Running Injury Oracle

There are times when massage should not be used, for risk of further injury, which can be serious. The list below is as comprehensive as possible, although not exhaustive. A diagnosis of any of the following precludes massage:

 Tendon and Muscle ruptures – Just after the rupture of a muscle, massage will increase the bleeding and tissue damage, prolonging recovery. One should wait between 48 and 96 hours before massage will help.

 Open wounds – Any cuts, lacerations or grazes. Wait until a scar has formed (1-2 weeks).

 Contusions (Bruises) – Impact injuries can cause bleeding in a muscle, and massage in this case can cause further damage. A rare but possible complication is Myositis Ossificans (bone growth within the muscle) from massaging too early.

 Bursitis

 Burns, Chilblains and Broken bones

 Periostitis – Inflammation of the sheath that surrounds bone is normally identified by there being a very tender area when pressing onto the bone. One can massage the surrounding muscles but it is best to stay away from the bone.

 Myositis ossificans – Massage will make the tissue damage worse.

 Infections of the skin and soft tissue – Bacterial infections, viral infections and fungal infections can be spread to other areas of the body by massage.

 Bleeding disorders such as haemophilia.

 Deep Vein Thrombosis (DVT) – This is a rare but potentially lethal blood clot in a vein. If this is massaged, it may dislodge, travel up the veins and damage the heart. If one has the symptoms of DVT a doctor should be seen immediately.

 Rheumatoid Arthritis and Gout – Both of these are inflammatory conditions, and massage should not be performed.

 Artificial blood vessels – The area directly over these should be avoided.

 Tumours – Any lumps and bumps in the muscle or skin that have not been diagnosed should be left well alone. They are normally muscle spasms or fatty tissue, but should in any case be checked out by a doctor.