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When & When Not Massage Is Appropriate
There are many benefits to massage, but there are also times when
massage is inappropriate. Sometimes this is common sense and sometimes
it is very specific to medications, condition, and other therapies.
You must make your therapist aware of any medical condition or treatment.
In some cases, you need your doctor to provide a signed medical
release or massage prescription to best compliment your return to
health. Some of these conditions include:
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AIDS
- In general, AIDS does not contradict receiving massage but
a medical release is required. Some medications and therapies
can be adversely affected by massage as it accelerates the lymph
and circulatory systems. Your physician may be able to recommend
specific massage regimens and other alternative therapies to
compliment your treatment program. |
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Aneurysm
- Massage is contraindicated. |
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Arthritis
- If you are taking prescription drugs for arthritis,
a medical release from your physician is required. Generally
massage does not interfere with arthritis but it can interfere
with certain medications. Your doctor and I can work together
to create a complimentary treatment plan. |
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Arteriosclerosis
- Massage is contraindicated. |
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Back
Problems - Generally massage is one of the best remedies
for back problems. If you being treated by a doctor for back
problems, a medical release is required. These conditions should
be coordinated between medical providers. Your doctor most likely
has x-rays, MRIs, and other diagnostic tools which provide insight
towards appropriate treatment. Your doctor cannot share this
information without a medical release. |
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Cancer
- Cancer requires a medical release. Many treatment plans can
be affected by massage. As massage increases lymphatic activity,
aggressive metastasizing cancers might be advanced by massage.
Yet the calming affect of massage can be therapeutic in cancer
recovery. Consult your doctor to see if massage fits your treatment
plan. |
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Chronic Pain
- Massage is an appropriate remedy for many chronic
pain conditions. If you are being treated by a physician for chronic pain, a medical release is required.
In addition to the medical release, you might ask for a massage prescription to coordinate treatment plans. |
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Circulation
Problems - Circulation problems require a medical release
from your physician. Massage can increase circulation and lymphatic
drainage which is contraindicated for a compromised circulation
system. |
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Epilepsy
Seizures - There are several massage techniques that
show promise in treating epilepsy. Unfortunately, I am not trained
in these disciplines and recommend you find a therapist who
is certified in treating this condition. |
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Fatigue
- If you are taking medication prescribed by your physician
for fatigue, a medical release is required. Fatigue can result
from stress or from a number of life threatening diseases. Massage
is one of the best therapies for stress related disorders, including
fatigue, and I highly recommend you pursue this treatment. However,
if your symptomology indicates the possibility of disease, you
must be seen by your physician. |
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Fractures
- A medical release is generally required. Massage is contraindicated
for 8 to 12 weeks after the injury. Bear in mind, a broken toe
forbids working on a foot, but you can receive a massage for
a sore back. A broken arm might require foregoing massage altogether
until the arm is healed. For this reason, a medical release
is required. |
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| Geriatric
- Geriatrics is a population that requires specialized training.
I am not certified in geriatric care yet many of my clients
are well into their retirement. I treat geriatrics on a case-by-case
basis as I know many seniors are active and fit. Yet I am mindful
that many require a therapist with specialized training. If
I suspect your condition exceeds my training, I will refer you
to a therapist who is certified in providing appropriate care.
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| Heart
conditions - Some heart conditions contradict massage
since massage can increase the rate of circulation and uptake
by the lymph system. If you have a heart condition, ask your
physician if massage is appropriate, and if so, obtain a medical
release. |
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| Inflammation
- Generally inflammation due to injury does not interfere with
massage; the inflamed area and regions beyond the inflammation
are avoided. Inflammation due to disease generally contraindicates
massage. |
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| Infection
- If you have an infectious disease, please wait until you are
not contagious to receive a massage. This means a cold, conjunctivitis
(pink eye), bubonic plague, any condition that will make someone
else sick. Regardless of whether a massage will make you feel
better, there are some things best kept to oneself. |
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| Osteoporosis
- Osteoporosis requires a medical release. While it does not
prohibit massage, only certain techniques may be used to avoid
injury. |
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| Post-Operative
- Post-operative conditions require a medical release. |
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| Pregnancy
- Pregnancy massage requires special training and generally
should be avoided in the first trimester. I am not certified in pregnancy massage and therefore unqualified
to provide this service. I recommend you find another therapist who is certified in this
discipline. |
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| Psychotic
Episodes - Psychotic episodes can be triggered by massage.
My training does not include training in dealing with these
occurrences. I recommend finding a therapist who is certified
in this specialty. |
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| Recent
Injury or Acute Pain - Massage is contraindicated.
Consult your physician. In general, massage works best in post-acute
care. If you just twisted your ankle, see your doctor, not a
masseuse. |
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Skin Infections, Lesions & Burns - Massage is locally
contraindicated. If you are being treated by a physician, a
medical release is required. Most of these conditions simply
require common sense. If you have a wart, plantar's wart, athletes
foot, a boil, or other local skin lesion, massage can quickly
spread the infection. Avoiding the area is the proper protocol.
However, some conditions contraindicate massage all together.
If you have a small burn from cooking dinner, we can skip the
area. If you have a sunburn, we can reschedule. |
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| Substance
Abuse - If you are taking medication for substance
abuse, a medical release is required since massage can interact
with many medications. If you are under the influence, massage
will be denied. If you smoked marijuana at Woodstock, good for
you. |
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Disclaimer: My lawyers told me to tell you
and your lawyers the following: I do not warrant or assume any legal
liability or responsibility for the accuracy, completeness, or usefulness
of this information. Massage is not meant to replace any medical
therapy. Always consult your physician for any medical question.
I am not liable for any actions or assumptions you undertake based
on this information. Use of this information demonstrates your acceptance
of these terms and disclaimer. |
© Copyright 2005 - All rights reserved - Richard Bodywork
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