Are there circumstances when massage isn't recommended?

Published: September 23, 2025
Updated: September 23, 2025

Massage therapy offers numerous advantages, but it also has contraindications that can lead to complications when treating specific health conditions. Some medical conditions can pose a risk when tissue is being manipulated. To ensure safety, always consult with a professional and provide complete disclosure of all details. Awareness of the limitations preserves you and your well-being.

Infectious Conditions

  • Avoid sessions with active skin infections like ringworm
  • Postpone during contagious illnesses like influenza
  • Prevents pathogen transmission through contact

Acute Injuries

  • Delay massage near recent fractures or sprains
  • Avoid direct pressure on severe bruising sites
  • Prevents exacerbating inflammation responses

Systemic Diseases

  • Require medical clearance for uncontrolled hypertension
  • Special protocols needed during cancer treatments
  • Modify techniques for severe osteoporosis cases
Contraindication Management Guide
ConditionHigh-Risk PregnancyPrecaution LevelAbsolute (1st trimester)Alternative Approach
Prenatal specialist only
ConditionDeep Vein ThrombosisPrecaution LevelAbsoluteAlternative Approach
No massage until resolved
ConditionControlled DiabetesPrecaution LevelCautionAlternative Approach
Light pressure only
ConditionMild ArthritisPrecaution LevelModificationAlternative Approach
Gentle joint mobilization
Always provide current health updates

If you are working with complex patients, obtain medical clearance before any sessions. Share all physician notes, including any restrictions, with the therapists. This will help guide them when making decisions about altering treatment techniques. Please do not withhold any changes to your health condition that will affect treatment safety protocols.

Therapists use adjusted techniques for borderline cases. They could change their pressure significantly or intentionally avoid specific body areas. Some assist clients by sitting as an alternative to lying down due to respiratory limitations. These adjustments preserve the therapeutic value of the touch but respect the health limitations of the person.

Read the full article: 10 Key Benefits Massage Therapy Offers

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