Close
Booking Request

Call Me Today: 01908 990 439 / 07736 539 410 or Book an Appointment

Medical Contraindications

Contraindications

Contraindication – means you are not able to receive massage or the massage may be limited to certain areas of your body. Contraindications are there for your health and safety along with that of your therapist.

Total Contraindication –  A situation where massage is avoided completely. This is usually for reasons presented by the customer and therapist safety and protection.

Relative Contraindication – a situation in which a massage Practitioner may proceed with the treatment with a doctor’s note, but will need to modify techniques related to the client’s condition e.g., using lighter pressure.

Local Contraindication – a situation in which a local area of the client’s body should not be massaged under any circumstances. This may be for the client’s own comfort, to avoid spreading infection or to avoid further injury


Please note that all treatments and packages are subject to medical status, some medical conditions require a doctor’s note. A full list can be found below. If you are unsure, please contact me where I will be able to advise further.

Suitability of treatments will be confirmed on arrival at the Spa with a consultation with your therapist. If treatments are unsuitable we will endeavour to offer alternatives, where possible.

Body Sense Therapy reserves the right to refuse treatment where it is deemed to be a risk to the health and safety of the client or therapist.


Total Contraindications
Disorders of the Nervous System

  • Stroke – There is a high risk of a second stroke occurring within six months.
  • Undiagnosed Severe headaches – that come on suddenly, with no previous history of similar headaches, and dizziness or numbness or sleepiness.

Disorders of the Heart and Blood

  • Heart attack –  Because there is a very high risk of a reoccurrence in the two to three months after the attack, massage is contra-indicated. After this time is permitted with a doctor’s note.
  • Haemophilia – severe haemophilia is a total contraindication to massage. (Mild forms consult a doctor)
  • Severe Anemia – Massage is fine for mild anemia, but contraindicated for severe anemia.

Disorders of the Immune System

  • Cancer – if undergoing treatment.
  • If the client is currently undergoing any form of treatment for cancer then a doctor’s note must be produced prior to treatment. If the doctor is happy for the client to receive treatment then his note should be attached to the therapist consultation form and then the relevant treatment can be carried out.
  • If the client has cancer but is not currently undergoing any treatment for the disease then we would carry out the treatment, making any relevant notes on the consultation form. If the client is having a massage then the following adjustments should be made by the therapist: the massage should be very light and gentle, no aromatherapy oils should be used and the site of cancer if relevant should be avoided.

Disorders of the Abdominal Organs

  • Hepatitis  is contra-indicated in acute stages for client/therapist protection
  • Cirrhosis of the liver – is contraindicated for advanced cirrhosis.

Disorders of the Urinary System

  • acute urinary tract infections
  • acute or chronic renal failure
  • acute stages of gout
  • kidney stone attack.

Conditions of the Reproductive System

  • Pregnancy We recommend that massage is avoided during pregnancy due to facilities not being consistent across the estate.
  • Spa Pools/Saunas/Steam rooms where heat is prevalent needs to be avoided during pregnancy.

Infectious Skin Conditions (viral, fungal, parasites and bacterial)

  • Scabies
  • Head Lice
  • Ringworm
  • Impetigo

Non Infectious Skin Disorders

  • Areas of skin that are bleeding, broken or weeping fluid.
  • Open wounds

Undiagnosed Conditions

  • Fever
  • Inflammation or Odema
  • Undiagnosed Severe headaches – that come on suddenly, with no previous history of similar headaches, and dizziness or numbness or sleepiness.

Proceed with caution (treatment can go ahead with a doctor’s note or require separate Risk Assessment)

Skeletal System Diseases

  • Osteoporosis

Disorders of the Nervous System

  • Stroke – after 6 months
  • Transient Ischaemic Attack – (TIA- a mini-stroke from which the person recovers with little or no damage.
  • Meningitis, Brain haemorrhage and Brain tumors
  • Epilepsy – activeepilepsy only (previous 18 months). Do not use essential oils.

Disorders of the Motor Nerve System

  • Parkinson’s disease – Massage: is indicated under medical supervision, to maintain flexibility and reduce anxiety
  • Multiple sclerosis (MS) – Massage: is indicated in sub acute stages, when the client is in remission.
  • Neuralgia – Massage: Light massage to relieve muscle tension can be beneficial. Deep massage on the site is contra-indicated

Disorders of the Endocrine System

  • Diabetes – doctors note only needed if not under medical control (diet or insulin)

Infectious Respiratory Disorders

  • Tuberculosis (TB) – until the client has been on medication for 1 month

Inflammatory Respiratory Disorders

  • Emphysema

Disorders of the Heart and Blood

  • Unstable angina – should only with permission from the person’s doctor.
  • Heart failure – Get medical permission, and then give only gentle massage to avoid stressing a weak heart.
  • High blood pressure – Deep abdominal massage is contra-indicated, high blood pressure that is not controlled by medication requires a doctor’s note. Low Blood pressure is not contraindicated but extra care is needed.
  • Thickening of the arteries – Seek medical permission, and then give gentle massage only.
  • Deep vein thrombosis (DVT) – Totally contra-indicated for 3–6 months after diagnosis, for client/therapist protection. After that period, seek medical permission, and give gentle massage only.
  • Leukaemia (‘cancer of the blood’) – Seek medical permission and then use gentle massage.

Disorders of the Immune System

·  HIV/Acquired Immune Deficiency Syndrome – see guidelines and separate risk assessment which assist with this condition

Local Contraindications – avoid the affected area (therapists)

Skeletal System Injuries

  • Partial fractures
  • Simple fractures
  • Compound fractures
  • Sprains

Joint Problems

  • Osteoarthritis and Rheumatoid arthritis – in acute stages
  • Ankylosing spondylitis – in acute stages

Disorders that affect motor nerve supply

  • Shingles

Non-infectious Skin Conditions

  • Skin cancer
  • Blisters
  • Eczema – only when open and weeping
  • Psoriasis – only when skin is broken
  • Recent Surgery and open wounds.

Infectious Skin Conditions (bacterial, fungal and viral)

  • Acne (vulgaris) – depending on severity and degree of inflammation
  • Boils and carbuncles
  • Warts and Verrucas
  • Herpes – coldsore
  • Athlete’s foot

The Cardiovascular System

  • Varicose veins – Massage is contra-indicated in the area directly over, or immediately below the
  • Veins
  • Phlebitis – Massage of the affected area is contra-indicated.

Disorders of the Abdominal Organs

  • Abdominal hernia

Urinary System Disorders

  • Joints/limbs affected with gout or on
  • the abdomen in non acute stages of urinary tract infection.

Abdominal Contraindications – massage needs to be adapted.

  • Endometriosis
  • IBS
  • Crones
  • Colitis
  • Cysts
  • Fibroids if localised pain