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Pathology for Massage Therapists
E

 

Eczema (dermatitis)
Definition: type of dermatitis; sometimes called dermatitis; inflammation of the skin
Causes: allergies, stress, exposure to poisonous plants, depleted cortisol levels due to continued high stress.
Signs/Symptoms: fluid filled blisters that weep, ooze and crust over, itching, redness, scaling, dry flaky skin
Indications: Massage to reduce stress, eliminate toxins; Use Vitamin E oil
Contraindications: Refer to appropriate health care practitioner:  Avoid inflamed areas.
Links - National Eczema Association

Edema
Definition: localized or generalized condition in which the body tissues contain an excessive amount of fluid.
Causes: inflammation, nutritional deficiencies, dehydration, restrictions caused by tight muscles, systemic disorders such as kidney problems, congestive heart failure
Signs/Symptoms: excessive fluid in area, feels "squishy"
Indications: Massage to remove toxin build up. Release tight muscles.
Contraindications: Refer to appropriate health care practitioner if pitting occurs ( area remained indented after applying pressure)

Emphysema
Definition: chronic obstructive pulmonary disease (COPD): name means "blown up" or "full of air"; lungs lose their elasticity and remain filled with air during expiration
Causes: loss of elasticity and dilation of lung tissue usually due to air pollution, occupational exposure to industrial dust, smoking
Signs/Symptoms: reduced expiration, increase in size of chest cage, decrease in blood oxygen, fatigue, coughing, cyanosis.
Indications: Massage for stress reduction:  Castor oil packs on chest and back; work rib cage - pecs, intercostals, serratus anterior, scalenes, rectus abdominis and other areas to facilitate breathing.  Breathing Exercises.
Contraindications: Work with appropriate health care practitioner.  May have other contraindications like fever due to flu or pneumonia. (weakened immune system).  May not be able to lay prone or supine due to lack of breath.
Links - Emphysema Foundation

 

Endometriosis
Definition: Growth of endometrial tissue outside the uterus
Causes: hereditary, fluid backup into the fallopian tubes, poor nutrition, hormonal imbalances
Signs/Symptoms: pelvic pain, back pain, excessive bleeding, nausea, vomiting, infertility, painful urination, premenstral spotting, vertebral subluxation.
Indications: Massage for stress and pain reduction, detoxification; hot packs or castor oil packs on abdomen; Visceral manipulation.  Psoas and iliacus work to tolerance.
Contraindications: Refer to appropriate health care practitioner.  Naturopath/Acupuncture to address lifestyle and diet changes.  Chiropractic treatments for optimal nerve functioning.
Links- Endometriosis Association

Epilepsy
Definition: disease of nervous system
Causes: head injuries, tumors and abscesses, childhood infections, hereditary, food allergies
Signs/Symptoms: seizures that affect the motor, sensory, or psychological systems
First Aid for Seizure: help person lie down if not already (preferably on floor). loosen clothing and remove sharp objects. Turn person on side so saliva can flow from mouth. Call for aid if more than 5 minutes long if you know they have epilepsy. Client may need assistance getting home.
Indications: Massage for stress reduction; Craniosacral therapy; Aromatherapy- jasmine, chamomile, lavender, Ylang Ylang.
Contraindications: Some medications used to treat the seizures may cause blood disorders, fatigue. Seizures may be caused by other factors such as alkalosis, arteriosclerosis, stroke, meningitis, high fever. Aromatherapy-avoid camphor, hyssops, fennel, rosemary, sage, wormwood, cinnamon, clove, nutmeg, black pepper. Work with appropriate health care practitioner.
Links - Epilepsy Foundation
Epilepsy Ontario
Epilepsy International

Epstein Barr
Definition: chronic fatigue, fibromyalgia caused by Epstein-Barr virus of the herpes virus family:  no one really knows what it is
Signs/Symptoms: fatigue, flu-like symptoms, mood swings, irritability, fever, aching muscles and joints
Indications: Massage for stress and pain reduction
Contraindications: Work with appropriate health care practitioner
Links - Chronic Fatigue and Immune Dysfunction


 
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