Massage Therapist FREE Massage Therapist Pathology and Contraindications Questions and Answers 2 — Questions and Answers
Question 1: A client presents with a deep vein thrombosis in the left calf. What is the most appropriate course of action for the massage therapist?
- Massage the affected leg gently to improve circulation
- Apply cold compresses to the area and proceed with massage
- Refer the client to their physician and avoid massaging the affected limb (Correct answer)
- Elevate the leg and perform light effleurage distally
Correct answer: Refer the client to their physician and avoid massaging the affected limb
Deep vein thrombosis is an absolute contraindication for local massage because manipulation could dislodge the clot and cause a pulmonary embolism.
Question 2: Which skin condition would require a massage therapist to use local contraindication precautions rather than refusing treatment entirely?
- A small patch of eczema on the forearm (Correct answer)
- Active impetigo lesions across the back
- An undiagnosed open and weeping wound
- Herpes zoster in the acute blistering phase
Correct answer: A small patch of eczema on the forearm
A small, localized patch of eczema is a local contraindication where the therapist can avoid the area and still provide massage to the rest of the body.
Question 3: A client with controlled Type 2 diabetes requests a full-body massage. What is the primary concern the therapist should monitor during the session?
- Risk of joint hypermobility
- Signs of hypoglycemia such as dizziness or sweating (Correct answer)
- Increased risk of muscle cramping from insulin
- Likelihood of developing skin rashes from massage oil
Correct answer: Signs of hypoglycemia such as dizziness or sweating
Clients with diabetes are at risk for hypoglycemia during massage because bodywork can lower blood glucose levels.
Question 4: Which of the following conditions is considered a systemic contraindication that requires physician clearance before massage?
- Mild tension headache
- Chronic plantar fasciitis
- Uncontrolled hypertension (Correct answer)
- Lateral epicondylitis
Correct answer: Uncontrolled hypertension
Uncontrolled hypertension is a systemic contraindication because massage affects cardiovascular function and could pose risks without medical clearance.
Question 5: A client has been diagnosed with osteoporosis. How should the massage therapist modify treatment?
- Use deep tissue techniques to stimulate bone density
- Apply vigorous tapotement to increase circulation to bones
- Use lighter pressure and avoid forceful joint mobilizations (Correct answer)
- Decline to treat the client entirely until the condition resolves
Correct answer: Use lighter pressure and avoid forceful joint mobilizations
Osteoporosis weakens bones and increases fracture risk, so lighter pressure and gentle techniques are essential modifications.
Question 6: A client arrives for a massage appointment and reports a fever of 101.4 degrees F that started this morning. What should the therapist do?
- Proceed with the session using only light Swedish techniques
- Apply aromatherapy to help reduce the fever during the massage
- Reschedule the appointment until the client is no longer febrile (Correct answer)
- Perform lymphatic drainage to help the client fight the infection
Correct answer: Reschedule the appointment until the client is no longer febrile
Fever is an absolute contraindication for massage because it indicates active infection and massage can spread pathogens through increased circulation.
A client presents with a deep vein thrombosis in the left calf.
What is the most appropriate course of action for the massage therapist?