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A discussion about localized, medical, and absolute contraindications, and how to talk with your clients about them.

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Latest Activity: Aug 18, 2015

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Comment by lee kalpin on June 19, 2011 at 9:51pm
You are right - your main concern is to Do no Harm.  If you employer doesn't organize the paperwork in a way that is helpful to you, then you just have to ask the client verbally - ask enough specific questions so that you know if there are any contraindications or precautions, and you can practice safely
Comment by Caitlin Lemoine on June 19, 2011 at 7:37pm
Its not that Louisiana doesn't have regulations regarding massage therapy it really does have quite good ones including requiring intakes and client records. Its just that my boss doesn't believe that all that pesky paperwork need sit around taking up space. I'm sure they have found some way around the rules so that it can go sit in whatever office it sits in. I could rant for hours about the ridiculous manner that my spa is run. :( but that is not what I was discussing so I'm gonna let it go. The staff is excellent as well as the clientele and i make sure that I abide by the law and do as you say no harm :) so its not terrible plus i certainly wont work there forever.
Comment by lee kalpin on June 16, 2011 at 9:15pm

Where I practice (Ontario) it's mandatory to have an intake form which follows the client to each appointment, and we have to take notes each time.  This is one of the benefits of practicing in a jurisdiction where massage therapy is a regulated health profession.


You are right, you can do a more detailed verbal intake, and ask more questions. The most important thing when treating clients is DO NO HARM!  

Comment by Caitlin Lemoine on June 16, 2011 at 3:50pm
thanks Lee, while i would love nothing better then doing a detailed written intake, the spa i work with only does one intake with a client and then sends their paperwork to a main office not anywhere near the spa. Because of this I do a pretty detailed verbal intake most of the time but clients still forget to mention it till i'm digging in going hmm you've got something going on here. :) I do think I'm going to start asking for more feedback!
Comment by lee kalpin on June 14, 2011 at 3:44pm

If clients are "just casually mentioning" then I think you need to have a comprehensive Health History form and intake/interview process to determine what problems they have.  Then you can ask -- How long ago this happened - what treatments they have had and what effects they experienced from the treatments. This will give you a better Idea of what treatment will be appropriate fo them.

I would always go with lighter, more conservative treatment until you see how the client is going to respond.  Ask the client to give you feedback at the next appointment to learn if they had any negative effects after massage. This will give you an idea of how to proceed from here.

Comment by Caitlin Lemoine on June 14, 2011 at 9:41am
I've been working on a lot of people with herniated disks generally lumbar or cervical. Most of these people just casually mention they have it and want work in the areas. while i have no problem working around the spine i still feel a bit leery going close to herniated disks especially when surgery is involved or they also say the last therapist that worked on them made it worse (yes this happens pretty frequently) What questions should I be asking and how should I handle cases of this nature? Are there ways you recommend working on those areas?
Comment by Oscar Francisco Toledo on June 10, 2011 at 8:11am

Hi you all,

  Just joined the discussion group to learn more and that I know I will do.

Comment by Susan G. Salvo on May 23, 2010 at 2:10pm
Hey Contraindications group,

I just started a discussion on endangerment sites. I'd love to hear your thoughts on the subject.
Comment by Heather Coren on May 23, 2010 at 1:41pm
I have a conundrum. Could anybody please let me know if there are any contraindications between deep tissue massage and accupuncture?
Comment by Exie Buehler on April 9, 2010 at 8:11pm
Hello everyone,
Just checking what groups were out there for me and found this very interesting. I hope learn and share much here!

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