cauliflower with toasted p pistachios Cauliflower is one of my favourite brassica vegetables. It’s t’s incredibly versatile, takes on so perties. Inflammation is recognised much flavour and has compounds with anticancer properties. as one of the underlying causes of chronic disease, and the anti-inflammatory compounds in this beautiful vegetable mitigate it. Get brassica vegetables econd video tutorial into your diet with this quick recipe and watch the 15-second on my website (see below).
INGREDIENTS • 1 tbsp mustard seeds • 1/2 cauliflower • Handful of watercress • Handful of spinach p • 1 tsp harissa paste • 100ml boiling water • 1/2 red onion • Coriander • Olive oil, coconut o oil, ghee or butter • Pistachios
METHOD Toast the mustard see seeds and add olive oil. Sauté thinly sliced cauli cauliflower florets. Add chopped watercress water and spinach. Mix harissa pa paste in boiling water and a add to the pan. When the water has evaporat evaporated, garnish with thinly thin sliced red onions, coriander and a generous genero helping of toasted p pistachios.
For more recipes and tips on healthy eating, visit thedoctorskitchen.co.uk
of thyroid hormone, is crucial for growth, development and metabolism, which are particularly important during the first trimester of pregnancy. In her talk, Professor Margaret Rayman highlighted a number of alarming findings. First, while guidelines from the World Health Organization and various
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authorities in other counties call for an increased intake of iodine in pregnant and lactating women, this is not reflected in UK guidelines. Second, studies have shown that pregnant women in the UK have mild to moderate iodine deficiency. In addition, research indicates that this level of iodine deficiency in pregnant women can affect brain development in unborn children, including their verbal IQ and reading accuracy and comprehension at a later age. Rayman identified four key groups at potential risk of iodine deficiency: • Pregnant and lactating women (because of higher iodine requirements) • Low milk/dairy product consumers • Low fish consumers • Vegans (and vegetarians who have a low intake of milk and dairy). She concluded her presentation by signposting delegates to a factsheet that offers advice on iodine intake for pregnant women at: bda. uk.com/foodfacts/Iodine.pdf
OTHER KEY MESSAGES • Saturated fats should not be avoided entirely as they play an important role in our health. • How we eat is as important as what we eat. Eat slowly and mindfully, don’t eat late, and stop before you feel full. • Dairy consumption typically drops in females during teenage years, when bone development is peaking. It’s important they understand how to get the same essential nutrients from alternative sources if going dairy-free. • Not all food types are equal. Red meat from responsibly farmed cows is not the same as processed red meat, or red meat sourced from animals farmed in worse conditions. • If advising someone how to make better food choices, don’t focus on ‘what not to eat’. Encourage them to make healthy switches rather than cut foods out entirely – a switch is easier than change. For example, encourage someone who eats lots of pasta to switch to brown pasta rather than quinoa. • Enjoy food!
MORE ONLINE Visit fht.org.uk/blog and type ‘food’ in the search field.
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Emotions and chronic pain AN OVERVIEW OF THE 2017 SIRPA CONFERENCE ON EMOTIONS AND PAIN Chronic pain can be extremely debilitating, causing significant emotional distress, but could emotions play a far larger role in how and why we experience pain? The FHT recently attended the Stress Illness Recovery Practitioners Association (SIRPA) Conference 2017, entitled Chronic Pain: The Role of Emotions, to find out more about this fascinating topic. The conference featured a range of engaging, expert speakers from various backgrounds, including medicine, clinical psychology and academia. SIRPA founder Georgie Oldfield began the conference by highlighting the pioneering work of Dr John E Sarno, who believed that chronic pain was predominantly caused by unresolved emotional turmoil. Sarno’s legacy informs much of the work on chronic pain and the emotions today. Science writer Donna Jackson-Nakazawa was the first guest speaker, outlining links between adverse childhood experiences (ACEs) and chronic pain. People who have experienced four or more ACEs are said to be more at risk of chronic pain and other negative health outcomes. Jackson-Nakazawa also identified a number of strategies that could help with the management of chronic pain, such as ‘writing to heal’, mindfulness, yoga and meditation. Matt Kinal, a specialist in pain science, followed this by talking about how the body responds to stress. Using a number of studies as examples, he explained how childhood trauma could alter levels of cortisol in the body and how pain could be caused by a vicious circle between the body and brain. With a very well-presented and humorous talk, Howard Schubiner, MD, was next up, stating that ‘the reign of pain lies mainly in the brain’. Giving examples, he told delegates that people with serious injuries could be pain-free or, conversely, those without any sign of injury could experience significant physical pain. Sally I’Anson, a secondary school teacher who suffered from severe and debilitating chronic pain, then shared her own moving story of recovery. David Clarke, MD, followed this by exploring links between ACEs and medically unexplained symptoms.
“The reign of pain lies mainly in the brain” 38
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He went on to say that childhood stress knocks down self-esteem on a long-term basis and can lead to personality traits that are valued externally, particularly in the workplace, which will in turn help raise selfesteem over time.
SUFFERING IN SILENCE In the afternoon session, Dr Christos Christophy told the story of a man whose chronic pain was so severe that he amputated his own hand. Christophy looked at what subjectivity tells us about chronic pain and recovery, with quotes from a number of chronic pain sufferers. Spine surgeon David A Hanscom, MD, was the penultimate guest speaker. Taking a whole-person approach to treating chronic pain, Hanscom stressed the importance of getting enough sleep and shared a powerful testimony from a client with severe pain who had benefited significantly from ‘expressive writing’. The final speaker of the day, Dr Angela Cooper, talked about diagnosing and treating emotional factors in mindbody symptoms through a system called ISTDP (intensive short-term dynamic psychotherapy). Cooper talked about how
unconscious feelings and anxiety and avoidant behaviours could lead to mindbody symptoms, and shared the story of a client who she was able to help with this approach. A major strength of the conference was the way each speaker complemented the subject matter in the previous talks by simultaneously reinforcing concepts that were already presented and furthering the discussion through their own approaches and research.
Nice to meet you... We’d like to say ‘thank you’ to all those FHT members who came to visit our stands at the Olympia Beauty expo last year. In particular, the FHT was proud to be a sponsor of the Nutrition & Wellbeing Live stage at the trade beauty and therapy show in October, where experts gave talks and demonstrations on both days of the show. See the back of our 2018 FHT Training Programme in the centre of the magazine for shows we will be attending this year – we look forward to seeing you there!
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PUBLIC AFFAIRS AND PRACTICE
Accredited registers are an untapped resource, report highlights The FHT welcomes a joint report published by the Professional Standards Authority and the Royal Society for Public Health (RSPH) that highlights how more than 80,000 practitioners listed on accredited registers (ARs) – including more than 10,000 FHT members – are able to contribute to improving public health. Published in November 2017, the report is based on a survey of over 4,500 practitioners listed on ARs, including a high percentage of FHT members. As well as highlighting the untapped potential of the AR workforce, the report also looks at some of the barriers that prevent practitioners from doing more to support the health of the nation, and provides some recommendations to help them realise their full potential. One of the biggest barriers identified by 71% of survey respondents was the lack of public funding available for the services they offer. This often means those from lower socioeconomic groups are at a disadvantage when it comes to accessing health support available from the AR workforce, including complementary therapists. While the report acknowledged that this ‘will likely remain a challenge’, it recommends working with employers to ‘make it easier for their employees to access the services of AR practitioners, as part of their health and wellbeing strategy’.
Other barriers and recommendations highlighted in the report include: Signposting – AR practitioners don’t always have access to accurate information about services available in their area in order to effectively signpost their clients. The report recommended that a list could be maintained and updated by directors of public health and their public health teams.
Untapped Resources: Accredited Registers in the Wider Workforce
Referrals – the report recommended AR practitioners having the authority to make direct NHS referrals, in appropriate cases. Skills and training – many AR practitioners voiced concern about the best way to raise a lifestyle health issue with a client. Training was identified as a key way to equip them with the necessary tools. Shirley Cramer CBE, chief executive of RSPH, commented: ‘We know that AR practitioners typically take a holistic approach to wellbeing, and develop long-term and trusted relationships with their patients, putting them in an ideal position to have lifestyle health conversations with them. The AR workforce accounts for thousands of interactions with members of the public every day: we are calling for these practitioners to be given the right support so that we can unleash their full potential to improve the public’s health.’ We would like to thank those who responded to the survey and encourage members listed on the FHT’s Accredited Register to utilise sections of this report when approaching potential employers.
MORE INFORMATION To access and download the report, visit fht.org.uk/ untapped-resources
FHT appoints new Executive Director The FHT governing council is delighted to announce the recent appointment of Jane Long as Executive Director. Jane’s most recent role before joining the FHT was executive director of corporate services for a large housing association. Prior to that, she worked across a number of sectors, including further education, media and financial services, and was part of the executive team at an NHS trust. Members will also be pleased
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to learn that Jane is a former complementary therapist. She spent a number of years training as an emotional therapist (now referred to as emotional therapeutic counsellors), as well as being a reiki master. She took several years out of her business roles to focus on providing counselling support and healing, and running courses in reiki, as well as personal development and meditation. Speaking of her new role, Jane says: ‘I am thrilled to join the
FHT and to have the opportunity to build on the association’s strength and lead it through its next stage of evolution and growth. I care passionately about people and the many benefits that complementary, beauty and sports therapies have to offer. While I’m still relatively new to the role, it’s already a pleasure to be supporting the FHT’s members.’ Jane will be featured in ‘On the couch’ in the next issue of International Therapist.
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REGIONAL UPDATES
Local support groups A grand day out for South Birmingham group David Assinder and I are the coordinators of South Birmingham FHT local support group, and we recently arranged a day out for group members at Launde Abbey, a retreat near Leicester. It proved to be a fantastic decision and none of us were disappointed, writes Linda Jacobs. Nine people signed up for the day and we decided to share cars for the 60-mile journey. We had homemade biscuits, tea and coffee on arrival, and we were blessed with a sunny day to explore the fantastic gardens and 400 acres of hills and moorland. After a morning stroll, we met up in the 17th-century oak room – hired for the day – for our first guided meditation led by David. The room had a fabulously restful and calming vibe from hundreds of years of history, and the large carved oak panels were a feast for the eyes. We sank ourselves into the big leather sofas and comfy chairs to be led into a deep and refreshing relaxation. It was heaven.
Eventually, we managed to drag ourselves away and walk to the dining room, where we were served a delicious organic traditional roast or vegetarian option. The vegetables were grown in the abbey’s own walled garden. Every plate was scraped clean. We then had the only stress of the day – deciding which of the three delicious homemade puddings to choose.
We took ourselves off to the garden for tea and coffee to sit, chat and get to know each other a little better. Some of us explored the many small corners where you could sit alone in silence and reflect. There were quiet areas in the gardens and in the manyroomed abbey. We met again later in the oak room, where David guided us through a second meditation. Everyone agreed it was easier to get into the second one, and we were able to reach deeper levels of relaxation. By this time we were all very chilled. Before leaving, we managed to find room for yet more homemade cake and drinks. We were all reluctant to go home after such a calming experience in such a tranquil environment, and we agreed we wanted to come again. It was a truly lovely place to unwind, at a very reasonable price. We would highly recommend any group go there to relax and spend quality time together.
The importance of first impressions By attending an LSG you meet like-minded people and can share experiences with them, as well as business tips and advice, writes Sussex, Eastbourne and South Downs LSG coordinator Pam Hardy. I have been giving talks at Sussex Downs College on behalf of the FHT to Level 3 beauty therapy students regarding the Code of Conduct and Professional Practice, the importance of CPD and the benefits gained by joining the FHT. The Code of Conduct is so important to any business. First and foremost, I always stress to students that first impressions count. After graduating, I encourage therapists to adopt these five practices:
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1. Make sure you have clean hair and nails. Hair should be tied back and there should be no varnish on nails. 2. Wear a smart and clean uniform. This gives clients the confidence that you are professional. 3. Keep a consultation form, signed by the client. This helps remind you of the client’s last treatment with you. 4. Ask them how they have been since their last visit. This shows your client that you care and that you can adapt treatments accordingly. 5. Sell products to promote your treatments. Provide something the client can take home to prolong the benefit of their treatment – and boost your income.
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12/01/2018 16:31
REGIONAL UPDATES
GROUP CONTACT LIST SCOTLAND
Stourbridge
Sussex, Eastbourne
Ayrshire
and Dudley
and South Downs
T: 07989 193146
T: 01384 865126
T: 01323 644007
Moray, Elgin
Swansea
Sussex, Worthing
T: 07751 316663
T: 01792 402242
T: 07773 702942
North Lanarkshire
Wolverhampton
T: 07713 194092
T: 07929 030931
CENTRAL &
Worcestershire,
SOUTHERN
NORTHERN
Redditch
ENGLAND
T: 07748 902104
According to social media, one of the most popular New Year’s resolutions for 2017 was to volunteer more. If you’ve made a similar resolution for 2018, you may like to consider opening an LSG. These are a valuable hub for our members, students and 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. Here’s what current coordinators have to say about their experiences: ‘Being a coordinator means I am liaising with and meeting so many interesting people who are also passionate about holistic therapies and natural wellness. It is rewarding to help source speakers for our meetings, and I am looking forward to seeing many attendees throughout the year.’ Rowenna Clifford, Hertfordshire LSG
PICTURES: GETTY; ISTOCK
‘I believe the LSG network provides invaluable support for therapists, who often work in isolation. The group meetings and contact give all local therapists the opportunity to network, share concerns and successes, and attend interesting talks. My group is a friendly and caring bunch of therapists, and I really enjoy sharing concerns and successes with them.’ Carole Roberts, Wrexham LSG ‘Running a group keeps me in touch with other local therapists, as well as being able to help those looking for a bit of encouragement – especially, but not solely, those just starting. It’s amazing the amount of varying information around that can all go into helping us grow as therapists.’ Liz Cox, Hampshire, Waterlooville LSG LSG coordinators receive free membership after holding the post for six months. To find out more, visit our website at fht.org.uk/ become-a-coordinator, email us at lsgadmin@fht.org.uk or call Holly on 023 8062 4381.
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Bucks (South), High Wycombe
Blackpool
Giving back in the New Year
ENGLAND
T: 07981 294595
T: 07563 772556
EASTERN &
Harrogate
CENTRAL ENGLAND
T: 07801 885207
Derbyshire, Alfreton
Kirklees and
T: 07882 777587
Calderdale
Leicester
T: 07900 336067
T: 07801 190919
Lancaster
Lincoln
T: 07969 922137
T: 01522 518209
Hampshire,
West Cumbria
Northampton
Winchester
T: 01946 726013
T: 01604 882143
T: 01962 854184
Nottingham
Oxford, South
NORTH WALES,
T: 01636 815739
T: 07885 185307
WEST & CENTRAL
Sheffield
Salisbury & District
ENGLAND
T: 07936 506012
T: 07855 589892
Caernarfon &
Warwickshire,
Somerset, Bath
District
Coventry
T: 01225 315718
T: 07811 969840
T: 07980 543139
West Sussex,
Dorset, Bournemouth T: 07855 589892 Gloucester T: 07969 323917 Hampshire, Waterlooville T: 01730 261842
Chichester
Liverpool, Rainhill
T: 07815 455732
T: 07733 115474
EAST ANGLIA
Manchester, North
& NORTHERN
T: 01616 650799
HOME COUNTIES
SOUTH-WEST
Manchester, South
Bury St Edmunds
ENGLAND
T: 07824 641700
T: 07891 689552
Staffordshire, North
Ely, Cambridgeshire
T: 07967 094188
T: 07787 532827
Wigan & Leigh
Hertfordshire
T: 07837 860717
T: 07534 199126
Wrexham
Luton and
T: 07976 978315
Bedfordshire T: 01582 596929
SOUTH WALES &
Devon, Ipplepen T: 07877 145866
IRELAND Donegal T: 00353 74 91 38457
NORTHERN IRELAND Belfast T: 07598 945933
WEST MIDLANDS
LONDON &
Birmingham, East
SOUTH EAST
T: 07751 942234
Essex, South East
Birmingham, North
T: 01621 774827
T: 07709 550173
T: 07771 915141
North Kent
Lisnaskea
Birmingham, South
T: 07971 898568
T: 02867 722368
T: 07812 773505
North London
Newtownabbey
Llanelli
T: 07956 559688
& Belfast
T: 07794 811562
Surrey and
T: 07801 988856
Newport
North Hants
South Tyrone
T: 07740 774590
T: 07702 074822
T: 07879 644604
Coleraine T: 07707 411101 Lisburn
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AROMATHERAPY | Ageing
The autumn
YEARS HEATHER GODFREY REFLECTS ON THE WORK OF MARGUERITE MAURY, THE AGEING PROCESS AND THE ROLE OF AROMATHERAPY
PICTURES: ISTOCK; SUPERSTOCK; SHUTTERSTOCK
H
aving recently stepped into my seventh decade, I can affirm that the journey through life is bittersweet. I am constantly a moment, a whispered distance, from the veil of my future and the shadows of my past. In reality, all that I have, or am, is just as it is, here and now. In the moment, age seems irrelevant. Yet when I glance in the mirror at the reflected face of the woman smiling back at me, lines tellingly etched around her eyes, I am acutely aware of time, or rather the rhythm and momentum of life. So how can aromatherapy help those of us approaching this stage of life’s inevitable journey – the autumn years? It is impossible to talk about age and essential oils without mentioning Marguerite Maury (1895-1968). Maury was an Austrian-born biochemist who became interested in what we now call
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aromatherapy. Her book, Marguerite Maury’s Guide to Aromatherapy: The Secret of Life and Youth, was first published in France in 1961, where Maury is said to have single-handedly re-established the reputation of aromatherapy. Her book was translated into English just three years later, but sadly was much less well received in Britain, where complementary and alternative therapies were viewed with scepticism. In her book, Maury eloquently writes: ‘Our main interest is not old age in itself, the accomplished fact... what we have to know is what causes it to take us by surprise... growing old is an eminently individual matter... there are as many ways of growing old as there are human beings... each ageing according to his body, heredity, biological make-up, mentality and, finally, evolution.’ Maury considers the process of life
– the way we traverse the paths laid before us, the things we absorb (physiological and psycho-emotional) and the way our attitude and outlook determine whether we endure or wither. She speaks of the rhythm of life: ‘To live, to be alive, means to be in motion, to evolve, to transform oneself and transmute things according to the alchemy of the spirit and the body… a man must perceive his own rhythm and respect it.’ As age proceeds, this rhythm naturally slows down, but the momentum of its beat remains vital to health and wellbeing. According to Maury, in slowing down we are afforded more time for reflection, which increases our capacity for tolerance; our attitude towards ourselves and life in general is a significant determinant of ‘how’ we grow old. With age comes increasing sensitivity to
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“To live, to be alive, means to be in motion, to evolve, to transform oneself and transmute things according to the alchemy of the spirit and the body” Marguerite Maury
Picture posed by model
noise, slowed reactions, a decreasing ability to adapt and compensate, and a tendency to tire more easily. Acquiescence is important, but this is not the same as ‘giving in’. Even if slower, the ability to adapt and compensate, along with self-control and self-discipline, remain vital components that strengthen resolve and support the body’s ability to endure, in perpetual rhythm: ‘It is when the body no longer makes good its wear and tear, no longer dominates it; when it can no longer adapt itself to new physical and psychological conditions, that the balance is broken… then ageing is the punishment.’
WELLBEING IN AGE Ageing as a ‘punishment’ seems quite harsh and unforgiving. Life brings many challenges in one way or another, and we each cross the line of ‘a certain age’ in differing states of health and wellness.
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There are common, unavoidable factors, such as loss of skin tone, greying hair, bone mass reduction and diminishing brain cells, but our general health and wellbeing is otherwise determined by our constitution and lifestyle, and our ability to deal with challenges and the ups and downs of everyday living. However, no matter what has occurred up to the moment, ‘now’ is always a good starting point to effect positive improvement (even if in some circumstances change is not possible) or to reaffirm and continue to sustain an already healthy lifestyle with renewed enthusiasm. The basic elements that support sustenance of wellbeing include: • Positive attitude – towards self, others and the environment • Healthy diet – moderate, fresh and nutrient-rich
• Regular exercise – this does not have to be strenuous, as long as it involves movement and respiration. It will oxygenate cells, shift waste material, stimulate blood and lymph circulation, tone and maintain muscles, and improve mood and emotion • Relaxation – rest, fun and community • Sufficient income and social security – safety, food, clothes, warmth, shelter and social activity and involvement. Maury believed that in acknowledging age as a natural process, a friend and not an enemy, and viewing age as ‘another country visited’ along the journey of life, we equip ourselves to enjoy it as a new, untapped landscape, still holding adventure and possibility. She believed that such an attitude keeps us ‘alive’ and vibrant, and staves off premature cellular deterioration, which lays the groundwork for disease and diminishing faculty. Eating nutritional food and applying remedies that enhance, repair, restore and rejuvenate body, mind and spirit also support and protect our ability to graciously surrender, to realise our unique capacity to fully experience, enjoy and manage the bitter-sweetness of life. On reaching the autumn years, ‘this second youth, or rather the state of youthful maturity’, Maury states that an immense surprise takes hold of us:
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‘The first step will be to rediscover yourself and make acquaintance once more with your inner life. Every man and woman, on seeing themselves rejuvenated, invariably forget that their face is marked by age… in the same way you will forget your old quarrels… emotional memories will grow blurred… you will be cured very gently of your griefs… Everything new will arouse enormous interest; actually it will not appear particularly new, merely contemporary. And fear, that mortal enemy of the soul, will fall from your shoulders like a cast-off clout.’ Of course, even if we are successful in reaching a state of youthful maturity, what we cannot change is the natural ageing process – the inevitable mental decline as our brain and cognitive abilities begin to deteriorate, along with various ‘wear and tear’ conditions such as arthritis, hearing loss, diminishing eyesight and incontinence. With things like these to potentially look forward to, Maury might be forgiven for referring to ageing as a ‘punishment’. However, if we maintain a positive attitude, alongside a healthy, active lifestyle and nutritionally rich diet, this will go some way to slowing the onset and severity of such conditions. It will also support our immunity, resilience and tenacity. Essential oils, with their various qualities, are ideal additional ‘companions’.
ESSENTIAL OILS AND AGEING Maury observed the interconnectedness between mind, emotion, body and nature. She noted the dynamic role essential oils may play as regulators, capable of maintaining, healing, restoring and balancing. She was particularly interested
TREATING AGE-RELATED CONDITIONS WITH ESSENTIAL OILS Condition Agitation Anger
Essential oils Cedarwood, chamomile (Roman and German), lavender, melissa, rose otto and ylang ylang. Chamomile (Roman and German), cypress, frankincense, geranium, melissa, petitgrain, rose otto and ylang ylang.
Anxiety
Relaxing: Agnus castus, carrot seed, chamomile (German and Roman), clary sage, cypress, eucalyptus, frankincense, geranium, jasmine, lavender, lavandin, mandarin, marjoram (sweet), neroli, petitgrain, rose, spikenard, vetivert, violet leaf and ylang ylang. Stimulating (uplifting): Basil, black pepper, galbanum, geranium, juniper, lemon, nutmeg, orange (bitter/sweet), palmarosa, patchouli, peppermint, pine and rose.
Confusion and indecision
Angelica, basil, black pepper, carrot seed, cypress, frankincense, hyssop, juniper berry, myrrh, myrtle, patchouli, peppermint, sandalwood, vetivert and ylang ylang.
Depression and low mood
Agnus castus, basil, chamomile (Roman and German), clary sage, frankincense, galbanum, geranium, grapefruit, jasmine, lavender, linden blossom, mandarin, may chang, melissa, mimosa, neroli, orange (bitter), patchouli, petitgrain, rose, rosemary, sandalwood, vetivert and ylang ylang.
Dwelling on unpleasant events
Cypress and frankincense.
Eczema/dermatitis
Bergamot (FCF), chamomile (Roman), carrot seed, frankincense, helichrysum, juniper berry, lavender, myrrh (weeping), palmarosa (weeping and dry), patchouli and rose. Calendula and borage seed base oils can be used alone.
Fear and paranoia
Basil, cedarwood, clary sage, cypress, frankincense, hyssop, jasmine, marjoram (sweet), mimosa, myrtle, neroli, pine, rose and ylang ylang.
Grief and bereavement Hatred Hopelessness
Cypress, frankincense, hyssop, marjoram sweet, melissa, lavender, rose otto, spikenard and violet leaf. Rose, spikenard and ylang ylang. Angelica, jasmine, lavender, lemon verbena, myrtle, neroli, petitgrain, pine, rock rose and tuberose (absolute).
Hypersensitivity
Ambrette seed, chamomile (Roman and German), jasmine, jonquil (absolute), juniper, lemon verbena, melissa, rose, sandalwood and vetivert.
Impatience
Chamomile (Roman and German), cypress, frankincense, lavender, marjoram, spikenard, vetivert and ylang ylang.
Insomnia
Intolerance Irritability Joint and muscle aches and pains
Mood swings Sedative
Chamomile (German and Roman), frankincense, geranium (low dose), lavender (low dose), mandarin, patchouli (low dose), rose (low dose), spikenard and vetivert. Lemongrass, myrrh and ylang ylang. Chamomile (Roman and German), cypress, frankincense, lavender and spikenard. Black pepper, cajeput, carrot seed, cedarwood (Atlas), chamomile (German and Roman), cypress, eucalyptus globulus, galbanum, juniper berry, lavender spike, mandarin, marjoram (sweet), niaouli, petitgrain, pine and thyme. Geranium, lavender and rose otto. Chamomile (Roman), cypress, frankincense, galbanum (low dose), geranium, lavender (low dose), mandarin, patchouli (low dose), petitgrain, rose (low dose), spikenard and vetivert.
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Ageing | AROMATHERAPY
work ‘with’ the body and aid alleviation and improvement of minor ailments, skin conditions and the symptoms of chronic conditions that may affect us as we grow older (see the table on opposite page). The selection of essential oils depends on the treatment objectives, contraindications and personal odour preference of the individual client.
IN CONCLUSION
in the similar composition of human and plant cells, as well as their life cycles and restorative ability, especially in relation to human tissue. She recognised ‘the innate kinship’ between the cells of living organisms and their dynamic integrated relationship with each other: ‘Nature is sovereign: the plant is a living being with a specific energy potential. The use of this energy conforms to the law of nature… By inserting this energy force into our body, we can therefore expect an efficacious and selective action on its part. The body will thus have at its disposal a vital and living element. It will use its energy for its own ends. The great physician Ramon considered odoriferous matter as a vegetable hormone, the only one to be in a dynamic state.’ She believed that essential oils offer a vital and natural connection between man’s external and internal environment, their virtues supporting and regulating physiological and psycho-emotional health, wellbeing and sense of spiritual awareness: ‘It is not surprising, therefore, that these virtues should exercise the most disparate influences on the individual. Applied to the skin these essences regulate the activity of the capillaries and restore vitality to the tissues. We might almost say that they “make the flesh more succulent”. ‘But of the greatest interest is the effect of fragrance on the psychic and mental state of the individual. Powers of perception become clearer and more acute, and there is a feeling of having, to a certain extent, outstripped events. They are seen more objectively and therefore in truer perspective. It might even be said that the emotional trouble, which in general obscures our perception, is practically suppressed… The conscious mind is alerted, and one feels a great enrichment. We must not, however, confuse
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emotion and sentiment. How often are our good and lucid sentiments and our best intentions literally drowned by an emotion, which is merely a psychosomatic reaction? The use of odiferous matter induces a true sentimental and mental liberation.’ Fascinated by their rejuvenating qualities, Maury re-introduced the concept of ‘holistic remedies’, honing and creating combinations of essential oils, or ‘individual mixtures’, to create personalised remedial blends that would restore body, mind and emotion to their natural state of balance: ‘The individual mixture is designed to reflect the weaknesses and violence of an individual; it has to compensate for the deficiencies and reduce the excess. It serves above all to normalise the rhythm of the functions. The latter risk, either by inveigling the body into excessive expenditure of energy or by an over-accentuated slowing down, preventing it from satisfying the demands made upon it. For these reasons the individual mixture may be compared to the negative of a film with its reversed shadows and light.’ She observed, as others have too, that the body appears affected by a person’s sense and awareness of their ‘being’, their attitude, mental state and their immediate environment. Indeed, it seems that in combination, massage and essential oils form an ideal partnership to accompany us as we traverse life’s path, especially as we enter our ‘autumn years’; massage is nurturing as well as invigorating, and essential oils support health, vitality and wellbeing. Essential oils are preventatives, as well as being curatives, and are aesthetically pleasing. They mask and deodorise unpleasant odours, are cleansing, moodenhancing and create ambience. As plant-based derivatives, essential oils
Age is an inevitable process; our bodies are finite, life is transient. However, although there is some inevitable ‘slowing down’, ageing does not necessarily herald debilitation. Maury delved into the biological, psycho-emotional-spiritual process of ageing, exploring the natural relational qualities of essential oils and plants, and their influence on the human (animal) organism. She advocated graceful acquiescence but emphasised the need to remain ‘vital’ and active, in rhythmic motion, to embrace age as a new territory in the ever-changing landscape of life, to explore and relish. Each person enters this territory at their own pace, unique in their physical status, frame of mind, emotion, attitude and sense of spirituality. As history testifies, essential oils have accompanied us like guardians and companions on our ever-evolving journey through time and life – applied in the form of fumigants, incense, cleansers, antiseptics, antibiotics, antibacterials and preservatives, as well as psychosomatic, hedonistic perfumes, worn not only to adorn but also to protect, to symbolise intention and to punctuate and accentuate rite and ritual. Ageing is another of many ‘rites of passage’ encountered through life. Essential oils are perfect companions. Heather Godfrey, BSc, MFHT, has been an aromatherapist for more than 20 years. She was a complementary therapy programme lead at the University of Salford before relocating to Dorset, where she runs a private clinic. For information about her new book coming out in spring 2018, called Essential Oils for Mindfulness and Meditation (Inner Traditions, 2018), visit aromantique.co.uk
REFERENCES For full references, go to fht.org.uk/IT-references
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A DAY IN THE LIFE | Michele Hall
A DAY IN THE LIFE OF… MICHELE HALL, MFHT, REMEDIAL MASSAGE THERAPIST, FITNESS INSTRUCTOR AND EXPERT IN POSTURAL CORRECTION
1PM
The clients start. I take an hour for each client and 30 minutes between appointments. I like to ensure that everyone gets value and that there is time to chat about things such as postural habits/ correction and exercise routines. My goal is to find ways for everyone to embed healthy movement patterns into normal routines. It is a privilege to be part of the great transformation that can happen in people’s lives when they decide to ‘get out of pain’ and enjoy their body.
4PM 8AM
I divide my days up so that two-thirds is about work and one-third is for me, my family and meals. I protect that balance fiercely; if I work too long or too hard my health suffers. When I have a morning to myself, I start the day with apple cider vinegar and honey, then eggs for breakfast. I find that alkalising helps if you have a heavy day in front of you, and protein sustains me longer. Work emails, texts, shopping, household chores and the basics of a decent evening meal are prepared.
12PM
Afternoon marks the beginning of the work shift. The Dynamic Balance clinic, where I work, is located in a private gym, where there are other health professionals around. Finding time to share ideas and information with them is beneficial education, as well as networking.
7PM Notes cleared, I’ll message tomorrow’s clients to remind them of their appointments. I charge for missed sessions, so I feel it is fair to send everyone a reminder.
7.30PM
I cross the road to Room to Move, a parkour (free running) facility, for their evening remedial class, ‘Back in the Game’, because there is a lot of space to crawl around and scaffolding for the shoulder work. The coaches are highly trained in natural movement and have attended my own workshops, so we can work together in everyone’s interest. Many of my clients will be attending the class and this is an excellent opportunity to see them in action and learn about their movement patterns. I’ll often get involved in some myofascial release during the deep stretches and I use this as an opportunity to open up my own body and get a bit of a workout. This can be a great sharing and learning opportunity as people from different disciplines pitch in with ideas and experiences.
9PM
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I work with therapist Deanne, who I trained alongside 15 years ago, and with whom I share an intern, Fiona. Fiona is a recently qualified therapist spending time with us to get experience. She may be shadowing, but sometimes she will get involved in the treatment. Clients tend to love a four-hand massage. My clients range from fit and flexible retirees to broken gym-hounds; some are injured through movement and some through lack of movement. No two treatments are the same and I never know what to expect. Even regular clients come in with unusual issues and each one is a fresh puzzle to solve. Some involve deep tissue massage for the hour, others Dorn method or spinal touch therapy. A lot is mix and match, combining fascial release techniques
and deep stretches, depending on client needs and response. Between clients, I write up notes and remind myself to hydrate and refuel. I work barefoot, which helps with grounding and keeps me movement-aware. I coach barefoot running – barefoot movement changes how we move and the forces going through our bodies. Understanding this is the foundation of natural movement.
Home for dinner and feet up. I promise myself that I will go to bed but it is often now that I’ll review my day and think of something to blog about. So I’ll be in my dressing gown, scribbling notes to type up on my day off.
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MEMBERS’ NEWS
True grit NICK GILKS, AFHT, SUPPORTS AN ATHLETE ON A 27-HOUR CHALLENGE In 2012 I saw an item on the local news about Ivan Hollingsworth, who was undertaking a 100-mile run to raise money for a children’s heart unit. The unit, at the Freeman Hospital in Newcastle upon Tyne, had performed lifesaving surgery on his son, Sebastian. Ivan lived less than half a mile away from me, so I offered my services for free. Initially intending to do some pre-event work, I travelled with him the entire 100 miles, performing treatments as required. Ivan’s fundraising has continued over the years, and I have supported him throughout. With Sebastian now eight years old and a daughter born last year, Ivan has just completed his final event, cycling from central London to Darlington, followed by two back-to-back marathons before arriving at Freeman Hospital. His mission was to cover the 320-mile distance in 27 hours and take the total money raised for the unit to £500,000. Ivan required several treatments in the weeks before the event, and we drew up a detailed programme. Our chief concern g y was a troublesome Achilles. It was slightly thickened on assessment, but there was mfort at plenty of ‘play’ in it and discomfort aneum. The the attachment with the calcaneum. calf muscles were very tight, particularly olving deep medially. An early session involving n stubborn techniques helped break down nt to resolve muscle tissue. It was important this and, indeed, the Achilles wasn’t hallenge. mentioned throughout the challenge. n wellbeing I had to think about my own ysical effort too. Lack of sleep and the physical nd my of massage would affect me and decision-making. Early on, I determined take was a that regular food and fluid intake uld have to must, and at some point I would grab some rest. The weather was my biggestt worry for nd and rain Ivan. As tiredness kicks in, wind hlete’s core can dramatically reduce an athlete’s y during rest body temperature, particularly on and even periods, resulting in exhaustion n affect hypothermia. Such factors can arried even the fittest athletes, so I carried ag, three plenty of towels, a sleeping bag, kets. puffer jackets and space blankets. During the first day of the y challenge a relentless westerly wind hampered progress, and
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there was no respite or cover as we crossed the Fens. I knew Ivan had the physical and psychological edge to finish, but I was concerned that environmental factors might lead to injury or accident. Nutrition had been carefully prepared by other specialists, but with Ivan tiring in the small hours of Sunday morning, he became increasingly nauseous and we let him decide what he needed. He had developed a craving for malt loaf so some had to be found from an all-night shop. The ability to adapt during such an event is vital. The roadside becomes your clinic, and I have in the past used people’s gardens, restaurants and entrances to public toilets. Muscle stretching can be really successful early on but as tiredness develops, stretching or pressure on one muscle can result in others going into a very painful spasm. A muscle
Sports therapist Nick Gilks: ‘The roadside becomes your clinic’
unexpectedly cramping can give the athlete something negative to focus on, so we later abandoned the stretching in favour of gentle rubbing and squeezing. The only problem Ivan encountered was a tight adductor, but a short stop at a pub and a gentle stretch fixed the problem – much to the amusement of those enjoying their Saturday night out. At around 5am the cycling gave way to the marathons. Ivan was spent. The decision was made to allow him as long as he needed to rest and he was put in a car to warm him through. A short while later he was ready to continue. At Durham, Ivan was joined by two of his closest friends, who accompanied him to the Freeman, where a sizeable crowd gave him a rapturous reception. His final event also marked my final event. In 15 years I have covered fun runs, marathons, half-marathons, charity cycle rides, rock gigs and the London Olympics. Each brought its own challenges and happy memories. What has set Ivan’s challenges apart is that he is a truly exceptional athlete whose altruistic motivation has brought together a group of inspiring people. I cannot think of a better time to bow out.
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MEMBERS’ REVIEWS
EMBRACING TOUCH IN DEMENTIA CARE, BY LUKE TANNER Providing answers to one of the biggest taboos facing dementia care professionals, this book instructs carers on how to re-evaluate their use of physical contact to create a more effective, person-centred care system.
DENISE LEWIS, MFHT
7/10
The author’s aim is to restore trust in touch by exploring our attitudes, beliefs and fears toward it. The book is descriptive and shaped by watching, listening, talking and touching people with dementia; however, it would benefit from stronger referencing with more upto-date sources, particularly on consent issues. It’s thought-provoking, and the practical training exercises in the appendix can be downloaded for care staff to reflect on their practice.
SARAH PRESLEY, MFHT
KINN ORGANIC BODY OIL
There is often confusion around 8/10 what is appropriate when it comes to touch, and Luke Tanner’s book is very thorough discussing all aspects of this. He writes with such care, understanding and compassion. Tasks at the end of each chapter can be used to form a basis of discussion with your staff in your care home.
MEMBER OFFER FHT members can receive a 10% discount on Embracing Touch in Dementia Care (RRP £17.99) when purchased through singingdragon.com. Enter the code TAN at the checkout. Offer ends: 24 April 2018.
Based on heritage aromatherapybased family recipes, KINN-certified organic body oil is formulated to fight free radicals and improve the skin’s appearance. It contains avocado oil, grapeseed oil, coconut oil and sweet almond oil.
LINDA BELCHER, MFHT 6/10 It would be helpful to have a different dispensing system to control the amount of oil as it is not necessary to use too much. I worried that it would take a while to sink into my skin, but it was easily absorbed and particularly useful for dry elbows and shins. Having said that, I still find the after-effects a bit slimy and would prefer to use a lotion primarily and this less frequently.
HALIMA KESHAV, MFHT The oil is very light and non-greasy, 10/10 and sinks into the skin fairly quickly without leaving a sticky residue. It leaves your skin feeling soft and hydrated. The mixture of oils creates a subtle aroma that follows you around all day. I think the no-nonsense packaging reflects the purity of the organic oils in the products. A little bit goes a long way and I’ll be using it until the last drop.
MEMBER OFFER Take advantage of a 15% discount on orders over £15 when purchased from kinn-living.com. To redeem this offer, enter the code KINNxFHT15 at the checkout. Offer ends: 25 April 2018.
NEW PRODUCTS SCIATICA AND PIRIFORMIS SYNDROME, BY KATHARINA BRINKMANN AND NICOLAI NAPOLSKI This book reveals the causes of sciatica and how you can treat it simply and effectively at home. Sports editor Nicolai Napolski, who knows first-hand how painful piriformis syndrome can be, has joined up with sports therapist and personal trainer Katharina Brinkmann to create their very own training concept that introduces simple techniques to stretch the shortened muscles, strengthen the pelvic girdle and correct posture problems.
Price: £8.99, available from amazon.co.uk
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BUSINESS GUIDE FOR HEALTH THERAPISTS: HOW TO FIND WHAT YOU NEED TO KNOW, BY RICHARD EATON The aim of this book (now in its second edition) is to give a general, rward overview brief and straightforward of many of the main business processes that therapists will need to know to run a thriving business. It will also enable you to access detailed information by linking to more than 150 useful websites. Even as the owner of an established complementary therapy practice, you may want to refer to it again and again.
Price: £5.99 (paperback or e-book), available from amazon.co.uk
INTERNATIONAL THERAPIST WINTER 2018
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SOLE EMPOWERMENT CARDS Developed by Newtownabbey FHT local support group coordinator Caroline Teague, MFHT, Sole Empowerment Cards offer positive affirmations for children (over five years) and adults. The cards are colourful and in the shape of feet, featuring affirmations on the front and chakras on the back. There are two separate sets within every pack, one for children and one for adults. Caroline says: ‘We all deal with stresses and issues differently, so everyone’s interpretation of these cards will be different and that’s okay.’
Price: £25 (plus P&P), available from bodyworksites. com/bluebirdwholistics
CONNECTING WITH CANCER, BY RR HALL Hearing that you have cancer is a life-changing moment. Connecting with Cancer tells the moving stories of different people affected by different cancers: how their lives were changed, how they found an inner strength and how they found hope – and a life after cancer. Each story is personal and sometimes very intimate, covering treatment, diagnosis, bereavement and more. In the pages of this book, you will learn what cancer feels like.
Price: £10.99 (paperback), available from melrosebooks.co.uk
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COMPLETE GUIDE TO FOAM ROLLING, BY KYLE STULL The Complete Guide to Foam Rolling provides step-by-step instructions for 27 foam-rolling techniques to increase flexibility and mobility, enhance recovery, minimise injury and optimise performance.
Competition
PRIZE WORT H £145
WENDY MUNRO, MFHT An informative book for therapists 8/10 containing a wealth of information on the science of foam rolling, safety, equipment and, importantly, how to foam roll properly. There is a comprehensive section on techniques, although I think the descriptions could have been simplified and the book better laid out. I enjoyed this book, but it may be too detailed to hold the attention of the average reader.
JANE RACKHAM, MFHT This book is a great introduction for 9/10 students and therapists on a subject that I am passionate about. It has sound advice backed up by great research and is written as a result of the author’s personal journey of injury. As I teach these classes, the only thing I would change is to have more pictures with both basic and advanced moves to show progression. I enjoyed reading this and will reference it in future classes.
MEMBER OFFER Purchase the Complete Guide to Foam Rolling from humankinetics.com and receive a 20% discount. To redeem this offer, enter the code FHT20 at the checkout. Offer ends: 30 April 2018.
Please note that product descriptions featured on these pages are provided by the supplier/manufacturer.
THE BLUEBEARDS REVENGE SEA SALT SPRAY Premium men’s grooming brand The Bluebeards Revenge is pleased to announce the launch of its latest hairstyling product – The Bluebeards Revenge Sea Salt Spray. Featuring the grooming brand’s classic barbershop fragrance, the new product is available in a professional 400ml bottle (trade only) and a retail-friendly 200ml bottle. The Bluebeards Revenge Sea Salt Spray has been specially designed with sea salt minerals to give men a natural look that boasts all of the volume, texture and wave seen in the hair of coastline junkies. Create a salty, matte hairstyle without leaving dry land.
Price: from £9.99 (200ml), available from bluebeards-revenge.co.uk
FHT.ORG.UK
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One lucky member will win a Living Nature Ultimate Collection gift pack (RRP £122.75) and 50ml Manuka Honey Gel (RRP £22), the original product and still the UK’s bestseller. Since 1987, Living Nature has harnessed the nourishing, hydrating, healing and protective properties of active manuka honey, together with other New Zealand botanicals, to create safe yet effective BDIH-certified natural skincare solutions. Living Nature’s founder, Suzanne Hall, pioneered the use of manuka honey in 100% natural skincare, initially to help ease her own skin conditions. Inspired by Maori knowledge of the healing properties of native plants and driven by the improvement in her skin and a desire to produce a natural remedial range that everyone could benefit from, Living Nature was born. Thirty years on, Living Nature is a global leader in manuka honey skincare, remaining true to its roots of developing safe skincare and cosmetic products that work in harmony with the skin for home and professional use.
To celebrate this landmark year, Living Nature has created the Ultimate Collection limited edition gift pack, containing 50ml Vitalising Cleanser, 50ml Nourishing Day Cream, 10ml Firming Eye Cream, 10ml Radiance Night Oil and a 5ml Deep Cleansing Mask sample. botanicalbrands.com
TO ENTER, PLEASE ANSWER THE FOLLOWING QUESTION: In which year was Living Nature established? 1980 1984 1987 Simply email your name, address, membership number and answer to dralls@fht.org.uk, typing ‘Living Nature competition’ in the subject box. Alternatively, send your answer and details on a postcard to Living Nature Competition, FHT, 18 Shakespeare Business Centre, Hathaway Close, Eastleigh, Hampshire SO50 4SR. The closing date is 13 February 2018. For full competition terms and conditions, visit fht.org.uk/competitions
WINTER 2018 INTERNATIONAL THERAPIST
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LEARNING
CPD questions
FO R M O R E IN F O R M AT IO ABO UT H OW N G A IN C P D P T O O IN T S BY R E F L E C T IN G O N YO U R FAVO U IT A R T IC L E R IT E S , V IS IT F H T.O R G .U K /C P D
BELOW ARE QUESTIONS RELATING TO ARTICLES IN THIS ISSUE OF INTERNATIONAL THERAPIST. 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 TO ANY OF THE ARTICLES FEATURED IN IT.
Q
In this article, the FHT identifies two growing trends in beauty therapy. Research and write about another industry trend that relates to your therapy work. The research suggests that more and more people are choosing the products they use carefully. Reflecting on your own practice, write about the products you use and discuss the considerations you make to determine whether these are suitable for your clients.
In her case study, Lorraine explains how she was able to support a teenager with reflexology. Use this as a template to write a case study of your own, explaining how you were able to support a particular client.
TRIALS AND TRIBULATIONS (P28-31)
Q
Sarah Catlow and Lance Doggart identify common injuries that affect triathletes. Research and write your own article about common injuries that occur in a sport of your choice, and discuss how you would address these injuries.
REFLEX AND DEVELOPMENT (P22-24)
THE AUTUMN YEARS (P42-45)
Q
Q
Heather Godfrey lists essential oils that can be used to help tackle various health problems affecting older people. Pick a health condition or client group of your choice and discuss which essential oils you would use to support these clients.
2018 ANNUAL MEMBERSHIP FEES*
INTERNATIONAL THERAPIST WINTER 2018
50 CPD__International Therapist 50
FHT STAND
31 Aug-3 Sep – Brighton University of Sussex botanica2018 essentialorc.com/special-events
Q
50
9-10 May – ExCeL London COPA Series 2018 copashow.co.uk
10 June – Belfast Waterfront Professional Beauty Belfast professionalbeauty.co.uk
Q
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 £46.81
25-26 February – ExCeL London Professional Beauty London professionalbeauty.co.uk
20-21 May – NEC Birmingham 2017 FHT Training Congress at the Holistic Health Show FHT STAND & fht.org.uk/events TRAINING
MARKET MOVEMENT (P12-14)
Lorraine Senior talks about how she adapted reflexology to support children with autism. Discuss how you have adapted or would adapt one of your therapies to support a client with a learning difficulty.
2018 Diary Dates
*Ask our membership team about paying by Direct Debit – it could save you 5% on membership fees. **Includes case study insurance cover. £24.99 deducted from full membership fee on qualifying and upgrading. Terms and conditions apply.
For membership and insurance information or an application pack, visit fht.org.uk or call 023 8062 4350.
30 Sept-1 Oct – Olympia London Olympia Beauty FHT STAND olympiabeauty.co.uk
Top ten reasons for being an FHT member
1
Professional status and recognition.
2
Campaigning, promoting and protecting your interests as a professional therapist.
3 4
Professional representation.
5
Tailor-made comprehensive therapist, salon and clinic insurance policies.
6 7 8
Discounted continued professional learning.
The industry’s leading professional therapist magazine.
The UK’s largest local support group network. FHT branded products and member discounts on therapy supplies.
9 10
Members’ helpline. FHT is a not-for-profit organisation run by therapists, for therapists.
FHT.ORG.UK
12/01/2018 16:35
LEARNING 9ffjk pfli befnc\^\
<jj\ek`Xc f`c `e[\o K_`j `jjl\# `e fli Zfek`el`e^ j\i`\j fe \jj\ek`Xc f`cj# n\ kXb\ X cffb Xk g`e\
JZfkj g`e\ Pinus sylvestris Pine (Pinus sylvestris) is found mainly in the lowlands and is a native to central and
In the reading room
I really enjoy looking in the reading room for the latest sports articles. The Nordic Way, an article by Steve Smith about exercises to help prevent hamstring injuries, is a great read and of particular interest to me – as part of a five-a-side football team, I’m keen to understand alternative techniques to help prevent muscle injuries. Find the article in the sports therapy section of the reading room (fht.org.uk/readingroom) under ‘Nordic hamstring exercise’.
FHT spiral no. 25
TEST YOUR A&P KNOWLEDG E AND
WIN A £20 AMAZON GIFT CARD
The winner will also receive a copy of Connecting with Cancer, by R R Hall (see page 66 for more information about the author). Write your answers in a spiral from the start, working in an anticlockwise direction, towards the centre of the grid. The last letter of each answer is the first letter of the next. The shaded diagonal line will spell out a type of bone.
northern Europe. The oil is produced from the steam-distilled needles, young branches and cones of the pine tree. The oil has a fresh odour and is a clear liquid. Pine needle oil is perhaps best known for its use in pharmaceutical preparations for cough and cold medicines, vapourising fluids, nasal decongestants and analgesic ointments.1
9fkXe`ZXc ]Xd`cp Pinaceae
:_\d`ZXc Zfdgfj`k`fe Monoterpenes (up to 70 per cent, including alpha- and beta-pinene, limonene), esters (bornyl acetate); alcohols (borneol, cadinol); sesquiterpenes (cadinene, copaene, guaiene, farnesene); other (aliphatic aldehydes, ketones, oxides (1.8-cineole), aromatic aldehydes).2,3
9c\e[j n`k_ Lavender, rosemary, tea tree.
JX]\kp [XkX Scots pine is non-toxic, non-irritant and non-sensitising although a potential irritant if oil is oxidised, but not when fresh.4
9f[p jpjk\dj Musculoskeletal, nervous, respiratory, urinary.
In the reading room section of the FHT website, you will find more than 350 therapy and business-related articles and research summaries, with more added regularly. Visit fht.org.uk/ readingroom, log in and have a browse.
of aromasticks in an NHS hospital. To access these, visit fht.org.uk/ readingroom, log in and click on the purple ‘complementary therapy articles’ link. DX`e gifg\ik`\j jX`[ kf Y\
Antimicrobial, anti-neuralgic, anti-rheumatic, antiseptic, antiviral, bactericidal, expectorant, rubefacient.
J\Zfe[Xip gifg\ik`\j jX`[ kf Y\ Deodorant, diuretic, insecticidal, tonic.
J\Zfe[Xip lj\j jX`[ kf Y\ Fatigue and nervous exhaustion.
I\]\i\eZ\j
1 Leung A and Foster S (1996). Encyclopaedia of common natural ingredients used in food, drugs and cosmetics, 2nd ed. USA: John Wiley and Sons Inc. cited in Battaglia S (2007). The Complete Guide to Aromatherapy, 2nd ed. Australia: The International Centre of Holistic Aromatherapy. 2 Caddy R (1997). Aromatherapy, Essential Oils in
Colour, Caddy Classic Profiles. Surrey: Amberwood Publishing Ltd. 3 Price S and Price L (1999). Aromatherapy for health professionals, 2nd ed. Churchill Livingstone. ISBN: 0-443-06210-2. 4 Tisserand R and Balacs T (1995). Essential oil safety, England: Churchill Livingstone.
5 Motiejunaite O and Peciulyte D (2004). Fungicidal properties of Pinus sylvestris L. for improvement of air quality. Medicina (Lithuanian publication), 40(8): 787-94. PMID: 15300001. Source: PubMed abstract (www.ncbi.nlm.nih.gov/pubmed/15300001). A full version of this article can be sourced, at no cost, at http://medicina.kmu.lt/0408/0408-17e.pdf
WITH THANKS TO ETHOS – EDUCATION, TRAINING, HEALTH AND ONLINE SERVICES LTD (WWW.ETHOS.UK.COM) © ETHOS 2011
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Issue 95 January 2011
INTERNATIONAL THERAPIST
www.fht.org.uk
WHAT’S YOUR FAVOURITE ARTICLE?
In the complementary therapy section of the reading room, there are lots of articles about aromatherapy, ranging from essential oil profiles to features about how it can benefit stress, the skin and our emotions. There are also articles about aromatherapy and the elderly, using intuition when selecting oils, and the use
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 (visit fht.org.uk/ competitions). Entries to be received no later than 13 February 2018.
May help to relieve the pain of rheumatism, arthritis, muscular aches and pains. Pine is reputed to be useful for sinusitis, bronchial congestion and coughs.
Commonly used for: ● Joint and muscular pain ● Congestion and coughs
LOOKING FOR AROMATHERAPY ARTICLES?
TO ENTER
DX`e lj\j jX`[ kf Y\
Hl`Zb i\]\i\eZ\
I\j\XiZ_ ‘Sick building syndrome’ is a term often used to describe the effects of poor indoor air quality. It is said that certain species of fungi can trigger ‘difficulty in breathing, allergic rhinitis, watery eyes, headaches, and flu-like symptoms’.5 A study in 2004 (Motiejunaite and Peciulyte) looked at the inhibitory effects of Pinus sylvestris L. on the activity of 13 species of fungi, yeast and bacteria. According to the authors, ‘the results of this study confirm the excellent in vitro efficacy of the pine oil against the more common microorganisms in the indoor environment. […]. The results indicated that the essential oil of Pinus sylvestris, used in the study, inhibited development of bacteria, yeast and fungi to a variable extent. The most active concentration of pine oil against tested microorganisms was 2.5 per cent of oil in culture medium’.
PICTURE:S ISTOCKPHOTO
FHT IT SYSTEMS MANAGER’S PICK
Tell us which is your favourite article in the reading room, and why, and you could be featured in IT magazine. Send 50 to 100 words and a head and shoulders picture of yourself to kyoung@fht.org.uk, writing ‘My favourite article’ in the subject box.
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CROSSWORD CLUES 1 Fibrous protein that gives the skin and other connective tissue strength (8) 2 Formed of keratinous cells, these protect the ends of our digits (5) 3 Substance excreted by the sebaceous glands (5) 4 Female ‘cycle’ (9) 5 Tissue found in lymph nodes, spleen, tonsils and appendix (8) 6 Maid graph (anag.) Separates the thorax and abdomen and plays major role in breathing (9) 7 Group of five dorsal foot bones (11) 8 Bone framework that protects the brain (5)
9 White crescent at the base of the nails (6) 10 Male sex hormones, including testosterone (9) 11 Types of this include hinge, saddle, pivot and gliding (8,5) 12 Section of the spine consisting of 12 vertebrae (8) 13 - - - - - - - nerves originate from the brain in 12 pairs (7) 14 Body system linked to our emotions (6) 15 These contain a membrane, cytoplasm and nucleus (5)
Solution for spiral no. 24… where is it? We do not publish spiral solutions in International Therapist, as completing spirals from the magazine can count towards your CPD (one CPD point per spiral quiz, a maximum of five points per year). Turn to page 65 for the 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. 24 featured in Issue 122 (Autumn 2017).
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LEARNING
Medical A-Z HIV HIV (human immunodeficiency virus) is a retrovirus that damages and eventually destroys cells in the immune system, making it harder to fight everyday infections (NHS Choices, 2017; Peters, 2008). AIDS (acquired immune deficiency syndrome) can develop if the immune system is severely damaged by HIV.
CAUSES In the UK, HIV is predominantly transmitted through unprotected sexual activity with someone who has the virus, through bodily fluids such as semen, vaginal secretions, lining within the anus and blood. The person with the virus may not display symptoms before transmitting it to another person. Other risk factors include sharing needles and syringes, and mothers who have HIV breastfeeding their babies.
SYMPTOMS In the first couple of months after infection, someone with HIV will usually experience a flu-like illness, after which they may not experience any symptoms for several years. The most common symptoms are a sore throat, fever and body rash. Other less common symptoms include tiredness, muscle and joint pain and swollen glands. Once HIV has severely damaged the immune system, symptoms can include weight loss, chronic diarrhoea, recurrent infections, skin problems and sweating at night. This damage can lead to lifethreatening illnesses.
PICTURES: ISTOCK; SUPERSTOCK
ORTHODOX TREATMENT
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There is no cure for HIV, but treatments can enable people to live long and healthy lives. People who may have been exposed to the virus can take emergency HIV drugs to stop them becoming infected. Post-exposure prophylaxis must be started within 72 hours of potential exposure to the virus and is taken each day for one month. Those who test positive will have regular blood tests to monitor the HIV’s progress. They will then be treated with antiretroviral medications, which suppress the virus’
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ability to replicate in the body and allow the immune system to repair itself. HIV can quickly adapt and develop resistance to a medication, so a combination of drugs is usually prescribed.
COMPLEMENTARY AND SPORTS THERAPY Massage can be beneficial for those who have HIV. One study looked at whether it reduced symptoms of depression in patients with the disease (Poland et al, 2013). Fifty-four patients with HIV were randomly assigned to three groups, receiving either Swedish massage, light touch or no intervention for eight weeks. The severity of depression in the massage group was found to be significantly reduced after four weeks when compared with the other two groups. Similarly, a study review showed that massage could have an effect on the biochemistry of patients with a wide range of conditions, including HIV (Field et al, 2005). Massage was found to relieve stress by decreasing cortisol and increasing serotonin and dopamine. Quality of life can also potentially be improved by complementary therapies. In a section of their aromatherapy book on HIV and AIDS, Shirley and Len Price suggest that ‘aromatherapy can do much to improve quality of life, as it can for people living with cancer’ (Price and Price, 1999).
Aerobic exercise could also be beneficial to people with HIV who are medically stable. A review of its effectiveness for adults living with HIV analysed 24 studies involving 936 participants that compared aerobic exercise with no exercise at all (O’Brien et al, 2016). The results showed significant improvements in cardiorespiratory status, body mass index, strength, mood and quality of life in those who did aerobic exercise at least three times a week for at least five weeks.
NB: The information provided in this article is not all-encompassing, and intended as an overview only. It should not be used for the purposes of ‘diagnosis’. Members or clients presenting with any symptoms should always consult a GP or other relevant health practitioner. The advice of a doctor, pharmacist or other suitably qualified person should be sought before taking any form of medication or treatment.
MORE ONLINE To read an article on a complementary therapy service that supports people affected by HIV, go to fht.org.uk/positive-life
REFERENCES For full references, go to fht.org.uk/IT-references
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THERAPY OVERVIEW
TELL ME ABOUT… IN THIS FEATURE, YOU WILL FIND A BRIEF OVERVIEW OF TWO NEW OR UP-AND-COMING THERAPIES
The Reflex Resonance Technique™
Information supplied by Helen Mary Perkins
WHAT IS IT? The Reflex Resonance Technique™ (RRT) combines classical movements of reflexology with sound, balance and healing. Intuition is critical, and the therapist must rely on their skill and sensitive fingers to interpret the feel and vibration of each reflex point, and incorporate the appropriate sound to enhance the effect.
WHEN AND WHERE DID IT ORIGINATE? RRT was devised by Helen Mary Perkins and refined during 30 years of clinical practice. Her interest in the healing benefits of sound was inspired in part by the age-old beliefs of the aboriginal people of Australia, where Helen lived and worked for many years. As well as offering RRT to her own clients, Helen has developed a training course to share the benefits more widely. This two-part postgraduate course is accredited by the FHT.
Ayurvedic kansa wand face massage WHAT IS IT? Information This treatment integrates massage of the supplied by FHT facial marmas (Ayurvedic acupressure Vice President points) with the use of a simple massage Mary Dalgleish tool – a kansa wand – and nourishing oils. ‘Kansa’ means ‘bronze’, and this metal alloy is known in India as the ‘healing metal’. The wand can move deep into the contours of the face and around areas such as the brow line, jawline and neck, where tension is held. The treatment was developed to address contemporary concerns about looking youthful and healthy without invasive interventions. Kneading facial skin and muscles brings nutrients to the treated area, helping collagen and elastin fibres retain their elasticity, while stimulating marmas helps release energy blockages.
WHERE AND WHEN DID IT ORIGINATE? Kansa has been used in Ayurvedic treatments for thousands of years, but in recent years it has been used to create massage tools for use on the face and body. The London Centre of Indian Champissage, an Ayurvedic training centre, developed this particular kansa wand treatment.
WHAT ARE THE BENEFITS? Sound is carried by vibration to the part of the body in need of healing, and can bring emotional, physical and spiritual benefits. In chronic cases where there has been little or no change to an existing problem, the use of sound supports resolution. For example, a client with unresolved elbow pain had foot and hand reflexes held, with sound, over three sessions. In a relaxed state, she felt the sound directly in her elbow; by the fourth session, the pain had gone and has not returned over the past five years. For the reflexologist, RRT is an opportunity to further develop their skills and add value to their treatment offering.
WHAT ARE THE BENEFITS? As well as being extremely relaxing, the treatment can help minimise fine lines and wrinkles, tighten facial contours and reduce dark circles and puffiness under the eyes. Other benefits reported by clients include clearer sinuses, relief from headaches and jaw tension, and improved sleep. Kansa wand face massage can be used on its own, integrated into a full-body massage routine or combined with other treatments. The wand is easy to use on yourself and can form part of a daily self-care routine.
IS IT COVERED BY THE FHT? IS IT COVERED BY THE FHT?
Yes, with relevant prerequisites. Call the FHT on 023 8062 4350.
PICTURE: ALAMY
Yes, with relevant prerequisites. Call the FHT on 023 8062 4350.
WHERE CAN I FIND OUT MORE? WHERE CAN I FIND OUT MORE? See a demonstration video at helenperkins.com
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Visit champissageinternational.com for more details, or see our education pull-out programme (centre pages).
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RESEARCH
Cryotherapy and ice baths equally effective for muscle recovery COLD-WATER IMMERSION (CWI) HAS BECOME POPULAR AMONG SPORTSMEN AND WOMEN TO COOL STRAINED MUSCLES IN ORDER TO RECOVER FASTER, COMPETE AGAIN SOONER AND TRAIN HARDER (UNIVERSITY OF PORTSMOUTH, 2017) Scientists have found ‘very little’ difference between the effects of CWI and partialbody cryotherapy (PBC) for aiding muscle recovery in athletes (Hohenauer et al, 2017). Comparing the two approaches, scientists from the University of Applied Sciences and Arts of Southern Switzerland, the University
of Portsmouth and Vrije Universiteit Brussel allocated 19 healthy males into either a CWI group (nine subjects, 10°C for 10 minutes) or a PBC group (10 subjects, -60°C for 30 seconds and -135°C for two minutes). To assess recovery, the participants were instructed to induce exercise-related muscle damage by doing five sets of 20 drop-jumps from a 0.6m box. Following this, a series of ‘recovery variables’ – including thigh muscle swelling, contraction of the knee extensors, vertical jump performance and delayed onset of muscle soreness – were measured at baseline (before exercise-induced damage), prior to and 10 minutes after treatments, and at 24-hour intervals, up to 72 hours. Significant physiological differences were recorded 10 minutes after treatments, with reduced thigh muscle oxygen saturation and cutaneous vascular conductance in the CWI
group. However, within hours no significant differences could be found between the effects of both treatments. Thigh muscle swelling and vertical jump performance returned to baseline after 24 hours for both CWI and PBC groups, with overall recovery profiles similar after 72 hours. See the full open-access study at bit.ly/wiley_18_cryotherapy
LOOKING FOR MORE RESEARCH? There are more than 70 research articles available in the FHT’s online reading room. To access these, visit fht.org.uk/ readingroom, log in and select the research link.
Yoga can help decrease labour pain
PICTURES: UNIVERSITY OF PORTSMOUTH; ISTOCK
LABOUR CAN BE EXTREMELY PAINFUL FOR MANY WOMEN, BUT IT’S COMPLEX AND SUBJECTIVE, MEANING NO TWO WOMEN ARE LIKELY TO HAVE AN IDENTICAL EXPERIENCE
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Following a yoga programme during pregnancy could be a suitable means of decreasing labour pain and induction, according to a study published in Complementary Therapies in Clinical Practice (Jahdi et al, 2017). It is also suggested that yoga participation while pregnant can shorten the length of the second and third stages of labour and decrease the percentage of mothers needing a caesarean section. Researchers from the University of Medical Sciences in Teheran, Iran, conducted a randomised controlled trial, recruiting 60 pregnant women between 18 and 35 years old who had not given birth
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before. They were assigned to either an antenatal yoga programme or a control group. The 30 women assigned to the yoga group were asked to perform yoga exercises for one hour each day for a period of 12 weeks, from the 26th to 37th week of pregnancy. Yoga classes run by a yoga expert ensured safety and correct techniques, and a booklet and training DVD were provided to each participant. Those in the control group received standard midwifery care through scheduled hospital visits. Labour pain was measured when cervical dilatation reached 3cm to 4cm, two hours later and after a further two
hours. A visual analogue scale was used, where participants gave a score between 0 and 10 to indicate how much pain they were experiencing, with 0 representing no pain and 10 the most severe pain they had experienced. The women in the yoga group reported significantly lower labour pain scores compared with the control group. Just 13.3% of the yoga group required caesarean section, compared with 50% in the control group. The rate of planned induction was also significantly lower in the yoga group (29.3%), compared with 56.7% of women in the control group.
REFERENCES For full references, go to fht.org.uk/IT-references
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Join
Stands D12 and D18
20th & 21st May 2018 NEC, Birmingham
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news
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12/01/2018 12:22
Looking to expand your skill set?
CPD is a requirement for all FHT Members and Fellows, refreshing and developing your therapy skills and knowledge. CPD points can be gained through a variety of activities, including courses, and a full guide can be found at www.fht.org.uk/CPD
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FHT.ORG.UK
12/01/2018 12:23
The FHT is committed to supporting every member with continuing professional KL]LSVWTLU[ *7+ ^OH[L]LY `V\Y Ă&#x201E;LSK Following popular demand, the FHT is hosting a range of courses in the coming TVU[OZ [OH[ `V\ JHU IL Z\YL TLL[ [OL OPNOLZ[ Z[HUKHYKZ Plus, FHT members get a discount of at least ÂŁ10 on each course!
Forthcoming courses include: 10 February
EMM-Tech short course, Edinburgh Created by Ross Emmett, this short course teaches eleven moves specially selected from the EMMETT Technique Practitioner Course to help you, your family and your clients.
17 February
An introduction to Integrated Myofascial Therapy, Manchester An exciting opportunity to learn the fundamental approaches to myofascial release, teaching you how to identify fascial dysfunction and restore balance and function.
18 February
An introduction to Integrated Myofascial Therapy, York An exciting opportunity to learn the fundamental approaches to myofascial release, teaching you how to identify fascial dysfunction and restore balance and function.
19-20 February MTAT ear acupuncture for stress and anxiety management protocol Level 1, Belfast This two-day training course offers full practitioner status to deliver an ear acupuncture protocol to support the symptoms of stress and anxiety. 3 March
EMM-Tech short course, Belfast Created by Ross Emmett, this short course teaches eleven moves specially selected from the EMMETT Technique Practitioner Course to help you, your family and your clients.
17 March
How to treat neck pain, Colchester This one-day course will teach you osteopathic treatment approaches and ways of assessing the neck that are practical, functional and easy to learn.
24 March
Massaging people with dementia, Southampton This course covers progressive approaches to helping those living with dementia to feel comfortable about receiving nurturing touch massage.
25 March
Cancer awareness for holistic and beauty therapists, Bristol This is a CPD introduction to working with those affected by cancer and covers the condition, the treatment, side effects and the ways in which therapists can help.
For our full list of courses and to book your place, visit fht.org.uk/courses $QG UHPHPEHU LI WKHUH LV D FRXUVH \RX ZRXOG OLNH WR UXQ LQ \RXU DUHD ÂżQG D JURXS RI WKHUDSLVWV DQG ZHÂśOO ÂżQG WKH VSHDNHU FHT.ORG.UK
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LEARNING
FHT accredited course provider news updates BABY MASSAGE TALK INSPIRES HEALTHCARE PROFESSIONALS FHT accredited training provider Coral Lewis, MFHT, recently gave a talk at a training event on assisting children who are having trouble sleeping. Coral’s talk on baby massage and how it promotes sleep was well received by healthcare professionals, including nurses and private practitioners, who wanted to learn more about helping children to foster good sleeping habits.
Coral says: ‘Baby massage is a wonderful technique that can be used by parents or the main carer to initiate a good bedtime routine. ‘Baby massage is especially good for bonding and is the perfect way for parents to get to know how to handle their newborn, while the baby gets to understand skin-to-skin contact and how it feels to be loved.’ Find out more at cherubsbabyhealth.com
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 Therapia School of Reflexology therapiagourock.com
NORTHERN IRELAND Body and Sole School of Complementary Therapies bodyandsoleschool.co.uk New Beginnings School of Natural Therapies angelsanctuary.co.uk Sheila Nugent School of Reflexology sheilanugentschoolofreflexology. co.uk
PICTURE: CORAL LEWIS
NORTH WEST
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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
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) lhttc.co.uk Pat Ki Equine Therapies patkitherapy.co.uk
EAST MIDLANDS Blossom & Berry Baby Massage & Yoga Training blossomandberry.com Cameron Reid Training cameronreidtraining.co.uk Cosmo Kemp School of Thai Yoga Massage cosmothaiyoga.com 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 & Bodywork jlmeridian.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 teachtherapy.co.uk The School of Naturopathic Nutrition lovenaturopathy.co.uk
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SOUTH WEST Barnes School of Sports Therapy barnesclinic-school.com Cheltenham School of Complementary Therapy & Beauty thetherapyschool.co.uk Core Elements coreelements.uk.com/Courses 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 and Lifestyle Management cnelm.co.uk Cherubs Training Academy – Hampshire cherubsbabyhealth.com Crimson Catz crimsoncatz.com Elemi Training elemitraining.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
Peter Symonds Adult and Higher Education College psc.ac.uk 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 hk-uk.co.uk London School of Massage bodybasicsonline.co.uk Mind International Training Associates bodymindworkers.com Stonebridge Associated Colleges stonebridge.uk.com NEW The College of Bowen Studies thebowentechnique.com
INTERNATIONAL ASET School for Holistic Therapies juleswiltshire@outlook.com Beaubelle Academy of Cosmetology and Management beaubelle.com Health Coach Institute LLC healthcoachinstitute.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.
FHT.ORG.UK
12/01/2018 16:38
LEARNING
FHT accredited short course providers IRELAND Churchtown Institute of Beauty & Holistic Training cibht.ie Golden Egg Holistic goldeneggholistic.com
SCOTLAND Rosslyn Alternatives rosslynalternatives.co.uk The Glasgow School of Massage theglasgowschoolofmassage.com
NORTHERN IRELAND Body and Sole School of Complementary Therapies bodyandsoleschool.co.uk Calm Confident Kids calmconfidentkids.co.uk Logan Fertility Centre loganfertility.com Sheila Nugent School of Reflexology sheilanugentschoolofreflexology.co.uk
NORTH WEST Acupuncture Training for Therapists Ltd Jon_acupuncture@btinternet.com 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 Dorn Method Lake District dornmethodlakedistrict.co.uk Elaine Ellis Courses elaineellis.wixsite.com/courses Energy for Life energyforlife.today 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 Seven Wellbeing Centre sevenwellbeingcentre.org.uk
EAST MIDLANDS Cameron Reid Training cameronreidtraining.co.uk Extraordinary Kinesiology extraordinarychannels.com Fertility Massage fertilitymassage.co.uk Helen Mary Perkins helenperkins.com Infinity Training Academy infinitytrainingacademy.co.uk Makiage Training Academy Make-Up Artistry & Massage Therapies makiage.co.uk Routes to Healing Sarahling1@googlemail.com
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The Active School of Complementary Therapy ukmassagecourses.com NEW Harmony-9 harmony-9.co.uk Vitali-Chi Headquarters v-chi.com
WEST MIDLANDS Beyond the Limits beyondthelimits.co.uk Central School of Massage centralschoolmassage.com Just BE (Butterfly Experience) with Jacqui Mexson jacqui.mexson@virginmedia.com Lymphoedema Training Academy Ltd lymph.org.uk Microsystems Therapies and Training annavenables.com The UK Dorn Method Centre dornmethod.co.uk Time and Fitness for You timeandfitnessforyou.com/bt-workshop/ Timeless Partnership Ltd timelesspartnership.co.uk Tranquil Heart Training Academy tranquilheart.co.uk
WALES Coleman’s Complementary Therapies holisticsforautism.wordpress.com Complementary Therapies Limited 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 NEW In The Pink! Therapies and Training inthepinktherapiesandtraining.co.uk Keep in Touch Training keepintouchtraining.co.uk 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 Cheltenham School of Complementary Therapy & Beauty thetherapyschool.co.uk Complementary Therapy College complementarytherapycollege.co.uk Core Elements coreelements.uk.com/Courses Cornish Wellessence Training cornishwellessence.co.uk Cotswold Academy of Health and Beauty cotswoldacademy.co.uk
Devon Academy of Complementary Therapies devonacademy.co.uk II Intuitive Ltd 2intuitive.co.uk JemmaCo Limited jemmaco.com/training LMC Training massagefordementia.co.uk Paula Ryland: School of Holistic Therapies paularyland.co.uk Reflexology UK Ltd reflexologyuk.org Sue Chinn Holistic Training Academy suechinn@btinternet.com Susan Quayle Complementary Healthcare kidsreflex.co.uk The Good Hand Holistic Therapy Instruction thegoodhand.co.uk The Seed Institute theseedinstitute.co.uk Touchline Training Ltd touchlinetraining.co.uk Tranquillity Zone Training tranquillityzonetraining.co.uk Weston Hospicecare westonhospicecare.org.uk With Intention Healing withintention.co.uk
SOUTH EAST Academy of Advanced Beauty academyofadvancedbeauty.com Accredited Massage Courses Ltd accreditedmassagecourses.co.uk Affable Therapy affabletherapy.com Aneid UK Ltd aneid.com Ayurveda Institute of Europe ayurvedainstitute.org Ayurveda Pura Academy ayurvedapura.com Brighton Holistics brightonholistics.co.uk Calming Influences Ltd calminginfluences.com College of Classical Massage Ltd collegeofclassicalmassage.com Corpus et Animus Holistic Therapies corpustherapies.co.uk Elemi Training elemitraining.co.uk Freedom Therapies Training freedomtherapies.co.uk 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 Ltd 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 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 Story Massage storymassage.co.uk Tamara Association UK tamara-association.co.uk The Holistic Academy holistic-academy.co.uk The School of Abdominal Sacral Massage abdominal-sacralmassage.com Total Release Experience (TRE UK®) treuk.com TouchPro touchpro.co.uk Training4Healthcare training4healthcare.co.uk NEW Vulsini vulsini.com Wavestone Therapies Ltd thewavestone.co.uk Ziggie Bergman zonefacelift.com ZIIBER eileenbaron@btinternet.com
NATIONAL Essential Training Solutions Ltd essential-training.co.uk Fertility Massage fertilitymassage.co.uk Gateway Workshops gatewayworkshops.com Jennifer Young and Beauty Despite Cancer beautydespitecancer.co.uk Jenny Cox thebalanceprocedure.com London School of Massage bodybasicsonline.co.uk The Arvigo® Institute LLC arvigotherapy.com The Chrysalis Effect thechrysaliseffect.com
INTERNATIONAL Akademi Ayu Jelita SDN. BHD joanphang@yahoo.com Holistic Therapy Practice holistictherapypractice.com Jari Jari Spa jarijari.com.my Liddle Kidz Foundation liddlekidz.com PureAroma Massage Academy purearoma.com.tw RAPID Adhesion Release Technique rapidadhesionrelease.com Rustic Nirvana PTE Ltd rusticnirvana.com The Arvigo® Institute LLC arvigotherapy.com The Institute of Aromatherapy aromashoppe.com
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INDUSTRY NEWS
New app to run your business on the go Pocket PA is a mobile app to help solopreneurs manage their clients, appointments, income and expenses directly from their iPhone. Launched this month, it keeps track of all deposits and payments made, plus business expenses and receipts are saved to the cloud. Text and email reminders are sent to clients ahead of appointments to minimise no shows and the app has user-friendly dials
to show the financial health and income of the business each week, month and year. Take charge of your business in 2018 and download Pocket PA now for free. pocketpa.com
A first for crystal-infused skincare Zone Face Lift launches the first smudging anti-ageing facial elixir. Award-winning creator Ziggie Bergman set out to create a product that harnesses the properties of sacred plants to renew the skin. Studying with Native American shamans and healers in New Mexico, she saw the power plants had to heal the body and spirit, and dreamed of applying this power to rejuvenate the skin. The result is a silky elixir that reduces wrinkles and smudges the aura with white sage. A trade discount is available to FHT members – email admin@zonefacelift.com for details. zonefacelift.com
Lava Shells heat up the X Factor house Shared Beauty Secrets and its VIP team of Lava Angels entered the X Factor house in November to treat contestants to Lava Shell massages with kokolokahi massage oils. The contestants included Sam Black (pictured right), Sean and Conor Price, Matt Linnen, Rak-Su, Grace Davies and Holly Tandy. With feedback such as ‘the best massage of my life’ (Sam Black), ‘feel amazing’ (Matt Linnen) and ‘unbelievable massages’ (Sean and Conor Price), it’s no wonder Lava Shells have become a celebrity favourite. sharedbeautysecrets.com
Helen Mary Perkins wins LUX awards FHT Accredited Course Provider Helen Mary Perkins was thrilled to be recognised twice in a new awards programme launched by LUX magazine. At the awards, Helen received recognition in two categories: as ‘Best Bowen Therapy Training Provider in the UK’ and for the ‘Best Health and Wellness Product’ for her Bowtech Ease natural aromatherapy oil. Helen feels especially proud to be acknowledged for her Bowen training achievements. In addition to teaching the original Bowen technique, she has developed a specialist training course for Bowen therapists wishing to work in palliative care. helenperkins.com
Dorn Haus celebrates third year of success Located just outside Shakespeare’s Stratfordupon-Avon in Warwickshire, inside a wooden chalet building is Dorn Haus, home to the UK Dorn Method Centre. Launched in August 2014, Dorn Haus celebrated its third successful year in 2017 providing Dorn method therapy and training. Dorn Haus is the brain child of Brigitte Nath, who has taught the Dorn method to nearly 600 therapists from across the UK and overseas over the past eight years. Dorn Haus not only holds regular Dorn method workshops, but also provides back and joint pain therapy to local clients. Read an article online about Dorn Haus at fht.org.uk/dorn-haus dornhaus.co.uk
NB: The information featured on the Industry news page is based on information supplied by the training providers and product manufacturers featured. Please always check with the FHT that courses will be covered for membership and insurance purposes before booking.
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FHT.ORG.UK
15/01/2018 14:36
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CLASSIFIED
GENERAL CLASSIFIED USED THERAPY ITEMS FOR SALE Complete set of hot stones, with accessories and heater. £50 only. Collect from PE27 5BX. Cambridgeshire. Call Heather. T. 07999 718967/01480 300686 For sale. Two lava shells. £20, including p&p. Contact Val. T. 07871 970372 High frequency machine. Never used. Cosmetronic. £50. Milton Keynes. T. 07762 480525 Hot stone heater complete with stones. £45. Collection only (Worthing, West Sussex). T. 07774 160858 Massage couch disposable face ring covers. 95. Washable. Cost £18. Will sell at £8 for the lot. T. 07713 733422
JOBS WANTED Homeopath available in South East London/Kent area. Also practises reflexology and reiki. E. katerinapersonal@yahoo.com T. 01689 827936 Mobile Reflexologist (Thame & surrounding areas) with specialist Maternity Reflexology qualification. VTCT (BSc; midwife/health visiting background). T. 01844 218278
Portable massage couch, electric blanket, fleece cover, consultation forms, appointment cards and baby massage doll. All new. E. faith612001@yahoo.com Southampton retired health, beauty and holistic therapist has whole clinic contents for sale. Prices negotiable. You collect. Phone David for details. Talk or leave a message. T. 07580 261293 E. dsnasdell@aol.com Stock clearance. Dermalogica retail items. 35% off RRP. Call for details. T. 07772 252546
BEFORE EMBARKING ON ANY PAID OR VOLUNTARY WORK OPPORTUNITY, WE STRONGLY ADVISE MEMBERS TO ENSURE THEY HAVE APPROPRIATE TRAINING, PREREQUISITES AND INSURANCE COVER (WITH THE FHT OR AN ALTERNATIVE PROVIDER) TO CARRY OUT THIS WORK.
MEMBERS CAN ADVERTISE IN INTERNATIONAL THERAPIST FOR FREE !
TREATMENT ROOMS AVAILABLE Fully equipped treatment room. Eastleigh centre. Only fully insured qualified therapists to apply please. Contact Donna. E. sensibholistics@gmail.com Lovely treatment rooms available to rent in Old Town, Swindon. Suitable for all types of practitioners. T. 01793 614051 Sports massage therapist wanted to join our busy NW London clinic. Room rental basis. Call Conny. T. 07796 478946
SITUATIONS VACANT Exciting business opportunity. 50% share of established beauty salon/training academy for sale. Would suit qualified therapist/ lecturer. T. 07811 630531 E. joy.kennard@ntlworld.com DISCLAIMER: Please note that the inclusion of a product or training advert in International Therapist does not mean the FHT endorses that product or training, or that it will be automatically recognised for membership and/or insurance purposes by the FHT.
COMPETITION AND SPIRAL PRIZE DRAW WINNERS INTERNATIONAL THERAPIST, ISSUE 122
Physique competition (p49) Jan Bremner, MFHT Anna Georghiou, MFHT Linda Smith, MFHT Spiral £20 Amazon gift card and a copy of Moving Stretch, by Suzanne Wild (p51) Winner Beverley Williams, MFHT Runner-up Stephanie Beckham, MFHT 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.
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ON THE COUCH
Commitment to cancer care WE TALK TO REG HALL, MS FRCS, ABOUT HIS PERSON-CENTRED APPROACH TO CANCER CARE
Q
TELL US A BIT ABOUT YOUR BACKGROUND…
Following graduation in 1962 and a year’s voluntary work as a missionary doctor in Africa, I completed surgical training in London, two years of research at the Royal College of Surgeons and three years at the Royal Marsden Hospital cancer centre and Institute of Cancer Research. In 1973 I became a consultant urological surgeon in Newcastle upon Tyne – a ‘surgical plumber’ treating problems in the kidney, bladder, prostate and testicles.
Q
WHEN DID YOU DEVELOP AN INTEREST IN CANCER CARE?
As a junior doctor, I spent any spare time poring over the records of radiotherapy for breast cancer. Later, the unexpected job at the Royal Marsden was an inspiring experience that included pioneering chemotherapy for bladder cancer. Years later, an eminent London surgeon introduced me to his wife by saying: ‘This is Hall from Newcastle. He’s not a proper urologist, he’s really a cancer doctor.’
Q
TELL US SOMETHING ABOUT YOUR RESEARCH WORK…
As more effective anti-cancer drugs became available in the 1970s and 1980s, rigorous clinical research was needed to evaluate the potential of new agents. It was wonderful to work with the UK Medical Research Council, the results of which provided the basis for many treatments used today.
WHAT ARE YOUR VIEWS ON TAKING A PERSON-CENTRED APPROACH TO CANCER CARE?
Q
In 1997 I left surgery to set up and direct the Northern Cancer Network, a new
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NHS organisation that aimed to ensure that everyone with cancer living in the North-East and Cumbria would be treated by a team of specialists and have the best possible treatment facilities, which would be as patient-friendly as possible. For this, I needed to learn much more about personal experiences of cancer and its impact on everyday life. As a surgeon, there was a lot to learn – a slow process that continues today.
Q
WHAT IS CANCER CONNECTIONS?
Cancer treatment in the UK is very good, but after retirement in 2004 I became increasingly concerned by the lack of help for people who were struggling emotionally and practically with the consequences of cancer. When we asked local residents what they needed most, they replied: ‘Someone to talk to who understands, someone who has had cancer and knows what it was really like.’ A small group of friends had similar ideas, so we launched a new cancer support charity in south Tyneside. Over the past 10 years, more than 4,000 people have come to Cancer Connections. Our premises are a lovely home-from-home with kitchen, lounge, children’s room, rooms for counselling and complementary therapies, and a peaceful garden. Above all, there is space and time to talk.
Q
WHAT INSPIRED YOU TO WRITE YOUR BOOK, CONNECTING WITH CANCER?
Q
The ethos of Cancer Connections is that people struggling with cancer can be helped by talking about their experience with someone who has already been through it. A volunteer suggested that we should write a book ‘because we hear such amazing stories that more people should hear, and that could help them to know they are not alone’.
Q
TELL US A BIT ABOUT REG…
Since retirement, I’ve enjoyed more time with my wife, children and grandchildren; wonderful Northumberland walks and bird-watching; our holiday home in south-west France; Royal Northern Sinfonia concerts and opera; helping to organise piano recitals in the local church; talks about local history; and, of course, volunteering at Cancer Connections.
Q
DO YOU HAVE A FAVOURITE QUOTE OR SAYING?
The rules for the medical staff of the Newcastle Infirmary in 1855 offer sound advice: ‘The feelings and emotions of the patients […] require to be known and attended to no less than the symptoms of their disease.’
TELL US ABOUT THE COMPLEMENTARY THERAPIES…
Reiki, reflexology and massage do not cure cancer, but they can be a great help. As one man said: ‘There’s a wonderful feeling of peace and contentment, and I feel great for a day or two afterwards. It’s impossible to describe, and for an engineer and scientist like myself it’s bunkum – but it’s not.’
Reg Hall is a retired NHS consultant urological surgeon who worked as lead clinician at Macmillan and director of Northern Cancer Network. After retirement, Reg co-founded Cancer Connections, where he still helps as a volunteer. cancerconnections.org.uk
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Keeping you covered……
NOW WITH PERSONAL ACCIDENT COVER AS STANDARD, COVERING YOU IN CASE YOU BECOME UNABLE TO WORK, AND PROVIDING FOR YOUR NEXT-OF-KIN IN THE EVENT OF ACCIDENTAL DEATH.
At the FHT, we are extremely proud to have kept our membership premiums frozen for more than eight consecutive years, and thanks to our insurance partners Hiscox, we’re also able to ensure you are covered with a market-leading insurance policy that keeps you and your clients safe. Our medical malpractice, public and products liability insurance policy covers more than 360 therapies, with lots of added extras included as standard too: • Up to £5,000 to cover expenses that arise from identity fraud • Up to 30 days cover to work abroad • 9 LWSHJLTLU[ VѝJPHS KVJ\TLU[Z PM SVZ[ or irrevocably damaged • Much more; details available at fht.org.uk Not taking advantage of our marketleading insurance policy yet? Make sure you ask your current provider what’s included, or give our membership team a call today for information about upgrading.
INSURANCE PROVIDED BY:
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INTERNATIONAL THERAPIST WINTER 2018 FULL DETAILS AT FHT.ORG.UK/INSURANCE
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