Certain medical conditions require the exercise of caution concerning the advisability of giving or receiving massage. If you are in any doubt, or if you or your partner are under medical supervision, check with your doctor or other qualified medical practitioner before embarking on massage therapy. This advice applies particularly in the case of cardiovascular conditions and heart disease, especially in cases of thrombosis, phlebitis, and oedema.

Never apply pressure under or over varicose veins. Never massage directly over infected skin, for example where there are warts, herpes, or boils, or where there is inflammation, unexplained lumps, bruises and open cuts. While giving a massage, cover up any open cuts or scratches on your hands with a plaster or other dressing. Massage on the abdomen is best avoided during the first three months of pregnancy when the risk of miscarriage is highest.

The causes of acute back pain should first be diagnosed by a physician before receiving massage treatment. Consult a qualified medical practitioner in cases of raised temperature, infections, or contagious disease.

• Seek medical advice before having a massage if you suffer from phlebitis, thrombosis, varicose veins, severe acute back pain, or fever.
  
• Swellings, fractures, skin infections, or bruises should not be massaged. Lumps and swellings should be checked by your doctor.
  
• Massage of the abdomen, legs, and feet should not be given during the first three months of pregnancy.
  
• Cancer patients are best treated by specially trained practitioners who know which areas to avoid and which kind of massage is appropriate.