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  • Writer's pictureNicole Cozean

Ticklish Patients Are No Laughing Matter

We've all (likely) had a patient who is extremely sensitive or ticklish.

5 Reminders When Treating Chronic Pain

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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

As Nicole said on the full 'sode of the topic...

"The tickle response is processed in the same place in the brain where the emotional threat response is processed." - Nicole Cozean

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Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

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