Contra-indications for Massage

It’s essential for both the client and the massage therapist to communicate openly about health conditions and any concerns prior to starting massage therapy. This ensures safety and the best possible outcomes. If there are any doubts or complex medical histories, consulting with a healthcare provider is always recommended.  

Massage therapy, while beneficial for many, can be contraindicated in certain situations. Here are some common contraindications for massage: 

General Contraindications 

These are conditions where massage should be completely avoided: 

1. Contagious Diseases: Conditions like the flu, colds, or any other infectious diseases. 
2. Fever: Indicates an active infection or inflammation. 
3. Severe Inflammatory Conditions: Such as acute rheumatoid arthritis or other acute inflammatory conditions. 
4. Blood Clotting Disorders: Conditions like deep vein thrombosis (DVT) or severe varicose veins. 
5. Uncontrolled Hypertension: High blood pressure that is not managed. 
6. Recent Surgery: Depending on the type and extent of the surgery, a certain recovery period may be necessary. 
7. Severe Osteoporosis: Increased risk of fractures. 
8. Open Wounds, Burns, or Skin Infections: Any breaks in the skin barrier. 
9. Cancer: Especially if the patient is undergoing active treatment like chemotherapy or radiation therapy, without the approval of a healthcare provider. 
10. Aneurysms: Risk of rupture. 

Local Contraindications 

These are conditions where massage should be avoided on specific areas of the body: 

1. Acute Inflammation: Conditions like recent injuries, bruises, or areas of acute pain. 
2. Fractures or Sprains: Recently broken bones or sprained joints. 
3. Varicose Veins: Avoid massaging directly over varicose veins. 
4. Skin Disorders: Conditions like eczema, psoriasis, or dermatitis in specific areas. 
5. Hernias: Avoid direct pressure on hernias. 

Relative Contraindications 

These are conditions where massage may be performed with caution, potentially with modifications, and often with the approval of a healthcare provider: 

1. Pregnancy: Especially during the first trimester or in high-risk pregnancies. 
2. Diabetes: Monitor for signs of low blood sugar and check for areas with reduced sensation. 
3. Cardiovascular Conditions: Such as controlled hypertension, heart disease, or other cardiac conditions. 
4. Neurological Conditions: Conditions like Parkinson’s disease or multiple sclerosis, where sensation may be affected. 
5. Chronic Illnesses: Such as lupus or fibromyalgia, where the individual’s condition can vary. 

Special Considerations 

1. Medications: Some medications can affect blood clotting or cause skin sensitivity. 
2. Recent Vaccinations: Avoid massaging over the injection site. 
3. Allergies: To oils, lotions, or other products used during massage. 

If you have a pre-existing condition please check with your healthcare provider before treatment.