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Knowing massage contraindications could mean the difference between life and death
Surprised? There are conditions that can be aggrivated or fatal when massaged.
Do Not Massage the Client if...
• He or she is on heart medication or has blood flow issues like clotting or hemorrhaging.
Massage has a lot of impact on blood flow and if, for instance, the
client unknowingly has a clot somewhere in the circulatory system, the
massage might dislodge the clot and it could potentially flow to the
brain. This is bad news. It’s much better to just ask before you
start.
• The client has cancer.
This is a controversial one. The belief is that someone with cancer
should not receive massage because the massage will increase blood flow
to the cancerous area, which increases the rate with which the
cancerous tumor grows. Others say that massage lifts the spirits and
increases endorphin output (feel-good chemicals the brain releases),
improving the cancer patient’s outlook which is vital to healing
and recovery.
I am split between the two arguments. I believe that massaging cancer patients but not the cancerous area.
SIDEBAR:
My father had pancreatic cancer and when he was in the hospital I would
gently massage his hands and feet. They kept the hospital really cold
and this would warm his extremities. Also, he had a bit of edema in his
legs and I would gently encourage the fluids toward his torso (and
there was already a machine hooked up to his legs doing this anyway).
What I didn’t do was massage his abdomen or back. I later
discovered that what I was doing was a special massage called
“compassionate touch” that is performed to bring comfort to
terminally ill patients.
• He or she just had surgery.
Especially the area that has been operated on. Once the wound has fully
healed, the scar can be massaged with castor oil, but right after
surgery the body needs rest. A bit of “compassionate touch”
might be good but nothing more.
• He or she is on drugs or alcohol.
Massage and a glass of wine seem to go together hand in hand as a way
to relax, but, as mentioned earlier alcohol thins the blood and affects
bloodflow and massage also increases blood flow. Alcohol and drugs also
make people less aware and less sensitive to stimulation. There is
greater potential to injure the receiver because he/she is numbed to
realize the massage is too deep.
And of course, the person giving the massage should be sober, too.
• He or she has a fresh (or even not so fresh, but actively painful) injury and hasn’t seen the doctor yet.
A massage therapist is not a substitute for a doctor. Check with the
doctor first about the injury and be sure to ask if the massage would
encourage healing.

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