contraindications

[Alfgarvena]

Hi. Can anyone help me with contraindication issues?

I started advertising my Indian Head Massage a couple of weeks ago (this is my first therapy) and have had 6 clients people asking for massage. The first person to contact me had diabetes though, so I said I couldn't do it without medical permission They acted as if I was mad and asked loads of questions about why I couldn't do it (this was over the phone at the time took the booking). I then had someone with very low blood pressure, and then last night I had another person with diabetes. The lady last night had had other complementary therapies, including IHM, so obviously other therapists are getting medical permission. As she was a nurse and her husband was present I decided to go ahead, but today I feel like I shouldn't have done it. That's 3 out of 6 people who have had something that requires medical permission. Am I really meant to be turning all these people away until I have a doctor's note? I've searched the Internet and can only find information on how massage benefits diabetes, and a doctor friend of mine can't see any reason for not doing a head massage. I'm confused!

 

[Prerpuropsy]

I found this online, hope it helps.

 

[dsfjkk]

That's interesting thanks - I don't feel so bad now. I'm quite onfused though because we were taught diabetes was a contraindication. I don't understand what the consequences are if you go ahead and massage someone if they do have a contraindication - does it affect insurance?

 

[Samantha Bickering]

I bet it does affect on insurance. My granny have high blood pressure.. Im actually right now struggling if i shld or shld not do the IHM for her.. Shld i ??

?_?

 

[the yamster]

Luv^Ta

Over here it's generally agreed that a client withhigh blood pressure requires a GP's advice note. Even though she is family, it is proably a good idea to write to her doctor (enclosing information on the treatment) asking whether in his/her medical opinion it is adviable to treat.

Hope that helps.

 

[Claire Welsh]

ooh..Thanks for ur help.. does it means any doctor approval ll do ?? Cuz my grandma always see different doctor.. and even chi physicians.. Do u guys have trust in the chinese physicians ?? Im not bashing anyone, i do trust the physicians, but there are always the "bad" ones tt actually causing trouble.

______________ ^^ thx for reply.

 

[loziwok]

Prefroming a massage on some one who has diabetes, may result to harm to the client. As massage will, make the heart rate faster.So if your client is on medication for there illness... and it is to last e.g. 5 hours and the massage speeds up the heart rate, then the medication will flow through the body quicker.... makingthe clients medictaion last for only 3 hours! Therefore... your client will be without medication for 2hours.

Those 2hours, could belife threatingto your client! This is way a doctors note is always asked.


For your high blood pressure question.... if a massage speeds up the heart rate... then it wouldn't be a good idea to massge a preson with high blood pressure. You would only worsen or prolong the condition.

Low blood pressure is completely different... a massage would help the condition, although apporval from adoctor, is still needed.

Hope i've been of some help

 

[Reergederrask]

Hi,[/align][/align]I don't understand this. Are you saying that massage(and in this case, IHM) could bemore dangerous than exercise for a person with a heart condition or high blood pressure or even diabetes?? Massage don't raise the heart rate as much asa round on a training cycle, which is recommended by many doctors for people with any or all ofthose conditions. Exercise is in fact generally considered the best treatment partly because many of these people are overweight which in itself is bad for all of the above.The training has to be adapted to suit each individual though.I would say the same goes for massage.[/align]I wouldn't worry but I would be gentle, perhaps omit certain moves. A talk with a physiotherapist ora professional trainermight also do the trick so you get to understand the impact of exercise on the body. And don't forget - If a client has any of these conditions, especially diabetes, they will know all about the relation food/exercise/insulin. The doctor should have told them to be aware of this. If not - inform them thoroughly. Look at it in a holistic view - this is also a part of the therapy and the goal is to help the client, right?[/align][/align]//Bee (who do IHM on husband with high blood pressure and diabetes - no problems)[/align][/align]

 

[Andersonymous]

How do u actually talk / explain to the client in Holistic way , to avoid misunderstanding or offended the client. If he / she is suffering from various diseases / illness.??

??

 

[ztepyumlimtiqbezq]

Just to give my input as I am currently doing an IHM course - - our paper re contra indications advises that your can treat high and low blood pressure as well as diabetes as long as it is stable and not newly diagnosed.

You would however advise your clients to check their pressure or blood sugar regularly as it can be affected by the treatment.

Have a lovely day,
Jo

 

[Mohammed Hasan]

just regarding insurance, I can tell you that insurance companies generally have exclusions on their policies, such as 'you cannot diagnose medical conditions', also if a client advises you of a particular condition and you then treat them and they subsequently make a claim against you (example: you have made their condition worse) then your insurers will ( at least in my case) still defend the allegation against you, all that will happen is that they will demand to see physical proof from the person claiming that their condition has been made worse by your treatment.

In my experience this is virtually impossible, as you could then (an extreme example) demand to know what they have been eating in that period of time and could put forward that it was their diet that caused the worsening of the condition and not the treatment.

As long as you are not providing a treatment that you are aware can directly affect a client's existing condition then insurers have no prblem with this at all.

 

[Bryony S-f]

HI

I have another question I would like to throw in if possible! What are the rules on IHM for somone who has had an operation i.e a hip operation or something. Do you need to wait 12 months before doing IHM or any other therapy and do you still need a doctors note?

Also if someone had a heart attack many years ago would that still affect treatment or is a length of time thing?

Thanks for the help!
Sara

 

[ape2016]

I would say that if you are in any doubt at all what to do, contact their GP, and if they really don't want that done for one reason or another, they need to sign your form to say this!

If someone had a heart attack many years ago, and is now ok, with no recurrance, than I would add this to the medical history, and offer them a light treatment. Tell them this, see how they get on, and as them to note how they feel afterwards, and any contra actions.However, if they havent been well since the heart attack, I would treat with caution myself!

As for post op, we were told to wait 6 months for a small op, and a year for a big one. This was to allow the body to readjust to the upheaval of the operation. However, I would treat each person as an individual, and take into account how well they have recovered from the operation, and exactly what the operation was for. If it was a hip op, and they are now up and walking and excercising, I would treat them, again, with the GP's permission.

Maybe I am just lucky, but I have always had very positive feedback from the GP's, and not yet been refused to treat. I have only been practising for a year though!!

Hope that helps a little!

Tj x