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Sport and Exercise Massage Contraindications

Week 7, Lecture 11 Sport and Exercise Massage
by

Charmaine Fagan

on 9 February 2013

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Transcript of Sport and Exercise Massage Contraindications

Massage Requirements of Athletes
Contraindications Course: BTEC Extended Diploma Sport (Development, Coaching and Fitness)
Unit: 21 Sport and Exercise Massage
Lecture 3 Introduction Cautions to Massage What to Say… Contraindications Aim

Be able to identify the sport and exercise massage requirements of athletes

Objectives

State what a contraindication and precaution is

Identify the types of contraindications to a sports massage treatment

Describe the main types of contraindications and precautions to sport massage What is a contraindication???

This is related to a condition where treatment must NOT be applied. This is because this could cause an increase in the presenting symptoms or create additional problems. This normally only occurs in the local affected areas, while treatment of other areas my be beneficial. Continuing with treatment may be more detrimental than beneficial and in some cases may cause serious medical problems.

What is a precaution???

This is not a contraindication but a caution that must be considered before performing massage techniques. You may be able to perform massage however the massage techniques performed may be altered.

Being precautious is being careful! A contraindication is a situation when massage should NOT be performed.

Contraindications

Can I hurt you?
Can you hurt me?

Precautions

If in doubt: Don’t
If in doubt: Refer
Good assessment
Feedback from patient - Infections
- Skin conditions
- Open wounds
- Bone or Joint Injuries
- Metal Plates
- Circulatory Problems
- Into acute injury
- Into acute inflammation
- Altered skin sensation
- Deep Vein Thrombosis
- Tumors
- Diabetes
- Epilepsy Tutor: Charmaine Fagan
Number of lectures: 1 – 30
Duration of lectures: Four hours per week Contraindications Explained
Muscle Ruptures

In the acute stage these may still be bleeding. Massage will increase bleeding and tissue damage and prolong recovery. After the initial 48 to 72 hours massage may be possible but it will depend on the extent of the injury.

Tendon Ruptures

The above also applies to tendon injuries. Complete ruptures will need surgery, not massage.

Muscle and Tendon Partial Tears

Massage may be suitable after a minimum period of 48 hours, longer for more serious injuries.

Continued Diabetes

Be careful about tissue condition and loss of sensation. Don't do deep work on area of recent insulin injection: could accelerate Insulin uptake.


Rheumatoid arthritis and gout

These are inflammatory conditions. The same rules apply here as to acute injuries. Massage may cause further inflammation.

Burns, Chilblains and Broken bones

Massaging all of these will hurt and cause damage. Don't do it. Types Continued Infections of the Skin and Soft Tissue

Bacterial infections, viral infections and fungal infections can be spread to other areas of the body by the therapist. Pain may also result from the infection, not an injury so massage will not help.

Artificial Blood Vessels

Artificial blood vessels which are implanted through surgery should be avoided.

Tumors

If you are unsure of any lumps and bumps in the muscle or skin then leave well alone. Most often these lumps are muscle spasms or fatty tissue. An experienced therapist can usually tell. Deep Vein Thrombosis This is a rare but potentially lethal blood clot in a vein.

It is common in the calf muscle area. A deep, sore pain in the belly of the muscle may be a thrombosis.

If this is massaged, it may dislodge, travel up the veins and damage the heart. Muscular Contusions These are impact injuries causing bleeding within the muscle.

Massage to a contusion too soon after the injury may cause further damage and may lead to Myositis Ossificans (bone growth within the muscle). Pregnancy Rule of thumb: no deep work. Be aware: danger of triggering a miscarriage by strong myofascial work is greatest during first 3 months (specially through work around the pelvis, abdomen, adductors, medial legs, or feet).

Later in pregnancy this gets less likely. If you work with somebody who is pregnant, you may want to have them sign a form that they are aware of the increased risks and still want to get deep work from you, etc. Bursitis Inflammation to a bursa.

A bursa is a small sack of fluid that helps tendons pass over bones at joints.

If there is pain, swelling and redness over the skin then massage should be avoided. Open Wounds Any cuts, lacerations or grazes. Obvious really, but it has to be said.

You should wait until the scar has properly formed.

This is usually between one and two weeks. Recap - Introduction Aim

Be able to identify the sport and exercise massage requirements of athletes

Objectives

State what a contraindication and precaution is

Identify the types of contraindications to a sports massage treatment

Describe the main types of contraindications and precautions to sport massage
Full transcript