Contraindications for massage.

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Can anyone tell me if Bacterial Meningitis is contraindicated for massage? How about if its coupled with a diagnosis of lyme disease? Actually, the proper diagnosis is Lyme Meningitis, but I can't find any info on that specifically. I'm getting contradictory information regarding the bacterial meningitis. I've worked on people with lyme disease, but not just after a diagnosis while still receiving IV therapy.

I had a client recently show up on my doorstep so sick he could hardly stand upright. His gf drove him to me as he was too sick to drive. He looked horrible. He insisted that it was due to a fall a few weeks prior and had been to see the doctor since then. He also insisted that his doctor recommended massage. I asked for a written note from the doctor. He couldn't produce one, so I sent him away. We rescheduled for later in the week but I refused to work on him until after he had seen a doctor and gotten a written note.

I get a call the next day. My client is in the hospital with half of his body paralyzed! (So glad I didn't work on him!) He's got Lyme Meningitis. He wants a massage ASAP. I insisted that he finish his 3 weeks of outpatient IV therapy and get a note from the doctor before I will touch him. The client instead gets a note from the doctor stating only that my client is not coneforum.xxxious. I've explained over and over that it has nothing to do with infection, its more about liability.

Would you work on this client under these circumstances? At what point would he be safe to work on again? I'm actually quite upset that he came to me for a massage when he was so sick he should have been at the doctor or hospital! Is this guy too irresponsible with his health to work on at all? (When he showed up on my doorstep so sick, he claimed he was sleep deprived and doped up on Vicadin that was prescribed for a tooth ache. He also insisted that he had just had an MRI earlier that week and the doctor approved massage. When I questioned him further, the MRI results hadn't returned yet and the doctor wasn't approving massage for his current condition, he just approves of massage in general!) Had I not spent so much time pulling teeth and prodding this guy into giving me all the details, I could have chosen to work on him, just taking his word for what was going on with his body. I'm not sure if I should see this client again at all? He seems very irresponsible with his health?
 
Contraindications for massage.

I would NOT! From what I can see, lyme meningitis is much less severe than viral meningitis and even other forms of bacterial meningitis, but they have the same symptoms : (taken from http://www.kidshealth.org)
* fever
* stiff neck
* severe headache
* sensitivity to light
* vomiting
* nausea
* extreme sleepiness
* confusion
* seizure
which don't really call for massage as an effective treatment. I would be very suspicious of the fact that he can't get a prescription or even a note from his doctor for massage. I'm very glad you turned him away- who thinks of massage first when they're that severely sick anyway? :confused:
 
Contraindications for massage.

He was severely sick! When he called me to cancel his upcoming appointment, he didn't even remember being at my place and being turned away! When I told him I knew he had been sick, he couldn't figure out how I already knew and insisted that I hadn't seen him in over three weeks!

He even had one droopy eye on the day I saw him. I'm not surprised he woke up with one half of his body paralyzed. I'm just not sure what to do about him in the future? He has a history of self-medicating and getting accurate medical information out of him is like pulling teeth. He talks in circles and seems to think that because his family doctor thinks that massages are great, that this means he's got the green light to get a massage in every single situation! I'm just wondering if he's too much of a liability?
 
Contraindications for massage.

I'm just wondering if he's too much of a liability?

Yes oh yes!! If you know or even suspect that massage is not in his best interest, you should stay far away unless he can agree to get his doctor to do a consult with you. If he ever ended up having to go to the ER or something after a session, it could very easily come back and bite you in the rear.
 
Contraindications for massage.

I certainly wouldn't work on him. Seems to me you can't trust his answers. :roll:
 
Contraindications for massage.

Get his doctor's contact info and call him/her directly. Actually, if you have the doctor's letter, you already have that info. Call the physician and discuss the situation. Let them know your concerns and the conditions you have placed upon the client.

Since most MDs know very little about manual therapy, this is an excellent opportunity to demonstrate your ethics and professionalism, not to mention awareness of contraindications and the bigger therapeutic picture. You two may have similar concerns about the client's communication style.

This is not a HIPAA issue if you have legitimate concern for this client's welfare. That said, you may want to have this client's consent form signed and in your files.
 
Contraindications for massage.

JasonE said:
Get his doctor's contact info and call him/her directly. Actually, if you have the doctor's letter, you already have that info. Call the physician and discuss the situation. Let them know your concerns and the conditions you have placed upon the client.

Since most MDs know very little about manual therapy, this is an excellent opportunity to demonstrate your ethics and professionalism, not to mention awareness of contraindications and the bigger therapeutic picture. You two may have similar concerns about the client's communication style.

This is not a HIPAA issue if you have legitimate concern for this client's welfare. That said, you may want to have this client's consent form signed and in your files.

I do have the doctor's note, but its from a neurologist who treated him in the hospital, not his GP or whomever is handling his on-going therapy.

I have a consent form on file, but I will get a recent updated one as well.

Actually, I really lectured my client about his irresponsible behavior regarding his health and how upset I was that he showed up at my doorstep when he should have been at the hospital! I explained that had I taken his word for it what was going on with his body, I could have hurt him and made myself liable. (What if he would have woken up paralyzed the day after his massage!! OMG!) I told him I would continue to see him after he has completed all of his outpatient treatment and gets a doctors written note of consent to recieve massage (not that he's not coneforum.xxxious!). However, I think I may have embarassed him to the point that he's afraid to face me again. Oh well, if I lose him, I won't have to worry about potential liability! But if he does return, its going to take a lot of constant prodding and questioning to keep me updated on the state of his health. I really think he doesn't fully understand what the doctor tells him in the first place. I will have to stay in contact with the doctor since the client is unreliable.
 
Contraindications for massage.

Being from the area of Connecticut where Lyme is so common place I have been reading about the thread with lots of interest. I have a friend of mine that had to put 2 of her horses down bc of the constantly getting Lyme completely ate through their joints.

And my mom has been infected twice and even thought she is "Lyme Free" she is still not right. I really don't think Lyme ever leaves your body the antibiotics just make it dormant
 
Contraindications for massage.

JLWmassage said:
Being from the area of Connecticut where Lyme is so common place I have been reading about the thread with lots of interest. I have a friend of mine that had to put 2 of her horses down bc of the constantly getting Lyme completely ate through their joints.

And my mom has been infected twice and even thought she is "Lyme Free" she is still not right. I really don't think Lyme ever leaves your body the antibiotics just make it dormant

You're right. Lyme doesn't ever leave your body and antibiotics to make it go dormant. Then it seems, each time there is flair up of lyme, its worse than the last. Its almost as if it gains strength while dormant? I have a friend with lyme who is a MT and works at a wellness center that specializes in lyme treatment. She's much better than she used to be, but still not quite right. She used to have a flair up every year. Each year her relapses are less and less debilitating.

Did you ever hear about the Lyme conspiracy? That it came from a lab that was working on biological warfare for the government or something like that? I don't know what the book is called, but there is a book about it. I heard that the governement doesn't want the medical establishment treating lyme very aggressively because they want it to seem as if its not a big deal of an illness. That antibiotics are the "cure" when in reality its a much more serious illness than we realize. At least that's what I've heard.
 
Contraindications for massage.

It wouldn't suprise me. I encourage all people that have a weird illness to get tested for Lyme. It never hurts to have a simple blood test
 
Contraindications for massage.

JLWmassage said:
It wouldn't suprise me. I encourage all people that have a weird illness to get tested for Lyme. It never hurts to have a simple blood test

So does my friend. The only thing is that its so hard to diagnose? For some reason the tests are so inaccurate giving a false negative most of the time. I heard that you have to have been bitten by the tick fairly recently for the "regular" lyme test to register positive (like within 3 weeks of the bite). My aunt almost died in the hospital before they FINALLY diagnosed her with lyme. I heard that there is a more expensive and more accurate test available if you can convince your doctor to administer it. Once again, this makes me think that there may be some conspiracy involved since the testing is so poor and inaccurate.

Makes me wonder, why is it that my vet can test my dogs and horses for lyme and get an accurate result, but my own doctor cannot? Very strange. Maybe we should all see vets instead of MD's! :lol: They can to parasite testing too, which MD's scoff at!
 
Contraindications for massage.

I have been meet by a lot of resistance by encourage my clients to be tested for Lyme and their Dr.s too. When they test you for Lyme don't they run your Tider? Just like dog & horses...IDK I know more about the animal test than the people one...LOL
 
Contraindications for massage.

Ugh, we've had so many Lyme's cases in our practice this summer and fall. It really sucks! But I can attest to clients not having 100% focus - symptoms are constantly changing, and sometimes they can't even remember how long it has been since their last treatment. :shock: I've noticed a bit of a bi-polar type of pattern in several clients over the last few months (two dx'd, one waiting on a dx), which may help explain the fogginess and mental fatigue.

Anyway, sorry, I have no idea about massage therapy being contraindicated though. We work our own protocols for Lyme's and other autoimmune disorders in Reflexology, and I know a lot of contra issues in massage are OK in Reflexology.
 
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    ๐Ÿ’•๐Ÿ’•Beautiful Korean girl working at 382 Wilson Ave ๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-840-0071โค๏ธโค๏ธ
  32. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน2 girls๏ผŒNina ใ€Cindy ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ Table Shower Sea Salt Bath Body Scrub๐Ÿ˜˜ Japanese girl Nina โค๏ธ Natural Big Boobs 38 DD ๐Ÿ˜˜Pink Mini Nipples Hot body slide, super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, professional super New girl โ—๏ธSuki, sexy girl .pretty boobs 36D๐Ÿ˜˜Superb service ๐Ÿ‘ massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring
  33. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–WooHoo Wed๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: Richmond Hill & Oakvilleโœจ Your passport to paradise with 9 enchanting girls fr China, HK, Japan & Korea โ€” ๐Ÿ†•Akino, Cindy, Coco, Luna, Amber, JPN Yui, Cici, Jasmine & Lucyโ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits๐Ÿ™Œ
  34. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga We had two girls today, Niko and Kiki. They were both young, pretty and cute. The massage and back massage were great.
  35. AliceSpa:
    WEDNESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—” 416-298-0898, 4915 Steeles Ave. E, Scarborough 3 very nice girls here today. Open 10am to 9pm: APPLE: from Hong Kong, very small body, 5' 100Lbs, petite with natural C Cups, small waist, pretty baby face, smooth skin, very clean. Shaved tight Pu**y, strong professional massage. Available FS bbbj cim cof rim. BEBE is a young slim Vietnamese girl with a beauty face
  36. Nu spring spa888:
    ๐ŸŒน๐ŸŒน๐ŸŒนsexy hot Philippine ๐Ÿ’– ๐Ÿ’– Malaysia ๐Ÿ’– ๐Ÿ’– Korean girls ๐Ÿ‘working at Nu spring spaโ˜Ž๏ธ416-669-8508๐ŸŒน๐ŸŒน๐ŸŒน
  37. wilson holistic centre:
    ๐Ÿ’•๐Ÿ’•Beautiful Korean girl working at 382 Wilson Ave ๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-840-0071โค๏ธโค๏ธ
  38. Lilyspa1:
    Lily Spa :๐Ÿ’•๐Ÿ’• Wednesday Schedule ๐Ÿ‡ฎ๐Ÿ‡ณ๐Ÿ‡ฎ๐Ÿ‡ณKajal 23, Punjabi girl ๐Ÿ˜ˆGFE & bbbj โค๏ธโค๏ธElena ( Latino ) Big Nature Boobs & SuSu ( Asian )Slim , ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  39. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  40. Moneylee:
    Full season wellness center: Young girl Big-breasted big big butts Aris , Young girl big breasted beautiful buttocks charming temperament big boobs Rose,Young girl big breasted beautiful buttocks charming temperament big boobs Julia ,Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. ๐Ÿ  2560 Shepard ave Mississauga unit 1 โ˜Ž๏ธ 4379857899 ๐Ÿ‘…๐Ÿ‘…๐Ÿ‘„๐Ÿ‘„๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿฆต๐Ÿฆต
  41. Golden Flower Spa:
  42. BlueXado Therapy & Spa:
  43. Pink Flower Spa:
  44. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Feifei๐Ÿ˜˜Our new Taiwanese beauty Feifei specializes in creating an intimate and deeply relaxing massage experience tailored to your desires. Her soft, skilled hands glide effortlessly, easing tension and awakening your senses
  45. HollywoodSpa:
    Wednesday at ๐ŸŽญ๐—›๐—ข๐—Ÿ๐—Ÿ๐—ฌ๐—ช๐—ข๐—ข๐—— ๐—ฆ๐—ฃ๐—”๐ŸŽญ, 4578 Yonge St, Unit 100, North York, ON: NICOLE & SISI. โ˜Ž๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿฎ๐Ÿฎ-๐Ÿฑ๐Ÿฑ๐Ÿฑ๐Ÿฐโ˜Ž NICOLE is petite, slim and very pretty, with C Cups , long hair & a slim waist. She has nice massage and great services. SISI is a sweet slim beauty, 5โ€™2โ€, with a beauty ass, excellent massage, and amazing services. Come and see why she is so popular. When you visit ๐ŸŽญHollywood
  46. HolidaySpa:
    Wednesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: EMILY, KIKI & CINDY. EMILY is a VERY tiny petite SPINNER superstar of the highest quality. Emily has a pretty face, natural A Cups, slim waist, and a lovely spinner bottom, topped off with the very best of services. Kiki is very attractive, young, about 5โ€™4โ€ and 110 Lbs., slim with a banging body.
  47. wonderspa:
    ๐ŸŒบ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,Wednesday RMT available,๐Ÿ’„sexy very young girl Joey natural c cup,very good looking nice body slide,really popular ๐ŸŽlong hair Q Lucy good strong to relax oil massage, Relieve pain and remove stress,more experience,young very beautiful new girl Cici, back walk ,body slide,amazing the end,give you warm and comfortable time must try๐Ÿ”ฅ๐Ÿ”ฅ
  48. SugarLoveSpa:
    Wednesday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LISA, LUNA, SUSAN & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LISA is a cute & petite Thai/Chinese mixed beauty with decent massage skills and liberal services. LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. SUSAN is small, slim
  49. bnwellness_wilson:
    We have 4 young girls are working today, young sweet Mia 25โ€™s with curve body and pretty Ella, fun Vicky with curve body 25โ€™s and flirty GFE Lina are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  50. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธTina๐ŸŒธJessica๐ŸŒธAlettaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
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