MASS_cautions & contraindications

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PRECAUTIONS&CONTRAINDICATIONS for MASSAGE(Unit 1 : Lecture 2) : 

PRECAUTIONS&CONTRAINDICATIONS for MASSAGE(Unit 1 : Lecture 2)

Precautions and Contraindications : 

Precautions and Contraindications Precautions- Proceed with caution, be careful, monitor closely for response Contraindications- DO NOT DO or strongly consider risk/reward involved

Why may massage produce harm? : 

Why may massage produce harm? Presence of disease or dysfunction Failure to avoid or modify technique Inappropriate application

General Principles : 

General Principles Perform a thorough examination Be aware of indications as well as precautions/contraindications ALWAYS ASK PERMISSION Tune into your patients response Be aware of your mood

General Principles : 

General Principles Avoid HEAVY pressure over sensitive areas Communicate with your patient throughout treatment Be aware of your anatomy and physiology Be aware that some patients have an aversion to touch

Massage Safety : 

Massage Safety

Case Studies : 

Case Studies Danchik JJ, Yochum TR, Aspengren DD. Myositis Ossificans Traumatica. Journal of Manipulative and Physiological Therapeutics. 1993;16:605-614. Yeo TC, Choo MH, Tay MB. Massive Haematoma from Digital Massage in an Anticoagulated Patient: A Case Report. Singapore Medical Journal. 1994;35:319-320. Kalinga MJ, Lo NN, Tan SK. Popliteal Artery Pseudo Aneurysm caused by an Osteochondroma: A Traditional Medicine Sequelae. Singapore Medical Journal. 1996;37:443-445.

Contraindications & Precautions : 

Contraindications & Precautions Nature of lists Make sense of it

Contraindications : 

Contraindications Physical Illness / nausea / fever >101.5F Severe Pain – Identify Acute conditions Advanced respiratory, kidney or liver failure Rashes, boils, open wounds, skin infection Metastatic cancer, including skin tumors

Contraindications : 

Contraindications Haemophilla, haemorrhage, severe ecchymosis Whiplash within 24-48 hours: need X-ray Acute inflammatory disorder: acute RA, local inflammation from recent trauma Thrombophlebitis Severe varicose veins

Contraindications : 

Contraindications Severe atherosclerosis- esp. ant. Neck Unstable medical condition, including unstable hypertension, acute MI, acute CVA Aneurysms Frostbite

Precautions : 

Precautions Endangerment sites Diminished sensation due to CVA, diabetes, drugs, Etoh Medication use Hyperaesthesia: RSD RA- remission stage Immune system depression (transplant, AIDS, Chronic Fatigue)

Precautions : 

Precautions Drug withdrawal & psychiatric conditions Recent neurological injury- CVA, CHI, SCI, presence of spasticity or tone changes Osteoporosis Facial Massage with contact lenses Lymphedema- need trained specialist

Observation: Skin Cancer : 

Observation: Skin Cancer Benign or Malignant Three basic types: Malignant Melanoma Basal Cell Carcinoma Squamous Cell Carcinoma

Malignant Melanoma : 

Malignant Melanoma 1:90-100 expected to develop Spreads horizontally or deep Common in people who have: A large number of moles Red/Fair hair, blue eyes, fair skin, freckles A tendency to burn easily A family history of malignant melanoma Early detection = Early cure (99%)

Is it Malignant ? : 

Is it Malignant ? A = Asymmetry B = Borders C = Color D = Diameter E = Evolution ** Most develop in early childhood and early adulthood

Other suspicious signs : 

Other suspicious signs Inflammation Pain Itching Crusting or Bleeding Satellite lesions: small brown changes around the edge of a mole

Skin Tumors continued… : 

Skin Tumors continued… Basal Cell Carcinoma Squamous Cell Carcinoma

Visit this website: : 

Visit this website: How to recognize a melanoma: http://dermnetnz.org/lesions/melanoma.html

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