QuestionI specialize in deep tissue massage. Recently one of my regular clients was diagnosed with possible lung cancer. She is undergoing CT scans and biopsy. I remember cancer being a contraindication, but don t remember details. The spot on her lung is in the upper right lobe, right under where I ultrasound and work on her right shoulder/rhomboid area. Could massage/ ultrasound make her condition worse. Thanks!
AnswerThanks for your inquiry, Debb.
FYI, whenever I get a question regarding contraindications, I almost immediately turn to my first reference source, "A Massage Therapist's Guide to Pathology" by Ruth Werner.
For yours I refer to pg. 502, "For many years it has been assumed that circulatory types of massage carry the risk of aiding the process of metastasis by boosting blood and lymph flow. Research shows, however, that cancerous growths can take years to become established before they are detectable by palpation. It seems farfetched to suppose that a 60-minute massage could contribute to that process any more significantly than a brisk walk around the block or a long hot shower. Nonetheless, it is obviously inappropriate to rub on a tumor or any undiagnosed swelling or thickening of tissue.
Massage for persons undergoing cancer treatment, however, has a vital and useful role. It can assist in pain control, decrease perceived stress levels, and create a general parasympathetic state through reduced blood pressure and decreased muscle tension. It can improve appetite and the quality of sleep. Perhaps most of all, it provides for a basic human need: nurturing, caring, informed touch at a time when many cancer patients feel isolated and dehumanized."
So, after reviewing the above, IMHO I would suggest that massage would probably benefit the client as long as you avoid the areas of cancer involvement. Also the same for ultrasound (using soundwaves to detect abnormalities in body).
In conclusion, I highly recommend you buy and read "Medicine Hands - Massage Therapy for People with Cancer" by Gayle MacDonald, MS, LMT.
Hope that answers your question.
Michael, LMT
