Reproductive System

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Although massage does not directly affect the reproductive system, massage therapists should still be familiar with it. *— How can massage therapy affect pathologies and life stages of the reproductive system? Massage can help decrease the anxiety and muscle tension associated with PMS and menstruation. Massage can also soothe and relax clients who are dealing with various reproductive conditions. Deep abdominal massage is contraindicated throughout the pregnancy and for 3 months after the mother gives birth. Why is that? Deep abdominal massage is contraindicated because the pressure of massage could damage the uterus. What might abdominopelvic or groin pain indicate? These symptoms might indicate a urogenital infection, in which case massage might be contraindicated. If the client does not know the source of the symptoms, then the client should be referred to the client’s health care provider. *— What might genital inflammation indicate? These symptoms might also indicate the presence of a urogenital infection. If the client does not know the source of the symptoms, refer the client to the client’s health care provider. Can massage be performed on a client who is experiencing edema? If the cause of the edema has been ascertained and clearance has been obtained from the client’s health care provider, then massage can be performed. Since the massage therapist is not a health care provider, the therapist should refer the client to a health care provider for diagnosis and treatment if any of these symptoms are present. If the palpable masses found in the female breast are caused by fibrocystic breast disease, is massage contraindicated? No, massage can be performed on clients with fibrocystic breast disease. *— What are some possible reasons for unexplained skin lesions? The client could be suffering from an undiagnosed sexually transmitted disease such as genital herpes, genital warts, or syphilis. Deep abdominal massage is contraindicated until the client has completely healed because of any possible pain in the area that pressure could cause. *— The side-lying position or being propped with a pillow under the abdomen while prone could increase the client’s comfort. What are some possible causes for amenorrhea? Amenorrhea might be caused by dysfunction of the hypothalamus, pituitary gland, ovaries, uterus, or certain medications. Amenorrhea is normal before puberty, after menopause, during pregnancy, or after surgical removal of both ovaries or of the uterus. *— The client might prefer to be massaged in the side-lying position. What are some symptoms of BPH? Possible accompanying symptoms include: frequency of urination, need to urinate at night, pain, and urinary tract infections. *— Abdominal massage is contraindicated if the client’s abdomen is tender. The client might prefer to be propped with a pillow or massaged in the side-lying position. If the client is experiencing pain and muscle tension during dysmenorrhea, which muscles should be addressed during the massage? The following muscles should be addressed during the massage: the quadratus lumborum, the latissimus dorsi, the paraspinals, and the gluteals. What benefits can massage offer clients who have endometriosis? Massage therapy can help the clients relax. How can the massage therapist make the client more comfortable during the massage? The client might be more comfortable with a pillow under her breasts while lying prone. The side-lying position might need to be used if the client cannot lie prone comfortably. Massage can be performed on clients with uterine fibroids, but special positioning and propping adjustments might need to be made to help the client feel more comfortable. What symptoms would mean that massage therapy was contraindicated? Systemic symptoms, such as general body aches and fever, mean that massage is contraindicated. Abdominal massage is contraindicated if the abdominal area is tender. Massage can be performed on clients with mastitis even though acute mastitis is usually caused by a streptococcal or staphylococcal infection. Because of the prevalence of hot flashes during menopause, the massage therapist might need to adjust the room temperature for the client’s comfort. Because the menstruating client is likely to be wearing some form of feminine protection, it is common for the client to leave her undergarments on for the massage. *— What massage techniques can be helpful for a menstruating client who has low back pain? Deep gliding, kneading, deep friction, and ischemic compression on the quadratus lumborum, paraspinals, latissimus dorsi, and gluteals can be helpful. Massage can be performed on clients with ovarian cysts. Adjustments might need to be made for the client’s comfort. The client might be more comfortable being propped with a pillow under her abdomen while prone, or the side-lying position might need to be used. Severe or recurrent PID can result in infertility. PID can also be a secondary complication of an STD. Why is massage contraindicated? Massage is contraindicated because PID involves infection and fever. Complications of preeclampsia include premature separation of the placenta, pulmonary edema, fetal malnutrition, low fetal birth weight, maternal death, and fetal death. *— If massage is performed under the strict supervision of the client’s health care provider, then massage can be performed. However, massage strokes that target the flow of lymphatic fluids should be avoided. What positions for massage are recommended for each of the three trimesters of pregnancy? During the first trimester, the client’s position is not a concern unless she is uncomfortable. After the eighteenth week of pregnancy, the prone position is contraindicated. This is not a matter of client preference. During the second and third trimesters, expectant mothers receiving massage should be in a modified supine (semi-reclining) or side-lying position. The side-lying position, with the appropriate supportive devices, is shown on this slide. *— Pregnant women are at a higher risk for blood clots, so only gentle pressure should be used in the medial thigh region. *— An ectopic pregnancy, which involves the implantation of a fertilized ovum outside the uterine cavity, either ends with spontaneous abortion or needs to be surgically removed. Reducing caffeine and sugar intake, reducing stress, and receiving a gentle, relaxing massage can reduce or eliminate PMS. The client suffering from prostatitis might need to be propped with a pillow under the abdomen while prone, or the side-lying position might need to be used. Massage can be performed on a client who has vaginal candidiasis as long as the infection is not acute. Women with breast implants or large or tender breasts need special accommodations for comfort while lying prone. What options are available for client comfort? A rolled-up towel or pillow can be placed under, above, or between the client’s breasts. The following items are also available: commercial bolsters, special massage tables, and adjustable face rests. *— The client can be asked to use the back side of her hand to retract the breast medially, or can be asked to modify a side-lying position for massage near the pectoral region.

 

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