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GUIDE FOR CONTRA-INDICATIONS

Posted on 9 August, 2015 at 5:00

DEFINITIONS:

Caution – a situation in which a Beauty Therapist may proceed with the treatment, but will need to modify techniques in the light of the clients condition.

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

Total contra-Indications – a situation in which no treatment at all is appropriate. This is usually for reasons of a Beauty Therapist’s protection and the safety of Clients.

Beauty Therapist protection – there are very few situations in which a treatment, carried out with appropriate care and sensitivity, could cause a deterioration in a medical condition. Never the less, a Beauty Therapist’s protection refers to cases in which Therapists should be cautious about or refrain from treating clients in order to avoid: possible litigation; the distress and uncertainty should a client suffer a relapse e.g. a second stroke; possible infection.

Acne (vulgaris). Various types of acne. Infectious skin condition. Severe acne can leave scarring Bacterial infection. Common in teenagers, due to increase in sebaceous gland activity, causing white heads Consent would be required. Local contra-indication for massage, friction, depending on the severity and degree of inflammation. Facial treatments only under medical control. Warning! Acne medication is skin thinning (massage, waxing)! Extra hygiene needed when performing makeup – risk of cross infection.

Allergic reactions (to products, food, drugs, etc.). Immune system disorder. Common allergies are high fever, allergic asthma, skin rashes (including eczema). The immune system over-reacts to harmless material and treats it as a dangerous invader. GP consent letter would be required before treatment. Otherwise untreatable if client is unsure what ingredient they are allergic to. Be aware of Hypersensitive skin (could be allergic to products). Appropriate cosmetic products and base oils. Attention to essential oils. Omit products allergic to if possible or use alternative if there are some.

Alopecia (a hair loss condition). Hair loss can be caused by different reasons, including damage to the hair shaft or follicles. Fungal infections can also cause hair loss (highly contagious). Ask for medical permission.

Arterio- sclerosis. Blood vessels disorder. Thickening of the arteries, a general hardening and loss of elasticity of the walls of the arteries. Caused by a build-up of plaque in the arteries, which could lead to clot formation. Seek medical permission. Gentle massage only.

Athlete’s foot. Infectious skin condition. An itchy infection, between the toes, causing mushy skin. Infection, caused by parasites. Local contra-indication.

Boils and carbuncles. Infectious skin condition. Bacterial infection. Pain, swelling and formation of pus. Collection of boils. Caused by infection round a hair root or sweet gland Staphylococci bacteria). Consent required before treatment. Highly contagious. Total contraindication for all treatments if sores are weeping or the person is not undergoing medical treatment. Local contra-indication if person is recovering.

Blisters. Non-infectious skin condition. Caused by an accumulation of lymph below the surface of the skin in response to friction or pressure. Local contra-indication. Risk of contamination and inflammation.

Blood disorders. Hemophilia – failure of the blood to clot. Anemia – lack of red blood cells and the capacity of the blood to carry oxygen to the tissues is reduced. Hemophilia is inherited. Anemia is a sign of an underlying disorder. Severe hemophilia and severe anemia are a total contra-indication.

Botox and dermal fillers. Botulinum toxin type A and B is used in medicine for, among others, upper motor neuron syndrome, focal hyperhidrosis, blepharospasm, strabismus, chronic migraine and bruxism. It is also widely used in cosmetic treatments. Injectable filler (injectable cosmetic filler, injectable facial filler) is a soft tissue filler. In cosmetic applications, injection of botulinum toxin can be used to prevent development of wrinkles by paralyzing facial muscles. Following treatment, visible results of Botox Cosmetic are usually seen within 3–5 days, however it can take up to 2 weeks to see full results. Dermal fillers are injected into the skin to help fill in facial wrinkles, restoring a smoother appearance. It is recommended waiting a few weeks for a facial following Botox or fillers. Always let your aesthetician know when your last injections were.Even if you do not notice any bruising after the filler, the areas will still be inflamed and there should not be any manipulation of your face. It is possible to displace the filler or develop an infection.

Brain haemorrhage. Potentially life threatening. Disorder of the nervous system (involves the blood supply to the brain). Consent required. Total contra-indication. However, people who have recovered are perfectly fine to receive a massage.

Brain tumors. Potentially life threatening. Disorder of the nervous system (involves the blood supply to the brain) Consent required. Total contra-indication. However, people who have recovered are perfectly fine to receive a massage.

Bruising. Non-infectious skin condition. Discolouration of the skin or nails. Caused by internal superficial bleeding. Consent would be required to confirm damage if unsure. Local contra-indication. If small amount of bruising and the area is avoidable then a treatment can commence. May hinder the healing process, be painful or hiding something more serious.

Burns, including Sunburns and Windburns. Burns are characterized by severe skin damage in which many of the affected cells die. Depending on the cause and degree of injury, most people can recover from burns without serious health consequences. More serious burns require immediate emergency medical care to prevent complications and death. A burn is a type of injury to flesh or skin, caused by heat, electricity, chemicalsfriction, or radiation. Sunburn is a form of radiation burn that affects living tissue, such as skin, that results from an overexposure to ultraviolet (UV) radiation, commonly from the sun.The main reason for windburn is that in cool or cloudy conditions many people are unaware that they are still vulnerable to the burning effects of the sun's UV radiation, so fail to take precautionary sun protection measures. This increases their risk of sustaining a sunburn, which they may then falsely attribute to the wind. Local contraindication. Skin is tender, painful, fragile and susceptible to infections.

Bursitis. Skeletal system injury. Inflammation of a bursa, leading to pain that is aggravated by movement. Through pressure, friction, or injury. When acute, treatment is only a local contra-indication.

Cancer. Skin cancer. Lung cancer. Leukemia (cancer of the blood). Growth of malignant tumors, which spread to the lymph system and organs in the body. Leukemia develops when immature white blood cells multiply excessively, interfering with the ability of normal white cells and platelets to do their work. Always check with a doctor first and seek medical permission. Contra –indicated for clients undergoing chemotherapy or radiotherapy. Skin cancers are local contra-indications for all treatments. Simple, caring touch is fine, but massage strokes that stimulate circulation are not.

Chemical peel. A chemical peel is a body treatment technique. It is used to improve and smooth the texture of the skin, often facial skin, using a chemical solution that causes the dead skin to eventually peel off. A treatment could be done after minimum 7 days after a chemical peel.

Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva (the outermost layer of the eye and the inner surface of the eyelids). It is commonly due to an infection (usually viral, but sometimes bacterial), or an allergic reaction. Conjunctivitis can affect one or both eyes and is the most likely diagnosis in someone with eye redness and discharge (fluid coming from the eye). The affected eye is often "stuck shut" in the morning. Bacterial and viral conjunctivitis are highly contagious, and are transmitted through contact with the discharge. Consent will be required.

Contact dermatitis. Non-infectious skin condition. Skin inflammation. Caused by contact with a chemical, such as washing powder, perfume, fabric dye, etc. Consent will be required. Local contraindication if open and weeping.

Contact lenses. A contact lens, or simply contact, is a thin lens placed directly on the surface of the eye. Contact lenses are considered medical devices and can be worn to correct vision, or for cosmetic or therapeutic reasons. They should be removed prior to lash tinting, facial treatments, or spray tan session.

Diabetes. Endocrine system disorder. (disorder of the pancreas). Symptoms include frequent urination, thirst, and tiredness. Consequences include poor circulation, including the possibility of thin skin in the peripheral areas of the body, itchy skin, spots, boils, etc. When it fails to produce enough insulin, blood sugar levels in the blood and urine rise. Be careful. Check for possible complications before commencing treatment. The client should give information on what symptoms to watch for, and what to do if possible blood sugar level drop.

Drink and drugs. Disorder of the nervous system. Condition that affects awareness of reality. Alcohol, recreational, and some prescription drugs have an affect on the nervous system and can distort perception of sensory input. Total contra-indication for all treatments.

Eczema. Non-infectious skin condition. (A group of diseases – dermatitis), in which there is inflammation of the skin with red rash, itchiness, burning, scaling, blistering. At times skin may weep or crack. Varied causes - cosmetics, soap, detergents, rubber, etc. varies greatly from one person to another. Consent would be required if open and weeping. (Risk of cross infection). Certain products may irritate condition. Local contraindication for all treatments if open and inflammed. If closed and not weeping, can treat, it may also aid and relieve skin condition. Also moisturises the area.

Epilepsy. Disorder of the nervous system. Ranges from momentary lapses in attention, to the “Grand mal”, or major fits. Caused by abnormal electrical activity in the brain. Seek GP input. Contra-indication to electrical body treatments and heated treatments (Hot Stone Massage). Avoid energy work to the head area (Indian Head Massage). Be careful with waxing (the medicines for epilepsy make the skin sensitive).

Erysipelas. Skin rash, usually on any of the legs and toes, face, arms and fingers. It is an infection of the upper dermis and superficial lymphatics, caused by Beta-hemolytic group A streptococcus bacteria on scratches or otherwise infected areas. Erysipelas is more superficial than cellulitis (infection of lower layers of the skin), and is typically more raised and demarcated. Areas of the infected skin are red, swollen, warm, and painful. G.P consent required before treatment. Highly contagious with a high risk of cross infection. Total contraindication.

Fever or high temperature. Increased temperature of the body. When you have a fever, your body is trying to isolate and expel an invader of some kind. Contra-indication to all treatments, as it may be a symptom of infectious disease. Massage increases overall circulation and could therefore work against your body’s natural defences.

Fractures, broken bones. Recent! (parial, simply, compound). Skeletal system injury. Breaks in bones. Occur mostly from sports injuries or vehicle accidents. Could also occur in the elderly, where bones are thinner and weaker. Consent would be required. Local contra-indication for all treatments. No treatment to be done within six months. Hinder the natural healing process, painful. If possible miss out the area.

Heart disorders. Problems with the cardiovascular system. Angina – cramp like pains in the chest, which are made worse by exercise or stress. Unstable angina is a severe form and can be a precursor to a heart attack. Heart attack – myocardial infarction. Sudden severe pain in the chest and sometimes, the left arm. Heart failure. The heart cannot pump properly and fluid can back up in the lungs – pulmonary oedema “water on the lungs”, or oedema in the ankles and legs. Angina – caused by inadequate blood supply to the heart muscle. Heart attack occurs when part of the heart muscle dies due to inadequate blood supply, caused by blood clots, or arteriosclerosis. Heart failure can be caused by previous heart attack or chronic blood pressure. Written permission from the client’s doctor. 3 months after the heart attack, massage is contra-indicated. After that, during the massage the limbs should be worked towards the heart, to avoid putting pressure in the veins (the pressure should never be heavy or prolonged on the major superficial arteries (at the side of the neck, on the inner surface on the wrist, on the inner surface of the elbow joint, and the back of the knee) Caution should be taken with heated treatments.

Headaches (Severe!). Disorder of the nervous system. Comes with dizziness, numbness, or sleepiness. Come on suddenly, with no previous history of similar headaches. Need medical attention. Massage is contraindicated.

Hepatitis. Disorder of abdominal organ. Inflammation of the liver. Can be caused by viruses. Infectious in the acute stage. Medical permission. Contra –indication in the acute stages. Highly contagious. Extra care should be taken with hygiene, as the virus can survive outside the body from a few hours to a few days.

Herpes. There are two kinds – the common cold sores found round the mouth, and genital herpes that are transmitted sexually. Infectious skin condition, causing clusters of sore blisters. Viral infection that once present in the body cannot be removed. It may lay dormant, but erupt in times of stress. Local contra-indication for all treatments. Extra care should be taken with hygiene, as the virus can survive outside the body for a few hours.

Hernia. Disorder of abdominal organ. Hernias are protrusions of part of an organ (such as the intestines) through a muscular wall. Hiatus hernia– part of the stomach protrudes through the diaphragm into the thorax. Abdominal hernia – part of the abdominal organs protrude through the muscles of the abdominal wall GP consent required. The upper body of the client should be raised. Abdominal hernia is local contra-indication.

High blood pressure. Problem with the cardiovascular system (hypertention). When long term can lead to damage of the heart or brain. High blood pressure means excessive pressure against blood vessel walls. Once diagnosed it is usually controlled with medication. If the client is not controlled by medication, get medical permission. Caution with electrical treatments. Massage and heated treatments affect the blood vessels, and so people with high blood pressure or a heart condition should receive light, sedating massages, if at all. Deep abdominal massage is contra-indicated.

HIV infection. Immune system disorder (autoimmune). Symptoms – insomnia, night sweats, weight loss, diarrhea, skin disorders. Caused by the HIV virus, transmitted in infected body fluids. If there is no exchange of bodily fluids (blood, semen, vaginal fluids, or mother’s milk), HIV can’t be transmitted during treatment. In the case of any visible rashes, sores, lesions, or swelling do not proceed with the treatment. If you have any cuts or scrapes or scratches on your hands, it’s an especially good idea to wear thin surgical gloves.

Impetigo. Infectious skin condition. Typified by raised fluid filled sores and crusts on the face, particularly round the mouth and nose. Soon becomes a cluster of blisters and pustules. Bacterial infection. Consent will be required. Highly contagious. Total contraindication for all treatments if sores are weeping or the person is not undergoing medical treatment. Local contra-indication if person is recovering.

Inflammation (swollen inflamed areas). Inflamed conditions include anything that ends in –itis, such as phlebitis (inflammation of a vein), dermatitis (inflammation of the skin), arthritis (inflammation of the joints), and so on. Causes differ. Consent will be required. Treatment can further irritate an area of inflammation, so it should not be administered. In the case of localized problems, work around them could be done, however, avoiding the inflammation itself.

Infectious diseases. Flu or diphtheria, for example. Caused by virus, or bacteria. Total contra-indication.Treat-ment is not a good idea for someone coming down with infectious disease. High risk of cross infection.

Laser skin resurfacing treatment. Laser resurfacing is a treatment to reduce facial wrinkles and skin irregularities, such as blemishes or acne scars. The technique directs short, concentrated pulsating beams of light at irregular skin, precisely removing skin layer by layer. This popular procedure is also called lasabrasion, laser peel, or laser vaporization. Waxing or facial treatment cannot be performed if the laser skin resurfacing is done within the past year.

Loss of sensation. Unability to feel pain or pressure. Can result for many reasons – such as diabetes, aging, use of prescribed skin care creams, etc. Consent would be required. Caution! A treatment could be performed, but the Therapist should be very careful with heated treatments, electrical treatments, and pressure.

Low blood pressure. Problem with the cardiovascular system (hypo tension). Is not considered a medical problem. Care should be taken with helping clients off the table, because moving from lying to sitting too quickly may cause them to faint.

Lumbago (a general term for lower back pain). Disorder of the nervous system that affects motor nerve supply. Client should be referred to appropriate professional to address spinal problems. Under control, massage is useful for muscular causes.

Medications. Some medications and products can make the skin more sensitive. Attention! Thin, sensitive skin is more vulnerable and susceptible to damage and infections! The usage of them could also affect the result and the outcome from the service. Accutane (acne medication), Adapalene (acne medication), Alustra (Retin A), Avage (acne medication), Avita (Retin A), Differin (acne medication), Isotretinoin (acne medication), Renova (Retin A), Retin A, Tazarac (acne medication), Tazarotene (acne medication), Tretinion (Retin A), Isotretinion, Birth control pills, containing Tetracycline, Blood thinning or epileptic medication, Bleaching agents for hair (used for upper lip), Bleaching agents for pigmentation of skin such as (Hydraquinone, Trilumena), previous chemical depilatories such as Nair, Benzoyl Peroxide (ProActive), Alpha Hydroxy Acids (Glycolic, Lactic), Oral and topical Antibiotics, Retinol, Salicilic Acid, Other Exfoliants, Keratolytic drugs (skin thinners with salicylic acid) , Anti-depressants Consultation with your dermatologist will be needed if you are taking any medications, or using any topical cream, that contains these products. Inform your Beauty Therapist if you are using any other medication that is not listed here. Waxing is never done on clients taking Accutane (client should be off this medication treatment a minimum of 1 year prior to waxing), and is not recommended for clients, taking other types of skin thinning (keratolytic drugs), blood thinning, epileptic and acne medication. Acne medication and anti-depressants could cause an alternation in pH of the skin, which affects the effectiveness of the tan products. Attention to facial treatment for people, using Keratolytic drugs.

Meningitis. Potentially life threatening. Disorder of the nervous system (involve the blood supply to the brain). Note that meningitis can be contagious. Consent will be required. Total contra-indication. However, people who have recovered are perfectly fine to receive a massage or other treatments.

Metal pins, plates, dental bridges, implants, etc. Consent will be required. Specific contra-indication for Standard Massage, electrical treatments, Hot Stone massage.

Migraines. Disorder of the nervous system that affects motor nerve supply. Throbbing headache with sensitivity to light and nausea for a few hours or days. Construction of the blood vessels around the temples is followed by dilation of the blood vessels of the brain, putting pressure on the meninges. Daily massage of the temporal and masseter muscles can be useful as part of a treatment program. Regular massage is good to reduce stress levels. Massage during the migraine is not advisable!

Microdermabrasion. Microdermabrasion uses tiny exfoliating crystals that are sprayed on the skin. It works best on problems such as dull skin, brown spots, and age spots. With dermabrasion, a dermatologist or plastic surgeon "sands" your skin with a special instrument. The procedure makes way for a new, smoother layer of skin to replace the skin that's been treated. Treatment could be done 7 days after microdermabrasion is done.

Moles. Brown – light or dark circular nodule. Moles do not prevent a treatment unless they are inflamed, swollen, weeping or open. Consent would be required if open and weeping. Moles cannot be waxed. Could cover with petroleum jelly (to not over stimulate the area), and work around the area, but not if open and weeping, as could cause cross infection. Local contra-indication.

Multiple sclerosis (MS). Disorder of the nervous system, that affects motor nerve supply. Severity of symptoms can vary. Caused by degeneration of nerve sheaths Consent would be required. Massage is indicated in sub acute stages, when the client is in remission.

Oedema. Blood vessels disorder. Accumulation of fluid in the tissues. Lack of draining. Needs to be discussed with a medical practitioner. Depends on the cause.

Operations to treatment area. (Recent!) 2 years for major operation, 6 months for a small scar. The person is still healing with a weak system, and does not need the stress of a massage. There is also a chance of infection or aggravation. The massage will interfere with the healing process. Medical permission will be needed. Local contraindication for all treatments.

Onycholisis. (Nail separation). Nail plate gradually loosening from the nail bed without coming away. Internal disorders, psoriasis, eczema or rough treatment of nails. Consent would be required if open and weeping. Cross infection. Can leave out affected areas if not open or weeping.

Osteoarthritis. “wear and tear” of the joints (most commonly hips and knees), often with pain, swelling and sometimes inflammation. Joint problem. Hyaline cartilage thins and is worn away, cracks appear. Bony growths can develop, so that bone rubs on bone. Inflamation of joints with pain, stiffnes and loss of movement. Consent will be required. Treatment and movement is contra-indicated in the acute phases. At other times gentle mobilization can be beneficial in proving some pain relief.

Osteoporosis. (“brittle bones”), especially the wrist and hip. Skeletal system disease. The calcium content of the bone reduces and the bones become soft, crumbly, and liable to break easily on sudden impact. Fairly common in elderly people, particularly women after menopause. Consent will be required. Known osteoporotic areas should be avoided. Gentle treatments with no stretches and joint manipulations.

Osteomalacia (soft and swollen bones) Skeletal system disease. A softening of the bones. Absence of Vitamin “D”. Consent would be required. Only under doctor’s supervision.

Pacemaker. A pacemaker is a small device that's placed in the chest or abdomen to help control abnormal heart rhythms. This device uses electrical pulses to prompt the heart to beat at a normal rate. Pacemakers are used to treat arrhythmias.Arrhythmias are problems with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm. Consent will be required. Specific contra-indication to electrical body and facial treatments, and a Hot Stone massage.

Paget’s disease. (Bones most commonly affected are the skull, spine, and leg bones). Skeletal system disease. Bone is replaced by fibrous tissue that then becomes hard and brittle with much pain. A fairly rare disease. Consent would be required. Only under doctor’s supervision.

Parkinson’s disease. Disorder of the nervous system, that affects motor nerve supply. A progressive disease. Tremor, shaking in the hands and limbs, and stiffness in movements. Caused by degenerative abnormalities in the brain. GP Consent would be required. Under medical supervision massage is indicated.

Paronychia. Red, inflamed and sometimes swollen. Bacterial infection. Consent required, cross infection if open and weeping. If severe on all fingers, unable to treat, otherwise the area could be covered and missed out.

Pediculosis. Head lice. Blood sucking lice, with a preference for the head (other varieties prefer the pubic area). The white eggs are called “nits”. Parasitic infection. Consent required. Total contra-indication until cleared up.

Phlebitis. Blood vessels disorder. Varicose veins can become red, tender, inflamed, painful, and there may be a risk of clots. It affects the superficial veins only. Consent required. Local contra-indication (massage and waxing).

Pregnancy. Condition of reproductive system. The growth of the foetus in the womb. Consent will be required. Contra-indicated for all of the treatments during the first three months. No heated treatments, chemicals, electrical treatments, essential oils should be used during the pregnancy at any stage. Massage could be performed only by specifically qualified practitioner.

Psoriasis. Non-infectious skin condition. Most common on elbows, knees, scalp and back. Round or oval dull red papules. Covered in silvery scales. Epidermal cells grow too fast, and reach the surface of the skin without being properly keratinized, clumping together to form thick red scaly plaques. Can become infected. Consent required if severe. Risk of cross infection if open and weeping. Local contraindication for all treatments. Could be treated only if not open and weeping.

Respiratory disorders (Infectious). Note that, many of the common respiratory disorders are infectious during the initial acute phase. Common cold influenza and laryngitis are caused by viruses. For pneumonia there are a number of causes, including bacteria, virus, chemicals, or allergy. Tuberculosis is a bacterial infection. Bronchitis often follows an upper respiratory infection. Consent required. During the acute phase – total contraindication for all treatments. Treatments are fine, when in non-acute phase and the client has recovered. Breathing difficulties are often made worse by lying flat. In cases like this it is advisable to be in a semi-sitting position, or in a side lying position.

Respiratory disorders (Inflammatory). Asthma (attacks of breathing difficulties). Emphysema (the walls of the alveoli are destroyed and breathing becomes difficult). Pleurisy (very painful inflammation of the pleural membranes) Asthma is a condition, which causes restriction in the bronchioles. Emphysema can develop from bronchitis Pleurisy is often caused by lung infection such as pneumonia. Consent will be required. Treatments are ok, when the client is not having an asthma attack. Care should be taken with the products used during the treatment. Massage for Emphysema is indicated under medical supervision Pleurisy – gentle massage can be beneficial to the upper back and chest areas.

Ringworm. Infectious skin condition. Looks as a little worm has burrowed a red itchy circle under the skin. Bacterial infection. Affects different parts of the body. Depending on the severity- mild scaling or inflamed red itchy areas. GP consent required. Total contra-indication if large areas of the body are affected. Local contra-indication, if only a small area is affected, and can be covered. There should be particular care taken with hygiene precautions.

Rheumatoid arthritis. (Most commonly affects the hands and feet, sometimes the neck). Joint problem. Can cause inflammation of many parts of the body (skin, lungs, eyes, internal organs, joints). Auto-immune disease. The synovial membrane of the joint is inflamed, the fluid builds up and the joint swells. If it progresses the cartilage and bone are affected, the joints may be deformed. In acute stages treatments and movements is contra-indicated. In non acute phases, gentle massage of the tissues around the joints may help relieve pain.

Scabies. Infectious skin condition (parasitic infection). Tiny red papules, irregular in lines on the hands, particularly between the fingers. Possible scratch marks on limbs or trunk of body. Caused by infestation with the parasitic "Itch Mite". The female burrows into the epidermis and lays eggs, when hatching, leaving tell-tale red tracking marks. Causes extreme itching. G.P referral would be recommended. No treatment could be carried out as would cause cross infection. Spread by close contact of infested persons. This condition is highly contagious and under no circumstances is the client to be treated.

Scar tissue. Recent! Varied. It could be keloid or hypertrophic (overgrowth of scar tissue). Different causes. G.P consent would be required. If the scarring is keloid or hypertrophic, there is a high risk of trauma, resultant from treatments. Not to treat the area within six months.Unable to treat unless in an area able to work around. Otherwise would not aid the natural healing process, could open the wound, and could be painful.

Sciatica. Most often felt in the buttocks and thighs. Disorder of the nervous system, which affects motor nerve supply. Pain along the sciatic nerve. Caused by entrapment of the long sciatic nerve as it exits from the spine. G.P consent would be required. Massage is indicated due to muscular and ligamentous causes. For spinal causes, massage can be helpful at non-acute times.

Shingles. Patches, areas of erythema, vesicles, and papules that can erupt and leave scar tissue. Caused by the chicken pox virus. G.P consent required. Total contra-indication. High risk of cross infection.

Skin disorders. Rashes, wounds, bruises, spots, lesions, sores, burns, boils, blisters, areas of non-normal skin, etc. Some of them could be caused by trauma or accident, but other – by infection. A contagious disorder is an infection that is transmitted through direct contact. Undiagnosed conditions should be referred to a medical practitioner. It is not part of a Beauty Therapist job to identify clients’ skin disorders. Infectious skin conditions are always local contra-indications for treatments. Some of them are total contra-indications. Anything that looks like it shouldn’t be there should be avoided. Areas of skin that is bleeding, broken, or weeping fluid is never treated.

“Slipped disk”. (Herniated disk). Joint problem. Very painful and debilitating. Compression of a nerve root when a vertebral disk ruptures and part of the contents is displaced onto the spinal cord or more often on the nerve roots. Consent will be required. In acute stages, client should be referred to osteopath, chiropractor, or physio-practitioner. In non-acute stage, massage may relax associated muscle tensions.

Sprains (chronic or acute). Damage to ligaments, often involving damage to the joint. Sprained ligaments are swollen up and painful. Through forceful overstretching. G.P referral would be recommended. Local contra-indication. No treatment should be done if is acute. Other areas of the body could be treated.

Spondylitis (sections of the spine gradually fuse together). Joint problem. It commonly starts as lower back pain and stiffness, especially around the sacrum. It may progress up the spine Inherited auto-immune disease. Consent will be required. In the early stages massage can help maintain some mobility. In acute phase, treatments are contraindicated.

Stye (hordeolum). Inflammation of eyelid (often upper lid). Swelling, redness, pain is felt at margin of eyelid. Bacterial infection. Scratching or rubbing infected area could cause infection to spread. GP consent will be required, as there is a high risk of cross infection. Total contra-indication for all treatments until it is cured.

Stroke. Disorder of the nervous system. Some of the brain tissue may be damaged (may result in loss of speech, movement, thinking ability, etc.) Occurs when the blood supply to the brain tissue is affected, either by a clot (thrombosis), or by a blood vessel bursting. Ask your doctor, regarding the advisability of treatments. There is a high risk of second stroke within one month of the first. Lower risk up to 6 months after the first.

Swelling. Could also be accompanied with bruising. Consent would be required. Could be hiding something more serious. Local contra-indication. Work around the area.

Thin (fragile) skin. Non-infectious skin condition. Skin becomes papery, less elastic, and liable to tear easily. Common in elderly people. It could occur over varicose veins, over areas of chronic oedema (swelling), through prolonged use of steroid creams, on extensive healed scar tissue from burns, injury, or medical treatment. Treatment should be done with high attention, very gentle, with no stretching, no friction, less pressure, mild products.

Thrombosis. (DVT – Deep vein thrombosis). Blood vessels disorder. Blood clot forms in a vein. If the clot breaks lose, it can travel through the system to the lungs, with fatal results. Often when someone has to stay in bed after surgery, a stroke, or child birth, or could be caused by long plane flights. Seek medical permission. Totally contra-indicated for massage for 3-6 months after diagnosis. Contra-indication for Hot Stone Massage, Superficial lymph Drainage Massage, and heated treatments.

Tinea Unguium (Ringworm of the nail). Nail plate becomes discoloured and opaque along with a rough horny appearance. Spreads from the free edge to the matrix. Fungal infection - can be of animal or human origin. G.P referral would be recommended. Local contraindication. No treatment would be carried out as it will cause cross infection. Spread by direct contact.

Tinea Pedis. (Athlete's foot). The skin between the third, fourth and fifth toes become sodden, irritatated, and peels off. Fungal infection. G.P referral would be recommended. Local contra-indication. No treatment as would cause cross infection.

Undiagnosed lumps and bumps. Swelling, etc. to the treatable area could be hiding a more serious problem, wouldn’t know cause. Consent would be required. Local contra-indication. No treatment if unable to move around the treatable area. Wouldn't aid the natural healing process, could also be painful.

Urinary system disorders. Urinary tract infections – inflammation of the bladder and cystitis, and causes burning pain when urinating. Kidney stones – small hard deposits found in the kidneys. They can be very painful. Renal failure – dangerous condition, where the kidneys have stopped functioning. Gout – due to a buildup of uric acid in the body. Affects the joints. An attack is extremely painful. GP consent required. Massage is contraindicated for those with acute urinary tract infections, acute or chronic renal failure, acute stages of gout, or a kidney stone attack.

Varicose veins. Blood vessels disorder. These are visible, distended veins which are ofen present in the legs (especially the lower legs). Result of valve failure in the veins, and accumulation of pockets of blood. The vein walls, being thin, stretch and become flabby. If serious, varicose veins will prevent treatments taking place as this could be painful and will cause extra blood to flow in the area. Massage directly over varicose veins can worsen the problem and is contra-indicated. However, if you apply a very light massage next to the problem, always in a direction toward the heart, it can be very beneficial.

Verruca Vulgaris (common warts). Infectious skin condition. Small solid lump, arising from the skin’s surface. They are rough and hard and can be darkish in colour, or natural skin tone. They are found either singly or in groups, and appear around the nail fold area. Viral infection. G.P consent would be required if open and weeping. Can cover with micropore and work around the area. Open and weeping highly contagious, cross infection.

Verruca plantaris (verruca of the foot). Infectious skin condition. This condition belongs to the same family as the common wart, but instead of being raised on the surface of the skin, verrucas tend to grow inwards, so until they get fairly large the client can be unaware of having a verruca. Viral infection. They can be caught in swimming pool areas and are highly contagious. The skin’s surface can be smooth and the appearance can be like a circular piece of hard skin with a black dot or dots in the centre. G.P consent would be required. No treatment would be carried out as would cause cross infection. Spread by direct contact.

Warts. Infectious skin condition. Small, rough, non-malignant tumors. Firm papule with a rough horny surface. Varies in size. Caused by viruses. G.P consent would be required. Local contra-indication. Immediate area should be avoided, covered with petroleum jelly, and worked around if closed and not weeping.

 

 

Categories: CAUTIONS AND CONTRA INDICATIONS

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