massage contraindications – Birch Tree Wellness, LLC

Let me preface this post with my recurring mantra… THERE ARE NO GUARANTEES. Meanwhile, I take your safety seriously, and will my best to make your massage experience as safe as possible. I just ask you do take the proper precautions on your end, so hopefully, we can all stay safe and healthy.

In the meantime, I wanted to give you a more thorough rundown of some of the stuff I’ve been doing around the office. These steps are based on a combination of guidelines from FSMTB, AMBP, the State of Maine, and other resources.

Personal Prevention

Face Coverings/PPE:

Everyone needs to wear a face mask.
If you don’t have a mask, I have one for you.
I will be wearing a mask and face shield during your massage, this includes a fresh mask for each client and a sanitized face shield.
A fresh apron is used for each session.
I will wear nitrile (latex-free) gloves if one or both of us have any open cuts/scrapes, or broken skin.

Hand Sanitizer: Bottles of hand sanitizer are available upon entrance to the office, as well as in the massage room.

In the Massage Room

The Massage Table: The table has a protective cover over the padding & table warmer that can be disinfected. It makes the table a little bit slippery, but you get to keep all the comfy padding. I disinfect all the hard surfaces of the table after each appointment.

Air Flow & Purification: The windows do not open. So, there is an air purifier in the office with HEPA filtration and UV sanitation that is in constant use throughout the day. A fan will be used to get air moving out of the office between appointments.

General Stuff

Linen Storage: The sheets and other linens are in closed storage areas.

Dirty Laundry: After each session, the laundry is placed in a closed, step-lid container.

Trash Cans: The trash cans are now all closed, step-lid cans to help contain germs.

Table Covers: The cloth table coverings have protective vinyl over them for easier cleaning & disinfecting.

Disinfecting: I use a checklist to help thoroughly clean & disinfect every area of the office between appointments.

How I’m Doing: A dry erase board in the office has my temperature (morning and afternoon) and if I have any symptoms, as well as the number of contacts & places I’ve visited in the last 5 days. I’m also willing to use the touch-free thermometer to check my temperature on your arrival if you wish.

General Clutter: This part hurts my heart because I love all my gifts from clients and shiny doo-dads, but I have cut down on the number of things around the office that might collect dust and germs.

Self-Serve Items: The self-service baskets of mints, chocolates, and tea have been put away. The candy will still be out in small amounts for your sugar rush! Water will be available.

One more time: THERE ARE NO GUARANTEES. If you are coming in for a massage, I am trusting you to be honest with me about your health and your risks, as well as your potential exposure to COVID-19. Safety is a two-way street right now. See the COVID-19 Policies section for more details, and be sure to check out the High-Risk Clients section to make sure you’re not missing an important risk.

Thank you for your continued patience, cheerleading, and moral support!

There is no doubt that massage is wonderful. It has many positive health and wellness benefits. It’s relaxing, it feels great when you’re feeling not so great. There is also no doubt that people sometimes overlook/underestimate the risks of massage in certain situations.

What Makes A Massage Risky?

The main culprit that can make massage a contraindication is its effects on the circulatory system. Pick a spot on your arm or hand where you can maybe see some good veins. Rub your hand down your arm towards that vein with about the pressure your massage therapist does. You’ll probably notice that it stands out more as you push; this is because you’re pushing the blood through that vein at a higher rate than normal.

During a massage, muscle is not the only thing getting pushed around. Massage includes moving the blood around in your veins, the fluids in your lymphatic system, and the other various hormones and chemicals floating around in your body.

What does this all mean?

It means that if a person’s veins or circulatory system are compromised, massage may be a bad idea. We need to know if your bones are brittle or you have joint replacements. Tell us if you have immune system problems, or you have herniated discs or spinal issues. Illness such as the flu, infections, and disease with serious complications are a red flag when it comes to massage.

But My Health Issues Are Private!

I realize that it can feel awkward to share your health information with someone other than your doctor. Especially if it’s someone you don’t know very well. It’s important to realize that while massage may seem like a pretty safe therapy, there really are cases where it can do more harm than good. Rest assured that I follow health information privacy guidance, and do not share your health information with anyone. The online form is HIPAA compliant, and I keep your paper intake forms locked up when unattended.

Get Your Doc Involved

If you are under a doctor’s care, I will likely ask that you receive a written recommendation for massage. I like to make sure that they understand that massage is increasing circulation and lymph flow. Doctors don’t always remember that massage is not purely about relaxation. I may ask you to talk to your cardiologist, endocrinologist, obstetrician, or other specialist you may be working with.

It’s All About You

It may seem awkward or annoying to have to answer these questions and communicate between your various health care providers. However, it’s ultimately all about keeping you safe and healthy, as well as relaxed and pain free. If your doctor does not recommend massage, there are other options that may help you. This includes Reiki therapy, which does not physically manipulate the muscles or circulatory system

As with any wellness regimen, it’s important that all of your healthcare providers work together to ensure that you are receiving safe, effective care. If you have any concerns about privacy or your health issues related to massage, you can always contact me to discuss them!

Be Well,
Tricia