Massage is good for you, it boosts the immune system, relieves tension and there are numerous physical and mental benefits – so is there a time when massage is not good for you? Absolutely! Certain conditions contraindicate massage, either because of the risk it may pose to the client or the risk to the therapist and other clients.
Firstly, some terminology:
- Indicated vs. contraindicated – if something is indicated, it means that it is safe and appropriate. If contraindicated, it means that it is inappropriate for the situation and potentially unsafe.
- Systemic vs. local – systemic refers to the entire body, while local refers to a specific area. So, if you have a systemic contraindication, all massage is inappropriate. If you have a local contraindication, massage is indicated except at the area affected.
Systemic Contraindications
Infections – Colds/flu or other contagious viral or bacterial infection – when your body is fighting off an infection, massage can makes matters worse.
Intoxication – Alcohol alters your perception of pain. Things that should hurt don’t because the pain receptors have been dulled.
Prescription and Over-the-Counter Pain Meds – Massage is about touch, pain medication can alter the way you feel touch, and you are likely not going to be as aware if something is wrong. Blood thinners may result in bruising with heavy pressure or deep tissue work.
Medical Conditions – Certain medical conditions may contraindicate specific types of massage. For example, if someone has heart or kidney failure, circulatory massage may place excess demands on already failing organs.
Local contraindications
Injury – Injuries are generally a local contraindication. If there is damage to the area, massage may actually interfere with the healing process.
Vaccinations/immunizations – If you have just had any sort of injection, massage is locally contraindicated for a few days.
Rashes – Depending on the cause, a rash may or may not be a local contraindication.