Massage Safety & Contraindications — When to Skip or Modify
Massage is safe and beneficial for most people — but some conditions require postponing, modifying, or avoiding a session entirely. At HotSpa, we conduct a health intake before every appointment. This page helps you know what to disclose and what to expect.
Questions before booking? Call us — we’ll help you determine the right approach.
Active fever · Contagious illness · Known or suspected blood clot (DVT) · Open wounds or active skin infection · Acute burns · Active cancer without oncologist clearance
Absolute Contraindications — Do Not Receive Massage
- Fever or acute infection — massage increases circulation and metabolic activity, worsening systemic illness. Wait until fever-free for 24+ hours.
- Deep vein thrombosis (DVT) — massage pressure can dislodge a clot. Life-threatening risk. Always disclose any clot history.
- Open wounds or skin infections — massage over broken or infected skin causes harm and spreads infection.
- Active cancer without oncologist approval — technique modifications are required during active treatment.
- Acute burns — avoid completely until healed.
Conditions Requiring Modification
- Blood thinners — light pressure safe; deep tissue avoided. Disclose all medications.
- Pregnancy — safe with proper positioning. Disclose trimester; some therapists prefer second trimester for first sessions.
- Osteoporosis — gentle techniques only; deep pressure contraindicated.
- Diabetes with peripheral neuropathy — reduced sensation means reduced feedback. Extra caution required, especially with heat services.
- Uncontrolled high blood pressure — relaxation massage generally safe; intense deep work avoided.
- Recent surgery — massage away from the site may be fine; over healing tissue requires physician clearance (typically 6–8 weeks minimum).
- Varicose veins — avoid direct massage over affected veins.
Heat Therapy — Additional Cautions
Because HotSpa specializes in heat-based services, a few additional considerations apply:
- Peripheral neuropathy — reduced skin sensation means reduced ability to detect uncomfortable heat. Always disclose before any heat service.
- Acute inflammation or recent injury — heat worsens active swelling. Ice, not heat, for acute injuries.
- Rosacea or heat-sensitive skin conditions — stone placement adjusted or avoided near affected areas.
- Cardiovascular conditions — consult your provider before heat therapy.
Common Questions
Can I get a massage with a fever?
No. Wait until fever-free for 24+ hours. Massage increases circulation and can worsen systemic infection.
Can I get a massage with a blood clot?
No. DVT is an absolute contraindication. Always disclose any blood clot history to your therapist before your session.
Is hot stone massage safe during pregnancy?
Stone placement is avoided over the abdomen and adapted throughout pregnancy. Many therapists prefer to wait until the second trimester for heat services. Discuss with your OB and inform your HotSpa therapist of your trimester.
What if I’m unsure whether massage is safe for my condition?
Call us at 763-600-2929 before booking. We’ll discuss your situation and help determine whether to proceed, modify, or consult your provider first.