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Massage therapy is a widely popular relaxation method. However, for certain groups of people, massage can lead to serious risks. Therefore, understanding the contraindications and precautions for massage is crucial to prevent potential dangers.
1. People with Recent Injuries or Bruises: Why massage can be dangerous
Effects
When the body sustains an injury, inflammation occurs as part of the healing process. If an improper or overly forceful massage is performed during this time, the body may release more inflammatory chemicals such as cytokines and prostaglandins, potentially slowing down recovery.
Risks / Precautions
Excessive pressure during a massage could dislodge blood clots from their original location and move them to other parts of the body. If a clot enters a blood vessel, it can cause a blockage. If it travels to the lungs, it may result in a life-threatening pulmonary embolism.
Relaxation Alternatives for People with Recent Injuries or Bruises
For those who have recently been injured or have bruises, proper self-care and relaxation are essential. Here are some recommendations:
- Rest: Allow your body time to heal by avoiding strenuous activities.
- Cold compress: Applying cold to the injured area can help reduce inflammation and alleviate pain.
- Elevate the injured area: Raising the injured part above heart level can help reduce swelling of bruises.
- Avoid massage: Especially in the injured or bruised areas, until inflammation subsides and you receive medical advice.
- Consult a doctor: If pain or swelling persists.
Effects
2. Patients with High Fever and Acute Infections
For patients with high fever or acute infections, massage can put additional strain on the body, potentially causing the fever to rise further. It also stimulates blood circulation, which may accelerate the spread of pathogens throughout the body. If there is inflammation or swelling due to infection, it could exacerbate these symptoms.
Risks / Precautions
Receiving a massage in an unsanitary environment or from an insufficiently trained practitioner can increase the risk of disease transmission. Direct contact and the use of improperly sterilized equipment can contribute to this risk. Therefore, preventive measures such as hand washing, wearing face masks, and regularly cleaning equipment are crucial in mitigating these risks.
Relaxation Alternatives for Patients with High Fever and Acute Infections
When experiencing a fever, proper health care is essential to alleviate symptoms and prevent the spread of pathogens. Follow these recommendations:
- Get adequate rest: Resting helps the body recover and fight infections more effectively.
- Stay hydrated: Drinking plenty of water helps reduce body temperature and prevents dehydration.
- Use cool compresses: Wiping the body with lukewarm water can help lower body temperature.
- Avoid massage: This prevents the spread of pathogens and worsening of symptoms.
- Take fever-reducing medication: Follow your doctor’s instructions for taking antipyretics.
3. Cancer patients: Massage may stimulate the spread of cancer cells
Effects
For cancer patients, massaging is a risk that needs careful consideration, as it may stimulate the spread of cancer cells through blood vessels or lymph nodes. Additionally, massaging in areas where cancer has metastasized to bones may cause fractures. Therefore, cancer patients should consult their doctor before deciding to receive a service and should choose a specialist knowledgeable about massaging for cancer patients specifically.
Risks / Precautions
Cancer patients should be cautious in choosing relaxation methods and health care. Massaging may not be appropriate for some patients, especially those with advanced cancer or metastases to vital organs. Therefore, the following precautions should be taken:
- Avoid massage in areas with cancer metastases or abnormal pain.
- Consult a doctor before receiving a massage and inform the provider of your health status.
- Choose a specialist with knowledge and experience in massage for cancer patients.
- Avoid overly forceful massage or pressure points that may cause cancer cell spread.
Relaxation Alternatives for cancer patients
There are other options that can help patients relax and reduce stress, such as:
- Spa treatments focusing on relaxation without excessive massage, like warm baths, facial spa treatments, or hand and foot spa treatments
- Practicing yoga or meditation, which can help reduce stress and increase relaxation
- Using deep breathing techniques and muscle relaxation exercises
- Listening to music or engaging in enjoyable activities like reading books or watching movies
4. Pregnant women and women with menstruation: Effects of massage
Effects
For pregnant women, the effects of massage may vary depending on the stage of pregnancy. During the first trimester, it may increase the risk of miscarriage as the uterus is not yet strong enough to withstand pressure from massaging. Additionally, massage during the last six months of pregnancy may cause premature labor.
Risks / Precautions
Massaging for pregnant women should be performed by specialists with knowledge and experience specifically. Avoid massage on the abdomen and legs, as it may cause blood clots. It’s best to avoid massage if unnecessary, but if unsure, always consult a specialist doctor first.
For women with menstruation, avoid vigorous massage or massage on the abdomen, as it may increase bleeding and abdominal pain. Gentle massaging on the back or shoulders may help reduce stress and soreness without causing unwanted effects.
Relaxation Alternatives for pregnant women and women with menstruation
For pregnant women seeking relaxation, light exercise such as walking or prenatal yoga can help reduce stress and soreness. Using spa services specifically designed for pregnant women is another safe option.
For women with menstruation, using a hot water bottle on the abdomen or practicing gentle yoga can help reduce menstrual cramps. Gentle massaging on the back or shoulders can also help reduce stress and soreness without causing unwanted effects.
5. Patients with osteoporosis: Massage may cause bone fractures
Effects
Osteoporosis is a condition where bone density decreases, making bones fragile and prone to fractures. Patients with this disease are at high risk of bone fractures even from minor impacts. Inappropriate or overly vigorous massaging can have serious consequences for osteoporosis patients, including:
- Increased risk of bone fractures
- Severe pain
- Increased risk of soft tissue injury
- Potential complications such as infection or disability
Risks / Precautions
Osteoporosis patients and massage or spa service providers should be aware of the following risks and precautions:
- Avoid massaging high-risk areas, especially the spine, hips, and wrists, which are common fracture sites in osteoporosis
- Be cautious with the pressure applied during massage, using gentle force and avoiding strong compression or squeezing.
- Inform the service provider about the osteoporosis condition to allow for appropriate massage technique adjustments.
- Verify the qualifications of the service provider, choosing someone experienced in caring for osteoporosis
- Monitor for unusual symptoms during or after the massage, and stop immediately if abnormal pain occurs.
- Consult a doctor before receiving massage services.
Relaxation Alternatives for Patients with osteoporosis
While massaging may be risky for osteoporosis patients, there are other safe options for relaxation and symptom relief:
- Physical therapy
- Water exercises
- Gentle yoga
- Breathing exercises and light muscle stretching
- Hot and cold compresses
- Meditation
6. People with blood clotting disorders
Effects
People with blood clotting disorders, such as hemophilia, are at high risk when receiving massages. Massaging stimulates blood circulation and regulates body temperature, which may cause internal bleeding in various parts of the body, such as under the skin or in muscles. In severe cases, this can lead to shock and death.
Massaging can also easily cause bruising or blood spots in people with clotting disorders, even with minimal pressure. Additionally, if small wounds are present, massage may cause uncontrollable bleeding.
Risks / Precautions
The main risks of massage for people with blood clotting disorders include:
- Internal bleeding: Massaging may cause small blood vessels to rupture, resulting in bleeding under the skin or in muscles.
- Shock: In cases of significant blood loss, it may lead to hemorrhagic shock.
- Infection: If open wounds are present, it may increase the risk of infection.
- Worsening of existing injuries: Massaging may exacerbate pre-existing injuries, especially in areas with bruising or bleeding.
Important precautions for people with blood clotting disorders:
- Consult a doctor before receiving a massage or any spa treatment.
- Inform the service provider about your blood clotting condition.
- Avoid deep tissue or intense massages.
- Monitor for unusual symptoms after the massaging, such as abnormal bruising or blood spots.
Relaxation Alternatives for People with blood clotting disorders
While massage may not be suitable, there are safer relaxation options:
- Meditation: Reduces stress and relaxes the mind without physical contact.
- Gentle yoga: Soft muscle stretching provides relaxation without risking injury.
- Aromatherapy: Using essential oils creates a relaxing atmosphere without direct physical contact.
- Music therapy: Relaxing music effectively reduces stress.
- Warm baths: Helps relax muscles without applying pressure, but be careful not to use water that’s too hot.
- Breathing therapy: Deep breathing techniques reduce stress and relax the body.
- Warm compress: Relieves aches without applying pressure, but be cautious not to make it too hot.
7. People with Chronic Conditions: Risks of Massage
Massaging is a popular therapeutic method with numerous health benefits. However, for those with chronic conditions, it may pose risks that require careful consideration.
Heart Disease Patients
Massage can help reduce stress and blood pressure, which is beneficial for those with heart disease. However, certain types of massaging may carry risks. For example, high-pressure massage techniques could potentially cause injury or problems with blood circulation. People with heart disease should consult their doctor before receiving a massage and choose a masseuse experienced in caring for heart patients.
Vascular Disease and Hypertension Patients
Massaging can help lower blood pressure and improve blood circulation. However, for those with high blood pressure or vascular diseases, inappropriate massage techniques may cause problems. High-pressure massaging could potentially rupture blood vessels or cause blockages. Patients should opt for gentle and relaxing techniques and consult their doctor before receiving a massage.
Diabetes Patients
Massage can help reduce blood sugar levels and improve blood circulation in diabetic patients. However, diabetics should be cautious about massage in areas where insulin is injected, as it may cause rapid insulin absorption. Additionally, overly vigorous massaging may lead to skin wounds or injuries. Patients should consult their doctor and choose a masseuse knowledgeable about diabetic care.
While massage offers health benefits, it may pose risks for certain groups of people. Consulting a doctor and choosing a skilled masseuse is crucial to ensure that it is safe and effective. Careful health consideration will help reduce risks and maximize the benefits of massage.
Read other related aticles.
- When Not To Get a Massage by PMA
- 13 Instances When Massage Should Be Avoided by Yvonne Zipter, LMT, BCTMB
- When Not to Get a Massage: 26 Reasons You Cannot Get A Massage by massagetherapyreference.com
- What are the contraindications to massage? by Yaneth Perea
- Contraindications of Massage Therapy by Massage Therapy Victoria