contraindication for Manicure & Pedicure
e.g impetigo, warts, etc are sometimes viral infections, and can be highly contagious. Warts can grow on any part of the body. Manicure, pedicure and artificial nail treatments should be avoided until the infection has cleared up to avoid cross-infection.
A skin infection caused by tiny mites. Their burrows appear as darkened, wavy lines on the skin. Scabies usually affects hands and feet, wrists and inner arm, but can also affect the entire body. Never treat a client with scabies, it is a highly infectious, parasitic disease.
Cuts and abrasions can be caused by various accidents with knives, sharp edges, falling over,etc. Leaving a wound uncovered aids healing. Care should be taken to avoid knocking cuts. When performing a manicure, pedicure or nail extensions treatment, small cuts can be covered and treatment then carried out at the discretion of the therapist. Large cuts should be allowed to heal before any nail treatment can take place for the comfort of the client, ease of the therapist and to prevent cross-infection.
Swelling can be caused by accidents and infections. If the client has an infection, the nail technician can refer the client to their G.P. before nail treatments can take place. If the swelling is caused by an accident, tell the client that the swelling must heal before a nail treatment can take place for their comfort, and peace of mind of the therapist.
Medically called erythema. Can be caused by heat, cold, infection, and a reaction to chemicals. Allergic reactions and dermatitis can cause erythema. Chilblains can also be a cause. Redness should only prevent or restrict a nail treatment if the client is uncomfortable or if the redness is caused by infection or an allergic reaction to manicure,pedicure or nail extensions.
Usually the result of wearing nail polish without a base coat. Also caused by hair dyes. Smokers can also suffer from discoloured nails. In addition, damage to the nail can cause discolouration.
Thinning of natural nail plate
Due to over buffing by client or technician. The client should be educated on how to buff correctly as part of the aftercare procedure. The technician should use the correct amount of strokes, paying attention to the condition of the nail plate.
As people in general have become more sensitive to a wide number of food stuffs and cosmetic products it is always advisable to check that they do not have a known allergy prior to commencing treatment. If they have a sensitive skin it is important to carry out a patch test with a small amount of product that you intend to use as a massage medium. This can be carried out by washing the inner bend of the elbow with mild soap and water and then applying a small amount of product to the area. This should be left for 15-30 minutes to see if there is a reaction e.g. redness, itching, stinging. If a reaction occurs then the product must not be used.
Clients with nut allergies can go into anaphylactic shock and this requires immediate medical attention. They will often carry an epi-pen to counteract the reaction. It is therefore extremely important that you know what your massage oils or creams are made up of. There are a wide range of vegetable oils available to use as a massage medium e.g. sunflower oil, olive oil, corn oil etc.
Contra-Indications to massage:
Contagious skin diseases e.g. scabies, ringworm, head lice, Impetigo, cold sores, conjunctivitis as there is a high risk of cross infection clients must not be treated. Once the infection has been treated with medication and has cleared up treatment can be carried out.
Viral or fungal diseases e.g. Athlete’s foot, Veruccas or Warts, Nail infections. Do not treat until the area is clear of infection.
Septic wounds, boils, folliculitis,–do not treat until the infection has been treated and has cleared up as cross infection can occur.
Abdominal or digestive complaints e.g. diarrhoea or herniaInfectious diseases e.g. Flu, Measles, Mumps, T.B, Scarlet Fever, Chicken Pox etc
Contra-Indications to massage that require GP’s written consent prior to treating:
Some of the more common local contraindications include, but are not limited to: Abnormal lumps, Ance Vulgaris, athlete's foot, blisters, bruises, Carpal Tunnel Syndrome, Colitis, Crohn's Disease, Cystitis (Baker's and sebaceous), Decubitus Ulcers, Gouty Arthritis, Graves' Disease, hernia, Hyper and Hypothyroidism, infectious diseases, Irritable Bowel Syndrome, local inflammation, open wounds, Phlebitis, poison ivy - oak - sumac, Shingles, swollen lymph glands, ulcers, unhealed burns (sunburn if not widespread), Varicose Veins, and warts.
The following conditions will require a medical doctors clearance: Acromegaly, Aneurysm, Atherosclerosis, Burns, Cancer, Cerebrovascular accident, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, Coronary Artery Disease, Hemophelia, Hodgkin's Disease, Kidney Stones, Leukemia, Myasthenia Gravis, Nephrosis, Peritonitis, Polycystic Kidney Disease, and Uremia.
Clients with diabetes have a tendency to have a very thin, papery skin that bruises easily. They are also prone to arteriosclerosis, high blood pressure and oedema .Also if they have loss of sensory nerve function they will be unable to give accurate feedback on pressure. When medical clearance has been obtained to treat diabetic clients who use insulin, care should be taken to avoid massage on recent injection sites. Clients should be advised to have their medication with them when they attend for treatment in case of an emergency. Also remind the client to make sure they have eaten sufficient food prior to a massage to avoid the risk of their blood sugar level dropping dangerously low if they have not eaten recently. Note: Once medical clearance is obtained massage should be applied lightly and gently.
Clients with haemophilia may have no blood clotting capacity and could bleed.
Client’s with epilepsy as there is a risk that over-stimulation or deep relaxation may provoke a convulsion (although this has never been proven) some types of epilepsy may be triggered by smells so care should be taken when choosing a massage medium. Note: Once medical clearance is obtained massage should be applied lightly and gently. Never leave the client unattended on the couch and if the client is light sensitive ensure all lights are turned down low in the treatment room.
Client’s with severe asthma or lung conditions.
Client’s with a cardiac condition, high or low blood pressure, including clients who have had a stroke or suffer from thrombosis or are on prescribed medication as they are susceptible to thrombosis. Note: Once medical clearance is obtained massage should be applied lightly and gently and the following precautions taken:
Clients with low blood pressure can often feel faint when they sit up from the lying position or may fall. To prevent this from occurring the client’s head should be raised slightly higher than normal. Care must be taken when the client is turned over to massage the back to ensure they are in a comfortable position. Similarly high blood pressure sufferers should not be laid flat and the head must be higher than the heart to avoid palpitations.
Immediately before or after surgery e.g hysterectomy or caesarean section.
If a client is on medication for a health condition that could be affected by a body massage treatment then GP’S written consent would be required prior to treatment.
Cancer patients. When massaging cancer patients never treat when they are receiving chemotherapy or radiotherapy treatment. Note: Once medical clearance is obtained massage should be applied lightly and gently to areas such as the hands, face and feet. Never massage an area that is close to the site of the tumour.
Unrecognised lumps, bumps and swellings of the skin or joints. The client must be referred to their GP for diagnosis.
Broken Bones and recent fractures. Always seek medical clearance before massaging the area after a plaster has been removed. Note: Once medical clearance is obtained massage should be applied lightly and gently
Localised Visible Contra-indications (The area affected must be avoided but other areas of the body may be massaged that are unaffected):
As soon as you are advised that the client is pregnant massage should not be carried out over the abdomen. Pregnant clients must never lie on their stomach or be positioned lying flat on their back for any length of time. Generally speaking they may have a neck and shoulder massage whilst seated in a forward position with the back of the chair and a cushion for support. Note: Massage over the abdomen may only proceed after the post natal check up has been passed by the Dr or Midwife.
Recent scar tissue- massage should only be applied once the skin is fully healed and can withstand pressure. Avoid the affected area until such a time.
Skin which is thin, papery or damaged.
Non infectious skin disorders e.g eczema, dermatitis. If the eczema or dermatitis is localised you can avoid working over the affected area. If the client is very sensitive a patch test of the massage medium should be carried out to ensure that the client is not sensitive to the product.
Acne spots can occur on the face, arms, back chest and neck. You must avoid the area as there is a risk of cross infection. The treatment may spread or worsen the condition. You could massage any area that is free of spots.
Localised bruising must be avoided as massaging directly over a bruise can be very uncomfortable and could make the bruise worse e.g. a bruise on the knee must be avoided but the rest of the lower and upper leg may be treated if clear.
Note: If the bruising is more widespread (and it is not the result of a recent accident) this may be an indication of an underlying medical condition in which case the client must not be treated and referred to her GP for advice.
Sunburn- If the sunburn is localised then the area may be avoided.
Minor burns - If the burn is localised and there is no infection then the area may be avoided.
Insect bites - If bites are localised then the area may be avoided.
Varicose Veins, Phlebitis as massage worsens the condition and will cause the client discomfort. Affected areas must be avoided unaffected areas may be treated. Always check that the client is not taking any prescribed drugs as client with varicose veins may be prone to thrombosis.
Damaged muscles or tissue e.g. sprains. Should be avoided as this can worsen the condition and cause discomfort.
Acute Joint disease e.g rheumatoid arthritis
Postural deformities e.g. Scoliosis
Do not us Tapotement movements on very thin or elderly clients as this can be very uncomfortable.
During menstruation the abdomen should be avoided as some clients can experience discomfort and the treatment can increase the menstrual flow.
Cuts/abrasions. Wounds must be covered with a waterproof dressing and the area avoided to prevent the risk of cross