Massage - reasons to not massage
Global contraindications
- DVT ( deep vein thrombosis)/clots
- Tumours or undiagnosed lumps
- Disease/infections/Illness
- Acute injuries
- Anti-coagulatory medication (Heperin)
- Bleeding disorders
Local contraindications
- open wounds
- skin conditions
- fractures
- severe vericose veins
- myositis ossificans (calcium build up in muscle)
- Actue inflammitory conditions (bursitis)
Precautionary contraindications
- pregnancy
- diabetes
- surgery
- osteoperosis
- allergies
Red + orange flags
Clinical reasons not to massage, should send to A&E or reffered to their GP
Red flags
serious issues
- 5'DS (Double vision, Dizziness, Drop attacks, Difficulty speaking, Difficulty swallowing
- Cauda Equina symptoms
- history of cancer
- sudden weightloss
- night pain
- Tumours
Orange flags
The physcological equivalent to a red flag
- High levels of distress
- Major personality disorder
- PTSD
- Substance abuse issues
- clinical depression
Yellow flags
thoughts, feelings, behaviours
- Catastrphising
- Becoming pre-occupied with health
- Fear of movement or re-injury
- having unhelpful beliefs about pain and work