When is Massage Contraindicated?

health wellness

There are a number of situations in which massage is contraindicated, meaning that it is not recommended. In all cases, it is important to disclose any underlying medical conditions and concerns you may have to your massage therapist, so that he or she can adjust the session to fit your body and needs. It is also a good idea to discuss massage with your doctor, as he or she may believe that massage is contraindicated for you, or the doctor may have recommendations for modalities which would be best suited to your condition.

With all of the following conditions, massage is contraindicated: fever, infection, broken bones, infectious disease, high blood pressure, tumors, open wounds, muscle ruptures, heavy bruising, herniation, burns, myositis ossificans, thrombosis, and bleeding disorders such as hemophilia. Massage is also not recommended for people with severe heart conditions and some skin infections. Some gastrointestinal complaints can also be complicated by massage, and at the very least, massage can be uncomfortable in these situations, so you may want to discuss such situations with a massage therapist before you begin.

In some cases, it is safe to get massage, but the therapist should avoid deep work. These situations include massage on the elderly, along with people who have osteoporosis, arthritis, and rheumatism. Deep work is also contraindicated for people with autoimmune diease, Hodgkin's disease, recent scar tissue, and conditions like arteriosclerosis.

There are some conditions for which massage can be beneficial for some people, but not for others. For example, some doctors say that massage is contraindicated for cancer, while others recommend gentle massage for cancer patients. Joint dysfunction can be greatly eased by massage, but it can also be exacerbated, and likewise for some psychiatric conditions. Massage is also not recommended directly at the site of varicose veins.

Some people believe that massage is contraindicated for women who are menstruating. This is not, in fact, the case; in fact, massage can sometimes help with cramping. However, as a courtesy, you should ask the massage therapist if he or she is comfortable working on you. Massage can also be highly beneficial for pregnant women, when it is offered by a provider who has been trained to offer pregnancy massage.

This is by no means an exhaustive list of conditions for which massage is contraindicated. If you have a rare medical condition or you are taking medication to treat a specific medical issue, always consult your doctor before making an appointment for a massage.

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Written by S.E. Smith


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