Reflexology

[Sorella]

hi

does anyone that does reflexology get a client with diabetes to get a doctors note before you treat them? at first we were told we didnt need one and then when we were doing assessments we had to get a doctors note.

i had a client in looking it and he had type 2, is it ok to go on ahead with it?

sorella
xxx

 

[Kundalini]

I do sports massage not reflexology, from my training diabetes falls into that awkward class of contraindications of being a maybe.

I always err on the side of caution and at the very least have it documented on the initial client assessment that they have discussed receiving a treatment with their Gp who is in agreement. I have only ever had one diabetic (or at least was aware that they had the condition) client and also ensured that they felt ok.


Hope this helps
M

 

[hippy-chick]

I get muddled with type 1 and 2 so I ask the client to explain their diabetes to me.
If its insulin controlled, I explain that their insulin may be needed sooner after their treatment as you have stimulated the circulatory system. I check that they havent got thin skin and I check the pressure on them.

It is a "with caution" one, so if it makes you sleep better at night, get GP referral.

 

[daisyl]

Type 1 - Insulin dependant (usually juvenile onset)
Type 2 - mature onset (usually), diet only or diet and tabs

It is basically down to how well controlled their diabetes is. There is no problem for instance if the client is a type 1 diabetic (insulin controlled), who is well controlled and has good healthy skin type. No more of risk than anyone else.

However if they were poorly controlled, skin poor and not all areas intact, then stay away.

If they have good colour (circulation), particularly toes and fingers, is another good indicator and should not pose a problem. X