Massage Contraindications (When Massage Should Be Avoided)

While massage has many benefits, there are certain conditions where it may not be safe. These contraindications can be categorized as absolute (massage should be completely avoided) and relative (massage can be done with caution or modifications).

1. Absolute Contraindications (No Massage Allowed)

Massage should be avoided entirely in these cases:

Fever, infections, or contagious diseases (e.g., flu, cold, COVID-19, skin infections).

Severe cardiovascular conditions (e.g., uncontrolled high blood pressure, heart attack, deep vein thrombosis (DVT), or blood clot risk).

Recent surgery or open wounds – Healing must be complete before massage.

Cancer (without doctor’s approval) – Some types of massage may spread cancer cells.

Acute inflammation or swelling (e.g., severe arthritis flare-up, cellulitis).

Severe osteoporosis – Risk of fractures due to fragile bones.

Severe skin conditions (e.g., burns, eczema, open sores, severe acne, contagious skin diseases).

Uncontrolled diabetes or neuropathy – Loss of sensation can lead to injury.

Severe respiratory conditions (e.g., pneumonia, tuberculosis).

Recent stroke or aneurysm – Increased circulation could be dangerous.

2. Relative Contraindications (Massage With Caution or Modifications)

Massage may be allowed with medical approval or specific precautions in these cases:

Pregnancy (first trimester or high-risk pregnancy) – Some types of massage are safe, but specific techniques should be used.

Varicose veins – Gentle techniques should be used, avoiding direct pressure.

High or low blood pressure – Massage should be adjusted accordingly.

Mild osteoporosis – Light pressure techniques may be used.

Recent injuries (sprains, strains, fractures) – Massage should be done only after proper healing.

Hernia – Avoid applying pressure to the affected area.

Migraine or severe headache – Some massages may help, but intense techniques should be avoided.

When in Doubt, Consult a Doctor

If you or someone else has a medical condition, it’s best to seek medical advice before getting a massage. A professional therapist can also adjust techniques to ensure safety.