System Features Relevant to MT
- Metabolic effects on tissue healing are a core concern. Conditions like diabetes, Cushing syndrome, and scurvy impair collagen synthesis, wound healing, and tissue resilience. Therapists must use reduced pressure and monitor for skin breakdown.
- Diabetes neuropathy screening is essential before every session with diabetic clients. Peripheral neuropathy reduces sensation, meaning the client cannot accurately report pain or pressure — the therapist must rely on visual assessment and conservative pressure.
- Thyroid conditions affect energy, metabolism, and tissue quality. Hypothyroid clients may present with myxedema (non-pitting edema), fatigue, and cold intolerance. Hyperthyroid clients may have heat intolerance, anxiety, and tachycardia — monitor for cardiovascular stress.
- Bone density concerns arise with rickets, long-term corticosteroid use (Cushing syndrome), and metabolic disorders that impair calcium absorption. Joint mobilization and deep pressure must be modified.
- Medication interactions are common. Clients on insulin may experience hypoglycemic episodes during relaxation-focused sessions. Corticosteroid use (endogenous or exogenous) causes skin fragility and bruising.
Condition Articles
Pituitary Conditions
Thyroid Conditions
Adrenal Conditions
- Addison Disease (Primary Adrenal Insufficiency)
- Congenital Adrenal Hyperplasia (CAH)
- Cushing Syndrome
Metabolic Conditions
Key Takeaways
- Diabetes is the most frequently encountered endocrine condition in MT; always screen for peripheral neuropathy and check skin integrity before treating the extremities.
- Impaired tissue healing (diabetes, Cushing, scurvy) requires lighter pressure and heightened attention to skin condition.
- Thyroid disorders affect energy, cardiovascular function, and tissue quality — adjust session intensity accordingly.
- Clients on insulin or corticosteroids need monitoring for hypoglycemia and skin fragility, respectively.
- Bone density may be compromised in several endocrine conditions — modify joint mobilization and deep pressure techniques.