Please use the guide below to check whether massage is suitable for you right now. If you have any of the conditions or recent treatments listed, pay close attention to the “Wait time” and “Medical clearance” columns, and contact your GP or our clinic if you’re unsure. This table is for general information only and does not replace personalised medical advice
| Category | Condition / Intervention | Wait Time | Medical Clearance | Notes |
|---|---|---|---|---|
| Medical & Surgical Interventions | ||||
| Medical & Surgical | Vaccinations | 48–72 hours | No (unless severe reaction) | Avoid the local injection site for 7 days. Massage can exacerbate side effects. |
| Medical & Surgical | Cortisone injections | 5–7 days | Recommended | Massaging too early can disperse the medication and cause local tissue damage. |
| Medical & Surgical | Major surgery (e.g. hip/knee replacement) | 6–12 weeks | Required | High risk of DVT post-surgery; specific positioning (e.g. side‑lying) is often necessary. |
| Medical & Surgical | Minor surgery (e.g. laparoscopy, stitches) | 2–4 weeks | Recommended | Avoid the local scar area until fully healed and cleared by your GP. |
| Medical & Surgical | Cosmetic injectables (Botox / fillers) | 24–48 hours | No | Do not massage the face/site to prevent the product from migrating. |
| Chronic Illness & Systemic Conditions | ||||
| Chronic / Systemic | Cancer treatment | Ongoing / case‑by‑case | Required | Deep remedial work is usually contraindicated during active chemo/radiation; light oncology massage is preferred. |
| Chronic / Systemic | Stroke / TIA | Post‑acute phase (stable) | Required | Therapists must monitor for blood pressure sensitivity and potential clotting issues. |
| Chronic / Systemic | Diabetes (Type 1 & 2) | Anytime (if managed) | Only if poorly managed / unstable | Risk of hypoglycaemia post‑massage; caution with peripheral neuropathy (reduced sensation). |
| Chronic / Systemic | Hypertension (high blood pressure) | Anytime (if controlled) | If blood pressure is uncontrolled | Avoid deep, painful work that could cause a systemic spike in blood pressure. |
| Chronic / Systemic | Uncontrolled systemic disease | Until condition is medically stable | Required | Includes uncontrolled hypertension, unstable diabetes, decompensated heart failure, or advanced liver/kidney failure; massage often needs to be delayed or modified. |
| Chronic / Systemic | Coagulation issues / blood thinners | Case‑by‑case | Recommended | Clients with clotting disorders or on anticoagulants may bruise easily; deep pressure is often not appropriate. |
| Chronic / Systemic | Advanced respiratory disease (e.g. severe COPD) | Case‑by‑case | Recommended | May not tolerate certain positions (e.g. fully prone); treatment may need to be shorter and gentler. |
| Chronic / Systemic | Significant peripheral neuropathy | Anytime (if medically stable) | Recommended if severe | Reduced sensation increases risk of unintentional tissue damage; pressure and temperature must be carefully moderated. |
| Acute Injury & Red Flags | ||||
| Acute / Red Flag | Bone fractures | 6–8 weeks | Required | No local massage until the bone is united. |
| Acute / Red Flag | Deep vein thrombosis (DVT) | Never locally on the affected limb | Required for any systemic work | Absolute contraindication for the affected limb; high risk of embolism. |
| Acute / Red Flag | Acute inflammation / sprain | First 72 hours (no deep local work) | No (unless other concerns) | Avoid deep work on “red, hot, swollen” areas. Use RICE (rest, ice, compression, elevation) instead. |
| Acute / Red Flag | Systemic infection or fever | Until fever and acute symptoms resolve | Recommended if symptoms are severe | Massage should be postponed during flu‑like illness, high fever, or suspected serious infection. |
| Acute / Red Flag | Recent head injury / concussion | Until medically cleared and stable | Required | Avoid treatment until symptoms such as dizziness, severe headache, or visual changes have resolved and your doctor has cleared you. |
| Acute / Red Flag | Severe, unexplained pain | Do not book until assessed | Required | New, intense, or night pain—especially with weight loss, fever, or neurological changes—should be assessed by a doctor before massage. |
| Emergency Red Flag | Possible cardiac event | Emergency – call 000 | Emergency care needed | Chest pain, shortness of breath, jaw or arm pain require urgent medical attention, not massage. |
| Emergency Red Flag | Shock or acute abdomen | Emergency – call 000 | Emergency care needed | Severe abdominal pain, collapse, or shock are medical emergencies. |
| Skin & Local Tissue | ||||
| Skin / Local | Infectious skin conditions | Until fully resolved | Recommended | No massage over infected or weeping areas; in some cases massage should be postponed entirely. |
| Skin / Local | Open wounds, ulcers, unhealed scars | Until fully healed | Recommended if severe or non‑healing | No local massage over open areas, pressure sores, or fragile ulcers. |
| Skin / Local | Varicose veins / phlebitis | Case‑by‑case | Recommended if painful, inflamed, or extensive | Avoid deep or direct pressure over affected veins; gentle, indirect work only if appropriate. |
| Pregnancy | ||||
| Pregnancy | First trimester (0–12 weeks) | High‑caution phase | Many clinics require clearance or wait until week 13 | Some clients prefer to wait until the second trimester; we individualise based on your history and comfort. |
| Pregnancy | Second / third trimester | Indicated (if uncomplicated) | No (unless complications) | Side‑lying or specialised pregnancy pillows are used; you should not lie flat on your back for extended periods. |
| Pregnancy | High‑risk pregnancy | Case‑by‑case | Required | Conditions such as pre‑eclampsia, unexplained bleeding, or DVT require obstetric or GP guidance before massage. |
| General Safety | ||||
| General | Contagious illness (e.g. flu, COVID‑like illness, gastro) | Until no longer contagious | No (unless complications) | Please postpone your appointment if you are acutely unwell to protect both you and others. |
| General | Alcohol or recreational drugs | Do not book while intoxicated | No (unless other medical concerns) | Intoxication affects consent, sensation, and circulation; massage is not provided under the influence. |