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advice with reflexology please

Hello K

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H I am a qualified reflexologist, I have a client who cannot feel his feet or his hands whilst I am Doing a treatment, I only qualified a short time ago and have never come across this problem before, I was quite disturbed by this, I have spoken to my Tutor about this she is extremely busy, apparently he is suffering from Periphel Neuropathy he does have type 2 diabetes,. He assures me he has Gp consent, also he signs my Disclaimer form.

Has any body got any information that will help me treat this client. when I found out he was type 2 diabetic I arrived with lots of info about what he should not be eating etc, I have heard this condition in some cases is irreversable. I left him with lots of home care advice but he has to do the hard work, I will try hard to motivate him. would greatly appreciate any help with this. thankzzzzzzzzzzzzzzzz
 
I would ask him for a signed letter as diabetes is generally a contra-indication.

But if you are going ahead with it then be assured that he may not be feeling the movements but his body will still react to the movements.

Will read the other comments with great interest.
 
Hi, you will need to be careful with the pressure you use during the treatment with this sort of nerve damage as your client won't be able to tell you if you are working too hard. Remember that a treatment with a gentle touch will be just as effective as using a firm touch.

I have a couple of clients with diabetes and have always written to their GP as a courtesy to let them know about the planned course of treatment, and this gives the GP the opportunity to contact you or advise their patient if they don't think reflexology is advisable. It's very rare in my experience for GP's to sign a consent form either due to their being extremely busy (or worried about possible litigation).

Hope that helps. Tracey
 
Hi thanks for your advice, I will proceed gently with the treatments, and I have also advised that he checks his insulin levels before and after treatments. he is only having one a month so far, When I done the consultation with him he never mentioned the loss of feeling to me, also when I asked him if his Doctor had given him a diagnosis as to why he had lost the feeling in his feet and hands he replied no. (how strange) The signed form was purely for my own insurance. He and his girlfriend are very overweight I will try to motivate them both with my advice about how great life coud be for them both.. thanks again
 
Hi thank you for your reply, i did get a signature from my client authorising the treatment, this is required by my insurance, he has not given me a letter from his gp giving his consent, he told me his gp was happy to verbally give consent. Hope that is ok.

I do have another lady who wants a treatment from me but she had polio as a child. She is now 80, she told me she would like to try a treatment as she is so stressed, do you think it would be ok to give treatment, she is a friend of my other 2 clients and they have recomended me. Any advice please.
 
Hi
I havent worked with peripheral neuropathy specifically but have had experience with clients who have suffered strokes and lost feeling in limbs.

One particular client was very badly affected all down their right side with zero feelings and the entire area was always absolutely freezing cold.
Their health provider contacted me and asked me to be sure to work the affected area equally with the unaffected area. (how cool is that)
I've been treating this client monthly for 5 years and have seen excellent results. The most impressive is that their limbs are now much warmer to the touch-although they still have zero feeling.

There are so many benefits and you can make such a difference to this persons quality of life in ways that you arent always expecting. So I would focus on giving a gentle treatment covering all reflexes with lots of relaxing moves in between.

Enjoy working with this client and well done for having the confidence to accept them so soon after qualifying.
 
I have treated several diabetics and a couple with peripheral neuropathy. It can be a very painfull condition and in many cases is not reversable.

Any diabetic who presents with numbness, altered sensation or pain in the hands or feet, who has not been diagnosed should be referred back to their GP or diabetic specialist; early treatment which involves close monitoring of the diet and blood sugars can halt the deterioration of the neuropathy.

Fantastic control of the blood sugars for 2 years can in some cases improve the condition, although it can sometimes get worse before it gets better. Nerve damage improves very slowly and can only do so when the blood sugar is at its optimum. If the patientโ€™s HbA1c is within normal levels (up to 7.5) then the numbness you have described may be down to something else and may need to be further investigated.

Some type 2 diabetics a number of years following diagnosis my need to go onto insulin or have their medication increased to better manage their blood sugar level and prevent complications of diabetes.

If it is peripherial neuropathy then reflexology alone will not resolve the issue.

Good luck.
 
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    โœฐ BLUEXADO SPA โœฐ 416.357.9797 โœฐ 1102 Centre St, Unit #6 Vaughan โœฐ CANDY | MIMI (New) 19 years old, Vietnamese with a beautiful face, very young, and friendly. Must see. โœฐ NANCY (New) from Singapore is pretty & slim with nice booty...Excellent Treatment... โœฐ JULLIE | JESSIE a 19-year-old Chinese and Vietnamese woman, provides exceptional service with her youthful beauty.
  29. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธY๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜ SERVICE QUEENS NEW GIRL SASA & ZOE TO SERVE YOU TODAY
  30. Red Rose Spa:
    ๐ŸŒธ We have 6 hot brown girls today ๐ŸŒธ ASHA, MALIYA, AMANDA, MAY, AAVI ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  31. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ(647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ(437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ๐Ÿ’ฏ๐Ÿ’ฏ - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Julia๐Ÿ˜˜ - A shy new Korean girl waiting to
  32. SpringGreen.:
    Spring Green Spa - 72 Gerrard St W. 2/Fl - 647-891-0699We have 5 young girls for your enjoyment Tuesday : :heart4:heart4 New girl lisa :heart4 Judy - well proportioned model to bring toe curling fun Rina - petite beauty ready to rock your world Lucy- tall leggy beauty with nice figure Barbie -...
  33. Sparkling Spa:
    โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ(905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ(437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธY๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅSUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜ SERVICE QUEENS NEW GIRL SASA & ZOE TO SERVE YOU TODA
  34. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ(437) 818-8896โ˜Ž๏ธ โ˜Ž๏ธ(416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Angel ๐Ÿ’• Very beautiful girl from Taiwan, very curvy, young and sexy, she can provide a great massage and wonderful touch and super service. Angel is so sexy, especially her 34C breasts and her big juicy tight bum you can worship and ador
  35. Moneylee:
    All season wellness center: Young girl big boobs beautiful face deep massage Lulu,Young girl big boobs beautiful face deep massage Tina ,Young girl big breasted beautiful buttocks charming temperament big boobs Cindy ,Student big boobs buttocks Vicky, Enchanting sexy petite deep massage Sherry ,๐Ÿ address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510 ๐Ÿ‘…๐Ÿ‘…๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘„๐Ÿ‘„
  36. Moneylee:
    full season wellness center: NewYoung girl big breasted beautiful buttocks charming temperament Anika , Young girl big boobs beautiful face deep massage Bobo ,Young beautiful face sexy body and good deep massage star ,Young girl Big breasted saucy naughty Ella,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  37. bnwellness_wilson:
    Blue Nile Wellness Center, we have 4 young beautiful girls are working today, young cute Mia 25 years old and young sweet Ivy 30 years old , pretty GFE Lina and sexy Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in aways welcome, back entrance and parking available, 350 Wilson Ave North York
  38. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡10am-2am, New First Day Young Slim Sexy Chinese Emma, Young Slim Sexy Thai Girl Janice, Young Sexy CBC Rachel. Slim Sexy Chinese Kiki, Tall Slim Sexy Chinese Kelly, Young Sexy Chinese Abie.
  39. Dreaminn:
    TUESDAY at ๐Ÿ’ญ๐——๐—ฅ๐—˜๐—”๐—  ๐—œ๐—ก๐—ก ๐—ช๐—˜๐—Ÿ๐—Ÿ๐—ก๐—˜๐—ฆ๐—ฆ ๐—ฆ๐—ฃ๐—”๐Ÿ’ญ: EVA, LULU & TINA. 10225 Yonge St (North of Major Mackenzie), Richmond Hill, ON โ˜Ž๏ธ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฎ๐Ÿต-๐Ÿฎ๐Ÿต๐Ÿด๐Ÿฏ โ˜Ž๏ธ EVA is a slim, pretty & sexy Asian girl. She has excellent bbbj skills if you are nice and clean, and can perform like a champion. LULU is a very popular & well known Chinese attendant, slim and beautiful with 34C Cups, long sexy legs, and incredible services.
  40. Lulu1980:
    Hi guys ๐Ÿคช๐Ÿคช๐ŸคชPhoenix blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒนJessica sexy body big boobs ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜very good body slide ๐ŸŒน๐ŸŒน๐ŸŒน๐ŸŒน๐ŸŒนand Coco very good table shower๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ ๏ผŒCici Deep Tissue Massage๐Ÿ‘๐Ÿ‘๐Ÿ‘๐Ÿ‘5124 Dundas St W Etobicoke โ˜Ž๏ธ 416-817-3366
  41. DaisySpa:
    Tuesday at ๐ŸŒผDaisy Spa๐ŸŒผ, 900 Middlefield Rd, Scarborough, ON 437-231-9229: Julie, Kiran, Sana & Sofia JULIE is a sexy Spanish MILF next door Spinner, flexible with services and prices. KIRAN is an elite & classy, slim and gorgeous, yet very willing Indian student. SANA is a new Indian goddess from Mumbai, slim with a pretty face & gorgeous big boobs.
  42. Peony Garden Spa:
    ๐ŸŒธ3 GIRLS AVAILABLE TODAY ๐ŸŒธ NEW GIRL ASHIA: A VERY YOUNG SLIM INDIAN GIRL WITH LIGHT CARAMEL SKIN, 5'2 AND VERY SWEET ๐ŸŒธ JENNY: A TALL AND SLIM KOREAN GIRL THAT IS A TOTAL SERVICE QUEEN ๐ŸŒธ SELINA: A TALL ASIAN GIRL, 5'6, SLENDER VERY FRIENDLY AND CAN PROVIDE AN RMT LIKE MASSAGE ๐ŸŒธ PEONY GARDEN SPA ๐ŸŒธ 3477 KENNEDY ROAD UNIT 4 ๐ŸŒธ (416) 335-6093 ๐ŸŒธ
  43. Birchmount&14th:
    TUESDAY at ๐‹๐„๐Ž๐๐€ & ๐…๐‘๐ˆ๐„๐๐ƒ๐’: JESSIE & YUKI. Birchmount Rd & 14th Ave., Markham, ON. Call or Text for details and appointment. โ˜Ž๏ธ ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿต๐Ÿณ-๐Ÿฒ๐Ÿฏ๐Ÿณ๐Ÿฐ โ˜Ž๏ธ ๐—๐—˜๐—ฆ๐—ฆ๐—œ๐—˜ is a slim and very sexy Asian girl with skills of the highest degree. ๐—ฌ๐—จ๐—ž๐—œ, so sweet, so sexy, and can blow your mind. $120 30 Minutes Fixed rate for All Menu Package (including BBBJ, DATY, Body Slide, Rimming, Full)
  44. SunriseRH:
    TUESDAY at ๐—ฆ๐—จ๐—ก๐—ฅ๐—œ๐—ฆ๐—˜ ๐—ฆ๐—ฃ๐—”: LULU, MICHELLE & SUMMER. 10 East Wilmot St, Unit 27, Richmond Hill, on โ˜Ž๏ธ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿฏ๐Ÿฎ๐Ÿฑ-๐Ÿด๐Ÿฌ๐Ÿด๐Ÿฒ โ˜Ž๏ธ MICHELLE is a young, curvaceous beauty, 5โ€™2โ€ & 130Lbs, 37DDD-31-41, a trim waist, and a nice butt. Come and be pampered. SUMMER is an incredibly sweet Asian babe, 5โ€™3โ€ with a captivating 36D-28-39 figure, weighing 108 pounds. Summer has very good massage & services.
  45. NewOriental:
    TUESDAY at ๐—ก๐—˜๐—ช ๐—ข๐—ฅ๐—œ๐—˜๐—ก๐—ง๐—”๐—Ÿ ๐—ฆ๐—ฃ๐—”: HAPPY, PHOENIX & VIVIAN. 10 East Wilmot St, Unit 26, Richmond Hill, on โ˜Ž๏ธ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿฏ๐Ÿด๐Ÿญ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž๏ธ HAPPY is a slim & busty Korean lady with great massage skills & lots of extra fun. PHOENIX is a gentle sweet Filipina lady, 5โ€™4โ€ and 105Lbs, with 34C-24-34 assets and very open minded. VIVIAN is a pretty and very sexy Chinese doll
  46. ASPA:
    TUESDAY at ๐€ ๐’๐๐€: Cherry & best massage Rachel ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ CHERRY is a Vietnamese beauty, standing 1.62Cm tall & weighing 50Kg, with a nice 32C bust size. She is a sexy and charming lady with excellent service. RACHEL is a slim and attractive attendant
  47. HolidaySpa:
    Tuesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: Cindy, Eva & Helen. Cindy is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit. Her services are among the best! Eva is young, slim, innocent & demure looks, but donโ€™t let her innocent looks deceive. She can massage & service very well.
  48. ForeverWarden:
    Tuesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Tracy & Vivian. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild & her cfs finish is a dream come true. Tracy is an incredibly cute & pretty Japanese/Taiwanese mixed spinner, about 5โ€™1โ€ and 100 lbs. She is very popular
  49. bumika.vashi:
    VASHI NAVI MUMBAI FULL SERVICE :oops: TeleGram: @BUMIKAVASHI โ˜Ž๏ธ WhatsApp9๏ธโƒฃ9๏ธโƒฃ3๏ธโƒฃ0๏ธโƒฃ9๏ธโƒฃ1๏ธโƒฃ2๏ธโƒฃ6๏ธโƒฃ6๏ธโƒฃ9๏ธโƒฃ
  50. bumika.vashi:
    (((เค†เคชเค•เฅ‹ เคฌเคฟเคจเคพ เคจเคพเคŸเค• เคฏเคพ เคจเค–เคฐเฅ‡ เค•เคฐเคจเฅ‡ เคตเคพเคฒเคพ เคธเคฐเฅเคตเคฟเคธ เคšเคพเคนเฅ‡ เคคเฅ‹เคน เคฏเคพเคฆ เค•เคฐเคจเคพ. ))) :oops: If you want Service without Drama or Tantrums, Remember it.:oops: Will Try To Give You The Best Possible Sweating Experience With Full Company. TAKE MY WORD.?? Don't Waste Your Time And Money In Some Other Place Where You are Really Upset Loosing Out Both Money And Fun. Ok Try With Our Girls Once Then Your Visit Will Be Regular To Me.... _________________N O T E_________________ If u like my services Please Please Do n
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