Cautions & Contraindications to Treatment

All Systemic (Total) Contraindications:

· Childhood Osteomalacia & Rickets

Description: Lack of vitamin D causing softening & swelling of bones

Action: Refer to GP for gentle massage under a doctor’s supervision

Side effects: Increased swelling & associated symptoms

· Muscular Dystrophy

Description: A group of hereditary diseases causing degeneration of the muscular system

Action: Gain GP guidance/advice before the massage, gently massage to relieve pain/muscle spasms, take extra care moving limbs, the client may experience numbness

Side effects: Worsening of associated symptoms

· Meningitis, Brain Haemorrhage, Brain Tumours

Description: Life-threatening and totally contraindicated for massage

Action: Only fully recovered (confirmed by a medical practitioner) clients may be treated

· Stroke

Description: Interruption of blood flow to the brain totally contraindicated for massage

Action: After a minimum of 6 months stroke-free, (confirmed by a medical practitioner) clients may be treated (2nd stroke risk is high in the 1st month)

· Transient Ischaemic Attach (TIA)

Description: A ‘mini stroke’

Action: Totally contraindicated for massage unless approved by the medical practitioner (2nd TIA risk is high)

· Severe Headaches & Migraines

Description: Severe, with no warning or previous history, with associated dizziness/numbness

Action: Totally contraindicated for massage during the headache/migraine

· Epilepsy

Description: Abnormal electric brain activity

Action: Massage may be beneficial however should take place after approval by a medical practitioner

· Motor Nerve Disorders

Description: Parkinson’s Disease, Multiple Sclerosis or other muscle tremor/pain/movement disorders

Action: Massage may be beneficial however should take place after approval by a medical practitioner

· Diabetes

Description: Type 1 – the body does not produce insulin or Type 2 – the body is insulin resistant; the body cannot regulate blood sugar level

Action: Massage may be beneficial however should take place after approval by a medical practitioner, do not massage over the injection site for at least 1 hour after, if massage aggravates the condition then gain further guidance

· Respiratory Conditions

Description: A wide range including the Common Cold

Action: Totally contraindicated for a massage if believed to be in the infectious stage

· Alcohol/Drug Intoxication

Description: Prescriptive drugs causing side effects, recreational drugs, liquor

Action: Totally contraindicated for massage

· Infectious Skin Conditions

Description: A wide range including Impetigo, Ringworm

Action: Totally contraindicated for massage

· Heart Failure/Angina/Heart Attack

Description: Heart Attack – A lack of oxygen to the brain caused by a blockage

Angina – Inadequate blood supply to the heart with increased oxygen demand

Heart Failure – The Heart Stops

Action: Totally contraindicated for massage until approval by a medical practitioner, 2-3 months after the event of the condition; keep the client warm and comfy throughout treatment; gentle & relaxing massage

· Arteriosclerosis/Atherosclerosis

Description: Narrowing of arteries caused by hardening, thickening, loss of elasticity or furring to walls

Action: Totally contraindicated for massage until approval by a medical practitioner, gentle & relaxing massage

· Deep Vein Thrombosis

Description: Blood clots in a vein – aches, palpitation & cramping pains, oedema

Action: Totally contraindicated for massage until approval by a medical practitioner, 3-6 months after the event of then condition – blood clots can travel to smaller veins/capillaries and cause serious complications such as heart attack or lung failure

History of the above conditions as detailed below:

Examples of Some Local Contradictions

· Ligament Sprains, Herniated Disc

Description: A ligament tear or rupture, a protrusion or rupture of a vertebral disc

Action: Totally contraindicated for massage in the acute stage, referral to medical practitioner other areas can be massaged

· Hypertension

Description: High Blood Pressure

Action: Deep Abdominal Massage contraindicated and approval by medical practitioner required for any massage, gentle and relaxing to avoid blood pressure increase

· Lower Back Pain

Description: Sciatica (sciatic nerve pain) or Lumbago (general pain)

Action: Totally contraindicated for massage in the acute stage and approval by medical practitioner required for any massage, non-acute pain is fine to massage

· Bursitis

Description: Inflammation of Bursa

Action: Totally contraindicated for massage, referral to a medical practitioner, other areas can be massaged

· Fibromyalgia

Description: High sensitivity to pain, fatigue, headaches, muscle/joint stiffness causes by raised chemicals in the brain affecting the central nervous system

Action: Gentle massage, evaluate post-treatment, avoid overtreatment

· Varicose Veins

Description: Vein valve failure leading to blood build up and distention of walls

Action: Totally contraindicated for massage in the affected area

· Oedema

Description: Excess fluid build up in the tissue

Action: Totally contraindicated for massage, referral to a medical practitioner

· Osteoarthritis

Description: Worn hyaline cartilage at joints causing stiffness, pain, swelling, inflammation and bony growths

Action: Totally contraindicated for massage during a flare-up, other areas can be massaged

· Rheumatoid Arthritis

Description: Auto-immune disease-causing flare-ups when the synovial membrane becomes inflamed & fluids build-up, the disease progresses and joints become deformed or fused

Action: Stretches & manipulations are totally contraindicated.

Totally contraindicated for massage during a flare-up, massage is fine in non-acute stages