Contraindications Flashcards
Total Contraindications (8)
- Cancer
- First trimester pregnancy
- Infectious diseases
- Acute injury (1st 24/48hrs)
- Suspected DVT
- Without consent
- Under influence drugs/alcohol
- Fever/hyperthermia
What is a total contraindication?
Must not treat patient in any case
Reasoning for cancer being a total contraindication?
Massage techniques increases blood flow > increased blood flow can cause cancer to spread more easily
Reasoning for 1st trimester pregnancy being total contraindication?
Increased risk of miscarriage in 1st 3months > massage techniques may increase BP > may increase risk of miscarriage
Reasoning for infectious diseases being total contraindication?
Influencing blood flow > may increase risk of infection spreading
Reasoning for acute injury (24/48hrs) being total contraindication?
cause lots of discomfort, may adversely affect tissue healing, delay return to sport
Reasoning for suspected DVT being total contraindication?
pain, redness, heat, swelling - similar to strain. Need to be confident with Hx taking
Reasoning for without consent being total contraindication?
Might induce discomfort/post-treatment soreness, more invasive areas (Eg. glutes, adductors)
Reasoning for under influence drugs/alcohol being total contraindication?
not in position to give informed consent
Reasoning for fever/hyperthermia being total contraindication?
Potential underlying infection
Localised contraindications (9)
- Skin disease
- Cuts/bruises
- Scar tissue
- # sites
- Varicose veins
- Undiagnosed lumps
- Pregnancy abdomen
- Sunburn
- Undiagnosed pain
What is a localised contraindication?
Can still treat patient, but avoid any of these specific sites
How long should you wait for surgical scar tissue before treating?
6 months
Why should you highlight any bruises to the patient?
So that they don’t attribute the bruises to you
Reasoning for varicose veins being contraindicated?
Work less efficiently, prone to leakage, could lead to really widespread bruising.
= Treat proximal to the area, but not over that site
Reasoning for undiagnosed pain being contraindicated?
Should be treating diagnosed problems to keep us and the patient safe
Diagnoses where extra consent/permission required from Dr before treating - and must be well controlled
- CV conditions
- Haemophilia
- Any other condition being treated by another health prof
- Osteoporosis
- OA
- Epilepsy
- Asthma
- Rheumatoid conditions
- Medical oedema
- Postural deformities
- DM
- Kidney infections
