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Pathologies
massage adaptations per pathology
Question | Answer |
---|---|
hyperkyphosis | abnormally increased convexity of thoracic spine (pain/tension in pecs, rhomboid) increase suppleness of pecs, external mobilization of shoulder |
sciatica | acute pain along sciatic nerve path primary=protrusion of lumbar intervertebral disc NO PERCUSSIONS IN LUMBAR AREA secondary=compression of nerve by a muscle favour foulage/elongations/petrissage |
angina pectoris | severe chest pain = out of breath, sweat acute=absolute c.i. remission over 6 months w dr ok=can massage NO localized frictions/percussions/petrissage/deep drain |
herniated disk | degeneration of annular fibers of intervertebral disk 1-initial tearing 2-nucleus protrudes 3-nucles extruded AVOID PERCUSSIONS OVER DORSAL MUSCLES, use foulage, elongations to increase suppleness lumbar/gluteal/hammstrings |
Nevus | birthmark, may be elevated - avoid affected region, no manoeuvers that stretch the skin (petrissage,foulage,elongations) |
Hemangioma | proliferation of superficial blood capillaries (pink red or purple lesion) may be elevated - avoid affected region, no manoeuvers that stretch the skin (petrissage,foulage,elongations) |
arteriosclerosis | arterial wall thickening and loss of elasticity =increased blood pressure + dizziness, formation of plaques NO LOCALIZED FRICTION/PERCUSSIONS/PETRISSAGE (could dislodge thrombus/plaque and obstruct blood flow) , NO DEEP DRAINS |
crohn's disease | inflammation of GI tract walls affecting ilieum and proximal colon =thickening of walls, abscess formation, abdominal/hip/lumbar pain AVOID ABDOMINAL REGION AND PERCUSSIONS IN LUMBAR, focus relaxation. if on anti-inflammatory drugs release depth |
buffalo hump | accumulation of fat and fibrous tissue at the cervico-dorsal junction =muscle tenseness, stiffness at back of neck, burning sensation, fatigue, limitted motion INCREASE SUPPLENESS, REDUCE TISSUE CONGESTION, SLIDING PRESSURE ALONG PARAVERTEBRAL ATTACHMENT |
periostitis | inflammation of connective tissue surrounding diaphsys of long bones =acute pain w touch and movement ACUTE: proximal LIGHT eff/vib/foul/drain NO DEPTH CHRONIC: PROX-LOC-DIST, promote range motion/vascularz'ion/waste transit |
acne/furuncle(boil)/aczema/contact dermatitis/herpes simplex (cold sores)/athlete's foot/warts | AVOID AFFECTED REGION |
chronic bronchitis / emphysema / cystic fibrosis / asthma | massage thorax, improve thoracic cage range of motion, use percussions (tapotement/clapping), effleurages, vibrations, thoracic cage mobilizations |
bronchitis | inflammation of bronchial mucosa acute= absolute C.I. |
asthma | chronic airway inflammation, smooth muscle spasms in the bronchi |
emphysema | destruction of pulmonary elastic fibers and alveolar walls of lungs |
cystic fibrosis | disease affecting mucosa and exocrine glands (= buildup of mucus in lungs) |
atherosclerosis | wall thickening and loss of elasticity affecting medium and large arteries =increased blood pressure + formation of plaques NO LOCALIZED FRICTION/PERCUSSIONS/PETRISSAGE (could dislodge thrombus/plaque and obstruct blood flow) , NO DEEP DRAINS |
arteriosclerosis/atherosclerosis/hypercholesterolemia/hyoertension/angina pectoris/heart attack/stroke all basic same relative C.I. | increased blood pressure/formation of plaques = NO LOCALIZED FRICTION/PERCUSSIONS/PETRISSAGE (could dislodge thrombus/plaque and obstruct blood flow) , NO DEEP DRAINS |
hypercholestolemia | abnormally elevated blood cholesterol levels |