Safety precautions

Make sure the therapist knows your medical situation

There are a few safety precautions to take into consideration when providing or receiving massage.

If you are receiving massage from a professional massage therapist (even if they are a family member or friend), make sure they are aware of any medications or treatments you have received or are currently receiving. This is because certain medications like blood thinners, blood pressure medication, chemotherapy, or radiation will impact your body’s tolerance of massage and could put you at greater risk for harm. If they are unfamiliar with your medication and treatment plan, they should not do massage and you should seek guidance from your medical team.

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When to avoid massage
While massage is safe most of the time, there are instances when it should be avoided or delivered with caution. If you do get a massage in the situations listed below, the therapist should adjust the amount of pressure and length of massage accordingly.

Broken, irritated, or blistered skin

Deep Vein Thrombosis

Cancer bone metastases

Low platelets, increased INR or clotting disorder

Neurological immaturity (infants, spina bifida)

Note that therapists should exercise caution with lymphedema or excessive fluid overload, edema, and third spacing. During pregnancy, you should only get a massage from a specialized massage therapist.
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Precautionary sites
Massage to the following areas is not recommended. If you choose to do so, use extra caution.

Around the eyes

On the neck, below jaw and earlobe

Armpits

Inside bend and outside of elbow

Kidney region of the low back

Belly button area

Groin area

Behind the knee

Make sure the therapist knows your medical situation

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