Posted at 01.02.2019
A contraindication is something stops or restricts cure being completed because of risk of cross infection, consumer soreness, or worsening a disorder.
A contraindication is a physical or behavioural reason that would prevent a massage therapy treatment from occurring completely (or in part) because of the risk of cross infection, client irritation, or worsening a problem. An appointment form must be completed prior to a treatment in order to discover about any contraindications or 'special care' conditions present. That is done to make sure your health and basic safety of the therapist and consumer and allows for the rub to become more suitable for the needs of the client. Some conditions require written medical approval.
Special attention areas and localised avoidance, open up, epidermis, rashes, bites, stings, wounds, sunshine burns, localised bloating, inflammation, lumps, bumps, busted bones, pustilar acne, menstruation, a heavy meal, diarrhoea or constipation, marks, allergic reactions.
Low blood pressure - special care -The client may need help when getting off the table as the rapid lowering of blood pressure when they get up too quick could make them distribute or fall season over or they may feel faint on seated up and require support.
High blood circulation pressure - special good care - Among the effects of massage is the decreasing of blood circulation pressure. This can be a positive thing for hypertension, but not for uncontrolled hypotension. Clients might need to avoid lying chiseled so raise the top of the bed. If their blood pressure is managed by medication, they can get massaged. They could need help when moving away from the stand as there's been a sudden drop in blood circulation pressure during the massage, if they get right up too quick could make them pass out or land over. If their condition is severe then rub is contraindicated. If the person is to receive regular massage then they should get medical authorization as it's possible that their medications might need changing. Keep massages on the light to lighter part as by increasing the new blood flow through the skin there is a threat of rupturing the blood vessels which already are under increased pressure.
Heart conditions/disease - special health care - The client may need to avoid lying chiseled. Adjust the therapeutic massage to suit the client. A center murmer is a problem and not a contraindication. Chronic problems just like a weakened center or obstructed arteries are contraindicated as massage therapy may not be good as it can put stress on the circulatory system [brought on when bloodstream and bloodstream are changed around]
Pacemakers - special attention - As long as care is used around the region of the pacemaker, and the individual is in a sound body, a massage is fine.
Thrombosis or phlebitis - absolute contraindication- "thrombo" means clot, and "phlebitis" means a vein with irritation. There's a serious risk that the clot could be changed during massage therapy and happen to be the heart creating a coronary attack, or even to the lungs creating a blockage in one of the arteries in the lungs, or to the brain leading to a stroke. Do not massage therapy as the results could be fatal.
Varicose/ painful blood vessels - special good care - Do not massage directly over varicose veins as this can cause further problem. A very light therapeutic massage can be applied beside the varicose blood vessels. Always work in a path toward the heart. Do not massage anywhere that is further from where in fact the varicose veins are located in regards to the heart. For instance. When you have varicose veins on the trunk of the knee, don't massage the back of the leg or anything below the leg. Anything above the varicose blood vessels behind the leg is alright to massage, as long as there are no other massage contraindications. Let's say you have varicose blood vessels in the back of the leg (the vascular system is compromised at that area of the body) so massaging the low leg and foot would then only add more vascular stress compared to that compromised area and it could just be dangerous.
Circulatory disorders -. Depends upon the specific kind of circulatory disorder. Check with your doctor prior to starting therapy; therapeutic massage will be light and comforting.
Always wear operative gloves if you have any slashes etc on your hands or if a client has HIV/hepatitis or anyone with visible rashes, sores, lesions or swelling. AIDS cannot "caught" through skin-to-skin contact so long as there is no exchange of fluids (blood vessels, genital essential fluids, or mother's milk), HIV can't be transmitted during massage. Mild contact should be used but in the case of any noticeable rashes, sores, lesions, or bloating, then medical acceptance should be obtained for your own protection. If in question do not massage.
Infectious diseases/disease -contraindication - Massage therapy is not a good idea for someone coming down with anything infectious, and you'll expose you to ultimately the disease/virus as well. Rub may worsen the condition and spread infectionand it puts the person doing the massage therapy, in peril. So, no rub would get until the client had fully retrieved.
Shingles - Shingles (Herpes Zoster) is highly agonizing and very contagious which means you would not massage therapy the client until they have written medical consent to say it is safe to do so then all the affected area as it might still be sore. Usually do not want to rub on any infected or inflammed area. If you have any doubt by any means then don't rub.
Shingles are only an area contraindication. You can provide them massage anywhere else on the body, but be cautious that you watch proper safety measures with sheets, gloves, cleaning your desk and washing the hands!
Increased temp/fever/ feeling unwell/severe infectious disease - contraindication - fever is your system is wanting to combat a trojan/infection of some kind. Massage raises overall circulation and may work against your body's natural defenses. High Fever is definately contraindicated. Therapeutic massage can be taxing over a weakened body. Additionally, it may spread the infection and make it feel worse. The therapist is at risk of getting infections, if the fever is triggered by something contagious, such as a cold/flu. Illness is anyone poor or clinically worn out i. e. recovering from a viral infections, generally unwell, infectious skin area complaints, scabies, herpes, warts, cancer tumor, flu, bronchitis, kidney disease. Being unwell is vomiting, bloating, constipation, diarrhoea, headaches. Fever suggests there's contamination somewhere in the body. Massage can aggravate and work counter-top to what you're body is doing to combat things off. So, no massage therapy would be given until the client has fully recovered.
Inflammation - You should not massage an area of inflamed pores and skin as this will irritate it. Inflamed conditions usually result in -itis, such as phlebitis dermatitis arthritis etc. It is still possible to massage therapy around the affected area avoiding the swelling itself. Clients with rheumatoid arthritis are inclined to inflammation, look for area that are red, hot and swollen. Do not therapeutic massage. A local rub is a contraindication because it works counter from what the body is wanting to do to be able to heal. Signs of infection are pain, swelling, heat, redness and pain. It certainly is smart to know where the inflammation stems from. Is it a personal injury or something more complex? With an injury, it's alright to rub so long as you avoid the wounded area and constructions that irritate that area. For example, An ankle sprain. It's possible to aggravate that area by massaging the back of the low leg because some of these muscles that encircle the ankle joint originate higher through to the knee.
Skin problems -You should avoid anything that looks like it must not be there as they may disperse them, such as rashes, wounds, bruises, uses up, boils, blisters, types of bacterial infection, skin disease, disorder i. e. acne vulgaris, eczema/psoriasisor or skin area cancer. Nail disease and head infections. Irritability of the skin. Scar tissue, bruises, melts away, blisters, reduces & grazes, abrasions, rashes, bites, wounds, sunlight shed. . Usually these problems are local, and that means you can still massage therapy in other areas.
Skin Conditions - If the region is unpleasant then no massage therapy. There's a risk of the therapist capturing the problem. Some local conditions like ringworm, a customer can still get massaged, so long as the afflicted area is averted. If it is not contagious rather than painful, it can be massaged as long as the therapist is fine recover.
Undiagnosed lumps and bumps - If you discover a lump it is not always a major problem. Ask the client to get written medical agreement prior to rub.
Burns/Sunburn - contraindication/special attention - If it was just a tiny section of the body i. e the finger then massage therapy could be completed on the rest of the body if the body was sunburned then therapeutic massage wouldn't normally be carried out until the skin area had fully recoverd
Cancer - contraindication - medical authorization needed unless the patient is clear of cancer no much longer on treatments etc. in terminal tumor treatment may be given as special care and attention as the rub would be modified to suit the customers therapeutic needs. Malignancy can distributed through the lymphatic system, and because massage therapy increases lymphatic circulation/flow, it can distributed the condition. Apply light pressure but do not use rub strokes that stimulate flow. So long as it is not a lymphatic tumors (which can multiply easily and quickly), and as long as they can be in good health, it is okay. This can relieve stress, and makes your client happier which might help them struggle the disease. Get written medical agreement about the type of massage, as your client may be permitted to get an alternative type of massage therapy i. e. head massage, and foot and hand reflexology depending on their condition.
Under the effect of alchohol or drugs or on Heavy medication - Anyone under effect of recreational drugs or alcoholic beverages. Just one single reason this is a therapeutic massage contraindication is basically because the individual getting the rub has senses that are dulled or distorted making it unsafe. The client could have unpredictable behavior or become incoherent, or distracting to other clients, or they could be a danger to themselves and the therapist.
Lack of discomfort -If one has no feeling in a part of their body, they'll be not be able to tell you if you are making use of too much pressure, and the muscles gets ruined. Areas that are numb should be avoided or very softly pressure used.
Sensory Impairment - special good care - Aside from neuropathy, people who have sensory impairment are fine for therapeutic massage, although a method of communication should be exercised before hand i. e if a person is deaf then you may tap them on their shoulder when you wish to talk to them.
Do not massage therapy over a new bruise or if the bruise is painful or tender. Old bruises are alright to massage therapy using flushing effleurage strokes as long as it's not agonizing and there are no other contraindications. For those with vascular problems it's probably best to leave alone totally. Massaging around the area will be beneficial.
HAEMOPHILIA - contraindication - Haemophilia is contraindicated because the client's body cannot clot blood normally, and can experience a lot of blood loss from something very simple. Massage, especially profound tissue, might lead to a whole lot of bruising, or subdermal hematomas, which can cause a whole lot of pain and problems later. When the client's haemophilia is minor, or well controlled with medications, they could be alright for a light rub. Ask for written medical endorsement prior to rub.
Recent scar/sprain/injury/surgery - special attention -SURGERY: Anyone who acquired major surgery within the last two years. Anyone who possessed minor surgery within the last six months time.
Recent operations are a contraindication to massage because the body is already trying to heal a personal injury, and massage could be very nerve-racking to a weakened body. Addititionally there is the chance of infecting the unhealed incision, and triggering tearing and pain if massaged.
PINS & PLATES: A person with pins & plates to stabilise bone fragments and joints. You'll avoid these areas.
MENSTRUATION: 1st couple of days of period. During Menstruation - it can benefit reduce low back pain and cramps, and ease the stress believed during this time. It is merely a contraindication if your client is not comfortable enough to be massaged or if she is in a whole lot of pain, she probably cannot rest still enough for a rub or if her stream is heavy. A light massage therapy over the abdominal area is alright.
Broken/fractured bone fragments - Broken bone fragments: Avoid a location of mending bones. Just a little light rub to the encompassing areas, though, can improve circulation and become quite helpful.
Osteoporosis - special attention - Elderly people with a severe stoop to the shoulder blades often have cures, in which bone fragments become porous, brittle and delicate. There is not as much natural arousal within the bone to grow due to era and hormone change. Massage therapy may be too extreme for this condition so extreme care should be utilized. Rub can be of great benefit to the bone fragments as we gently move the muscles they tug on the bone which stimulates and strengthens it and enhances circulation. Massage is okay, as long it is not done deeply or vigorously. With brittle bones, you can run the risk of accidentally breaking or breaking one.
NECK / Backside PROBLEMS - contraindication -Get written medical acceptance. Never touch a persons neck if they have something wrong. If you do anything wrong with it you might severly injure them, affect something, or kill them.
It's entirely easy for embolism
NERVOUS / PSYCHOTIC CONDITION - Anyone suffering from this condition and or is on medication to control the problem.
Nervous system disorder is a difficult term to describe. IT can mean something as severe as multiple sclerosis and cerebral palsy to loss of feeling and a a great many other things. Massage therapy is contraindicated with respect to the condition. Something similar to MS and CP can be massaged, but often requires extra training in dealing with special-needs populations. This also applies with conditions like epilepsy. The fret here's that either the therapist or your client could come for some harm, either in moving your client or if indeed they have an show. If the challenge is something similar to peripheral neuropathy, the challenge here's that the client cannot give you accurate feedback as to pressure and pain, and might accidentally get harmed.
spastic conditions-disfunctions of the nervous system - mechanised types of therapeutic massage work only where feeling is present no underlying pathologies may be exacerbated by the work. Areas without feeling contraindicate massage therapy that intends to control and impact the elasticity of tissues.
Hernia - are protrusions of part of the organ (like the intestines) through the muscular wall. It isn't smart to try to drive these organs back again inside. Surgery works better. Local massage contraindication, but also take note to avoid the region and also avoid any area that causes pain or effects that area. When we massage we're moving cells. Those displaced tissue as we massage therapy can sometimes result other areas adjacent to where we have been currently massaging. It's just like normal water displacement in a tub, when we get in the tub, water rises
Lung disease - special health care - clients may have lung disease such as Chronic Obstructive Pulmonary Disease (COPD) and may use an air fish tank, work carefully around any tubes etc. Their bodies may be weakened, use lighter strokes, such as those in a general relaxation Swedish Massage, energetic remedies such as Reflexology Reiki, or Polarity, can be used also.
If the client cannot lye on the massage therapy table then a chair rub can be offered. Change your massage therapy techniques and pressure used to suit clients individual needs. Ask for written medical agreement.
Haemophilia [risk of hemorrhage if bruised] - Haemophilia is contraindicated because the client's body cannot clot blood normally, and can experience a lot of blood loss from something very easy. Massage, especially deep tissue, could cause a great deal of bruising, or sub dermal hematomas, which can cause a lot of pain and problems later. Now, if the client's haemophilia is minor, or well managed with medications, they might be applicants for a light rub. If ever in doubt, obtain the okay from the person's doctor before massaging.
pregnancy - special treatment - avoid abs therapeutic massage once pregnancy is well known. Anyone in their 1st or last Trimester of Pregnancy or experiencing any issues with their pregnancy. Anytime where high blood pressure is accessible, with pre eclampsia or excessive edema. Also, be cautious with the depth of pressure and where you massage
Around agonizing/hot/swollen bones - Bursitis, infection of the bursa around a joint, is locally contraindication since any motion of the joint would cause a whole lot of pain. They might probably tense out of fear, undoing any good from the therapeutic massage. The other areas can be massaged, as can the limb, if done lightly.
Rheumatism - This will depend on how healthy your client is. If the client is at no pain of their condition then massage can help relax their muscles that are tight around their joint parts.
Joint Disfunction - Same as above massage can help increase the range of motion in the customers joints. Special attention should be taken if the client has dislocated a joint before as it could re-dislocate if drawn too much, or if something inhibits a joint from moving such as a spur of bone then that is not something that may be proved helpful through.
Directly over moles and warts - Warts are the effect of a pathogen, are definately contagious, so they locally contraindicate massage therapy. Moles are simply increased and discoloured sets of melanocytes, aren't contagious, so they are simply fine to therapeutic massage. We can be familiar with changes to a mole that they don't know about even as can see their back and they cannot. Bear in mind the ABCD's of cancers: in case a mole is Assymetrical, if the Border is uneven, if the color changes, or if the Diameter is bigger than a pencil eraser. Never cause security alarm or make an effort to analyze but suggest discretely that they could want to get it tested by a medical expert.
Asthma -If massage does not result in Asthma it is fine to perform the procedure. GP should give consent first. Sufferers should bring inhaler and discuss an emergency treatment plan with therapist prior to therapeutic massage.
A client with diabetes may have a decreased capacity to feel the amount of pain or pressure applied when you therapeutic massage. Additionally bruises may appear easily because arteries are more delicate. Start using a lighter touch. Soothing massage is ok as long as tissues are healthy and circulation is unimpaired. Many people with advanced or badly cared for diabetes experience numbness, cardiovascular problems, and/or kidney failing. Circulatory massage in these circumstances is not appropriate. If in hesitation require written medical approval.
Epilepsy - special treatment -most people with epilepsy will have their condition well under control with medication, but special treatment must be given never to leave them unattended on the couch. Controlled epilepsy is fine with medical agreement. Nevertheless, if the seizures tend to come on fast without warning, the therapist should be aware of the possibility of this happening during an appointment and also have a care and attention plan worked out with the client prior to rub.
Elderly - Take care not to cause any bruising. Additionally, be careful about the pressure you utilize. Bones could be more brittle than you think. When interacting with seniors there are far more illnesses and problems to consider. If you're not sure about something then don't rub until you have written medical endorsement.