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Feb 2006

Feb 18, 2006

Low Body Temp and Post Therapy Soreness


Did you know that your clients who consistently present with a lower than normal body temperature, typically experience more soreness after bodywork than those with a normal temperature?

This can be important to your practice. If you know and utilizing this information you can help ease your clients post therapy soreness and minimize any negative effects of the bodywork. It is a simple and effective way to follow through with clients and let them know their comfort and well being is important to you.

What is Normal?
The familiar 98.6 F is normal for an oral reading; however auricular readings (in the ear) are more accurate because they are taken from the tympanic membrane. This tissue shares blood supply with the hypothalamus. The hypothalamus is the master gland controlling the body’s temperature. The normal range of temperature for auricular readings is 99.2 – 99.8 F.

How do I find out my Clients Average Temperature?
Some clients may already be aware that their temperature runs consistently low, and simply asking them may be enough. However, for accuracy, use a digital ear thermometer. I have found that the Braun is the most easy to use. You will have to purchase and use the slip covers to prevent transmission of bacteria from one person to the next.

For the adult, lightly grasp the posterior and superior aspect of the exterior ear and gently pull in the same direction. The ear canal will slope gently up and back in most adults. Retracting the ear tissue will allow easier access to the tympanic membrane for measurement.

While holding the ear, place the thermometer measuring device in the canal to a comfortable depth and press the read button. A reading of the canal wall will give you a false measurement. Therefore, repeat two more times while slightly changing the angle of the instrument. Note the highest reading. Repeat for the other ear and notate the highest temperature reading as the current core temperature.

What can I do during the Session?

Keep your clients warm while in session. Use a warming blanket in colder climates.

What can they do Post Session?

Staying warm in general and especially keeping neck, hands and feet warm will help prevent excessive soreness and muscle spasms (see cold reflex). Recommend a good soak in a hot bath with 2-3 cups of Epsom salts and 1/2 cup of baking soda can help to stimulate core temperature and improve circulation and relax muscles for those with temperatures less than 98.4 F. auricular. Daily light exercise and 25 to 45 minutes of cardiovascular (safe levels of rapid breathing and heart rate) will help maintain a healthier core temperature.

Avoid alcohol, glutamate, and low protein diets if you have a consistently low temperature. Seek alternative and/or formal treatment for signs and symptoms of hypothyroidism and fibromyalgia.

In Summary
This is a small detail that can have a large impact on your client’s comfort and the overall success of your bodywork. Paying attention to it and educating your clients as to support measures may benefit them greatly. Remember, low core temperatures are found in many conditions and diseases such as hypothyroidism, fibromyalgia, polymyalgia rheumatica, lupus, MS, and candidiasis, and vegetarian diets. However, a low temperature does not mean a client has an active disease.

This, and similar topics are discussed in greater detail in SRA Level I Basic.

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