Effects of Medicine and Surgery
-Discuss the importance for careful history taking related to all medica ons. - There are common
condi ons that can some mes require massage therapists to alter their treatment plans
"one common medica on that may require treatment altera ons is an coagulant medica ons [blood
thinners] like Warfarin because they may make your clients more prone to bruising and internal
bleeding."
You should consider altering treatment plans for anyone taking pain relievers. When people take pain
relieving medica ons, they may experience altered pain percep on, low blood pressure, dizziness, and
bleeding or bruising.
Pain relievers, such as analgesics - (acetaminophen, tramadol, and narco cs)
non-steroidal an -inflammatory drugs - (NSAIDs, such as ibuprofen and naproxen)
Cor costeroids, too, can cause
. - swelling of the legs, thinning of the skin, tendency to bruise, high blood pressure and a weakened
immune response.
If your client is taking cor costeroids, avoid - the injec on site during massage (if medica ons are
injected), and avoid deep ssue work, op ng for more gentle strokes instead
Long-term use of cor costeroids can cause - osteoporosis, which increases risk of bone fractures.
Uncontrolled diabetes can cause - excessive thirst and urina on, fa gue, wounds that are slow to heal,
frequent infec ons, blurred vision, and ngling in the hands and feet.
, Most people with diabetes will take some kind of medica on. Common types are insulin, - me ormin
(Glucophage and Glumetza are two brand names) and thiazolidinediones (Actos and Avandia are two
brand names)
When scheduling massages, make sure to do so during - peak availability of the medica ons, and make
sure your client has eaten prior to the session.
Some of the side effects of diabetes medica ons are - numbness and ngling, especially in the
extremi es, easy bruising, swelling, muscle pain, back pain and abdominal pain.
When you are performing massage on a person with diabetes, - look for any wounds, and ask whether
your client is experiencing any sensory loss or altera ons, ngling or numbness, leg cramps, fa gue and
muscle weakness.
Clients who are insulin dependent should always have a source of sugar (glucose) available. In case your
client forgets, you should keep - fruit juice or regular (not diet) soda on hand in case your client's blood
sugar drops. Call 911 if your client is drowsy or confused, or is difficult to rouse a er massage.
clients who take Diabenese or Glucotrol in combina on with other drugs, such as non-steroidal
an inflammatory drugs (NSAIDs), aspirin, ACE-inhibitors, SSRIs, and even ginseng supplements, - are at
higher risk of hypoglycemia, so be especially aware of your client's symptoms and behaviors if he or she
is taking a combina on of drugs.
The most common first-line treatment for fibromyalgia is - an depressant medica on because it can
help relieve pain, reduce fa gue and improve sleep problems.
an depressants can cause - dizziness, drowsiness, and fa gue, along with a tendency to bruise,
depressed stretch receptor response and altered temperature percep on.
px on an depressants need to be Watched - for bruising, and avoid deep ssue work if bruising is
present or occurs during massage. Also, be aware of the poten al for over stretching muscles. Watch for
signs of dizziness, drowsiness, altered consciousness and fa gue, and adapt your massage therapy
session as necessary.