Probably the most important thing a doctor can do to reduce ticklishness in patients during physical exams is clearly communicating their intentions before they do anything. Tell your doctor about your self-perceived level of ticklishness before getting touched. Ask if they use lighter or deeper palpation (touches) while conducting exams so you can prepare yourself for it.  Ask your doctor to tell you where and when they're going to touch you before they do. Removing anticipation often eliminates ticklishness. Ask your doctor to be particularly careful of your highly ticklish areas, such as your underarms, lower abdomen, groin and/or feet. Always maintain professionalism in order to prevent any sexual or flirtatious undertones, which can cause nervousness / anxiety / arousal and trigger ticklishness. Although most doctors are busy and don't always have the luxury of taking lots of time for physical exams, it's helpful for making patients feel more comfortable and potentially less ticklish. An unrushed purposeful touch is usually better received than a hurried and clumsy touch. It's also best for your doctor to start your medical exam by feeling less sensitive areas and then concluding with the more sensitive spots.  The back (spine) is typically one of the least ticklish areas for touching, examining, massaging, etc, whereas the abdomen and feet are often the most sensitive. With thoughtful and purposeful sequencing during a physical exam, your doctor can make it easier for you to develop a level of comfort and confidence before having to endure being touched in your more sensitive body parts. A ticklish / jumpy patient can waste a lot of valuable time, so your doctor shouldn't mind spending a little more time initially making you feel more comfortable in order to save time in the long run. Another cause of ticklish and jumpy behavior in patients is being touched by cold or wet hands. As such, it's important that doctors keep their hands warm and dry during physical exams, regardless of the time of year or temperature inside the clinic. They can rub their hands together or blow on them to warm them up prior to touching you. Clapping them together a few times or shaking them for a few seconds can also improve circulation.  Using hand sanitizer is great for cleaning hands prior to touching patients, but make sure your doctor's hands are dry before starting the exam. Chronic smoking and caffeine consumption often leads to poor circulation to the hands, which tends to make them feel cold. An effective technique to use on ticklish or hypersensitive patients is called the "hand sandwich," which involves placing the doctors hand over top of your hands while they're palpating sensitive parts of your body. In effect, the doctor is feeling your body through your hands or fingertips. This is most effective for palpating / percussing your abdominal organs, but not really appropriate for finer work such as feeling your skin.  This technique seems to work because people can predict the movements of the doctor's hand as they apply pressure to the skin, which makes them feel like they are in control more. Because it's not possible for people to tickle themselves (the brain doesn't allow it), the "hand sandwich" technique fools your brain into thinking the pressure is coming from your own hand, thus reducing your ticklishness.
اسأل الطبيب أن يخبرك بنيته بوضوح. اطلب من طبيبك أن يأخذ الوقت المناسب. اطلب من طبيبك أن يبقى يده دافئة وجافة. ضع يدك تحت يد الطبيب أثناء الفحص.