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Massage Therapy for Cancer Patients
More than likely, you know someone who has or has had cancer.
It is the leading cause of death in individuals 35-64 years of age and the
second leading cause of death in individuals 65 and older (the first being heart
disease in this age category). The American Cancer Society recommends massage
therapy to bring comfort and to improve the quality of life for cancer patients,
although not to specifically treat cancer.
In the recent past, cancer was viewed as a contraindication
for massage. This incorrect perception prevented people living with cancer from
receiving treatments. The prevailing thought was that massage therapy increased
the circulation of blood and lymph. Since most malignancies spread via these
routes, it must increase the chance of spreading the cancer throughout the
client's body. No medical evidence supports this claim.
Currently, new and accurate information is available for
massage therapists who want to work with cancer patients. Since cancer and
cancer treatments affect the entire body, leaving the person in a fragile
condition, it is vital for the massage therapist to be informed.
Here are a few important guidelines to help massage therapist
when working with cancer patients.
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Obtain medical clearance for massage from the client's
healthcare provider.
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Use a side lying position and/or special propping to
increase client comfort if he or she is unable to lay prone due to central
lines on the upper chest wall, radiation burns, or surgical wounds.
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Avoid massage over or near IV’s, catheters, surgical wounds
over known cancer sites, radiation burns, or known tumors sites.
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Adjust the treatment to the client’s stamina. Suggest that
the client receive massage on high-energy days and times. Massage received on
low energy days and times may actually feel depleting to the client.
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Massage may be contraindicated if the client’s has spread
to the bones. If medical clearance has been obtained, pressure, traction, and
joint mobilizations may be contraindicated or only cautiously used.
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If the client is experiencing nausea due to cancer
treatments, avoid pressure and speed that rocks the client. This includes
joint mobilizations, stretches, and jostling.
About the author:
Susan G. Salvo
Louisiana Institute of Massage Therapy
Mrs. Salvo holds an associate degree in History and a baccalaureate degree
in Education from McNeese State University in Lake Charles. She
teaches at the Louisiana Institute of Massage Therapy where she has taught
massage, anatomy, physiology, and pathology since 1987. Mrs. Salvo
is a 1983 graduate from the New Mexico School of Natural Therapeutics in
Albuquerque, which was a 1000-hour training course. She has been
Nationally Certified since 1996. She has taken various Continuing
education includes: Trager Psychophysical Integration, Hakomi Body Centered
Psychotherapy, Sports massage, Body Mobilization Techniques by Robert King,
Neuromuscular Therapy (St John Method), Craniosacral Therapy (Dr John Upledger),
Tai Chi, Onsite Massage (David Palmer Method), Yoga for Health, Neurolinguistic
Programming, Arum Day Spa Techniques, Watsu, Aaron Mattes Assisted Movement, and
other various therapies. Mrs. Salvo is the author of Massage Therapy:
Principles and Practice, second edition published by W. B. Saunders in 1999,
2003 and co-authored Mosby’s Pathology for Massage Therapists published by Mosby
in 2004.
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