Loss of normal bone density

Light pressure

Avoid mobilization and compression should be avoided

Inadequate mineralization in bones

Osteomalacia is in mature bones

Rickets is in growing bones

Light pressure

Avoid joint mobilization and compression

Progressive disease with excessive bone remodeling

Be aware of bone fragility and be prepared to use light pressure

Avoid joint mobilizations

Strucural defect in vertebra, impares weight bearing capacity

Most common on L5

Gentle strokes over defect

Omit mobilization of defect

Bone infection, creates absess which leads to irregular bone growth

Absolute contraindication

Genetic disorder involving abnormaility in connective tissue

Severe cases require extensive modification to massage and doctor's advisement on pressure

exaggeration of kyphotic curve

(dowager's hump)

avoid overstetching spine

exxageration of lumbar lordotic curve

treat pelvic girdle and abdominal muscles

Lateral curvature of the spine

Target muscles adjacent to spine

Medial displacement of great toe

Local contraindication when inflamed

Structural deformities in toes

Local contraindication when inflamed

congenital or acquired deformities in the arch of the foot

Pes Planus is a reduced or collapsed arch

Pes Cavus is a high arch

Treat calf in addition to feet

Anterior displacement of vertebra, usually in lower spine

Moderate pressure

Avoid mobilization of affected vertebra

Softening and degeneration of articular cartilage, most often posterior patella

Work quads and hamstrings with bent knee position

Local contraindication when inflamed

Common benign mass of thin fiberous capsul around clear geletonous fluid

Usually on wrist

Local contraindication

Accumulation of synovial fluid behind the knee

Local contrainidication

Inflammation of bursae

Local contrainidcation when inflamed

Generalized term for conditions involving jaw joint or its muscles

Advanced techniques require gloves and work inside the mouth

Neck and shoulder muscles can help relieve

Most common form of arthritis, progressive damage to loss of articular cartilige

Mild to moderate pressure and gentle stretching

Local contraindication when inflamed or hot

Any degenerative changes in the spine

May result in bone spurs

Gentle to moderate pressure, use caution on spine

Omit joint mobilizations on spine

Chronic inflammitory and systemic arthritis

Absolute contraindication when inflamed

Otherwise, gentle stretches and avoid tender areas

Any inflamation of at least 6 weeks in a child

Absolute contraindication when inflamed

Otherwise, use gentle stretches and avoid sensitive areas

Chronic, systemic, inflammatory arthritis leads to calcification and fusion of joints

Allow additional time for client to disrobe

Prepare additional bolstering

Be aware of tender areas

Calcified joints should not be mobilized

Inflammatory arthritis due to depositing of uric acid in the feet

Absolute contraindication when inflamed and feverish or nausiated

Cold packs can help with inflammation

Nodules are a local contraindication

Recurrent arthritis that also affects skin, heart and nervous system

Absolute contraindication for widespread inflammation and fever

Lesions are a local contraindication

Be aware of sensitive areas and passive stretching can help

Infection in a joint

Caused by Staphylococcus aureus, Streptococcus pneumoniae, Neisseria gonorrheae, Mycobacterium tuberculosis or virsus or fungi

Absolute contraindication

This requires immediate medical attention

Decrease in muscle cell diameter

Apply massage sloly and superficially with intermittent vibration or cross fiber hacking.

Moderate to severe atrophy can be damaged if massaged too deeply.

Transient or permanent shortening of muscle or soft tissue preventing normal joint movement

Gliding or kneading strokes improve blood flow to the area and deep friction can remove adhesions

Causes fibrosis of the palmar fascia

Apply moist heat and friction

Chronic, generalized syndrome with diffuse soft tissue pain and multiple tender points

Slow increment of depth in strokes

Muscle pain with presence of localized trigger points

Massage areas of pain and adjacent areas with deep gliding and friction

Genetic muscle disease atrophies skeletal muscle

Active and passive joint mobilizations

Deposition of calcium in injured area

Local contraindication

Dislocation is a temporary displacement of two bones at a joint

Subluxation or separation is when the articulation is only partially lost

Local contraindication for recent injury

Disruption or break in a bone

Local contraindication while bone is immobilized

Stretched or torn ligament

Local contraindication within 72 hours of injury

[image][image][image][image]

Torn or overstretched tendon

Local contraindication within 72 hours of injury

Contracture of hand, fingers and sometimes wrist, gives claw-like appearance

Light pressure only

Inflammation of a tendon

Local contraindication within 72 hours of injury

Inflammation of a tendinous sheath along radial side of wrist

Local contraindication when inflamed

Patellar tendinitis in immature bone at tibial tuberosity

Local contraindication when inflamed

Otherwise, friction is helpful

Category of disordersinvolving spasm of SCM

Local contraindication within 72 hours of injury

Category of injuries that develop over time affecting muscles, tendons and nerves. Most often due to repetitive motions

Local contraindication when inflamed

Otherwise, different conditions may require different approaches

Disorder of shoulder and its capsul where it becomes stiff, eventually frozen

Local contraindication while inflamed

Pressure within a nonyielding facial compartment increases

Local contraindication for severe pain

PAin along tibia

Local contraindication for severe pain

Chronic inflammation of plantar fascia

Local contraindication for severe pain