QuestionI've recently started on a massage course, and have been asked for reasons why contra-indications exist for a number of conditions.
I'm a bit unclear about two of these.
1) Pregnancy.
I know that massage should be done lightly on the abdomen and lower back during the first three months only, but I assume that after this, massage can be dangerous to mother and child. If so, how so?
2) Spastic Conditions. (Irritable bowel syndrome)
I'm sure this is connected to muscle spasms. Can massage make it worse? If so, how?
Thanks for your time, I'd appreciate any help you can give.
Andrew
AnswerGreetings Andrew. Pregnancy does not really contraindicate (CI) massage; it does modify how a massage should be done, though. While they can still lie normally on their stomach, the massage is like any other. When they are no longer able to lie face down, then you have to perform the massage mostly in side-lying position. You have to be more concerned with their position and having enough support. You need to be aware that when lying on their backs, even in an inclined position, the baby can still press on the aorta and cause some lightheadednedd and nausea.
Pregnancy does CI massage if they are having problems with the pregnancy. Usually, if they are having problems, they probably won't be feeling up to a massage, if they are not in the hospital. Some conditions of pregnancy, such as frequent miscarriage or preeclampsia, would require close monitoring by their doctors.
The only area that you really have to watch for (and that is even debatable) is massaging the Achille's Tendon. It is thought that massaging this area, especially later during pregnancy, could trigger labor. There is no evidence of this, but it is better to be safe than sorry.
Actually, as long as the client is not in the middle of an episode of irritable bowel syndrome, they are fine for massage. The problem if someone is having an attack is that they are probably not up for a massage. This condition causes nausea and some rather bad bathroom problems, so chances are that they are not going to be wanting to be too far away rom a restroom. Massage might actually help IBS, as stress and illness can trigger an episode.
If by spastic conditions you mean something neuromuscular/nervous system relater (like epilepsy or Parkinson's) the risk here is that the client could have an episode on the table, and chances are that the therapist would not be prepared for that. They could also accidentally injure themselves or you. Now, if you have training in special needs groups, this is a different story, as massage can be good for these people - again, with special training.
The key to understanding CIs has a few parts. A firm understanding of pathology, massage, and its effects on the body. You don't want to do anything to further their injury or illness. Typically, if the condition is mild enough that they don't have to change much in their daily lives, then massage is okay for them. And if you ever have any questions or doubts, feel free to wait and get an okay from their doctor.
I hope this was of some help, Andrew. Please feel free to write if you have any other questions.
Sincerely,
Christopher Hall
