CLIENT RECORDS - GWS Institute | Providing...

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REFLEXOLOGY

Transcript of CLIENT RECORDS - GWS Institute | Providing...

REFLEXOLOGY

© Susan Jessop 2015

CONTENTS Page

Professional ethics ………………………………………………. 3

Client records ……………………………………………………. 5

Contra-indications ………………………………………………. 6

Reception and Preparation of Client and Work Area ………. 11

The History of Reflexology …………………………………….. 12

What is Reflexology? ………………………………………….. 16

Benefits of Reflexology ………………………………………… 20

Reflexology Techniques …………………………………. …… 22

Relaxation Techniques ………………………………………… 27

Treatment Procedure …………………………………………… 29

Reflexology Procedure ………………………………………… 32

The Structure of the Foot ………………………………………. 35

Referral zones …………………………………………………… 37

Do’s and Don’ts ………………………………………………… 39

Treatment zones by condition ………………………………… 41

Diagrams of the feet …………………………………………… 42

Business Promotion and Marketing …………………………. 45

Mobile / Home Based Treatments & pricing strategies ……… 48

Hand exercises …………………………………………………... 50

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PROFESSIONAL ETHICS & CODE OF PRACTICE

Professional code of ethics for reflexology therapists

You should not treat a patient if they are undergoing treatment with another practitioner.

You should be professional to other fellow therapists Be aware of professional responsibilities when dealing with the general

public You should carry out your treatment and business with professionalism

and never bring the profession in to disrupt You should always abide by Government legislation such as the British

code of Advertising Practice - Therefore make no claims that reflexology can cure or relieve /prevent disorders.

During conversation never ask any unprofessional questions or discuss other clients

Professional code of practice

You are not to Diagnose – only describe areas of the treatment that are out of balance

You are to refer clients to their GP where necessary and to gain full approval before the start of treatment where necessary

Carry out a full consultation and update record cards after each treatment To be aware of any contra-indications to the treatment Always put the client at ease and never make them feel uncomfortable or

awkward You should always be covered by Public Liabilities Insurance Keep up with your continual professional development and have

knowledge of complimentary therapies in general. All treatments and treatment area are to be hygienic at all times. Do not incorporate any other therapies into the treatment without consent

of the client (e.g. reiki) Uphold the honour of the profession, e.g. when working on members of

the opposite sex. Respect client confidentiality at all times

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A good relationship with your client is dependent on trust and their confidence in your standard and expertise. A knowledgeable therapist who cares and is enthusiastic about the industry will help instil confidence into the client.Your personal appearance must be immaculate. The therapist’s appearance and manner form the immediate visual impression which can help the client to gain confidence or be concerned of your professionalism.

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CLIENT RECORDS

In order to run your business efficiently, it is essential that records are kept for all clients. This can be done electronically or by using a system of treatment cards. Please remember you need to follow legislation with regards to the Data Protection Act when storing personal information. You should record the clients name, address and telephone number, details of the consultation, the treatment and your recommendations as to how frequently the treatments should be given. If you prefer to use record cards you need to ensure that these are kept in a lockable cabinet to ensure privacy and to comply with the Data Protection Act 1998.

CLIENT RECORD CARDMr/Mrs/Ms:

Surname:

First name(s):

Address:

Date of Birth:

Tel. No:

Home:

Work:

Doctor’s name:

Doctor’s Address:

General State of Health:

Current medication:

Recent illness/operation:

Allergies:

Basic skin type:

Skin toneSkin colourMuscle tone

Skin history/treatment: Recommended home care:

Contra-indications: Stress levels:

1 2 3 4 5 6 7 8 9 10

Outcome of treatment required:

Previous Treatments: Patch tests taken: Date of consultation

Signed

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Details of the client’s lifestyle also should be recorded so that you can gain a full picture with regards to their health. The following should be recorded:

Sleep patternsLeisure activitiesExercise takenEnergy levelsDietLiquid intake / water intakeState of healthSmoke / Drink / DrugsStress levels 1-10Relaxation techniques – time allocatedHobbies and interests

Client consentIt is important to obtain consent to the treatment before commencement of the treatment. This is a legal requirement and your insurance would be null and void without it. If the client is under 16, there should be written evidence of consent from the parent. A parent or guardian should be present during the treatment.

CONTRA-INDICATIONS

There are three different areas when discussing contra-indications:

Total contra-indications – Treatment should NOT be carried out:

Skin diseases and disorders Sprains Thrombosis or phlebitis (consent required) Recent scar tissue After major surgery (3-6 months after depending on surgery) Anyone under the influence of drink or recreational drugs During the 2-3 days before and during the menstrual period Open wounds Any undiagnosed lumps or bumps Bruising Diabetics (consent required) Diabetes causes a loss of sensation to the

feet and poor healing of the area. They may have poor circulation and suffer from wounds to their feet.

Fungal infections, warts or veruccas Recent haemorrhaging or swellings.

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Contra-indications that require consent from a Doctor:

Undiagnosed lumps or bumps Undiagnosed skin conditions Diabetics Cancer sufferers Heart conditions and blood pressure irregularities Neurological disorders Epileptics

Note: The lists provided are not exhaustive and you should use your own judgement whether to treat a client. Please remember you can refuse treatment until you have the approval of their GP.

Contra-indications that restrict the treatment:

Diabetics (once GP approval given). Adapt the treatment and avoid the pancreas

Inflamed areas such as bites and stings should be avoided Epilepsy – Do not work on the head reflex Clients on medication – Steroids can thin the skin so pressure should be

lighter Pregnancy – Avoid working heavily on the reproductive area. Do not treat

a client until after 3 months and if there is a history of miscarriage obtain GP consent and avoid working on the reproductive area.

Clients who have just eaten should wait two hours before the start of the treatment

Varicose veins, bruises, cuts, painful areas or recent scar tissue.

If the client has not eaten offer an orange juice or biscuit prior to treatment. It is also advisable to allow a couple of hours after a heavy meal before treating, otherwise mild abdominal pain, and discomfort may be experienced.

WHEN TO EXERCISE CAUTION

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Epileptics – Though this is not a total contra-indication it is strongly advisable to obtain written permission from the clients GP. You should also be comfortable in coping with an epileptic fit if the worst happens.

Pregnancy is not necessarily a contra-indication. Treatment should not be carried out during the first trimester. If the client has a history of miscarriage then a GP letter must be requested prior to treatment. Reflexology can be one of the most fantastic treatments to receive during pregnancy. All the extra weight being placed on the feet can take its toll. Therefore treatment to the feet can be wonderful! Do not work on the reproductive area until the last few weeks of the pregnancy and then do not over stimulate the reproductive area. However when the baby is due, working on the reproductive area may help the baby decide that they are ready to face the world (and have reflexology of course!) It has also been reported that reflexology can accelerate the labour. Reflexology after the birth can help the mother to recover, as well as help her relax and enjoy her baby. Don’t forget that fathers too can benefit from the treatment!If you are in doubt whether to treat the client or not then obtain their GP’s written permission.

Diabetics – when working on diabetics, use lighter pressure and only work on the feet for about 20 minutes in total. Care should be taken over the pancreas area which is treated with the stomach. Beware of hypoglycemia/hyperglycemia. Diabetics often have poor circulation and therefore the healing process to the feet is a lot slower in diabetics. They are also prone to sores that can be easily affected, so be careful not to increase the risk to the patient. Too many toxins may be released for a diabetic’s system to cope with and this can make the diabetic feel ill (a strong healing crisis).

Blood pressure – when the clients blood pressure is unstable and needs to be monitored regularly by a doctor or is on medication, GP consent should be obtained before the treatment commences. Remember to get the client to sit up right for a few minutes before they try to get off the couch. Blood pressure drops when laying down, therefore clients with low blood pressure run the risk of passing out if they try and get off the couch too quickly.

Never make a medical diagnosis, claim to be able to treat an illness or give false hope.

Always take extra care when treating children, elderly people, the terminally ill, diabetics and unusual conditions.

Be prepared to refer people to their doctor when necessary.

CONTRA-ACTIONS TO REFLEXOLOGY

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A contra-action is a negative result of the treatment. However though the impact of the treatment may look negative it is usually the body’s way of dealing with eliminating toxins, e.g. sweating.

Reactions can be broken down into two areas. You should explain contra-actions to your client during consultation.

1. Reactions that happen during a Reflexology treatment.2. Reactions that happen after a Reflexology treatment.

Reactions that sometimes occur during a treatment:

1. The client may start to feel cold.2. The client could also sweat profusely especially on the palms of the hands

and feet.3. The client may experience muscle spasms/contractions.4. The clients emotionally behaviour may change and they may cry, laugh groan

or sing, people do react to the treatment in many different ways.5. You may notice a change in facial expression

Reactions that sometimes occur after Reflexology treatment

1. Increase in urination.2. Being talkative3. Flushed appearance4. Shivering5. Stomach rumbling6. Pins and needles to legs and arms7. Occasional cramp8. Temporary discomfort or pain.9. Increased volume and frequency of stool.10. Increased mucus secretions.11.Toothache – due to tooth decay or gum infection.12.Feeling very tired.13.Feeling of wellbeing14.Relaxation15.Stress relief

HEALING CRISIS

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A healing crisis can occur during or after the treatment. It often occurs in clients that have more toxins and impurities in their system. It is the bodies own way of dealing with the release of the toxins collectively.

Reactions: Itchy skinHeadachesIncreased urinationDiarrhoeaColdnessRunning from the eyes and earsNauseaIncreased secretion from the nose and vaginaCongestionLight-headednessIncreased in the elimination of toxins from excretory organsFlu-like symptoms Clammy feet.

Actions: If a healing crisis occurs STOP the treatment. It is important for you to explain that a healing crisis can occur. Get your client to relax in a safe and comfortable place and offer them a glass of water. You should discuss how to proceed with further treatments.

Do not be afraid to refer you client for medical attention.

RECEPTION & PREPARATION OF CLIENT

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AND THE WORKING AREA

RECEPTION

First impressions matter! It can be the decision to book or cancel an appointment depending on the look of the establishment. You should ensure that the working area is appropriate and any prior consultations or client questions are carried out in privacy.

Good organisation and an efficient service should be apparent to the client as this will instil confidence in the client.

PREPARATION

Work area preparation: Clean all surfaces with disinfectant or other products such as barbicides. Prepare all your equipment and materials in advance and make sure they

are placed in a position that will prevent injury to you or your client. Create or select the client’s treatment card Place all clients clothing and items away from the area of treatment, but

they should be placed in a safe place. Make sure water is on hand in case your client is thirsty or they

experience a contra-action

Client preparation: Make the client feel comfortable Offer the client a drink Check the temperature and lighting of the room to see if your client is

happy Carry out a verbal consultation and document the findings on the

consultation card Establish if there are any contra-indications Ask the client to get into a comfortable position that is in easy reach for

you to work on their feet. Cleanse the feet Check visually for any contra-indications

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REFLEXOLOGY - A BRIEF HISTORY

      The origins of Reflexology evidently reach back to ancient Egypt as evidenced by inscriptions found in the physician’s tomb at Saqqara in Egypt. The translation of the hieroglyphics are as follows: "Don’t hurt me." The practitioner’s reply:- " I shall act so you praise me. " It is obviously impossible to determine to what extent the Egyptians practiced reflexology and we will never know if it was the same procedures we use today.

Different forms of working the feet to effect health have been used all over the ancient world.  Dr. Riley believed that reflexology spread from Egypt via the Roman Empire.

Zone Theory was the basis of modern Reflexology which began with Dr. William H. Fitzgerald, M.D. whom Dr. Edwin Bowers, M.D., who published many articles he had written on the subject of Zone Analgesia. In the forward to their combined book, "Relieving Pain At Home" published in, 1917, he wrote, "Humanity is awakening to the fact that sickness, in a large percentage of cases, is an error - of body and mind".  How true this has proved to be.

Dr. Fitzgerald, was an Ear, Nose and Throat specialist working at the Boston City Hospital, as well as at St Francis Hospital in Connecticut.  He called his work Zone Analgesia where pressure was applied to the corresponding bony eminence or to the zones corresponding to the location of the injury. He also used pressure points on the tongue, palate and the back of the pharynx wall in order to achieve the desired result of pain relief or analgesia. He made use of the following tools: elastic bands, clothes pegs and aluminum combs, on the hands, surgical clamps for the tongue, nasal probes and a regular palpebral retractor for the pharynx, He was responsible for formulating the first chart on the longitudinal zones of the body.

Dr. Fitzgerald discovered a very interesting fact, that the application of pressure on the zones not only relieved pain but in the majority of cases also relieved the

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underlying cause as well. The same result is experienced through Reflexology today, which is based partially on the Zone Theory.

Dr. Shelby Riley, M.D. worked closely with Dr. Fitzgerald and developed the Zone Theory further. It seems that he added horizontal zones across the hands and feet, together with the longitudinal zones and thus determining individual reflexes according to the Zone Theory. .

Eunice D. Ingham, a Physical Therapist, worked with Dr. Riley and found the whole concept of Zone Therapy fascinating. She started developing her foot reflex theory in the early 1930's. She worked on a number of clients until she had confidence to state that “reflexes on the feet were an exact mirror image of the organs of the body.” Her first book entitled "Stories The Feet Can Tell" documented her cases and carefully mapped out the reflexes on the feet as we know them today. This book was published in 1938 and has been translated into seven foreign languages.

The confusion between Reflexology and Zone Therapy started at this point and is still around today due to the foreign publisher changing the name of Eunice’s book, " The Stories The Feet Can Tell" to "Zone Therapy" and in some parts of the world it is still thought of as Zone Therapy.  However, there is a distinct difference between the two therapies. Zone Therapy relies solely on the zones to determine the area to be worked, whereas Reflexology takes the zones as well as the anatomical model to determine the area or areas to be worked.

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In the late 50's Dwight Byers started helping Eunice Ingham at her workshops. In 1961 Dwight Byers and his sister Eusebia Messenger, RN joined their Aunt Eunice teaching at workshops on a full time basis. Seven years later they became responsible for the continued teaching of Reflexology under the banner of The National Institute of Reflexology. In the mid 70's Eusebia retired and Dwight Byers formed The International Institute of Reflexology®, where the theories and techniques of Reflexology were further refined.

Eunice Ingham died in 1974 at the age of 85 still thoroughly convinced that Reflexology could aid in easing the suffering of mankind.

Eunice Ingham’s was responsible for:

1. Charting the map of the reflexes according to the anatomical model.

2. The alternating pressure, has a stimulating effect on the body rather than a numbing effect as demonstrated by Dr. Fitzgerald.

History around the world

1. The first findings of Reflexology date back to 2330 B.C., over 5000 years ago.A wall painting was found in the tomb of Ankhmahor (the highest official after the king) at Saqqara near Cairo.

2. Cleopatra is said to have worked on Mark Anthony's feet in 60 B.C.

3. Buddha's up-turned foot as a stone carving, with Sanskrit symbols on the sole is found at the Medicine Teacher Temple in Nara, Japan in 700 A.D.

4. The Incas passed down to the American Indians the use of pressure therapy on the feet. It was taught that it healed the whole body, and it has been passed down through the generations.

5. It is said that in 1300 A.D., Marco Polo introduced reflex-massage to the west.

6. Ancient Chinese used pressure points on the feet for healing the whole body.

7. The first book on Zone therapy was published by two European physicians,Dr. Adamus and Dr. A'tatis in 1582. The second book on Zone Therapy was published by Dr. Bell in the 19th Century.

8. In 1870, Russian physician Dr. Ivan Pavlou, founder of the Russian Brain Institute, used Zone therapy.

9. In 1890, a physician from Germany named Dr. Alfons Cornelius,discovered by trying reflex-massage on certain spots to cure his own disease,that the healing process intensified. He took notes, and in 1898 he published a book called "Druckpunkte," which means "Pressure Points".

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10. In 1913, Zone therapy was brought into America by Dr. William Fitzgerald, a ear, nose, throat surgeon from Connecticut. He used Zone therapy to deaden the pain, and to replace drugs in minor operations.He also used it to relieve the underlying causes. He treated lumps in the breast, uterine fibroids, respiratory problems, and eye conditions.Dr. Fitzgerald was responsible for designing a chart on the longitudinal zones of the body.

11. Dr. Bowers a dentist encouraged and helped Dr. Fitzgerald to write his first book called "Relieving Pain at Home," published in 1917. Dr. Bowers had published a book in the early 1900's called, "Stop that Toothache, Squeeze your Toe". But the medical world did not accept it then.

12. In 1919, Dr. Joe Riley a D.C. discovered horizontal Zones on the feet and body. He worked with facial and ear points and published a book called "Zone Therapy Simplified". He detailed the first diagrams of the reflex points found on the feet.

13. In the 1930's, Eunice Ingham, a physiotherapist and a student of Dr. Joe Riley, continued to chart the feet and developed it into Reflexology.In 1938, she published "Stories the Feet Can Tell" and in 1951 she published "Stories the Feet Have Told". After publishing the books she toured America giving workshops.

14. In 1952 Dr. George Starr White, M.D. travelled the U.S. lecturing doctors the principles of Zone therapy. Dr. White states "Zone therapy must be classed with the best and most original procedure in medicine today."

15. In the late 1950's Eunice's niece (Eusebia Messenger, R.N.) and nephew (Dwight Byers) joined her in helping out with the workshops.It grew and they started a school called "National Institute of Reflexology."Since her death in 1974, at the age of 85, Dwight and Eusebia have picked up where Eunice left off.

WHAT IS REFLEXOLOGY?Reflexology is a science that deals with the principle that there are over7,200 nerve endings on each foot.

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These nerve endings connect to nerve pathways that lead to each and every organ, gland, and part of the body. Through the use of a unique thumb and finger walking technique on each foot, sensory nerves carry information to the brain and help release endorphins to reduce pain in the body.By breaking up the crystal deposits (uric acid) in the feet the crystals are carried off into the blood stream and eliminated through the urinary system. This relieves the congestion in the body and the body functions flow smoothly.Reflexology brings the body into a homeostasis and is capable of improving the function of all body systems, while leaving you with a feeling of harmony and balance.Reflexology is a non-invasive treatment which helps the body to maintain a delicate balance between the body’s eleven systems of the body:

Skeletal Respiratory ReproductiveMuscular Digestive NeurologicalEndocrine Urinary CirculatoryLymphatic Skin

All these systems work together in harmony to keep us in a state of good health.Reflexology works on the theory of the body being divided into ten longitudinal zones (or energy pathways/zones). There are ten zones running the entire length of the body and there are five longitudinal lines running either side of the meridian line (Mid Line). These five lines extend down the arms and legs to the hands and feet.

Ten energy zones of the body – LongitudinalDiagram 1

There are five energy channels to each foot. These energy channels continue down the legs and the arms to the hands and feet. As can be seen in the diagram below the big toe (and the thumb) have a further five energy channels.

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Diagram 2

Ten energy zones through the feet – Longitudinal

MidLineWaist

The zones are there to help map out the systems and organs in the feet and the hands as these are not visible to the eye.

As energy flows through each zone this is referred to as Chi or Qu (pronounced Chee). If the energy zones become blocked then energy can not flow and the zones become congested. If the congestion progresses to a blockage, over time this can be associated with disease. By treating reflex points this enhances the energy flow, which in turn allows and encourages the body to heal itself. Once this has happened the bodies systems can work in unison once more.

Crystal deposits that feel crunchy can be found at reflex points, these deposits are more common around the joints in the foot. However these can be eliminated through the normal bodily process when broken down in treatment. Lateral lines are also important in the mapping of the foot. They are there to give guidance of the bodies systems, but it is important to note that these can look different on each client due to the individual structure and size of the foot.

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Shoulder Line

Diaphragm Line

Pelvic Area

Waist Line

Other lines which should be taken into consideration are lateral lines, which help to make a map of the foot.

By visualising these lines they help you to locate the bodies’ organs on the foot. It is easy to work out reflexes that are above or below these lines.

1. Shoulder line/neck – just below the phalanges2. The diaphragm – just below the ball of the foot3. The waist line – in the centre of the arch – a protrusion on the outside of the

foot (5th metatarsal)4. The pelvic floor line – on the heel where the thickness of the flesh changes

to softness.

Diagram 3

The feet are a mirror of the body and therefore organs and structures found on the right side of the body are located on the right foot and those found on the left side of the body are located on the left foot. Organs and structures found to cross the mid-line will be found on both feet.

To carry out a reflexology session it is important to note that you should be highly competent in anatomy and physiology.

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Shoulder Line

Diaphragm Line

Waist Line

Pelvic Area

SOME BENEFITS OF REFLEXOLOGY

The benefits of reflexology are that you treat the body as an entire connected organism, as opposed to merely focusing on specific symptoms. By putting pressure on particular points in the foot, hand or ear, the supply of blood can be increased, therefore bringing oxygenated blood to the area and carrying away waste products. In return the functioning of the nervous system can be calmed.

So reflexology cleanses by releasing congestion or blockages in your body and gets your natural energy flowing the way it should. These benefits of reflexology can normalise the glands and reduces physical as well as emotional tension.Reflexology has been identified as helping a number of conditions from arthritis to relieving pain associated with cancer treatments.

This treatment is believed to be beneficial for circulation, digestion, and respiratory problems. Sinus sufferers maintain that it offers instant relief from congestion. It can also have a dramatic impact on stress levels as well as helping to restore hormonal imbalances. Stress is now believed to be a major cause of physical illness so by reducing tension and improving blood and nerve supply, this alternative therapy can contribute to better overall health.

Reflexology can also be described as preventative treatment as it has such a big impact of reducing stress. Stress accounts for 80% of diseases in the UK. Therefore without this stress, disease is less likely to occur!

Recap on the benefits:

o Reflexology reduces stress, tension, and anxiety

o Reflexology increases blood and lymphatic flow

o Reflexology improves oxygen and nerve supply

o Reflexology normalises glandular function

o Reflexology cleanses the body of toxins

o Reflexology balances all body’s systems

o Reflexology improves emotional imbalances

o Reflexology is a preventative health care

o Reflexology helps the body to heal faster after surgery

o Reflexology can reduce pain

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o Reflexology can improve sleep patterns

o Reflexology can sharpen mental alertness

o Reflexology increases the attention span

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THE BASIC REFLEXOLOGY TECHNIQUESReflexology techniques are important to master before you commence a full routine. The tools used are very simple they are your thumbs and fingers. You use different positions and pressure to achieve the desired results. Do everything slowly and exaggerate the movements until you feel more confident.

Thumb walking Thumb walking is the main movement made during a reflexology treatment. Apply steady, even pressure, moving along slowly over each area. The thumb is used to move over the fine-point reflex which is one of the most effective ways. To perform a reflexology treatment your nails should be short with no rough edges. Place one hand, palm down, flat on a table and let your other hand gently rest on it, palm down. Let your thumb rest at the top of the hand by the first knuckle joint and your fingers loosely rest above this. (You may use either thumb to practice this move, as you will interchange thumbs and fingers during a session.) See how the top thumb touches with the tip and outside while resting on the top surface of the bottom hand. Bend this thumb up now so it is flexed at the first joint. This will allow the tip of the thumb to be on the skin with the remainder of the thumb bent up.Push off with this thumb on the surface below so that the pad comes in contact with the skin. When doing this, your thumb will once again lie flat while the rest of the hand lies slightly across the surface with the fingers relaxed and wrapped easily around the outer edge of the hand. Pull the thumb back up into a bent position, hold down on this spot, and then move forward.

Finger walking Finger walking is similar to thumb walking; it uses the same motion and form. The index finger and sometimes all of the fingers are bent slightly at the first joint, they push along in a walking or creeping movement. Practice again on your own hands.Close a hand into a loose fist, the top surface facing up; this is the hand you will work on. Grasp this hand with the other hand, letting your thumb slide between the thumb and index finger of the fisted hand and rest in your palm. The fingers are on top of the hand. While you are using the index finger, the other fingers will rest on top, slightly closed in. These fingers move along without working as the index finger walks down the top of the hand.Finger walking allows you to broaden the pressure. Always move forward with tiny bites. Watch that you are not bending your finger too much; this will cause your fingers to ache later. Slow movement ensures all the reflexes will be stimulated.When you use all four fingers at once, you are covering a greater region at

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one time, which is useful in some areas. The back reflexes are a part of the foot where using the fingers is very effective. This technique is also excellent for working on the lymph reflexes. The more you practice, you will begin to find places on the foot where the index finger or all the fingers are more efficient than the thumb.

Rotation In rotation, the tip of the thumb is placed directly on the point to be rotated. First, hold the hand steady then simply rotate the thumb around the same point.Rotation is a technique that allows the thumb to work steadily and directly on a reflex point. The thumb is walking along, when a reflex point is reached that needs more attention, perhaps the skin is tougher, there is a crunchy feeling under the thumb, or the technique for this particular reflex calls for rotating in on the point. Whatever the reason, rotation feels great to the receiver.

Pressing This technique uses the entire thumb surface, holding flat along the bottom of the foot on a particular reflex. The thumb is in a holding position, without undue pressure. When pressing is indicated, generally after rotating, press down and hold firmly without moving. Pressing allows you to reach an entire reflex surface in a gentle, connected way. This is another technique that when used properly will give your thumbs a break.Pressing on a reflex allows you to feel the subtle shift that will happen as the reflex connects with the energy, releasing any tension in that area. The amount of pressure used with this technique is slight; there is no need to push hard or dig. As the reflex relaxes, the thumb will actually lift up a bit from the skin, an indication to move on.At times you can rotate the hand as you press, which will broaden the area you are working on. Place your thumb in the center of your other hand. Let the thumb press from the center outward toward the side of the hand.

Hooking and pulling back This is an advanced move, which allows you to reach way into a reflex, stimulating deeply, without hurting. The hook technique is actually approached in three parts. First, thumb walking is used to move to the reflex, pinpointing the spot. Then, rotation is used to zero in on the exact point. Finally, the thumb hooks in on the reflex. Reflexologists pay close attention to the skin under their thumbs to see if the surface is tense or pliable. Only the thumb performs the hooking technique.Hold your left thumb up, curling the other fingers in, giving the thumb plenty of room. The thumb's fleshy pad is facing you. Look at the first section, and imagine a line running from the top of the thumb, down the

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center to the first joint. Find the center of that line and draw an imaginary line across it.Use your other hand to thumb walk up from the neck of the thumb to the place where the two lines cross. Let the tip of your thumb rest on the crossing point. Now rotation comes into play as you circle in on the exact point. You may feel the point pushing back to you. This is exactly what you want to feel.Gently continue to circle on the point, using your thumb to apply gentle, steady pressure as the circles move in, targeting the exact spot. Once the rotation has allowed the thumb to touch in deeply, the thumb is then turned halfway around (180 degrees) on the reflex, pushed in, and hooked up.The hooking movement is done with the tip of the thumb. As the thumb pushes in, it actually hooks on some of the skin. With the hook movement in place, pull the thumb back, as though you have just secured bait on a hook. Don't worry, you cannot hook in too far; the body will stop you.Hold in this hook like position, gently pushing in even farther. Please make sure your nails are short, as this technique goes in quite deep. Hold in this position for a count of three to five, then slowly release as you move on.Sometimes there is a slight flash of pain, but this will subside as the point is held. The pain, which feels like a pinprick or a long fingernail, is an indication that there may be congestion at this particular reflex. If the pain does not abate, move on to the solar plexus reflex where you should press in with your thumb and hold, asking the receiver to breathe slowly and deeply. Releasing this reflex, return to the painful spot and hook in again. The pain should be gone or minimal. If there is still pain, just move away from the reflex at this point and continue on with the session.

Hook and back-up on pituitary

NOTE: Hook and back-up is done on the foot for points corresponding to the pituitary, pineal, hypothalamus, the sigmoid flexure, the ileocecal valve and the appendix.

Tapping This is done with the tips of the fingers tapping along the bottom, edge, and top of the foot. Gentle, quick tapping movements assist circulation and again signal closure, either of the session or as a transition to the next area. Often one hand taps as the other supports the foot.Tapping is used up the legs and is very effective on the hands as well. Heel pain generally comes from poor walking habits and long-term use of improper footwear. Tapping along the calf and the sides of the shin stimulates the tissue with increase in blood flow and nerve transmission.

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Clapping Clapping is done with an open hand, actually slapping on the entire foot area. Clap the top surface, the bottom, and the sides as well. The top of the foot is gently clapped and then this is repeated on the bottom of the foot. Both hands can "applaud" the foot at the same time, too. At times you may find it is easier to use the palm of the hand, while at other times, the back of the hand is easier.

Holding There are two types of holding:-

One holding is what the nonmoving hand does. It is very important to support the foot that is being worked on. The hand holding the foot keeps the foot stable and provides leverage for the working hand. As you switch back and forth during a session, each hand has a turn holding or working.Hold the foot you are working on by placing the fingers behind the foot with the thumb resting on the sole. If you are working near the top of the foot, hold near the top. If you are working at the bottom of the foot, you will generally hold near the ankle. When you are working on hands, one hand supports and the other works.Holding the feet in this way provides leverage and support. Leverage allows the thumb or finger doing the work to have a strong hold on the surface being reflexed. The fingers support the foot as the thumb walks on the other side, creating a circle of healing. As the thumb moves, so do the fingers-the leverage and support is always there.

The other type of holding is that of holding on a reflex point during certain techniques. For instance, you may rotate and hold, hook and hold, or press and hold. Remember, reflexology is a steady, smooth system, so holding on a point is integral to this style of work.When you rotate or press and hold on a point, often the receiver will feel a warm sensation begin to radiate through her body as the thumb stops moving and holds. Holding at the reflex point is amplifying the healing effect. With the hook and hold, you are pinpointing a very specific region of the reflex, again creating a direct pathway.

Pivot on a point

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An alternative to the rotation on a point is the pivot technique. Basically it is thumb walking while the other hand presses the foot straight back and pivots it away from you onto the thumb. To do this, grasp the foot with the holding hand, fingers resting over the top of the foot. Thumb walk with the other hand on a diagonal across the area to be worked. As you thumb walk, use the holding hand to pivot or twist the foot away from you on and off the thumb in a smooth, rhythmical fashion (only from the inside of the foot to the outside).

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RELAXATION TECHNIQUES

UNDER THE ANKLE ROTATIONSHold the foot under the ankle and stretch the leg by using a pulling action. Do this a few times then rotate the ankle around in one direction 5-6 times and then change direction. This helps to increase circulation and help increase mobility.

OVER THE ANKLE ROTATIONSHold the hand over the ankle and spread the hand to fully support the foot. Rotate the ankle several times in both directions.This procedure stimulates the reflex points for the groin and reproductive areas and can be done in place of thumb or finger walking if this area is swollen or sensitive.

SPINAL TWISTThis is similar to a wringing action. Image your client’s foot is a piece of wet clothing, your hands work in opposite directions to twist the spinal reflex. Keep your arms straight and elbows locked for better pressure. Repeat several times and then move both hands toward the toes, repeating as necessary until you have “twisted” the entire foot up to the base of the toes.

LUNG PRESSFor Lung Press, support the top side of the foot with one hand and using the fist of the other hand message the lung reflex area in a way the dough is kneaded. This is to be done for thirty seconds and repeated on the other side. It will be very soothing to clients who suffer with asthmatic problems.

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FEATHERINGThis technique is done as a transition and at the finish. Using both hands with the fingers moving slightly, gently tap the feet. The fingers do touch the foot, though the touch is light like a feather. On the top of the foot, use the bottom and tips of the fingers. On the sole of the foot, use the backs of your fingers.Feathering is a stroking, smoothing technique that can be used on the feet or hands. The effect is a soothing, calm feeling. Feathering is used throughout the session when you move from one area to another. As the back reflex is finished and you prepare to work the lymph reflex, soft feather strokes allow you to move easily into the section. The feather technique also helps to sooth the area, further promoting the relaxation effect.

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THE TREATMENT

Reflexology is always performed on clean feet. Try to build a foot preparation into the treatment; therefore people are less conscious about their feet.For clients who do not wish to have a foot treatment , they can have their feet wiped over with a refreshing solution of witch hazel or surgical spirit. Note: excessively sweaty feet can benefit from regular Reflexology treatment.

MEDIUM

Talc is used during the treatment to ensure the therapist has a good grasp on the client’s foot. Creams and oil can be used but often make the feet too slippery. Please note that Aromatherapy oils should only be used by qualified aromatherapists. Some people like to use oil as it gives a guide, but remember reflexology should not be a massage!! Oil can also make the feet too slippery so choose your medium carefully.

SUGGESTED METHOD FOR REFLEXOLOGY TREATMENT

1. Complete client consultation card, explain treatment, check for contra-indications.

2. Put client at ease

3. Cleanse feet and dry

4. Greet both feet together

5. Relaxing massage techniques to relax the client (both feet)

6. Reflexology treatment – start on client’s right foot first

7. Leave client to relax and offer them a glass of water

8. Complete record card

9. If necessary, help client off couch

10. Give individual after care advice

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TYPES OF REFLEXOLOGY TREATMENT

Reflexology treatments are split into two categories: Symptomatic and Casual.

Symptomatic is where the treatment focuses on the symptom area’s of the client, for example if the client suffers with headaches then the head reflex would be worked on.

Casual treatment is where we try to find the underlying cause of a symptom. The entire foot then receives the treatment and interrelationships of systems are used to help identify the cause of the problem. It is advisable to perform a casual treatment as treating a symptom often does not alleviate the cause.

FORMS OF MASSAGE

Effleurage, petrissage and frictions are the massage techniques used during a reflexology treatment however other techniques can be added.

AFTERCARE FOR REFLEXOLOGYA reflexology treatment “unlocks ” the toxins and tensions held within the body, so for a day or two after treatment the body will be in a state of increased toxicity. The following guidelines will allow your clients to adjust most effectively and provide them with the greatest benefit from your treatment.

WATER - Drink plenty of water immediately after treatment and for the following 24 - 48 hours. This will assist healthy functioning of the body and encourage removal of any toxins.

DIET - Fresh, light natural foods are best for the next day or two as the body will need to concentrate its efforts on detoxification and natural healing.

ALCOHOL/SMOKING - both should be avoided for the next day or two as these are obviously very toxic.

REST - In order to help the body to detoxify and assist its powers of recuperation and healing, it is advisable to rest as much as possible after the treatment; some people find they get a real  “energy boost ” following the treatment, this energy is provided by the body to aid in natural healing - it is a vital resource and should not be tapped into for other reasons. A good nights sleep is also helpful to assist the body ’s restorative processes.

EMOTIONAL DIFFERENCES - Some people find that as a result of reflexology they become quite tearful afterwards or feel slightly depressed, sometimes

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emotional outbursts can actually happen during the treatment itself. Be assured this is a positive state and nothing to worry about.

HEALING REACTIONS - Some people in the past, who have suffered from specific disorder/problems which may have never fully cleared within the system can find that these may reappear. It is advisable not to block any healing reactions (i.e. do not take medication such as painkillers), as these reactions should be permitted to occur naturally otherwise the body will not rebalance itself.

SKIN - Toxins can leave the body more rapidly if the skin is in good condition. Use a natural soft bristle brush to gently exfoliate the surface of the skin. Stroke from the ends of the limbs inwards towards the abdomen. This will also stimulate blood and lymphatic flow. To further aid elimination through the skin, soak in a warm bath containing Epsom salts.

EXERCISE - It is very beneficial in stimulating the circulatory system and relieving stress. Take moderate, gentle exercise on a regular basis to suit your abilities.

ULTRA VIOLET EXPOSURE - It is advisable not to sunbathe or use UV treatment (sunbeds) for 24 hours after your reflexology.

DRIVING - If you feel totally relaxed after the treatment it is recommended that you rest before you start to drive.

HOLISTIC APPROACH - Please remember it is important that you are willing to take responsibility for your own health and be prepared to make the necessary changes in order to work towards better well-being and to adopt a  “positive ” attitude, as the mind ultimately affects the body and negative feelings will eventually manifest themselves as physical problems.

REFLEXOLOGY PROCEDUREBefore the treatment begins:

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1. Soak client’s feet in warm soapy water (anti-bacterial gel)2. Consultation/Explain treatment3. Dry client’s feet4. Wash hands

RELAXATION TECHNIQUES

This is done on dry feet at the beginning of the treatment, this not only gives you a good chance to look at the feet, but it is also relaxing for the client. Ensure your client is warm enough and comfortable.

1. Greet the feet – hold feet in firm caring way2. Greet bottom of feet3. Leg stretch and lower back release – grasp under heel of both feet, lean

backwards and slowly stretch the legs from hip. This helps to relieve tension in the lower back and hip. To do this the client must be laying flat.

4. Ankle rocking – this movement should remind you of windscreen wipers. Hold heels in palms of hand and rock from side to side

5. Squeeze foot to find solar plexus6. Press thumbs on solar plexus for a few seconds, then release7. Rotate foot – hold ankle firmly in one hand, rotate with other8. Push/pull – wiggle foot between hands9. Zig-zag – from base of toes to heel10.Heel of hand down on medial arch of foot11.Push/pull12.Rotate13.Pull up heel to toes, spread toes out gently14.Spinal twist15.Lung press16.Diaphragm line – hold back toes with one hand and thumb walk along

diaphragm

A SUGGESTED ROUTINE

1. Starting with client’s right foot2. Lubricate the feet with soothing effleurage movements3. Diaphragm line4. Solar plexus5. Head, brain – cover whole of big toe, thumb walk including top of toe6. Neck – along base of big toe, top and sole7. Occipital – Zone 18. Ear point mastoid process – Zone 1, 1 point up from occipital9. Temple – just below crown of big toe, 2 points up from mastoid10.Pituitary – zone 1. Centre of pad, x 3. Good for clients who suffer problems

with acne or endocrine system

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11.Pineal gland/Hypothalamus – 1 point up from pituitary, rock to left, times 3, then rock to right, x 3

12.Sinuses – cover whole of next four toes13.Teeth – cover tops of toes14.Head lymphatics – gently pinch between toes. Zone 1-2, tonsils helper15.Eyes and ears – under toes 2-3, then 3-416.Eye point – thumb pressure between toes 2 and 3, times 317.Ear point – thumb pressure between toes 4 and 5, times 318.Eustachian tube – pinch top and base between toes 3 and 4, hold19.Balance – top of 4th toe20.Shoulder – pinch top and sole21.Thyroid – general helper22.Thyroid – zone 1, below centre of big toe joint23.Parathyroid – one point up left of thyroid24.Thymus – in line with thyroid, tiny point down and out, x 325.Oesophagus/trachea – zone 1, from diaphragm to base of big toe26.Hiatus hernia – edge of zone 1, top of diaphragm27.Chest, lung, shoulder28.Chest, lungs – top of foot29.Upper abdomen30.Gall bladder (client’s right foot only) – between toes 3 and 4 on diaphragm

line (treat very gently if gall stones are present)31.Liver – zone 3-5 (client’s right foot only)32.Right stomach inc. pancreas/duodenum – left zones 1-333.Client’s left foot only. Chest area – diaphragm zone 4, press times 2, gently

massage, x 234.Lower abdomen, small intestine – between zone 1-4 (do not do it if it is

sensitive or client has a pacemaker)35.Lower back, pelvic, sciatic – whole of heel36.Sciatic line – up back of leg37.Sciatic line – outer ankle, sole, inner ankle38.Spine – inner edge of foot39.Shoulder, elbow, knee, hip, lower back – outer edge of foot40.Extra knee helper at hip line: Rectum anus – inside of hip lie, round heel,

horse shoe times 3 pressures, on rectus anus reflex41.Kidney – zone 2-3 waistline42.Bladder43.Adrenals – zone 1-2, place thumb on kidney, place other thumb above, times

3 gently44.Uterus, prostate – below inner ankle45.Ovaries, testes – below outer ankle46.Fallopian tubes, vas deferens – across top of foot47.Lymphatics, inguinals, pelvic area – thumb outer edge heel, work towards leg

behind ankle press times 2, round ankle, horse shoe to front of ankle x 2, down base ankle across top of foot to other ankle, repeat

48.Chest, breast area – top of foot

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49.Colon – soles of both feet50.Return to any area that needs treating51.Work diaphragm, solar plexus – one foot at a time52.Relaxing massage on both feet53.Thumbs on solar plexus, both feet, press, release, x 354.Hold top of feet – pulse55.Release56.Wash hands57.Complete record card while client rests

THE STRUCTURE OF THE FOOT

There are 26 bones in the foot and these are made up of:7 tarsals

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5 metatarsals14 phalanges - NOTE: There are only two phalanges in the big toe

The foot also contains:21 muscles50 ligaments500 blood vessels500 nerves and thousands of nerve endings

There are three arches in the foot:The Medial Arch or inner longitudinal archThe Lateral Arch or outer longitudinal archThe Transverse Arch

The arches are not fixed and will give as weight of the body is transmitted to the ground. When the weight is removed they return to their original state. Feet can be 5% to 10% larger at the end of the day. Clients may notice that their feet become larger in size during pregnancy; this is usually due to the excess weight making the feet flatter. This in time may cause problems so always recommend footwear that really supports the feet during this time. The arches are supported by the phalanges, two in the big toe and three in each of the other toes.

The tarsals and metatarsals work together to support the arches of the foot. Whereas the calcaneus and talus bear the weight of the body into the foot. Our posture and the position of our feet when we walk can influence the immediate internal function such as circulation as well as change the position of the spine.

Diagram of the bones of the foot

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REFERRAL ZONES

Referral Zones are used in reflexology when the main area can not be treated for example it is too painful or have an injury or infection. These are important when the normal area cannot be treated. For example, problems occurring in:

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Problem area Referral zoneToes Fingers

Depression Solar plexus, kidneys and diaphragmFeet Hands

Headaches Spine, neck and liverSinus DigestiveKnees Lumbar spine and sciatic

Eyes and ears KidneysChronic constipation Lumber spine

Hay fever Adrenal, digestiveBronchial congestion Digestive

Constipation LiverInfertility Endocrine

Menstrual EndocrineRespiration Digestive

High blood pressure Solar plexus, kidneys and diaphragmUterus Breast

Kidneys EyesWrist AnklesElbow Knees

Shoulders Hips

These treatments also work in reverse order, i.e. In case of knee injury, treat elbow. When you have learnt the longitudinal zones, you can then trace the zone in which that part of the body lies that is causing the problem. General massage of a Referral Zone should bring relief to the area of the body which is out of tune.

WHAT DOES SENSITIVITY INDICATE?

Congestion in the feet can be identified by sensitivity but this is not the only indicator. Sensitivity can indicate blockages within the energy pathways. As the blockage increases it can make the reflex more sensitive.

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Some clients may not feel any sensitivity in their first or second visit. This may be due to energy blockages in the feet which need to be freed before the benefits of Reflexology can be appreciated. It may also be due to:

1. Pain threshold or how a person perceives hurt, pain or sensitivity2. Medication - If a strong analgesic (pain killing) drug is being taken3. The recipient is not prepared to accept the treatment at that moment4. Reflexology may not be suitable for this particular person. Although, in these

cases, at least three treatments should be given before deciding on suitability or effectiveness of Reflexology.

GRITTY BITS ARE BETTER KNOWN AS CRYSTALS

Crystals or gritty bits are usually found near to the joint area. They feel like particles of sugar or sand. Uric acid and excess calcium are two of the waste products which build up in the body when the metabolism is not working properly. These deposits can be broken down by Reflexology technique. They are then carried away by blood and lymph flow which are eliminated by the body.

DO’S AND DON’TS

DO’S

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1. Put your client at ease2. Give individual attention3. Explain the therapy and what will happen during the treatment4. Be honest5. Inform the client about the code of confidentiality6. Warm, clean, relaxed atmosphere to work in7. Carry out a full consultation and complete a record card. 8. Give the client specific after care advice.

DON’T

1. Work with people who are totally contra-indicated2. Work on tendons or bones (with heavy pressure)3. Work infected areas4. Work over broken skin5. Work over surface veins with pressure6. Work over recent scar tissue7. Increase greatly the amount of pressure when you feel sensitivity or get

crystal reactions8. Hurt a client to the extent of causing deep pain or discomfort9. Diagnose disorders or disease10.Tell the client the organ that corresponds to the sensitivity11.Give false hope12.Make false claims13.Have a rushed approach to work14.Break client confidentiality15.Never set up as a professional Reflexologist unless you have the necessary

training or hold qualifications of a recognised Examinations Authority.

DIVISIONS OF FEET AND AREAS OF THE BODY

Below is a list of corresponding body areas:

Toes – Head and neckBalls of feet (metatarsals) – Chest, heart, lung area, shoulder

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Upper Arch – Diaphragm to waist areaLower Arch – Waist to pelvic areaHeel – Pelvic area and sciatic nerveInner foot (medial) – SpineOuter foot (lateral) – Arm, shoulder, hip, leg, knee and lower backAnkle area – Pelvic area and reproductive organs

These areas give us a better understanding of our client. Remember these corresponding areas may be congested as a symptom or a cause, so it is important to document your findings on a treatment record card.

TREATMENT ZONES BY CONDITIONCondition Corresponding zones

Arthritis Digestion, Thyroid and parathyroid, hip, spine and pelvis

Asthma Lungs, digestive system, heart, diaphragm, adrenal glands

Bronchitis As Asthma

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Blood pressure (high) Solar plexus, kidneys, heart , neck , brain and diaphragm

Colic Digestive system and solar plexusCystitis infection Bladder, kidneys, uterus and solar plexusCancer Spleen and lymphatic systemDiabetes Pancreas, eyes, heart and kidneysDepression Solar plexus, endocrine system and pinealEczema Lungs, digestive, heart and diaphragm adrenal and

lymphaticFever Hypothalamus, liver, pituitary gland and thyroidGout Digestive and liverHaemorrhoids Digestive, intestines, rectum, sigmoid colon and

lower spineHiatus hernia Digestive system and solar plexusJaundice Liver and gall bladderLumbago Sciatic, spine and pelvicMastitis Uterus and lymphMigraine Neck, spine and liverMultiple sclerosis SpineNeuralgia Toes, ear, eye and faceOedema Heart, spleen and lymphatic systemOvarian cyst Reproductive and endocrineParkinson’s disease Brain, nervous system, spine and facePalpitations Solar plexus, chest and heartPleurisy As asthmaPre menstrual syndrome

Reproductive and endocrine

Prostrate Urinary, kidney and reproductiveTonsillitis Throat, ear, pituitary and hypothalamusRhinitis Nose, sinus, adrenal and digestive systemShingles Nervous system, solar plexus and spineThrombosis Heart, circulation, spine and respirationTinnitus Neck and earUrticaria Lungs, adrenal glands, lymphatic and digestionVaricose veins Intestines and pelvis zones.

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© Susan Jessop 2007

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© Susan Jessop 2007

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© Susan Jessop 2007

BUSINESS PROMOTION AND MARKETING

Once you have qualified you will be keen to set up your new business and the following information will help you when doing so.

SELF PUBLICITY – YOU ARE YOUR OWN ADVERT!!

Remember you are your own advertisement so be ready to self promote. Always carry your business card and don’t be shy to hand them out. People will tell their

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friends and so knowledge of your business will spread by word of mouth. Price lists are always good to hand out so people don’t have to ask the price, which can put some people off calling.

ADVERTISING

Advertising can be extremely expensive but if you promote in the right place the rewards can be good. This also helps you to build your client base more quickly, an advertisement in your local paper for a couple of weeks is worth considering.

Classified:

The cheapest ways to do this is a simple lineage advertisement in the “health” or “ladies” column of the classified section (we do not recommend that you advertise massage services in the “personal” column as it can unfortunately attract the wrong type of enquiry). Rates are normally charged per word, with a minimum of about 10 words. Often you will be offered a special incentive such as 3 adverts for the price of 2, so be prepared to ask whether there are any special offers available.

You might consider something like this:

Reflexology treatments by qualified therapist.For appointment or free consultation,

Telephone (01234) 567890

Display:

In order to make more impact, you will need to consider placing a display advertisement. These are priced according to size and measured by the single column centimetre, e.g. if your local paper charges £2.50 per s.c.c. and your advert is 5 cms long by one column wide, it would cost £12.50 plus VAT, or 10 cms by 2 columns would be £50 plus VAT. Display adverts have the advantage of allowing you to incorporate a logo if you wish, and different type faces.

EXAMPLE OF A DISPLAY ADVERT:

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REFLEXOLOGYQualified Therapist

For appointment or free consultationTel: (01234) 567890

When advertising remember that your advert should do the following:

A-ttract I-nterestD-esireA-ttention

Remember the best position in a paper is the top right hand corner of the right page. This is due to our eyes naturally been draw to this place. You may pay a premium for this position but it may be the difference from been ignored to being noticed!

FREE EDITORIAL

The best form of newspaper advertising is editorial. Local newspapers are constantly looking for news which is of interest to readers and Reflexology seems to capture a great deal of interest. There are two ways of approaching this:

1. PRESS RELEASE: - You can create a press release and send it to the editor of the women’s page. You will need to give an angle to it that will be newsworthy. So think hard about whether your personal circumstances could provide this. You need the press release to create a story not just a note that you are now trading. Think of the AIDA model and how your press release can create the attention it requires.

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2. WRITE-UP – You could also invite a reporter to try a complimentary treatment in return for which she might be prepared to give you some editorial providing that you support it with a small advert.

OTHER METHODS

Here is a list of other people you may want to contact to help you spread the word!

1. Hairdressers and Beauty Therapists 2. Get your friends to be ambassadors 3. Adverts in Libraries / shops / Supermarkets/ Hospital / GP’s surgery / Dental

practice4. Mother and baby groups5. Women’s Institute6. Gymnasiums and sports centres 7. A leaflet drop can also work well

AFTER YOU HAVE GAINED YOUR QUALIFICATION!

After your training it is imperative that you take time out to decide how you are going to market yourself and how your are going to spread the word that you are now fully qualified. If you do not let people know you will never get any clients, so be productive and always assign time for marketing even when your business is up and running!

WILL YOU WORK FROM HOME OR BE MOBILE?

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You may already know where you intend to trade from, but it is worth considering the following points before you commence your business:

HOME BASED

If you decide to work from home you need to consider the following things:Ideally you will use the same room were all your equipment can be stored and at easy reach. You should not leave your client to go and get equipment. This room should be easy to clean and keep hygienic.

You will also need to consider:1. Is your equipment to hand? 2. Is the room easy to clean to maintain hygiene levels?3. Is there an area for your clients to wait?4. How you will record your financial transactions?5. Do you have an appointment book and is this to hand?6. Where will you place your client’s bags / clothes?7. Where will you keep cash/ cheques etc?8. Is there adequate ventilation, heating and lighting in the room?

MOBILE

One of the main things to consider when you are mobile is TRAFFIC!!!! If you are late for an appointment it can have an effect on the rest of your day, therefore planning is essential. You will need to consider:

1. Where you will park?2. Are you aware of your route?3. How do you plan to carry your equipment?4. Are you going to retail products, if so how are these going to be

transported?5. Towels – theirs or yours?6. Protect the working area – that bottle of oil in your case always seems to

be able to make it onto your clients cream carpet!7. Male clients – It is not recommend that male clients be treated on a mobile

basis unless it is someone you know well.8. Remember to take your consultation sheets and record cards – just

because you are mobile does not mean that you drop your standards!

ALWAYS LET SOMEONE KNOW WHERE YOU ARE AND WHERE YOU ARE GOING. CALL INTO THEM ON A REGULAR BASIS. IF YOU FEEL UNCOMFORTABLE LEAVE!!!

PRICES

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Different area’s and therapists have a different pricing strategy, so it is important that you find out an average price in your locality. You can then decide what you would like to charge.

It is important to know your competition and to ensure that you provide the best quality of service at a competitive price.

However, when considering pricing you should remember not to get into a pricing war, charge what you feel your treatment is worth after analysing the basic cost of the treatment.

If you are professional, market your treatments well and are a good therapist, clients will pay your treatment price!

The Last Word of Advice

Unless you look after yourself you will not be able to practice the art of reflexology for long. So follow the advice below:

1. Carry out hand exercises regularly to build up the muscles in your hands

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2. Only treat a few clients each day to help prevent repetitive strain injury3. Do not slouch over your client; remember to keep good posture when

carrying out a treatment.4. If you can not reach your client do not strain simple move or ask them to!5. Beware of how you lift things, always bend from the knees.

EXERCISES FOR YOUR HANDS

Exercise your hands regularly to improve flexibility and strength, also to heighten sensitivity.

Flexibility and Strength  1. Rotate thumb and fingers of each hand several times both clockwise and anti-clockwise, using thumb and index finger of opposite hand, then gently pull and stretch each one. 2. Circle both wrists inwards and then outwards ten times in each direction.3. Throw out your fingers so that they are separated and extended as far as possible – ten times.4. Put your hands together, lift your elbows so that the palms no longer touch. Press fingers against each other and hold for about five seconds – five times.5.  Using a ‘stress ball’ (or any soft ball) squeeze in each hand ten times.

Sensitivity

1. Hold your hands close together without letting them touch. Draw them about 2 inches apart and then return them to the original position. Then expand the gap to about 4 inches and return. Keep expanding the gap gradually until your hands are about 10 inches apart. Close your eyes and notice the sensations as you draw your hands apart – these could be heat, tingling, pulsating or magnetic sensations. 2.  Place a coin under a magazine and with your eyes closed, try to find the coin by touching the upper surface of the magazine. If this is too difficult, try the exercise with a few sheets of paper.

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