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Introduction to a new Podcast 'Reflexion' - episode 1.

29/3/2021

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Welcome to the first episode of 'REFLEXION' a new Podcast series. 


​Inspiration & innovation, foot notes from a reflexology journey around the world
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Case study: bilateral primary lymphoedema swelling of the legs

19/12/2020

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2020 has been an exceptional year for RLD case studies! With many Reflexologists using the gift of time to write them up and submit, some from as far back as 6 years! Thank you everyone for your patience, it caused quite a backlog. Delighted to say I'm now up to date with these!​ 

​The following case study features many of the commonly recurring themes that are frequently associated (and often expected) with RLD, and I hope you enjoy it as much as I did! ​
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Client Background

Client “A” is a 39 year old woman. She has had Bilateral Primary Lymphoedema in both her legs, but mainly presents in her bum and upper thighs for around 21 years. She noticed it had developed after having her daughter at age 15.  Her Doctor is very resistant to any testing, he has informed her that it is just fat, and she needs to make more of an effort to lose weight. Clients’ mother and 4 sisters also have lymphoedema in the same areas she does. 
Client A changed her diet to reduce and remove high inflammatory foods. 
Client “A” finds both legs are affected relatively equally, but experiences little swelling below the ankle bones on both feet. Skin quality of both feet and legs are equal, soft, slight warm lower legs and typically cool feet. 

Client “A” agreed to come weekly for 4 weeks, then after that time we’d reassess. I explained about measuring the limbs as a way to see fluid loss, but Client “A” was extremely self-conscious about her size didn’t agree to the measurements. 

​Treatments were performed in a zero gravity chair with a pillow under clients’ ankles. 
​
Treatment 1 March 14th 2019  
As both legs are affected equally, I ran RLD for the legs left, right, left and right again. 

Observation
Both feet felt quite stiff and tight, it felt like there was a bubble sitting on top the subclavian vein, and it was slightly tender at the subclavian and across the upper lymphatics. Groin lymph and hip to knee felt quite tight. 

Client Comments
Client “A” felt tingles and slight sensations of fluid moving, as I was starting the left foot for the second time. She felt relaxed and lighter by the end of the session. I touched base with her the next day; she said her legs felt light and energized. She had energy that evening and slept great.  
Next appointment in 7 days 
 
Treatment 2 March 21st 2019
As both legs are affected equally, I ran RLD for the legs left, right, left and right again.

Observation
Could still feel a bubble over the subclavian vein, client noted it felt slightly tender this time. Upper lymphatic still felt quite tight, but it loosened up quicker this time. I could feel more fluid movement as I pushed fluid down from the upper lymph to the groin lymph. Immediately after we finished, she needed to use the washroom.

Clients Comments 
Client “A” could feel “whooshing” and temperature fluctuate while I did linking of the subclavian veins.  She said she felt almost like she had goosebumps, she felt tingly all over and it came and went during our appointment.  She messaged me that night saying after her appointment she went to do errands but had to leave the store without her thing due to having to badly pee. She’s said it just hit her, and she had to pee NOW. Client A commented she had to tighten her Birkenstocks 1 notch as there were too loose from the last time she’d wore them. 
Next appointment in 7 days. 
 
Treatment 3 March 28th 2019
As both legs are affected equally, I ran RLD for the legs left, right, left and right again.

Observation
There is still a bubble over the subclavian; it feels like there’s more movement to it, Client “A” commented it felt bruised.  Upper lymphatic felt noticeably different today, less congested feeling and moved much easier. Hip/knee/thigh felt crunchy. Kidney to bladder sweep, client said it felt like I was scratching an internal itch. After we were finished, she used the washroom right away. 

Client Comments
Slight tingling all over today.  A few days after the 3rd treatment, Client “A”contacted me. She said that she she’s peeing enough for 3 people, having bouts of diarrhea, feels exhausted, and not sleeping great. 
Next appointment in 13 days. 
 
Treatment 4 April 9th 2019
As both legs are affected I ran RLD for the legs left, right, left, and right again.
​
Observation
Both feet were considerably cooler in temperature than normal, lower legs, and feet were more swollen than they typically are. Bubble over subclavian is considerably better, the fluid moved easily, and client felt a difference immediately. Fewer crunchies in kidney to bladder sweep. 

Client comments
Client “A” said she noticed about day 9 that her legs were swelling more, felt heavy and tired. 
Next appointment in 7 days. 
 
Treatment 5 April 16th 2019 
As both legs are affected equally, I ran RLD for the legs left, right, left and right again. Client “A” commented she felt I was using more pressure this time than previous appointments. It was not intentional on my end, but client “A” was comfortable with the pressure so I continued using more pressure for the duration of the appointment. 

Observation
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More crunchy areas than normal in the hip and knee areas on both feet. Subclavian was quite tender. Kidney to bladder sweep was tight, and a cooler temperature than the rest of the feet. 

Client Comments
Client “A” said that kidney to bladder sweep felt itchy. She felt tingles and was shivering by the time we finished our appointment.  We spoke that evening, Client “A” stated she felt that she swelling had reduced considerably, and she’s been peeing just about every 15 minutes for an hour. She also experienced bouts of diarrhea, all that evening. She had no pain or discomfort, to use her words she said it felt like a nice cleanse. I touched base the next day, Client “A” said she was up twice during the night to pee, but felt great that morning. She said both her kids and husband commented how good her legs looked! 

Continuing Care
After this appointment Client “A” went away on a trip, she had over a 6 hour flight, and spent a week and a half away. She expressed great concern over the flight and how her legs would manage. She didn’t want to start her holiday with heavy swollen legs. I showed her the subclavian point on her hands, and showed her the direction to rub the subclavian point on her feet, for her husband to work while they were away. She said that the first day was the worst, she had her husband work her feet that night, and it made an immediate difference. Client “A“ said that the rest of the trip was peachy, even the flight and drive back home she was able to manage the swelling well herself. 

I’ve continued to treat Client “A “roughly twice a month for almost a year. We watched fluid recede from her “fat pockets “as she called them. She found fluid collects in the inner parts of her knees, side of one lower thigh, and the insides of her elbows. She commented on dropping a bra size, and she did a happy dance as she gave away her “extra fat “clothes as she coined them. Client “A” Experienced a range of symptoms that seemed to vary, frequent urination, diarrhea, upset stomach, nausea, sloshing feeling, energy, fatigue and dull aching feeling. She didn’t experience something every time, she made connects to food, activity and barometric pressure that seemed to affect what symptoms she had.  Client “A” also starting seeing a massage therapist part way through our year, she found coming for RLD and a massage within a day of each other she felt the best and it seemed to last the longest that way. She measured her legs herself at home and is down 10 inches across the tops of her upper thighs, and down 30 pounds.

Summary of RLD Treatments
My Observations
The first 4 treatments I certainly felt more of a difference in her feet than I could physically see. My client certainly experienced some intense symptoms. I’ve still never had anyone else react to RLD the way she did. And to be truthful I don’t really know why. I urged her to keep trying the RLD treatments and to log her food and symptoms to see if she could see a pattern. She noticed almost immediately that if she ate food high in inflammation she experienced symptoms after RLD. I told her that if RLD was able to lower her inflammation she’d had fewer symptoms after RLD. She stuck to a lower inflammation diet for a bit a noticed a reduction in symptoms. Now a year plus into RLD treatments she infrequently experiences intense symptoms after RLD, most commonly she pees a lot. I did defiantly notice a difference in the appearance of her lymphedema as we continued, looser fitting pants that previously were skin tight, new clothes to fit her skinner legs, and she had to tighten her Birkenstocks.                                                              

Clients Comments
Client
 “A” is beyond thrilled with the results of the RLD treatments. We’ve shed a few tears through the weeks over the changes she saw and felt. Often after getting up from my chair after RLD she’d say she felt like she was floating, walking on air, her legs might drift away they felt so light. Usually saying that as she dashed to the bathroom, the first few appointments.  Client “A” said she feels like she attracts less public attention from people and feels more comfortable in her skin. She’s threatened to come live with me if I ever move away. 

MYCAW Results
The MYCAW form was completed at the first appointment. Concern 1 was size and concern 2 was uncomfortable, both listed at a 6 on the scale of 1-6. She listed her wellbeing at a 6 on a scale of 1-6 as well. At the end of our 5 treatments, Client “S” redid the MYCAW form and rated concern 1 and 2 at a 2-3 on a scale of 1-6, and wellbeing at a 2. She said that she feels there’s room to improve her wellbeing but feels its loads better with RLD in her life. 

Reflective Practice
Self-Evaluation:  When I first started RLD treatments with this client, I was very unsure of myself. She gave me great feedback as to how things felt, and I trusted that she was being honest with me. As we continued my confidence grew epically as we saw results. I love using RLD and I like the flow of the methods. I understand how the lymphatic works to be able to explain it to a client, but also to understand what I might be feeling in a client’s feet. I knew very little about the Lymphatic system before RLD and I had no idea of its effects on the systems of the body. I personally don’t experience lymphedema so seeing how much it’s affected my client was heartbreaking. Now when I see people that have lymphedema I want to talk to them and recommend that they try RLD, I want it to help them as much as it’s helped client “A”. Watching RLD have an impact on each client differently has been such a gift.

"I thoroughly enjoyed working with this client, she's a gem and without her this case study would of been very different. RLD has changed her life and I'm grateful have been a part of that". 
​

​Thank you Jessica for travelling from Manitoba, Canada to Tampa, Florida in 2019 to learn RLD. ​

​During 2020 is has been a real joy to connect with and introduce RLD online to reflexologists around the world, including USA, Canada, Argentina, New Zealand, South Africa, Sweden, Poland, France, Belgium, Greece, Portugal, Ireland and UK, its sustainable, fun & interactive!  

Find out more about RLD training HERE

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Win a free place & learn RLD online

4/7/2020

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Terms & conditions
  • Like & share & comment on Facebook or Instagram to enter the free prize draw
  • Winner announced 31st July 2020
  • Not transferrable & no case alternative
  • RLD training is for Reflexology practitioners only
  • Post shares must be visible to be included in the draw
  • A copy of the book 'Reflexology Lymph Drainage' is required (print or kindle edition) or the course booklet if you are RLD trained and use this as a refresher
  • If the winner has a 2020 online course booked the prize will be honoured
LIKE SHARE COMMENT on Facebook & Instagram to enter this free prize draw
Are you a reflexologist interested in adding RLD to your practice, or taking a refresher course?


Writing a blog post is something I often think about before getting distracted by the next thing, and then the original thought is out of date. Its been a 14 months since my last blog!

At the beginning of lockdown in the UK I set up the Reflexology book club Facebook group. The idea came while sorting through my book shelves, a virtual interactive book club for reflexologists, somewhere to share and enjoy our books together. An excuse to read some that I haven't looked at since 2004, when my reflexology journey began.

Book club became a welcome distraction from the stress and worry of the global pandemic and the ripple effect its having on our lives. Each week we met up online for live Q&A sessions with authors of reflexology books & related publications. The live sessions are available to watch in the Facebook group if you missed them first time around. They range from using reflexology from preconception to end of life care and sock fluff to science and many diverse topics within as well as business ideas for reflexology practice.  

Book club was about giving, and being part of our reflexology community, a safe place where we can feel held and supported. I'm extremely grateful to everyone who took part, authors who generously shared information of value with the group and members who were inspired to buy more books. (I bought six!)

In May, with no end to lockdown in sight I was persuaded to teach RLD online by reflexologists who wanted to make the most of the time as their RLD courses were postponed. Teaching online has exceeded all my expectations and feedback's been fantastic! A copy of my book is used to support the learning experience and the cost of the course reduced accordingly (print or kindle edition).

​It's a year since it was first published and to celebrate, I'm giving away a place on the RLD online course to say 'THANK YOU' everyone who ordered a copy and would like to find out more.  

Grateful thanks for all book club contributors 
Sam Belyea 
Dr Peter Mackereth 
Geraldine Villeneuve 
Barbara Scott
Sue Ricks 
Lynne Booth
Ko Tan
Judith Whatley
Dr Carol Samuel
Karen Williams
Chris Stormer-Fryer
Jane Sheehan
Susan Quayle
Moss Arnold
Sarah Woodhouse
Helen Pinnick
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diversity & RLD

25/5/2019

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Reflecting on my reflexology journey with gratitude & respect for this incredible therapy. Its been a busy and exciting week in the lead up to the book release, and ultimately the culmination of years of experience and hard work.

Yesterday was a full clinic day which is really what this article is all about. Five clients who are all very different, each with their own reason for coming for reflexology. Despite their individual presenting concerns, RLD was the perfect therapeutic solution for each. 

Client 1, has been having RLD for 4.5 years to help with the management of breast cancer related lymphoedema of the arm. In this time her swelling has reduced from 29.9% to average 4.5% - 5.5%. Read about her experience in the case-studies and testimonials chapter of the book.
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Client 2, a young Mum with primary lymphoedema in her legs, who has RLD once a month to help relieve the discomfort of this. The warmer weather exacerbates the symptoms. On arrival she described her legs as, 'feels like they're going to pop' and she also had lower back pain. By the end of the session her jeans were visibly looser and the pain gone.  

​Client 3, ​comes for reflexology intermittently, it had been a few months since her last session. When she arrived she was so tense, feet and legs rigid and difficult to work on. Usually she has a more generaI reflexology, so I hadn't planned on RLD. I always start reflexology & RLD with the diaphragm and spinal cord reflexes, but it was difficult despite my best efforts. So I decided to try working the cervical lymph nodes reflex from the RLD sequence. This is always sedative & soporific for the client. It is how I believe we stimulate the parasympathetic nervous response through the vagus nerve reflex. (Page 106, Chapter 6, Section 3 - See photo). 
With this, she let go instantly, so I carried on with the RLD sequence. At the end she said that was the most relaxed she's ever felt during any reflexology. 
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Client 4, Another client I haven't seen for a while, has a busy lifestyle with high powered stressful job and a family. Over the years she's had reflexology for various stress related issues. Currently struggling with the menopause and an outbreak of eczema which had spread to her face. Years of experience has shown me that RLD is wonderful for all her symptoms. 

Client 5, was new to reflexology, had liposuction at the beginning if the week and was in a lot of pain from the procedure. The consultant advised some post-op MLD and while searching for a  practitioner found the RLD website and rang for more information. I explained that what I do is not MLD, discussed the research results and we both agreed its was worth trying as there's a lack of MLD therapists in the area. Without mentioning what might happen during the session, all the usual sensations were present,  tingling, flow, slight-almost pins & needles etc.
I believe in 'less-is-more' when it comes to trying to explain our work to clients. It was a remarkable session for both of us. 

Reflexology Lymph Drainage - Book

£50.00
Buy Now
Illustrated step by step guide to the Sally Kay method. Enjoy Sally's personal journey from inspiration to innovation, from the ancient art of reflexology to the research & development of RLD, a modern evidence-based method of reflexology. A ground-breaking step change tool for the reflexology tool box!  
Signed copy 
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Primary lymphoedema & RLD

7/3/2017

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Dorothy's story is about the positive impact RLD has had on quality of life, and living with primary lymphoedema

Unlike secondary lymphoedema, primary is genetic and often runs in families, although not every child born to someone with the condition will develop it themselves. 
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I just want to let you all know that the work that Sally Kay has done to design a routine specifically for Lymphoedema has given you all the ability to have a positive effect on people's lives.
For those of you who don't know I have primary Lymphoedema, a condition I was born with and which I inherited from my mum.
For years I knew how my future after 40 would go, I watched my mum become less mobile every year as the lymph took over her life and her legs just got bigger and bigger.
Each time she would go to see a medical professional, it was always classed as a weight problem.
It wasn't until after she passed that I found out why she had 'elephant legs' and that too was my future.
I feel myself lucky, it didn't get bad for me until my forties, however there are children out there struggling daily, wondering why one leg is bigger than the other, why a small cut makes them ill if they get cellulitis and they can't do what the friends do and that the heat makes the swelling worse.
I have trained in lymph massage, the Vodder Technique and yes it's fab however it was time consuming, although a light massage it was right in your personal space and needed doing very very regularly - and costly even on fantastic salary it was expensive.
Life used to consist of getting out of bed wondering if I could leave the house today because I didn't know if I could get shoes on, especially would I be able to finish a work outfit with acceptable shoes.
Imagine doing a presentation to a group of bankers in suits with crocs on, because nothing else fitted. I never wear skirts coz I think people are staring at my fat feet coming over my shoes.
For a couple of years I followed Sally Kay's work intensively and last year another wonderful person Vicky Laws took my on as a client and started doing RLD on me.
I am a therapist and always believe the intent to heal is there, however the results after the first session far far exceeded my expectations.
Lymph moved almost immediately moved and start to exit my body.
Regular treatments have meant that my lymph is more manageable, I can wear more normal shoes. I no longer get 'heavy leg' syndrome in the evening.
I feel better, haven't had sore throats that previously plagued me all winter and have even flown for the first time in years. I just made sure I did the hand routine frequently when away.
I have also addressed that my condition had caused me social anxiety as I didn't socialise or go to anything like the pictures for years, I gave up all that I loved doing. I would go out but on my own, head down and get on with it, so that my loved ones weren't exposed to the stigma - I think that was only in my head thou. I am great at outwardly appearing confident.
I just wanted to say a massive thanks to Sally Kay for her dedication to RLD, for giving life back to sufferers whether it's primary or secondary Lymphoedema.
It's early days however I believe that my lymph system is getting stronger.
Sally has passed on this knowledge and I just wanted to give everyone a little insight to how this condition although not life threatening can be life impacting 
Thanks for reading
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RLD hand reflexes and post operative swelling ....

3/2/2017

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London based reflexologist, Karen shares her self-help experiences of RLD hand reflexes and post-operative swelling following total hip replacement surgery. Thank you for sharing! 
​BLOG:
"Following a total hip replacement operation, my whole leg, ankle and foot was so swollen it felt like it might burst! I was bruised all down the leg, and bottom of my foot was completely black and blue, as was the area around my knee where the 'stockings' were cutting into my skin!
After a few days when the swelling was still the same, and being an RLDer, I decided it wouldn't do any harm to try out some hand RLD to try and help release some of the pressure. So I started doing the routine every other day. After just a few days I began to feel a 'trickling' sensation down my operated leg (something that clients have mentioned when I've been treating them, but you 
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Results for one client who received 30x RLD in 22 months....

23/10/2016

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Hard to believe its been more than a year since my last blog, and by coincidence the same client has inspired me to write again. Although I'm spoilt for choice with so many wonderful and diverse case studies sent in by others following the RLD training course. Thank you everyone for sharing. 
​
​The client, (see last blog), first had RLD in December 2014, and continues to come for regular monthly sessions. There have been some gaps of 6-8 weeks between appointments, due to holidays etc. To date a total of 30 treatments, all measured with no adaptations to the original protocol have ​been received.

​During this 22 month period the swelling has reduced, neck and shoulder pain has gone and quality of life improved. At first the pain woke her at night and every morning. It was the first thing she thought about each day and was a constant reminder. Delighted to say, this is no longer the case. ​Clothes she hadn't worn because of the swelling, included a favourite coat and blouse, fit once again, and have done for a while. With more confidence she joined a gym,
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RLD Case study ~ 12 x Reflexology Lymph Drainage

21/5/2015

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Five months ago, a client had 562mls excess swelling in (the cylinder of) her arm, making it 29.9% bigger than the unaffected side. 
Additionally there
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was a lot of swelling in the back of the hand and under arm (not included in the volume measurements). 

Today was her 12th RLD session, 4 weeks since the last, with measurements showing only a very small increase in that time. Since then she has also been for a routine appointment at the lymphoedema clinic, where they were very pleased with the noticeable reduction and she needs a new compression garment to be ordered.  


These results show a total fluid loss of 461ml, with a 100ml remaining. The wrists are now compatible in size, as is the proximal (upper) arm.  The client is very happy to be wearing clothes that were previously too tight in the arm. Underarm swelling has also eased and the back of the hand is looking smaller too. 

The 4th & 5th distal segments of the arm are where she feels there is a blockage, although this area is now softer, swelling is still visible here.  I hope that with a few more sessions this might also be reduced.  

After 6 sessions it looked as if the results were beginning to plateau, but the client wanted to continue (enjoying RLD, she was sure it was helping with general wellbeing, feeling more energised, and less sluggish and lethargic). Her view was that it might be like a diet, when weight loss is good for the first few weeks, before levelling out and steadily continuing to lose weight at a slower rate. Looks like she was right!   

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Reflexology Lymph Drainage RLD case study continued...

6/2/2015

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An update from last weeks RLD case study, which continued with treatment no.7 today. All the usual sensations were experienced plus a clear sense of trickling and draining in the fingers and hand, particularly the little finger and ring finger. 

Each week there have been changes to the measurable cylinder of the arm, (see graph) but swelling in the hand has been stubborn until today.   


In her weekly feedback, she reported wearing a jacket to work this week, and it being noticeably more comfortable, not so tight and restricted.  
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ABOVE Before RLD 3 (9th January 2015) BELOW After RLD 7 (6th February 2015)
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Case Study graph of 7 RLD weekly treatments, apart from no.3 when there was a 3 week gap due to Christmas and New Year
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Reflexology Lymph Drainage RLD ~ case study summary

30/1/2015

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In December 2014, a new client came for RLD after hearing about the research. She presented with unilateral secondary lymphoedema of the right arm and hand, uncomfortable swelling under the arm, which had hardened, lost its softness. She wears a full sleeve, inclusive of glove and does the recommended daily exercises. 
Limb Volume Circumference Measurements (LVCM)  were taken before and after each RLD treatment.  The arm is treated like a cylinder,this means that any excess fluid/swelling in the hand, shoulder, under arm, chest wall or around the back is not included in these figures. 
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The blue line on the graph shows how the swelling reduced during 6 treatments, these were weekly apart from between 2nd & 3rd treatments, due to Christmas etc. when there was a 3 week gap. 

Before RLD 1, the swollen arm was 29.9% bigger than the normal arm, and contained 561.68ml
After RLD 6, the swollen arm was 12.8% bigger than the normal arm, and contained 240.40ml

I still get so excited by the results!

Watch this space, I'm seeing her again, same time next week..........



   
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    Reflexology Lymph Drainage

    RLD is a reflexology technique which stimulates specific lymphatic reflexes on the feet. Developed from first principles & researched by Sally Kay to help with the management of secondary lymphoedema in patients affected by treatment for breast cancer.  Further research into RLD is ongoing and training is available for reflexology practitioners. 

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