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Client: Casey Lee (anonymous name)

REFLEXOLOGY CASE STUDY

by Connie S. Young, Certified Reflexologist
Client History
   Diabetic neuropathy;
   Compliant diabetic who eats well and takes care of
     herself;
   Normal we...
History of Wound Treatment
   Client treatment prior to reflexology:
        Used expensive cream application prescribed...
Reflexology Treatment/Study
 Client treatment—once a week sessions for first six weeks
      Sometimes treatments were m...
Sinus Reflexes                        Sinus Reflexes
                            Pituitary
      Eye Reflexes        Hypot...
Session One




Session One: Client’s feet are both callused and the pad of the
right foot is quite swollen compared to th...
Progression of Healing

 Session One: Pictures were taken following
    the first reflexology treatment.
   These pictur...
Session One




         Note the size of the toe and the swollen
         pad of the foot and great toe.
Session One


                   The picture is the same
                  size as in session one. So
                    ...
Dorsal Side: Session One

Note the swelling of the
  great toe on the left
foot—client complained
that she could not “feel...
Client Reaction
 Following the first treatment, the client
  wrote:
   “Just wanted to let you know, that while I cannot...
Session Two
Progression of Healing
   Session Two: Pictures were taken after the foot was soaked in
    clear water for five minutes ...
Graphic Representation




Found in the article “Cellular and Molecular Basis of Wound Healing
in Diabetes” by Harold Brem...
Abstract
Endothelial progenitor cells (EPC) are known to contribute to wound healing but the physiologic
triggers for thei...
Sessions One and Two




  Session One: Note the size   Session Two: Here the swelling has
  of the toe and the swollen   ...
Client Reaction
 Following the second treatment, the client shared:
    “Usually my feet feel like shapeless stumps that...
Session Three




Session Three: The callused right foot was healing remarkably, while
the left foot was definitely improv...
Progression of Healing
 Session Three: Pictures were taken prior to treatment.
  Indications:
    The wound was healing ...
Session Three


      The picture is the same
     length (see green line) as
      in session one. So is the
     circle—...
Session One and Three




              The toe and pad of foot look less swollen
              and the wound is coming to...
Client Reaction
 Following the third treatment the client shared:
    “The day after my appt. I noticed obvious foot vei...
Session Four




Session Four: The callused left foot was healing slowly, while the right
foot was definitely improved. Sw...
Progression of Healing
 Session Four: Pictures were taken after the
  foot reflexology treatment.
 Compare the pictures ...
Dorsal Side: Session Four
Session Four
Session Four
Sessions One and Four
Session One

Comparisons

      Session Three




                      Session Four
Session Five        Before Treatment




  After Treatment
Progression of Healing
 Session Five: Pictures were taken before the
  treatment and after the treatment to
  compare how...
Before Treatment




After Treatment
Client Reaction: Session
Fivethe fifth treatment the client shared:
 After
   “More good news! My sore looks good, and m...
Dorsal Side: Session Five
The wound shows a
                                         definite change in
                                     appeara...
Session One

Comparisons

      Session Three




                      Session Four
Session Five

           Session Five
Session Six
              Session Six
Progression of Healing
 Session Six: Pictures were taken before the
  client’s treatment and just following the
  treatme...
Session Five




               Session Six
Right
Foot
Progress
Session Six

 One tablespoon of baking soda and one
  tablespoon of sea salt added to the footbath.
 Everything else was...
Left
Foot
Progress
Client Reaction Session Six

 Wound looked like it was coming toward the
  surface and opening up more.
 Swelling decrea...
Dorsal Side: Session Six
Session Seven
            Session
            Seven
Progression of Healing

 Session Seven: Pictures were taken before
  the client’s treatment and just following the
  trea...
Dorsal Side: Session Seven
Client Reaction Session Seven
 Client is still encouraged and hopeful to see full
  and complete healing of this wound.
...
Session Seven

Session Six
Session Seven

Session Six
The wound looks
Session Five                     as if it is getting
                               larger, but the skin
 ...
Session One Session Seven




      Session Five
Session One

  Comparisons:

                 Session Seven
Session Eight
Progression of Healing

 Session Eight: Pictures were taken before
  the client’s treatment and just following the
  trea...
Session One




              Session Eight
Comparisons
Session One   Session Four   Session Eight
Session Nine
Session One
Progression of Healing                 (continued)




 Session Nine: Pictures were taken after the
  client’s treatment....
Session One   Session Nine
Session One




              Session Five




                             Session Nine
Session Five



                                        Session Seven




                                The wound is
   ...
Progression of Healing

 Session Ten: Pictures were taken after the
  client’s treatment.
 Feet: Session Ten After Treat...
Comparisons: Sessions One to Nine
Session One                  Session Eight

Comparisons




Session Four                 Session Nine
Comparisons: Sessions One to Nine
Session Ten
30 July 2008
20 August 2008
27 August 2008
5 November 2008
1 September 2008
10 September 2008
24 September 2008
8 October 2008
24 October 2008
5 November 2008
19 November 2008
Client Reaction Session Ten
 Client is still discouraged to see the wound
  looks somewhat larger, but encouraged to
  kn...
Session Eleven
Composite of Wound Inverted
Composite of Wound Inverted
    30 July2008    3 December 2008
Composite of Wound Inverted
    30 July2008    3 December 2008
30 July2008   11 February 2009
Comparisons



      Session Eleven




       Session Nine
Comparisons



                  Session Eleven




Session Sixteen




                   Session Nine
Comparison of Wound
                        3
                2                    4


 1

                9

            ...
Comparison of Wound
                         3
                     2       4

 1

                 9

                   ...
Conclusions
 Reflexology can help the body’s processes to improve
  blood flow of the circulatory system, increase the
  ...
Seeing is believing . . .
                                       First Session




                                       ...
Seeing is believing . . .




First Session                               Eleventh Session
                               ...
Session Sixteen
Healing 12 August 2009. . .
If the body can visibly heal its own wounds
through this kind of hands on consistent
working of the reflexes of the feet, ...
See why you need reflexology?!

   Thanks so much!
     CyReflexology
           cy
Reflexology Case Study Final
Reflexology Case Study Final
Reflexology Case Study Final
Reflexology Case Study Final
Reflexology Case Study Final
Reflexology Case Study Final
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Reflexology Case Study Final

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This is a case study to show the effectiveness of reflexology in the progression of healing a diabetic wound over the course of one year.

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Transcript of "Reflexology Case Study Final"

  1. 1. Client: Casey Lee (anonymous name) REFLEXOLOGY CASE STUDY by Connie S. Young, Certified Reflexologist
  2. 2. Client History  Diabetic neuropathy;  Compliant diabetic who eats well and takes care of herself;  Normal weight, but swollen neck;  Open wound on great toe (ongoing condition for two years—started 5 Dec. 2006);  Callused feet on medial side—both feet—open wound on left great toe only;
  3. 3. History of Wound Treatment  Client treatment prior to reflexology:  Used expensive cream application prescribed by doctors (client said there was no visible healing);  Soaked feet in hydrogen peroxide every day;  Wrapped wound when it was seeping blood.  Client pursued many types of conventional medical healing and alternative healing modalities before trying reflexology as a “last resort.”
  4. 4. Reflexology Treatment/Study  Client treatment—once a week sessions for first six weeks  Sometimes treatments were more than one week apart out of necessity.  Assessment with client would determine further treatment at the end of six treatments.  Client /Practitioner chose to continue treatments every two weeks.  Client was requested to stop hydrogen peroxide soaking and only clean the wound dabbing it with hydrogen peroxide using cotton balls.  Client chose to discontinue using hydrogen peroxide completely.  Client was asked not to change any other element of her routine concerning the wound during reflexology treatments for the duration of the case study.
  5. 5. Sinus Reflexes Sinus Reflexes Pituitary Eye Reflexes Hypothalamus Eye Reflexes Pineal Esophagus Thyroid Parathyroid Trigeminal Nerve Ear Reflexes Ear Reflexes Chronic eyes Chronic ears Pericardium Shoulder Reflex Heart Shoulder Reflex Lungs Lung Reflexes Lung Reflexes Adrenals Stomach Liver Pancreas Gall Bladder Kidneys Spleen Reflex Duodenum Reflexes Knee Knee Ureter Ileocaecal Valve Small Intestines Sigmoid Reflex Appendix Colon Reflexes Colon Reflexes
  6. 6. Session One Session One: Client’s feet are both callused and the pad of the right foot is quite swollen compared to the left foot. Notice the toes against the pad itself. Compare to Session Three.
  7. 7. Progression of Healing  Session One: Pictures were taken following the first reflexology treatment.  These pictures show the wound, but do not show the seeping of blood,  The photos show the swelling in the foot and the pad of the foot.  The right foot also had calluses that showed cracking and some roughness of skin.  Feet: Session One
  8. 8. Session One Note the size of the toe and the swollen pad of the foot and great toe.
  9. 9. Session One The picture is the same size as in session one. So is the circle—this is to help the eye see the difference in the wound. Note the size of the toe and the swollen pad of the foot and great toe.
  10. 10. Dorsal Side: Session One Note the swelling of the great toe on the left foot—client complained that she could not “feel” her feet.
  11. 11. Client Reaction  Following the first treatment, the client wrote:  “Just wanted to let you know, that while I cannot pinpoint exactly what, I can tell that my feet feel most decidedly different since the session yesterday. I know this is going to be a worthwhile venture for me” (Casey Lee).  “P.S. In the meantime, I am trying to get more in touch with ‘feet’ things that are unfamiliar for me . . . I am excited, and will be in contact.”
  12. 12. Session Two
  13. 13. Progression of Healing  Session Two: Pictures were taken after the foot was soaked in clear water for five minutes prior to the reflexology treatment;  The photo shows the yellowing underneath the skin showing the depth of the wound;  EPCs explained: “Diabetic?”;  In an article entitled “Endothelial Progenitor Cell [EPC] Release into Circulation is Triggered by Hyperoxia-Induced Increases in Bone Marrow Nitric Oxide [NO],” researchers at the University of Pennsylvania Medical Center in Philadelphia believe “EPC mobilization into circulation is triggered by hyperoxia through induction of bone marrow NO with resulting enhancement in ischemic limb perfusion and wound healing” (3); (see Abstract);  Stimulating the reflexes of the feet may induce this healing process naturally. Further study needs to be pursued in this area;  Compare Session One with Session Two as the treatment given has improved circulation to the wound and allowed the body to begin the healing process without injections or other treatments.  Feet: Session Two;
  14. 14. Graphic Representation Found in the article “Cellular and Molecular Basis of Wound Healing in Diabetes” by Harold Brem and Margana Tomic-Canic
  15. 15. Abstract Endothelial progenitor cells (EPC) are known to contribute to wound healing but the physiologic triggers for their mobilization are often insufficient to induce complete wound healing in the presence of severe ischemia. EPC trafficking is known to be regulated by hypoxic gradients and induced by VEGF-mediated increases in bone marrow nitric oxide (NO). Hyperbaric oxygen (HBO) enhances wound healing though the mechanisms for its therapeutic effects are incompletely understood. It is known that HBO increases nitric oxide levels in perivascular tissues via stimulation of nitric oxide synthase (NOS). Here we show that HBO increases bone marrow NO in vivo thereby increasing release of EPC into circulation. These effects are inhibited by pretreatment with the NOS inhibitor L-nitroarginine methyl ester (L-NAME). HBO-mediated mobilization of EPC is associated with increased lower limb spontaneous circulatory recovery after femoral ligation and enhanced closure of ischemic wounds and these effects on limb perfusion and wound healing are also inhibited by L-NAME pretreatment. These data show that EPC mobilization into circulation is triggered by hyperoxia through induction of bone marrow NO with resulting enhancement in ischemic limb perfusion and wound healing. (Goldstein et. al 1)
  16. 16. Sessions One and Two Session One: Note the size Session Two: Here the swelling has of the toe and the swollen receded and the skin is beginning pad of the foot and great to heal around the wound. toe.
  17. 17. Client Reaction  Following the second treatment, the client shared:  “Usually my feet feel like shapeless stumps that just ‘thud’ [on] the ground . . . sometimes with sharp knife-like pain that stabs, though I cannot really pin-point the exact location. This manifests itself in different degrees of precarious balance.  Immediately after the session yesterday, my feet felt much more in touch with the ground. A vein in my left toe was visible to the knuckle right before the end of my big toe.  My balance today is pretty good, and, while sometimes, I limp, or my right foot drags a bit, there was none of that thus far today. The sensation of having had a ‘deep tissue’ massage only in the feet (including toes, heels, and middle of foot) was not extremely strong, but very definitely present.”
  18. 18. Session Three Session Three: The callused right foot was healing remarkably, while the left foot was definitely improved. Swelling was down and the client’s toes on the left foot were looking more normal in size. Compare to Session One. Back to Session Four.
  19. 19. Progression of Healing  Session Three: Pictures were taken prior to treatment. Indications:  The wound was healing very slowly.  The left foot was definitely less swollen.  The client felt more ability to balance herself when walking.  She started to “feel” the treatment as if it were a “deep tissue massage.”  Hypothesis: Stimulating the reflexes of the feet may induce EPC healing process naturally.  Compare Session One with Session Two as the treatment given has improved circulation to the wound and allowed the body to begin the healing process without injections or other treatments.  Feet: Session Three
  20. 20. Session Three The picture is the same length (see green line) as in session one. So is the circle—this is to help the eye see the difference in the wound.
  21. 21. Session One and Three The toe and pad of foot look less swollen and the wound is coming to the surface. There is also new, healthy skin forming at the edges of the wound.
  22. 22. Client Reaction  Following the third treatment the client shared:  “The day after my appt. I noticed obvious foot veins, reaching at the highest, to the space between toes 2 & 3 (the big toe being #1) on my left side. Veins were clearly seen on the right side to the 1st joint below the toe nail on my big toe.  Balance seems more grounded . . . and, it was tested as I worked a lot in my yard today, which has many sharp inclines and uneven surfaces. The sore looks good, and seems to be ‘bonding’ some. My feet felt sore, but in a healthy way . . . like they had been subject to a ‘deep tissue’ massage.  Also, I am noticing a little less pain/discomfort on the outside of my right knee and into my right hip” (Casey Lee).
  23. 23. Session Four Session Four: The callused left foot was healing slowly, while the right foot was definitely improved. Swelling was down and the client’s toes were looking more normal in size. Compare to Session One, Session Three.
  24. 24. Progression of Healing  Session Four: Pictures were taken after the foot reflexology treatment.  Compare the pictures of the feet taken in Sessions one, three, and four. If you look closely at the left foot’s toes, you will see the swelling and its regression from Session to Session.  Feet: Session Four
  25. 25. Dorsal Side: Session Four
  26. 26. Session Four
  27. 27. Session Four
  28. 28. Sessions One and Four
  29. 29. Session One Comparisons Session Three Session Four
  30. 30. Session Five Before Treatment After Treatment
  31. 31. Progression of Healing  Session Five: Pictures were taken before the treatment and after the treatment to compare how the treatment affects the feet. It was interesting to note that the wound looked more dry after the treatment.  The client expressed concern that there was a new piece to the wound.  Feet: Session Five Before Treatment  Feet: Session Five After Treatment
  32. 32. Before Treatment After Treatment
  33. 33. Client Reaction: Session Fivethe fifth treatment the client shared:  After  “More good news! My sore looks good, and my feet are back to feeling more ‘grounded,’ thus . . . better balance! I can feel a little more sensation in them, as well.  Thanks for working on the part of the right foot that affects my knee and hip. I have noticed less discomfort in the knee, in particular.  Finally, I am so glad you called my attention to my neck. I have really been taking note of my mirrored reflection (for a change) . . . you are right again! There IS a difference. There is more definition in the neck, especially right at the jaw line. PLEASE keep working on that!  I believe your efforts on my behalf are paying off . . . thank you so much.” ~~Casey Lee
  34. 34. Dorsal Side: Session Five
  35. 35. The wound shows a definite change in appearance from before the session to after the session, which might support the theory that EPC stimulus is evident through reflex stimulation of the foot. Before Treatment After Treatment
  36. 36. Session One Comparisons Session Three Session Four
  37. 37. Session Five Session Five
  38. 38. Session Six Session Six
  39. 39. Progression of Healing  Session Six: Pictures were taken before the client’s treatment and just following the treatment as well.  The toe also diminished in size, which makes it difficult to see with the eye what has happened to the wound.  Feet: Session Six Before Treatment  Feet: Session Six After Treatment
  40. 40. Session Five Session Six
  41. 41. Right Foot Progress
  42. 42. Session Six  One tablespoon of baking soda and one tablespoon of sea salt added to the footbath.  Everything else was the same.
  43. 43. Left Foot Progress
  44. 44. Client Reaction Session Six  Wound looked like it was coming toward the surface and opening up more.  Swelling decreased.  Client was still encouraged and hopeful to see full and complete healing of this wound.
  45. 45. Dorsal Side: Session Six
  46. 46. Session Seven Session Seven
  47. 47. Progression of Healing  Session Seven: Pictures were taken before the client’s treatment and just following the treatment as well.  Feet: Session Seven Before Treatment  Feet: Session Seven After Treatment
  48. 48. Dorsal Side: Session Seven
  49. 49. Client Reaction Session Seven  Client is still encouraged and hopeful to see full and complete healing of this wound.  On Session seven the client also shared that she had realized a side benefit of the treatments. She had decided to trim her toenails. Her third toe nail was prone to detach from the skin and fall off three times a year. When she started trimming, she felt she would need to be cautious of that toenail. She discovered that the toenail was now fully attached and just like her other toenails again. She was surprised and delighted!
  50. 50. Session Seven Session Six
  51. 51. Session Seven Session Six
  52. 52. The wound looks Session Five as if it is getting larger, but the skin underneath is healing—the Session Seven surface is now creating healthy skin. The wound is less deep.
  53. 53. Session One Session Seven Session Five
  54. 54. Session One Comparisons: Session Seven
  55. 55. Session Eight
  56. 56. Progression of Healing  Session Eight: Pictures were taken before the client’s treatment and just following the treatment as well.  Feet: Session Eight Before Treatment  Feet: Session Eight After Treatment
  57. 57. Session One Session Eight
  58. 58. Comparisons Session One Session Four Session Eight
  59. 59. Session Nine
  60. 60. Session One
  61. 61. Progression of Healing (continued)  Session Nine: Pictures were taken after the client’s treatment.  Feet: Session Nine After Treatment
  62. 62. Session One Session Nine
  63. 63. Session One Session Five Session Nine
  64. 64. Session Five Session Seven The wound is knitting together and the skin is definitely healing. Session Nine
  65. 65. Progression of Healing  Session Ten: Pictures were taken after the client’s treatment.  Feet: Session Ten After Treatment
  66. 66. Comparisons: Sessions One to Nine
  67. 67. Session One Session Eight Comparisons Session Four Session Nine
  68. 68. Comparisons: Sessions One to Nine
  69. 69. Session Ten
  70. 70. 30 July 2008
  71. 71. 20 August 2008
  72. 72. 27 August 2008
  73. 73. 5 November 2008
  74. 74. 1 September 2008
  75. 75. 10 September 2008
  76. 76. 24 September 2008
  77. 77. 8 October 2008
  78. 78. 24 October 2008
  79. 79. 5 November 2008
  80. 80. 19 November 2008
  81. 81. Client Reaction Session Ten  Client is still discouraged to see the wound looks somewhat larger, but encouraged to know that it is not as deep as before and that healing is still visibly taking place.  The client also experienced a bit of a setback in that she realized she had developed an infection in a particular area of the wound, but nursed it back to health before coming to her tenth session for reflexology.
  82. 82. Session Eleven
  83. 83. Composite of Wound Inverted
  84. 84. Composite of Wound Inverted 30 July2008 3 December 2008
  85. 85. Composite of Wound Inverted 30 July2008 3 December 2008
  86. 86. 30 July2008 11 February 2009
  87. 87. Comparisons Session Eleven Session Nine
  88. 88. Comparisons Session Eleven Session Sixteen Session Nine
  89. 89. Comparison of Wound 3 2 4 1 9 5 16 11 10 8 6 7
  90. 90. Comparison of Wound 3 2 4 1 9 5 11 16 8 7 6 10
  91. 91. Conclusions  Reflexology can help the body’s processes to improve blood flow of the circulatory system, increase the efficiency of the nervous system, and allow the body’s environment to return to homeostasis.  Healing is enhanced and encouraged with reflexology treatments, even in diabetic wounds, so it would be appropriate to believe that health is also enhanced and encouraged in those who are already healthy, or in situations where people need healing of any chronic or symptomatic issue.  To assume reflexology is only a complimentary or alternative method of healing would be an understatement.  Reflexology is a necessary and vital treatment for preventative health, repairing health, and equipping the body to fight disease more efficiently.
  92. 92. Seeing is believing . . . First Session Tenth Session Can you live without reflexology? Sure, but after seeing this, do you want to live without it?
  93. 93. Seeing is believing . . . First Session Eleventh Session Twelfth Session Can you live without reflexology? Sure, but after seeing this, do you want to live without it? Sixteenth Session
  94. 94. Session Sixteen
  95. 95. Healing 12 August 2009. . .
  96. 96. If the body can visibly heal its own wounds through this kind of hands on consistent working of the reflexes of the feet, what does it do to help the internal wounds, issues, organs, and systems of the body? We can’t visibly watch those changes. However, this evidence suggests to me that what reflexology can do to help the internal health and exterior health is palpable and worth our understanding and patience to wait for these results.
  97. 97. See why you need reflexology?! Thanks so much! CyReflexology cy
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