Contraindications

Massage

Absolute contraindications – We ask that you not schedule a service if you are experiencing any of the following:

• Fever or acute illness → flu, cold, systemic infection
• Contagious diseases → COVID-19, TB, staph, fungal or viral skin infections
• Severe or uncontrolled cardiovascular conditions → Uncontrolled hypertension, Advanced heart disease, Recent heart attack (MI), Aneurysm
• Severe kidney, liver, or respiratory failure
• Severe infections → systemic or localized, such as cellulitis
• Uncontrolled diabetes with complications → severe neuropathy, wounds
• Pregnancy with complications → e.g., preeclampsia, placenta previa, unexplained bleeding — must have clearance before any massage

Relative Contraindications – Massage may be performed, but requires modification of technique, positioning, or the area avoided. Sometimes medical clearance is recommended.

• Acute injuries → recent fractures, severe sprains/strains, open wounds, burns.
• Cancer not cleared by a physician → oncology massage requires special training. Please ask to see one of our oncology massage-trained massage therapists.
• Severe bleeding disorders or clients on heavy anticoagulant therapy → light massage therapy is acceptable for these cases.
• Controlled cardiovascular conditions – stable hypertension, mild heart disease → avoid deep or prolonged circulatory work.
• Varicose veins → avoid direct pressure over veins
• Skin conditions – eczema, psoriasis, acne, rashes → avoid affected areas
• Inflammatory conditions – arthritis, lupus, fibromyalgia flare → avoid during acute inflammation; use gentle work during remission
• Edema → if medically cleared, lymphatic or light massage may be appropriate
• Recent surgery or injury (healing phase) → avoid surgical sites until cleared; modify pressure around scar tissue
• Osteoporosis or fragile bones → use gentle pressure; avoid percussive/deep techniques
• Pregnancy (healthy, low-risk) → avoid abdomen and acupressure points linked to uterine stimulation; use safe positioning (side-lying, semi-reclined)
• Neuropathy or altered sensation → diabetes, MS, nerve injury → lighter touch, constant feedback
• Mental health concerns → severe anxiety, trauma, claustrophobia → we will adapt our environment and ask for consent before any touching.
• Thrombosis, embolism, or known clotting disorders → use light to medium pressure

Cupping

Absolute Contraindications

• Severe or uncontrolled cardiovascular conditions → uncontrolled hypertension, advanced heart disease, recent stroke or heart attack)
• Bleeding disorders → hemophilia, leukemia, thrombocytopenia or clients on strong anticoagulant therapy (warfarin, heparin)
• Active cancer → not cleared by physician (risk of tissue damage, compromised immunity)
• Severe edema or lymphedema of unknown cause → must be evaluated first
• Acute infection, fever, or systemic illness
• Deep vein thrombosis (DVT) or history of embolism
• Severe varicose veins, phlebitis, or thrombophlebitis → risk of vessel rupture
• Severe skin conditions (eczema, psoriasis flare, cellulitis, fungal infection, open wounds, burns, sunburn)
• Clients who cannot give accurate feedback (severe neuropathy, sensory loss, cognitive impairment)
• First-trimester pregnancy, or any pregnancy with complications (e.g., preeclampsia, placenta previa)
• Uncontrolled diabetes with fragile skin or impaired healing

Relative Contraindications – Cupping may be possible, but requires modification of suction, duration, or area avoided:

• Controlled hypertension or hypotension → we use gentle suction and monitor carefully
• Mild varicose veins → we avoid direct application over veins
• Recent surgery, injury, or scar tissue → we avoid the area until healed/cleared
• Post-surgical or post-cosmetic procedures (liposuction, tummy tuck, injectables, implants) → only with clearance and gentle lymphatic cupping approach
• Pregnancy (healthy, low-risk, 2nd–3rd trimester) → we avoid abdomen, low back, and strong suction; light lymphatic cupping on extremities may be acceptable with clearance
• Fragile or elderly clients → use smaller cups, lighter suction, shorter duration.
• Children or very thin clients → avoid aggressive suction; monitor skin integrity closely.
• Inflammatory conditions (fibromyalgia, arthritis, autoimmune disorders) → avoid during acute flare-ups.
• Clients prone to dizziness or fainting (low BP, anemia) → monitor closely and keep sessions shorter.

MLD

Absolute Contraindications (do NOT perform MLD)

• Acute infections (cellulitis, abscess) MLD could spread bacteria through the lymphatic and circulatory systems, worsening infection or leading to sepsis.
• Heart problems – congestive heart failure (CHF) and angina pectoris: Increasing lymph return adds more volume to the venous system, which can overload a weakened heart, which could result in risk of fluid overload, arrhythmias, or chest pain.
• Kidney conditions – Kidneys regulate fluid and electrolytes. If impaired, they cannot handle the extra fluid load returned to circulation by MLD.
• Thrombosis – Manipulating lymph and venous return could dislodge a clot, risking pulmonary embolism, stroke, or myocardial infarction.
• Acute inflammatory conditions (bronchitis, sinusitis*…) Lymphatic drainage could accelerate the spread of active pathogens or worsen inflammation. It is safer once the acute phase is resolved. Ok if sinusitis is caused by allergies.
• Cancer* – MLD is often permitted in palliative or post-surgical oncology care when cleared by a physician. Contraindications are more about medical status (e.g., whether the client is stable, whether there’s an acute infection, whether the physician has cleared them)

Relative Contraindications (modify or require medical clearance)

• Pregnancy → safe if healthy, but avoid abdominal techniques
• Hypotension → MLD can lower blood pressure further
• Chronic inflammatory conditions – rheumatoid arthritis, lupus → avoid during flare-ups
• Recent surgery → safe only after medical clearance; MLD is often used post-op, but requires proper protocol
• Lymphedema → Clients diagnosed with lymphedema should be seen and treated by a therapist with specific Lymphedema Certified Therapists with CDT (Complete Decongestive Therapy) certification.
• Thyroid problems → Gentle stimulation near the neck may affect thyroid hormone regulation in hyper- or hypothyroid patients. Requires physician clearance.
• Carotid Stenosis → Plaque in the carotid arteries raises the risk of stroke if disturbed. Neck drainage in particular is avoided.
• Recent abdominal surgery → Surgical sites need time to heal. MLD could disrupt sutures, trigger bleeding, or impair healing.
• Splenectomy →  The spleen is a major immune organ; removal alters lymphatic/immune response. Extra caution is required.
• Some medications or chemotherapy → Certain drugs (like immunosuppressants or cytotoxic chemotherapy) make clients more vulnerable to infection or bruising. MLD can have potential effects on medication uptake.
• Orthostatic Hypotension → MLD lowers sympathetic nervous system activity and can further reduce blood pressure. Risk of dizziness, fainting, or collapse when standing up. Caution is advised.

Himalayan Hot Stones or Synergy Stones

Absolute Contraindications (do not perform):

• Pregnancy → External heat from stones can raise core temperature too quickly, which has been linked to risks for both mother and fetus (especially in the first trimester).
• Fever or acute illness → heat may worsen systemic stress
• Uncontrolled hypertension or cardiovascular disease → risk of vascular overload
• Peripheral vascular disease → poor circulation, high burn risk
• Diabetes with neuropathy → reduced sensation → burn risk
• Skin conditions: open wounds, rashes, eczema, psoriasis, sunburn, fragile skin
• Recent injury or surgery → heat can increase inflammation/bleeding
• Varicose veins, thrombosis, or clotting disorders → risk of embolism
• Cancer not cleared by physician – especially if undergoing treatment — heat can exacerbate fatigue and skin sensitivity>
• Clients with impaired temperature sensation (MS, neuropathy, medications, elderly, children)

Relative Contraindications (modify/avoid certain areas):

• Fragile or elderly clients → lower heat, fewer stones, more frequent monitoring
• Migraines or headaches -→ heat can worsen symptoms
• Asthma or respiratory issues → heat may trigger discomfort

Reflexology

Absolute Contraindications (Do NOT perform)

• Contagious illnesses → flu, cold, COVID, skin infections, fungal infections on feet/hands
• Open wounds, sores, fractures, or recent injuries to the feet, ankles, hands, or lower legs
• Severe circulatory issues → thrombosis, phlebitis, uncontrolled hypertension, severe varicose veins
• Active gout flare-ups → very painful and inflammatory
• Severe edema of unknown cause
• Severe heart disease → without medical clearance
• Severe uncontrolled diabetes – neuropathy → risk of injury without feedback
• High-risk pregnancy complications – placenta previa, preeclampsia, unexplained bleeding, history of recurrent miscarriage

Relative Contraindications / Use Caution

• Recent surgery or scar tissue on feet, ankles, or hands
• Arthritis or osteoporosis → avoid deep pressure on fragile joints
• Neuropathy – reduced sensation → increased risk of injury
• Skin conditions – eczema, psoriasis, athlete’s foot → avoid affected areas
• Clients prone to fainting, low blood pressure, or dizziness → reflexology can promote relaxation and drop BP further

Facials

Absolute Contraindications (Do NOT perform a facial):

• Contagious skin conditions – cold sores, impetigo, ringworm, scabies, conjunctivitis/pink eye
• Open wounds, cuts, abrasions, or recent facial surgery
• Severe sunburn or active skin infection
• Uncontrolled diabetes → risk of poor healing, fragile skin
• Severe eczema, psoriasis, or dermatitis flare-ups
• Recent injectables/fillers/Botox → wait 2 weeks unless otherwise directed by physician
• Severe allergies or known product sensitivities → especially to ingredients in planned treatment
• Uncontrolled high blood pressure or severe heart conditions → contraindicated with steam/heat

Relative Contraindications – Modified treatment or with clearance from a medical provider:

• Pregnancy → avoid electrical modalities (e.g., high frequency, galvanic, microcurrent), strong chemical peels, and high-heat steam.
• Asthma or respiratory conditions → avoid heavy steam, strong fragrances
• Mild acne, rosacea, or sensitive skin → avoid aggressive exfoliation, extractions, or stimulating products
• Recent waxing, dermaplaning, laser treatments, or chemical peels → skin is too fragile for additional exfoliation (wait 5–14 days depending on treatment)
• Medications that affect skin e.g., Accutane within the last 6–12 months, Retin-A, steroids, chemotherapy, radiation → skin may be thin, fragile, or slow to heal
• Bruising, swelling, or recent cosmetic procedures → delay until skin stabilizes.
• Claustrophobia or anxiety → modify mask use and ensure client comfort

Float

Absolute Contraindications: Floatation therapy should not be performed when any of the following are present:

• Uncontrolled epilepsy or seizure disorders → risk of injury if seizure occurs in the tank
• Severe hypotension or cardiovascular instability → risk of fainting or loss of consciousness
• Severe kidney disease or renal failure → the body cannot process magnesium sulfate from Epsom salts
• Open wounds, skin infections, or contagious skin conditions → risk of infection and contamination
• Severe incontinence or active diarrhea → hygiene and contamination risk
• Severe respiratory conditions or claustrophobia that could cause panic or breathing distress
• Under the influence of drugs or alcohol → impaired judgment or drowsiness increases drowning risk
• Recent surgery or unhealed incision → salt water can irritate and delay healing
• Active ear infections or ruptured eardrum → Epsom salt water can enter and worsen the condition
• High-risk pregnancies (e.g., preeclampsia, premature labor, placenta previa, unexplained bleeding) without medical clearance

Relative Contraindications – Float therapy may be performed with modifications or medical clearance for:

• Controlled hypertension or hypotension → monitor carefully; avoid overly long sessions
• Mild claustrophobia or anxiety → we will keep pod lid open or partially open and provide grounding techniques
• Recent minor injuries or muscle strains → safe once fully closed skin; float can aid recovery
• Mild skin conditions (psoriasis, eczema) → may sting temporarily; use petroleum barrier if mild
• Pregnancy (low-risk, cleared by provider) → may provide excellent pain relief, but avoid prolonged sessions if overheating or dizziness occurs
• Diabetes (controlled) → ensure stable blood sugar before floating
• Ear sensitivity → use earplugs and protective petroleum to prevent salt irritation
• Elderly or mobility-limited clients → require assistance entering/exiting the pod safely

Sauna

Absolute Contraindications: Do NOT allow sauna use when any of the following apply:

• Uncontrolled hypertension or hypotension → risk of fainting, stroke, or cardiovascular collapse
• Recent heart attack (MI), stroke, or severe heart disease<
• Severe anemia → reduced oxygen-carrying capacity, heat stress risk
• Hemophilia or bleeding disorders → increased risk of internal bleeding with vasodilation
• Severe dehydration or heat exhaustion
• Fever or acute illness → heat can worsen systemic stress
• Implanted medical devices not rated for heat → pacemakers, defibrillators, certain joint replacements, cochlear implants
• Certain silicone or other material used for implants.
• Pregnancy → especially 1st trimester; hyperthermia risk to fetus
• Severe kidney or liver disease → impaired ability to regulate electrolytes and detoxification
• Multiple sclerosis (MS) or conditions aggravated by heat
• Open wounds, burns, or recent surgical incisions
• Severe infection or active inflammation → heat increases inflammatory response
• Clients under the influence of alcohol or drugs → impaired thermoregulation and awareness

Relative Contraindications: Sauna use may be allowed with modifications, shorter sessions, and/or medical clearance:

• Controlled hypertension or cardiovascular conditions → use lower temps (100–120°F), shorter duration (10–15 min), and seated position
• Diabetes (controlled) → monitor for dizziness or hypoglycemia
• Mild respiratory conditions (asthma, COPD) → ensure ventilation and shorter sessions
• Thyroid disorders → monitor closely; heat can alter metabolism and heart rate
• Autoimmune disorders (lupus, fibromyalgia) → avoid use during flare-ups
• Skin conditions (eczema, rosacea, psoriasis) → avoid if irritated by heat; keep session short
• Menstruation → may increase bleeding or cramping for some; client discretion
• Elderly clients or those with limited heat tolerance → start with short, mild sessions and always hydrate

Halotherapy

Absolute Contraindications: Do NOT perform halotherapy if any of the following are present:

• Active respiratory infection (bronchitis, pneumonia, influenza, tuberculosis, COVID-19) → Halo can be very helpful in managing symptoms after the active infection has subsided
• Uncontrolled asthma attack or severe COPD exacerbation
• Coughing up blood (hemoptysis) or active pulmonary bleeding
• The acute stage of any chronic respiratory disease
• Uncontrolled hypertension or severe heart disease → salt inhalation may affect BP and vascular stress
• Fever or contagious illness
• Severe kidney disease → sodium load may influence fluid balance
• Hyperthyroidism → salt exposure can stimulate metabolism
• Cancer under active treatment without physician approval
• Open wounds, active eczema, or severe skin infections → risk of irritation from salt particles
• Clients under the influence of drugs or alcohol → impaired judgment, dehydration risk

Relative Contraindications: Halotherapy may be performed with modifications or medical clearance:

• Mild to moderate, controlled asthma or COPD → safe if stable and inhalers are on hand; stop if coughing worsens
• Chronic bronchitis or smokers’ cough → expect mild throat irritation or increased mucus production at first
• Pregnancy (low-risk) → safe with provider clearance, but avoid if nausea, dizziness, or respiratory sensitivity occur
• Mild skin conditions (psoriasis, eczema) → may improve with exposure; avoid if lesions are cracked or painful.
• Children or elderly clients → ensure supervision and hydration
• Post-surgical clients → safe only after incisions are healed and cleared by a physician