System Features Relevant to MT
- Skin assessment before treatment is a non-negotiable first step. The therapist should visually inspect exposed skin during draping changes, noting any open wounds, rashes, unusual lesions, bruising, or signs of infection (redness, warmth, swelling, discharge).
- Local contraindications apply to most integumentary conditions. Burns, eczema patches, pressure ulcers, and fungal infections are treated by avoiding the affected area while providing massage to unaffected regions. The boundary of avoidance depends on the condition's severity and infectiousness.
- Infection control is paramount. Fungal infections (candidiasis), bacterial skin infections, and viral lesions are contagious through direct contact. Universal precautions — hand hygiene, clean linens, sanitized surfaces — prevent transmission. If an active, contagious skin infection is widespread, the session should be postponed.
- Tissue fragility varies by condition. Burn scars and pressure ulcer sites have altered tissue architecture. Eczema-affected skin is often thin, dry, and prone to cracking. Lubricant selection matters — hypoallergenic, fragrance-free products reduce irritation risk.
- Scar tissue management applies to healed burns and surgical wounds. Once fully healed, cross-fiber friction and myofascial techniques can improve scar mobility, but timing and pressure must respect the tissue's healing stage.
Condition Articles
Key Takeaways
- Visual skin assessment before every session is essential — identify open wounds, rashes, infections, and unusual lesions before hands-on contact.
- Most skin conditions are local contraindications: avoid the affected area and treat surrounding regions normally.
- Active contagious infections (fungal, bacterial, viral) require strict infection control and may necessitate postponing treatment.
- Use hypoallergenic, fragrance-free lubricants for clients with sensitive or compromised skin.
- Healed scar tissue from burns or pressure ulcers can benefit from targeted massage once tissue integrity is established.