PhysicalTherapy.com Phone: 866-782-6258


Infant Massage Contraindications

Catherine McDowell, OTR/L, LMBT, E-RYT200/RYT500

August 14, 2017

Share:

Question

What are the contraindications for infant massage?  

Answer

  • Acute infections     
  • Recent Surgery
  • Fever     
  • Open Sores
  • Sickness    
  • Less than 72 hours after immunization
  • Diarrhea     
  • Inflammation
  • Undiagnosed lumps and bumps     
  • Jaundice
  • Contagious Disease    
  • Meningitis
  • Serious Skin Complaints  
  • Recent Hemorrhage
  • Varicose Veins     
  • Childhood Leukemia
  • The treatment of eczema can be contraindicated if the eczema is weeping or infected. 

Many of these contraindications are common sense. If they are under a doctor's care, I require a medical release from the doctor. I want the doctor to know that we are doing infant massage, and what type of massage we are doing. We do not want to touch open sores or put oil on open sores. If you are not quite sure what is going on with them with an unexplained sickness, this would be a contraindication. You want to wait 72 hours after immunizations. You want to see what the baby's response is to the immunization before you begin a massage regimen, just in case there is something else going on. Diarrhea is another one. You do not want to be doing the abdominal strokes on a baby with diarrhea. I know some people who live with a school of thought that if the baby has diarrhea, to do the hand strokes in the opposite direction. I do not practice that. If they have diarrhea, there is something else going on in their body and in their system, and for that period of time, they should just be left alone. Inflammation and undiagnosed lumps and bumps are other issues to avoid. If you are in question of what is going on with a baby, the best practice is to hold off. Certainly, I would not work with a baby with a contagious disease. You do not want to be pass something to the baby, or vice versa. Meningitis, serious skin complaints, hemorrhage, varicose veins, and childhood leukemia are other areas to avoid. There is a whole school of thought as far as cancers are concerned. You are not going to push cancer around in someone's body. However, in the case of childhood leukemia, that is one that you do not want to be providing massage to. Finally, eczema is contraindication with open, weeping, or infected sores. However, if the skin is intact, the right cream for that skin condition can be really beneficial for the infant.


catherine mcdowell

Catherine McDowell, OTR/L, LMBT, E-RYT200/RYT500

Catherine McDowell has been an Occupational Therapist for over 20 years. After many years in the field of Occupational Therapy, first as a COTA, then OTR, becoming Director of Occupational Therapy at a nationally recognized United Cerebral Palsy program and the coordinator and teacher of the COTA program at Touro College in NY. Catherine took some time to explore a number of other health related fields, becoming a Licensed Massage & Bodywork Therapist, Yoga Therapist, RYT500/ E-RYT200 Yoga Alliance teacher, and Certified Holistic Health Practitioner. She has expanded her knowledge of complimentary healing practices, and now works to unite the theories and practices of a variety of ancient and culturally relevant medical practices with the practice of Occupational Therapy. Catherine is currently the Executive Director of June10 inc; a new concept in long-term residential substance abuse treatment program, which serves women, pregnant women and women with infants.


Related Courses

QiKIDS™ - Qigong for Pediatrics
Presented by Amy M. Starkey, COTA/L, CTP-E, CYMHS
Recorded Webinar

Presenter

Amy M. Starkey, COTA/L, CTP-E, CYMHS
Course: #4866Level: Introductory1 Hour
  'Clear and concise'   Read Reviews
In “QiKids: Qigong for Pediatrics”, participants will learn gentle, effective mind & body-based movements, breaths and acupressure points proven to decrease stress, calm anxiety, improve mental focus, boost immune system function, and build resiliency. Qigong is the perfect therapeutic movement exercise for both clinicians and clients wanting to create a regular mindfulness practice that supports mental, physical, and emotional health and well-being.

Impact of Motor Learning For The Child With Autism Spectrum Disorder
Presented by Mariah Woody, OTR/L, Lisa Roehl, PT, DPT, Board-Certified Clinical Specialist in Pediatric Physical Therapy
Recorded Webinar

Presenters

Mariah Woody, OTR/LLisa Roehl, PT, DPT, Board-Certified Clinical Specialist in Pediatric Physical Therapy
Course: #3870Level: Advanced4 Hours
  'Style of presentation'   Read Reviews
Master skills to implement in your practice immediately with continued Master Class. Children with ASD face challenges as they form the motor programs that serve as the basis for daily life and play. This interdisciplinary course series will expand upon the theory of praxis and the child’s ability to adaptively respond to their environment in a way that is meaningful and efficient. Through practical and clinical demonstrations, the learner will develop a deeper understanding of the importance of motor learning for the child with ASD. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Supporting Respiratory Equipment on Wheelchair Bases
Presented by Michelle Lange, OTR/L, ABDA, ATP/SMS
Recorded Webinar

Presenter

Michelle Lange, OTR/L, ABDA, ATP/SMS
Course: #4894Level: Introductory1 Hour
  'good information, some repetition'   Read Reviews
Many people who require respiratory equipment, such as oxygen and ventilators, use a wheeled mobility base. This course will address how to support respiratory equipment on an adaptive stroller, manual wheelchair, or power wheelchair safely and as a part of a team.

Power to Go: Meeting the Needs of Pediatric Power Mobility Learners
Presented by Lisa Kenyon, PT, DPT, PhD, PCS
Recorded Webinar

Presenter

Lisa Kenyon, PT, DPT, PhD, PCS
Course: #3615Level: Introductory2 Hours
  'new info on assessment/measures'   Read Reviews
Recent research identifies three different groups of pediatric power mobility learners. Clinically-based intervention strategies, including tools to monitor intervention outcomes, to meet the specific learning needs of children in each power mobility group will be presented and discussed. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Tools You Can Use: Enhancing Outcomes Assessment in Children with Cerebral Palsy
Presented by Lisa Kenyon, PT, DPT, PhD, PCS
Recorded Webinar

Presenter

Lisa Kenyon, PT, DPT, PhD, PCS
Course: #3616Level: Intermediate2 Hours
  'Lots of information and various testing that can be used'   Read Reviews
This session will focus on outcome measures reflecting the various domains of the International Classification of Functioning, Disability, and Health (ICF) that can be used with children who have cerebral palsy. Guidelines related to the use and application of these various tools will be presented and discussed whilst case scenarios and vignettes will be used to illustrate the application of these evidence-based tools to pediatric practice. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.