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Swedish Massage Contraindications for
therapeutic massage: do sources agree?
Journal of Bodywork Contraindications are general precautions that are taught in massage school. More proof is needed to show that these conditions are indeed contraindicated. Who decides what is indicated or contraindicated? Article by Diane Polseno Massage Therapy Journal |
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| Inflammatory Conditions | -heat, redness, swelling, pain
-sprains, strains, bursitis, synovitis, tenosynovitis, arthritis |
could aggravate and worsen condition | RICE,
Sub-acute- general massage above area chronic inflammation- direct massage may be ok. |
| Varicose Veins | -veins that are enlarged and twisted due
to damaged valves
-can be painful |
-direct pressure can cause further damage
-deep draining stokes below varicosity is not advised as it may put more pressure on the valve |
-spider veins ok
-work around vein or move it out of the way -nutritional supplementation with Vit C and bioflavinoids recommended |
| blood Clots | -inflammation of vein
-warmth, redness, -found in elderly or after trauma -may be discolored (reddish cyanotic hue) |
-massage could dislodge and move clot possibly causing a heart attack or stroke | Wait for medical clearance; blood thinner medications may be necessary |
| Cardiac conditions | -severe high blood pressure that is unstable
-arteriosclerosis |
-heart/body may not tolerate increase in circulation | -work only when medicated or controlled by diet and stress reduction methods |
| Hemophilia | - inability of the blood to coagulate
-abnormal tendency to bleed -may cause swelling in joints |
-usually medicated with cumaden or other
blood thinners
-deep pressure may bruise or cause tissue damage |
-light pressure until you find out what the client can tolerate |
| Diabetes | -advanced cases: loss of feeling and circulation
in extremities
-pitted edema: pressing into tissue leaving indentation that stays |
may cause tissue damage | -circulatory strokes may still be beneficial: proceed with caution |
| Pregnancy | -reduced circulation in legs
-possible blood clots due to hormonal changes |
-miscarriage
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Use Common Sense
Work with physician or midwife. |
| Local or systemic infections | -fever
-inflamed lymph nodes -some examples: chicken pox, measles, influenza, scarlet fever, nephritis, hepatitis |
-massage may be too stressful on the body and the immune system | -energy work
-physicians approval needed |
| Infectious Skin Diseases | -bacterial infections (staph, impetigo,
tuberculosis)
-viral infections (herpes simplex and zoster, warts, chicken pox, -parasites (scabies, fleas, lice, ticks) -Fungal Infections (athletes foot, ringworm, yeast infections) |
-may spread disease to yourself and other clients | -physician approval |
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