Contraindications Flashcards
1
Q
Hypertension
A
- Increasing SNS (prolonged vigorous/painful techniques)
- Excessive increase of venous return
- Full body hydro or prolonged heat over back/pecs
- Position for comfort (sleeping position)
2
Q
Left Side Congestive Heart Failure
A
- Difficulty breathing/rapid breathing
- Paroxysmal nocturnal dyspnea (choking if in supine)
- Position for comfort (sleeping position)
- Full body lymph drainage/venous return
3
Q
Right Side Congestive Heart Failure
A
- Abdominal pain/intestinal problems
- Position for comfort (sleeping position)
- Full body lymph drainage/venous return
4
Q
Raynauds
A
- Cold hydro
- Prolonged painful techniques/increasing SNS
- Deep techniques over affected tissue if tissue health is pooor
5
Q
Varicose Veins
A
- Deep tx over variscosities
- Local massage if painful and sensitive
- Local massage for 24 hours after saline injections
- Local massage if not diagnosed
6
Q
Constipation
A
- Heat hydro on abdomen if there is high BP or inflammatory bowel disease
7
Q
IBS
A
- Heat hydro to abdomen if there is high BP or a flare up
- Abdominal massage if experiencing diarrhea
8
Q
Ulcerative Colitis
A
- treating low back or abdomen during flare up
- vigorous/deep work to low back/abdomen
9
Q
Crohn’s Disease
A
- treating low back or abdomen during flare up
- vigorous/deep work to low back/abdomen
10
Q
Ankylosing Spondylitis
A
- Mobilizing fused joints
- Heat with inflammation
- fever
- any testing other than arom if acute
- local deep/vigorous tx between flare ups
- avoid fatigueing client with homecare given
11
Q
Gout
A
- heat with inflammation
- local massage if acute attack
- fever
- any testing other than arom if acute
- local deep/vigorous tx between flare ups
- avoid fatigueing client with homecare given
12
Q
Rheumatoid Arthritis
A
- heat with inflammation
- local/distal massage if acute attack
- no jt mbz or rom around c1-c2 if severe (hypermobile)
- fever
- any testing other than arom if acute
- local deep/vigorous tx between flare ups
- avoid fatigueing client with homecare given
13
Q
Geriatrics?
A
- No fascial with delicate skin
- No deep pressure
- Keep room/table warm
- May not undress or need help undressing
- May need secondary person for consent if cognitive ability is compromised
- Secondary conditions/medications
- Shorter tx time
- May need help getting on/off table
- No changing positions as much
- PROM with arthritic joints
14
Q
Headaches
A
- Heat to head is CI, can do cold to neck and heat to periphery
- No loud sounds/bright lights
- No deep vigorous tx
- Position for comfort
- Dont over treat
- Approach TrPr with caution (possible kickback pain)
15
Q
VP Shunt
A
- Aggressive techniques that can cause inflammation/damage
- Direct work or drag over shunt
- Position area of congestion over drainage area (semi-fowlers or seated)
- shorten tx to 30 mins
16
Q
Pacemaker
A
- Prone position may be uncomfy, place pillow/cushion between table and device
- Position for comfort
- Decrease tx time to 30 mins
- No SNS increase (deep painful tx, direct/systemic heat)
- Dont mobilize surgical scars
- No frictions
- Major circulatory tx
- MFR over pecs
17
Q
Dysmenorrhea
A
- Abdominal massage relative CI for first few days
- Position for comfort
- No vigorous/painful tx, especially over low back/abdomen
18
Q
Menorrhagia
A
- Abdominal massage relative CI
- Direct hydro to abdomen
- Vigorous/painful tx
- Position for comfort
19
Q
First Trimester
A
- All positions are okay, just position for comfort
- Nauseous = no shaking, position for comfort, no deep tx
- Avoid uterine area
- No stim tx over abd/low back
- No excessive heat over abdomen/full body
20
Q
Second Trimester
A
- Supine hypotension!! (pillow under right hip)
- Possible edema and paresthesia in extremities
- No prone
- No stim/deep tx to low back/abdomen
- Offer bathroom pre-tx
- Avoid joint mobs (laxity)
- Get up slowly from table
21
Q
Third Trimester
A
- Supine hypotension!! (pillow under right hip)
- Possible edema and paresthesia in extremities
- No prone
- No stim/deep tx to low back/abdomen
- Offer bathroom pre-tx
- Avoid joint mobs (laxity)
- Get up slowly from table
22
Q
Diabetes
A
- Avoid injection sites 24 hours
- Position for comfort if they have pump, offer cushion if prone
- Modifications over any decreased sensory areas (no deep tx or hydro xtremes)
- Dont encourage deep diaphragmatic breathing (can cause ketoacidosis/affect insulin levels)
- Allow time for bathroom
23
Q
Skin Infections
A
- Most are CI for local massage
- If fever present massage CI
24
Q
HIV/Aids
A
- No vigorous massage
- No joint mobs/stretching
- Wear gloves to protect pt
25
Allergies
- acute reaction is ci
- avoid exposing to triggers
- position for comfort
26
Sys Lupus
- no massage if in flare up or fever
- avoid rashes
- reduce tx time and pressure if fatigued
- position for comfort
27
Scleroderma
- modifications for areas of numbness or sensitivity
- reduce tx time if fatigued
- cold room/hydro
- no fascial tx
28
chronic fatigue syndrome
29
fibromyalgia
30
preeclampsia
- position for comfort
- hypertension cis
- ensure cleared for massage
31
ectopic pregnancy
- gentle tx
- avoid abdomen
- prone may not be comfy
- ensure cleared for massage
32
placenta previa
- no extreme hydro or deep tx over sacrum low back or abd
- no pelvis/hip rom
33
addictions
- consent
- cleared for massage
34
mental health
- don't give advice, refer
- be prepared to take breaks or stop
- accomodate
35
common cold
- no massage if fever
36
chronic bronchitis
- position for comfort
- no excessive painful tx
- if theres rib hypermobility or history of subluxation no joint play to ribs
37
emphysema
- position for comfort
- no excessive painful tx
- if severe: no prone or supine
- if theres rib hypermobility or history of subluxation no joint play to ribs
38
asthma
- no excessive painful tx
- no tx if acute attack
- avoid asthma triggers
- position for comfort
- if theres rib hypermobility or history of subluxation no joint play to ribs
