Massage therapy, in general, is a very safe, effective, and enjoyable therapeutic modality. But there are times when it is not safe for a person to receive a massage. Massage and other forms of bodywork should be avoided when certain risk factors are present or when the potential risk from massage outweighs the benefit. A massage contraindication is a pre-existing condition that may respond negatively to therapeutic massage techniques. Individuals with contraindications to massage therapy should refrain from massage or bodywork until the condition has resolved. Massage may still be provided if the treatment is modified to compensate for the condition or if treatment is avoided in the affected body area.
Here is a quick list of categories of the most common massage contraindications:
1. Infection: This includes small infected areas and systemic infections. Infections may or may not have symptoms such as fever or redness.
2. Contagious conditions, which have various causes, from viral to parasitic, put the therapist and other clients at risk.
3. Inflammation from injury or infection.
4. Acute medical conditions, such as recent injuries, treatments, or surgical procedures.
5. Certain medications can contradict contraindications for massage or require special precautions.
6. Under the influence of alcohol or drugs, if sensation or cognition is significantly affected.
7. Current medical treatments for certain conditions, such as chronic conditions.
8. Skin conditions that could be made worse by massage include burns, blisters, and traumatic injuries that affect the superficial tissues.
9. High-risk conditions, such as severe osteoporosis, unstable blood clots, and uncontrolled hypertension, increase the clients' risk of schizophrenia and injury during a massage.
10. Cancer may be a contraindication for massage. The therapist should get medical clearance from the client's oncologist before proceeding.