Contraindications for Manual Lymph Drainage:
MLD is a very powerful modality and certain medical conditions may determine if/how and when a session can be received. It is not indicated for all clients. Please mark. if you have any of these conditions:
ABSOLUTE Contraindications:
Acute cellulitis
Untreated congestive heart failure (CHF = cardiac edema)
Acute untreated deep venous thrombosis (DVT)
Fever
RELATIVE (MLD treatment requires a physician’s written approval):
Malignant disease (active cancer)
Renal dysfunction (kidney disease)
Lymph Node Removal
Regarding MLD neck treatment:
Cardiac arrhythmia
Hyperthyroidism
Hypersensitivity to the carotid sinus
Arteriosclerosis
Regarding MLD abdominal treatment:
Pregnancy or fertility treatment
Menstrual period
Recent abdominal surgery (might be o.k. after 6 months)
Radiation fibrosis, colitis, cystitis
Pelvis DVT
Crohn's Disease
Diverticulosis and Diverticulitis (small and large intestines), IBS
Liver cirrhosis (portal venous hypertension)
Abdominal aortic aneurysm (even following surgical repair)
Unexplained abdominal pain
Implanted devices (morphine pumps, colostomy bags, etc.)
Hernia, mesh etc.
Regarding deep techniques on the trunk (intercostal, parasternal, paravertebral)
All of the general contraindications plus
Osteoporosis
Radiation Fibrosis
Bone Metastasis
Hormone Therapy (e.g. Tamoxifen)
Are there any other health issues that are not stated above? Please list.
I acknowledge Manual Lymph Drainage is provided for the basic purpose of improving the flow of the lymphatic system. I further understand any bodywork I receive is not a substitute for medical examination and/or diagnosis and that it is recommended that I see a physician for any physical ailment I may have. I have carefully read and understood all of the above and I have answered all questions fully and accurately. I hereby release InSync Massage Therapy LLC/Anja Wuerminghausen from any liability.
Date:___________________ Client Signature:_________________________________
MLD is a very powerful modality and certain medical conditions may determine if/how and when a session can be received. It is not indicated for all clients. Please mark. if you have any of these conditions:
ABSOLUTE Contraindications:
Acute cellulitis
Untreated congestive heart failure (CHF = cardiac edema)
Acute untreated deep venous thrombosis (DVT)
Fever
RELATIVE (MLD treatment requires a physician’s written approval):
Malignant disease (active cancer)
Renal dysfunction (kidney disease)
Lymph Node Removal
Regarding MLD neck treatment:
Cardiac arrhythmia
Hyperthyroidism
Hypersensitivity to the carotid sinus
Arteriosclerosis
Regarding MLD abdominal treatment:
Pregnancy or fertility treatment
Menstrual period
Recent abdominal surgery (might be o.k. after 6 months)
Radiation fibrosis, colitis, cystitis
Pelvis DVT
Crohn's Disease
Diverticulosis and Diverticulitis (small and large intestines), IBS
Liver cirrhosis (portal venous hypertension)
Abdominal aortic aneurysm (even following surgical repair)
Unexplained abdominal pain
Implanted devices (morphine pumps, colostomy bags, etc.)
Hernia, mesh etc.
Regarding deep techniques on the trunk (intercostal, parasternal, paravertebral)
All of the general contraindications plus
Osteoporosis
Radiation Fibrosis
Bone Metastasis
Hormone Therapy (e.g. Tamoxifen)
Are there any other health issues that are not stated above? Please list.
I acknowledge Manual Lymph Drainage is provided for the basic purpose of improving the flow of the lymphatic system. I further understand any bodywork I receive is not a substitute for medical examination and/or diagnosis and that it is recommended that I see a physician for any physical ailment I may have. I have carefully read and understood all of the above and I have answered all questions fully and accurately. I hereby release InSync Massage Therapy LLC/Anja Wuerminghausen from any liability.
Date:___________________ Client Signature:_________________________________
