CAUTIONS & CONTRAINDICATIONS
With any bodywork and massage modality, but especially with foot-based and deep tissue techniques, it is important for the practitioner to be aware of contraindications.
Some conditions may require that you modify your treatment, not work with the person at this particular time, or even withhold treatment completely. Most importantly: When in doubt, ask questions! Even if it is during a session, never hesitate to check in with the recipient and ask about pressure, contact preferences, and comfort level.
DEEP TISSUE MASSAGE TECHNIQUES SHOULD NOT BE DONE ON THE FOLLOWING:
USE CAUTION WHEN WORKING WITH THE FOLLOWING CONDITIONS:
Some conditions may require that you modify your treatment, not work with the person at this particular time, or even withhold treatment completely. Most importantly: When in doubt, ask questions! Even if it is during a session, never hesitate to check in with the recipient and ask about pressure, contact preferences, and comfort level.
DEEP TISSUE MASSAGE TECHNIQUES SHOULD NOT BE DONE ON THE FOLLOWING:
- Pregnant women or women trying to become pregnant.
- Persons with any type of implants within 9 months of insertion, or implants causing discomfort; i.e. hip, pacemaker, breast implants, rods, discs, screws, plates, IUD’s, knee replacement, artificial eye lenses, ear tubes, stents etc.
- Boils, skin lesions, rashes or abscesses.
- Staph Infection, MRSA and Sepsis.
- Heavily pronounced varicose veins.
- Advanced stages of arteriosclerosis.
- Recent eye procedures; i.e. Lasik surgery within 72 hours.
- Tuberculosis, thrombosis, aneurysm, kidney disorders, recent bowel or hernia surgery.
- Any acute inflammation conditions!
- People on medication for bruising or blood clotting; i.e. blood thinners such as Warfarin or Coumadin.
- Uncontrolled and untreated high/low blood pressure or heart conditions.
- Advanced stages of osteoporosis or other bone degenerative conditions.
- Rib fractures or weakness.
- Cancer in metastatic or terminal stages.
- Recent scarring.
- Any recent (severe) injuries, surgeries and fractures.
- Fevers or flu symptoms.
USE CAUTION WHEN WORKING WITH THE FOLLOWING CONDITIONS:
- Kidney disorders. If a person is having difficulty excreting toxins via natural means, such as urination, treatment should be withheld or require physician's consent. During deep tissue therapies, we as practitioners have the ability of manually moving cellular metabolic waste. If the body’s ability to process and filter is impaired, this can cause additional stress on organs and tissue or result in pain and cramping. Our usual post treatment recommendations of hydrating with fluids or balancing with electrolytes (sodium/potassium), are contraindicated; especially for those on dialysis. Check to see how often they receive massage, when is the best time (i.e before or after dialysis), and if you decide to treat, lightly is the best strategy, with no deep compressions on the hamstrings or calves.
- Herniated discs. Acute herniations will result in recipient being in quite a lot of pain from prolonged standing, sitting, or even lying prone and supine (Positive muscle test: Straight leg raise). If treatment is appropriate, bolster proactively! See Bolstering & Recipient Body Positioning: Lumbar Alignment
- Recent bruises.
- Autoimmune diseases (Lupus, rheumatoid arthritis, scleroderma)
- Recent injections of substances in joints, i.e. cortisone shots, stem cell injections, etc.
- Any recent surgeries (especially of joints).
- Heavy menstrual cramping or abnormal cycles.
- Low platelet count (pressure can cause bruising or hematoma).
- Early stages of osteoporosis or other degenerative bone conditions.
- Degenerative disc disease.
- Sciatica.
- Scoliosis.
- Vertebral fusions.
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