Ayurvedic reflexology utilizes sesame oil as lubricant between the massager's hand and the patient's skin and Kasa bowl to press against the arch of the patient's foot. These instruments allow better movement for the massager's hands and prevent sprain and injury. Some reflexologists have reluctantly quit their clinical sessions due to the injuries caused by repeated arm and wrist movements. When you have shortlisted your choices and candidates, consider asking their backgrounds and trainings. Do they have the right certifications that can validate that they have the right trainings? How many hours did their trainings last? Most nationally accredited training programs require their students to spend at least 110 hours. Though there are similarities in applications, it should be reminded that technically the two are different. Just take a look at massage. When you are doing the massage, the force and touch is often applied to the muscles and the soft tissues of your body. Reflexology on the other hand focuses on the nerve endings. If you want to easily get your clients in the market, then it is best that you are nationally certified as well. For certifications you may want to contact and get in touch with the American Reflexology Certification Board. The certification will involve 110 hours and will cover a number of subjects. One heartbeat follows too early overlapping with the previous heartbeat, wherein a premature contraction takes place. Irregular heartbeats that are either too slow or too rapid are called arrhythmias and fibrillations. These are the symptoms you need to observe in yourself. For arrhythmias or rapid speed changes in heartbeats, most patients complain of dizziness, fainting, shortness of breath, palpitations and chest pain. However, that feeling is only caused by the swelling brought about by the hormonal changes in the body during this time of the menstrual cycle. Constant pressure applied to this area will relieve affected females of the menstrual pain that could often lead to being immobile for a day or two. Pain relievers have been formulated to help ease the pain; however, some users of this drug have developed immunity to its numbing effect that they are required to take large doses before finally feeling the ease.