Ticklish Patients Are No Laughing Matter

We've all (likely) had a patient who is extremely sensitive or ticklish.  The laughter is often contagious, and we find ourselves cracking up as well.  But there's a lot to consider about the ticklish response - this 'sode is all about dealing with these patients.

When we really think about it, if we subtract the laughter the tickle response looks an awful lot like a pain response.  Contracting, pulling away, getting into a fetal or defensive position.  

The tickle response is processed in the hypothalamus of the brain - the same place where the emotional threat response is processed.  Here are some techniques that can be extremely helpful with this patient population!

1. Use the anticipatory system to make sure the patient isn't surprised by the touch
2. Calm the nervous system using a variety of techniques
3. Start away from the area that is ticklish

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About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped nearly 200 pelvic practices start and grow through the Pelvic PT Rising Mentorship Program (www.pelvicptrising.com/business) and business courses to change the way pelvic health is administered. 

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Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!