Contra-Indications

Contra-indications

Prior to performing a treatment, you must always do a skin analysis. There are two main reasons-

  1. To check for contra-indications that may prevent or restrict your treatment.
  2. To work out the best treatment plan for the client to meet their expectations.

Contra-indications are broken down into two categories-

  1. Prevent– this means they are often contagious, and a treatment cannot be performed.
  2. Restricts– this means that you can still do a treatment, but adjustments will need to be made to the ‘standard’ treatment routine.
  3. Green– no issues and treatment can go ahead
Contra – indications Description/Characteristics RED

Prevent

AMBER

Restrict

GREEN

Treat

Cancer Disease

Must have no history of cancer

X    
Circulatory Diseases Coronary artery disease

Poor circulation

Thrombosis

X    
Vaso-constrictive disorders Reynaud’s disease X    
Sufferers of physiological hypotonic lacking in muscle tone/muscle or tissue wastage) X    
Unidentified lumps or swelling Lumps or swelling that have not been diagnosed by a medical professional X    
Hypoproteinaemia

 

high levels of protein in the blood X    
Open cuts / abrasions Break in the skin

Work around small cuts and abrasions

  X  
Epilepsy Electrical imbalance X    
Digestive disorders Umbilical hernias, hernias, or weak stomach muscle walls (past or present – abdominal treatments only)

 

X    
Metal pins, plates, and pacemakers   X    
Boils A boil begins as a small, inflamed nodule which forms a pocket of bacteria around the base of a hair follicle or a break in the skin.  Local injury or lowered constitutional resistance may encourage their development. X    
Impetigo Superficial contagious inflammatory disease caused by streptococcal and staphylococcal bacteria.  It is commonly seen on the face and around the ears and shows as weeping blisters which dry to form honey-coloured crusts.  Bacteria is easily transmitted by dirty fingernails and towels X    
Conjunctivitis A boil begins as a small, inflamed nodule which forms a pocket of bacteria around the base of the eye.  In this condition the inner eyelid and eyeball appear red and sore and there may be a pus like discharge from the eye.  The infection spreads by contact with the secretions from the eye of the infected person. X    
Herpes Simplex Herpes Simplex is normally found on the face and around the lips.  It begins as an itching sensation, followed by erythema and a group of small blisters which then weep and form crusts. X if active X  
Scar Tissue

 

Must be healed over for at least 6 months old

Do not work over keloid scars

X X  
Ringworm Begins as small red papules that gradually increase in size to form a ring.  Affected areas on the body vary in severity from mild scaling to inflamed itchy area. Fungal infection. X    
Infestations

Scabies

Lice

A contagious parasitic skin condition caused by the female mite who burrows into the horny layer of the skin where she lays eggs.  The first noticeable symptoms of this is severe itching which worsens at night.  Papules, pustules and crusted lesions by develop. X    
Sunburn Radiation burns to the skin that will appear red and possibly blistered X    
Pregnancy

Breast feeding

All trimesters

Pregnancy and immediately after birth (6 months for normal birth and 12 months for C-section)

X    
Auto immune disease

 

An autoimmune disease is a condition in which your immune system mistakenly attacks your body.

Examples Diabetes, lupus, fibromyalgia

X

with no doctor’s note

X

with a  doctor’s note

 
Shingles Herpes zoster

Viral infection

X    
Psoriasis/eczema A chronic inflammatory skin condition.  Psoriasis may be recognised as the development of well-defined red plaques, varying in size and shaped, covered by white or silvery scales

Any area of the body may be affected but the most common site are face, elbows, knees, nails, chest and abdomen.  It can also affect the scalp.  Psoriasis is aggravated by stress and trauma but is improved by exposure to sunlight.

  X

Work around

 
High cholesterol Large fatty deposits within the blood vessels X    
Liver diseases and conditions This includes alcohol abuse X    
Thyroid disease and problems Affects the endocrine system X

with no doctor’s note

X

with a  doctor’s note

 
Taking regular medication Due to the stimulation of the systems of the body X

with no doctor’s note

X

with a  doctor’s note

 
Varicose veins Valves within the veins are failing so blood pools causing bulging veins to protrude

DO NOT WORK DIRECTLY OVER THEM

  X  
High/low blood pressure Controlled by medication X

with no doctor’s note

X

with a  doctor’s note

 
Dermatitis Dermatitis literally means inflammation of the skin.  Contact dermatitis is caused by a primary irritant which causes the skin to become red, dry and inflamed.  Substances which are likely to cause this reaction include acids, alkalis, perfumes, solvent, lanolin, detergent and nickels.  There may be skin infection too.   X  
Moles, skin tags Projection coming from the skin

DO NOT WORK DIRECTLY OVER THEM

  X  
Mild bruising Visible damage to the tissues under the skin.

DO NOT WORK DIRECTLY OVER THEM

  X  
Botox/fillers 2 weeks if working on the face   X  
Acne Common on the face and back

Don’t work on the areas affected

X    
Topical retinoids 4-7 days   X  
Anti-coagulants Including warfarin, fish oils, aspirin, and ibuprofen – extended recovery will be required and where possible patients may want to reduce anti-coagulant supplements 2- 4 days prior to treatment. Failing to do this may cause bruising. X if prescribed X if self-prescribed  
Broken bones if the break is under 6 months then no treatment to that area

over 6 months healed be gentle 

  X  
Menstruation Do not work on the abdomen during menstruation During menstruation it can be uncomfortable

 

X    
Piercings All piercings will need to be removed.

For body piercings plastic retainers can be worn

  X  
HIV Cannot be discriminated against due to HIV status. This treatment causes no bleeding.     X
Under 18 years old Cannot be treated X    
Transplants Cannot be treated and must have 2 working kidneys due to the pressure put on waste elimination after the treatment X    

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