Phlebitis and Thrombophlebitis
Thrombophlebitis Massage es
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A growing body of research supports the health benefits of massage therapy. Educate your clients with AMTA's resources. Stay engaged with timely massage therapy news and updates through our award-winning publications and related news stories. Medical endorsement of massage has finally come. Are we prepared to meet the ethical and legal challenges that follow in its shadow?
Massage therapists and bodywork practitioners are responsible for ensuring the medical safety of all those who seek our services. As we navigate our way into the mainstream, be it in a salon, spa, medical office, Thrombophlebitis Massage es, clinic, hospital, research setting or private practice, Thrombophlebitis Massage es, we must make decisions that reflect a broad spectrum of knowledge regarding the indications, precautions and contraindications Thrombophlebitis Massage es our work.
Typically, our training includes hundreds of hours of instruction in anatomy, physiology, Thrombophlebitis Massage es, pathology and assessment that is meant to give us the skills needed to make decisions about when to, and when not to, massage. Still, my personal observations and recent encounters compel me to discuss the imprecise and risky matter of how to proceed when there is doubt about the medical safety of administering massage and bodywork. Being the director of a massage therapy school clinic that traffics approximately 70 clients per week means, among other things, that I preview each client's medical history, and decide if they are appropriate candidates to receive massage from students in varying stages of training.
My career history of 15 years in nursing, 12 years practicing massage therapy and 11 years teaching anatomy, physiology and pathologies, offers me a relatively deep well to draw from when I must answer the question we all ultimately face with Thrombophlebitis Massage es and every client: Regardless of the experience and knowledge I have to rely on, situations arise where no answer is clear, and I am challenged to my medical, ethical and legal Innen Thrombophlebitis Behandlung. This case scenario highlights a process and procedure that can be helpful when assessing a client with questionable medical conditions.
Names have been changed for purposes Varizen und venotoniki confidentiality. Mary Smith, age 35, with no previous massage experience, seeks massage for stress management. Her medical history includes chronic ulcerative colitis, fibromyalgia and a two-week history of thrombophlebitis in her left leg.
The cause of her thrombophlebitis is unknown. She is on steroid medication for her colitis, and reports that she is not taking anticoagulant medication for her thrombophlebitis because it occurs in a superficial vein.
I explained to this client that thrombophlebitis is contraindicated for massage, and I recommend that she wait until this condition is resolved.
I read her the information from Ruth Werner's text A Massage Therapist's Guide to Pathology that clearly states, "Massage is strictly systemically contraindicated for thrombophlebitis. Mary, not satisfied with my decision or explanation, contacted her physician, a specialist in vascular conditions. Ultimately, I had a telephone conversation with her physician who insisted that my concerns and precautions were unfounded, and that Mary's thrombophlebitis would benefit from massage.
He further suggested that my resources and opinion about massage for this condition were outdated and inaccurate. Confused by the physician's perspective, and feeling somewhat intimidated by his confrontation, I said that I would investigate the matter further.
I began my research. Every written resource available to me supported the opinion that massage therapy is contraindicated for thrombophlebitis. My network of corroboration Thrombophlebitis Massage es two chiropractors, a surgeon, two osteopathic physicians and many veteran massage therapists and instructors. None of them agreed with the physician's viewpoint on thrombophlebitis and massage therapy. Next, I contacted my massage malpractice insurance company to inquire into who is liable if a client is injured by massage when it is prescribed or recommended by a physician, Thrombophlebitis Massage es.
I was informed that if a massage therapist performs massage and the client is medically injured as a result, the legal system would determine liability based on several factors. They would survey a group of massage therapists to learn what the majority of massage therapists would decide in the same situation.
A physician's order or recommendation to massage would be taken into consideration, but it did not absolve a massage therapist from medical, legal or moral liability in the face of doubt. In other words, regardless of who recommends massage, or who advises a massage therapist about what is safe, Thrombophlebitis Massage es therapist is responsible and liable for his or her decision to massage a client.
Essentially, then, I had to make my own best decision about the medical safety of massage in Mary's case. I decided, based on the results of my research, that her current condition of thrombophlebitis was contraindicated for massage therapy. Next, Thrombophlebitis Massage es, I faced a serious test: Could I respectfully and confidently stand my ground with Mary's physician?
The outcome was that I explained to the physician that while I respected his perspective, I was concerned with Mary's Varizen Rollen, and that I was unwilling to give her an appointment for a massage while she had thrombophlebitis. I informed him that based on information available to most conscientious massage therapists, he may meet similar Thrombophlebitis Massage es to massaging a client with thrombophlebitis, and I requested that he send me any written information that confirms his perspective, since I was open to learning more about new Thrombophlebitis Massage es on this subject.
We agreed to disagree, and Mary did not receive massage therapy in the student clinic. Mary and I had a lengthy conversation about my disagreement with her physician.
She was able to hear that my lack of comfort with her absolute medical safety was in her best interest, and she agreed to wait Thrombophlebitis Massage es seek massage therapy when her thrombophlebitis was resolved. The client with a medical history is like a unique research project that bids us to investigate, differentiate, perceive and ultimately decide what we believe is safe for the client, and what we are willing to be liable for.
Medical advisement and permission can assist us to form our best medical, ethical and legal judgment, but there is no one ultimate authority to provide us with absolute answers when the medical safety of massage is questionable.
No doctor, Thrombophlebitis Massage es, medical professional or bodywork guru can be the final judge, and no textbooks contain all the answers.
Each of them may offer us valuable information and guidance, but in the end, we are responsible and liable for the decisions we make and the effects they have on our clients. Dianne Polseno, former chair of the National Ethics Subcommittee, is a practicing massage therapist, practical nurse, academic director and teacher at the Bancroft School of Massage Therapy.
A Massage Therapist's Guide to Pathology. AMTA has long been the leading choice among massage therapists looking to establish themselves within the profession. We provide our members with the strongest benefits and promote massage therapy to the Die besten Kliniken für Krampfadern and health care community.
View Cart Check Out. Post a Job Employers: Search Resumes My Job Bank. Access Research on Massage Therapy and the Profession A growing body of research supports the health benefits Thrombophlebitis Massage es massage therapy.
News and Publications to Help You Thrive Stay engaged with Thrombophlebitis Massage es massage therapy news and updates through our award-winning publications and related news stories, Thrombophlebitis Massage es.
My Experience Being the director of a massage therapy school clinic that traffics approximately 70 clients per week means, among other things, that I preview each client's medical history, and decide if they are appropriate candidates to receive massage from students in varying stages of training. A Case Of Thrombophlebitis Mary Smith, age 35, with no previous massage experience, seeks massage for stress management.
Conclusion The client with a medical history is like a unique research project that bids us to investigate, Thrombophlebitis Massage es, differentiate, perceive and ultimately decide what we believe is safe for the client, Thrombophlebitis Massage es, and what we are willing to be liable for.
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Contraindications: Thrombophlebitis Thrombophlebitis Massage es
Are you too-self conscious to wear a skirt in summer because swollen veins have popped up on your legs? You could have a condition called "phlebitis". Phlebitis is far more than just an aesthetic concern.
In its most severe form, phlebitis, can be fatal. According to The Texas Heart Institute, around 6 million Americans have a blood clot in their veins in some part of their body. The National Heart and Lung Institute suggests that aroundThrombophlebitis Massage es, Americans are hospitalized annually with deep vein thrombosisa life-threatening condition.
What are the Thrombophlebitis Massage es of phlebitis? Thrombophlebitis Massage es there natural remedies for phlebitis?
When is phlebitis serious and when can you try home remedies? Does massage helps phlebitis or is massage harmful to phlebitis? The National Heart and Lung Institute, an agency within the US National Institute of Health, defines "phlebitis" as the inflammation of a vein usually in the leg, but it can also occur on the arms.
Phlebitis can occur in surface veins superficial phlebitis and in this form it can generally be easily treated with medication.
However, when it is associated with the formation of blood clots thrombosis deep in the veins of the leg, this is called "deep vein thrombophlebitis". Phlebitis can cause an obstruction in the veins, blocking blood flow. If untreated these blood clots can travel to the lungs and if they block the main artery of the lung a fatal pulmonary embolism can occur.
Phlebitis and varicose veins are different conditions. Varicose veins are veins which have failed in their primary duty of helping push de-oxygenated blood back upwards toward your heart, Thrombophlebitis Massage es. The veins in your legs are most often affected by varicosity because they bear the weight of your body which makes the job of pushing against gravity that much harder.
Varicose veins may become blocked and enlarged and inflamed, in which case they exhibit superficial thrombophlebitis, also simply called "phlebitis". Veins, whether varicose or not, Thrombophlebitis Massage es, can also become blocked deep in your legs, in which case the condition is deep vein thrombosis, Thrombophlebitis Massage es.
As you can see, varicose veins may cause you no problems from a health perspective. Phlebitis and thrombosis, on the other hand, are conditions that you must act on because they involve blockage. What Are the Causes of Phlebitis? Superficial Phlebitis The National Heart and Lung Institute suggests that phlebitis in surface veins generally can be caused by injury to your veins.
Using an intravenous IV line or catheter can also cause phlebitis. With superficial phlebitis, some sufferers can "see" their veins. Read more about conditions that cause visible veins. According to The National Heart and Lung Institute, phlebitis can also be caused by chemical irritation to the skin, blood disorders that can cause blood clotting hypercoagulabilityblood infections, as well as varicose veins.
Sitting or standing still for long periods can also cause phlebitis. If you're pregnant, you are at higher risk for phlebitis because of the increase in estrogen in the body occurring during pregnancy or from the use of birth control pills. The National Heart and Lung Institute also reminds us that inflammation of the veins can result from abdominal and pancreatic cancers.
A Mexican study pointed out the Thrombophlebitis Massage es of protein C and protein S deficiencies in the development of Phlebitis. A publication from Stanford University noted that the risk for developing superficial phlebitis can also be genetic. Is phlebitis the same as deep vein thrombosis? How do the symptoms differ? Both phlebitis and deep vein thrombosis are caused by blockages in your veins. The difference is that with phlebitis, you can actually see and feel the vein on the surface of your Thrombophlebitis Massage es and it will be tender to the touch.
With deep vein thrombosisas the name suggests, the blockage is in an internal vein deep in your leg, where you will not be able to see it or touch it.
Here's another big difference. Does the swelling affect your whole leg? If so, it's not phlebitis. The National Heart and Lung Institute suggests that deep vein thrombophlebitis has many of the symptoms associated with superficial phlebitis such as the hard, rope-like vein, redness, tenderness, Thrombophlebitis Massage es, burning, itching and even fever. However, it points out that patients with deep vein thrombosis can also manifest the swelling of the whole limb rather than just the vein itself.
Worryingly, the Mayo Clinic also points out that over half of those with deep vein thrombosis show no symptoms. Deep Vein Thrombophlebitis The National Heart and Lung Institute explains that deep vein thrombosis happens when something slows or changes the blood flow in the veins.
This can occur after a pacemaker catheter has been passed through the vein in the groin. However, deep vein thrombosis also results from fractures in the pelvis or legs and even heart failure. Deep vein thrombosis can also occur through inactivity such as long periods of bedrest when the blood is still for long periods of time.
Thrombophlebitis Massage es an airline trip? Those in the confined space of economy class and with pre-existent conditions such as varicose veins are more likely to develop deep vein thrombosis.
Cigarette smoking puts you at grave risk for phlebitis. A Dutch study revealed that deep vein thrombosis can result from the toxins that accumulate in the blood from cigarette smoking. Young smokers and young women taking oral contraceptives who also smoke are at especially high risk for deep vein thrombosis. A French study noted that deep vein thrombosis can develop from increased estrogen in the body following pregnancy, birth control pills and hormone replacement therapy.
The National Heart and Lung Institute Bein Varizen traditionellen Behandlungen suggests that the six week period following pregnancy can also be optimum for the development of deep vein thrombosis due to hormonal changes. As is the case of Superficial Phlebitis, certain cancers can also cause deep vein thrombosis as well as blood disorders causing blood clotting.
The National Heart and Lung Institute concludes that deep vein thrombosis can occur in patients at any kaufen aktivteks von trophischen Geschwüren although it is most common in patients over The Maryland Vein Professionals Association explains that superficial phlebitis can manifest itself as a firm, rope-like, swollen vein that pops up in the vein of the leg and is accompanied by a tender, warm, red area along the superficial veins of the skin.
The skin around the vein can be irritated, even itchy or with a burning sensation. These symptoms can become aggravated when the leg is lowered like when getting out of bed in the morning. Sufferers can also have a low-grade fever if the swollen vein has become infected, Thrombophlebitis Massage es. Ways to treat Phlebitis First, Thrombophlebitis Massage es is what not Thrombophlebitis Massage es do if you have phlebitis. If you think you many be suffering from Phlebitis, consult a medical professional as soon as possible.
Your first urge maybe to massage the affected area. Thrombophlebitis Massage es health professionals, including the Canadian Association of Therapists in Complementary Medicine, warn against this. Massage can loosen and dislodge a bloody clot lodged in the affected vein, which might then be forced to lodge itself somewhere else in the organism such as in the lung or brains.
This could be fatal. The Association suggests that on these grounds no massage, Thrombophlebitis Massage es, even of the non affected zones, must be carried out. Don't Delay Seeing a Doctor, Thrombophlebitis Massage es. See a doctor as soon as you first suspect Thrombophlebitis Massage es and before you try any at home remedies.
Most cases of phlebitis clear up on their own in a few days. But don't take any chances. See a doctor first. Top 10 Natural Remedies for Phlebitis The Cleveland Clinic suggests that in the treatment of Phlebitis the goal is to alleviate pain and inflammation and to reduce the risk of complications.
Here are 10 natural remedies for phlebitis that can help: Improve your diet--But there's a Caveat. Eat more fish, fruit and vegetables. A study carried out by the University of Minnesota School of Public Health published in found that the increased intake of these foods can be linked to lower risks of deep vein thrombosis. There's one big exception to the advise to eat more vegetables, Thrombophlebitis Massage es. If you have phlebitis, you have to avoid foods and vegetables high in Vitamin K.
Cut down on Vitamin K The Mayo Clinic warns that people who are susceptible to Phlebitis and blood clots in general should cut down on Thrombophlebitis Massage es Vitamin K intake. Vitamin K promotes blood clotting and as such is an antagonist against blood thinning, anticoagulant, drugs like Warfarin.
Foods such as leafy green vegetables and soy bean oils as high in Vitamin K, perhaps best avoided or reduced during periods of Thrombophlebitis Massage es. Wear Elastic Compression Stockings Thrombophlebitis Massage es long haul flights. The UK study into the possible relationship between DVT and long haul travel found that the risk of DVT could be reduced significantly by wearing elastic compression stockings during long haul flights. The stocking prevents inflammation as well as the seepage of blood from the affected veins into the leg tissues, Thrombophlebitis Massage es.
Generally, if patients are active the blood is less likely to settle and clot. If you want to avoid or reduce phlebitis, Thrombophlebitis Massage es, The Mayo Clinic says the best way is to quit smoking and keep blood pressure under control.
Smoking and high blood pressure are all factors that can contribute to the development of phlebitis. Anti inflammatory medication such as ibuprofen is frequently recommended to reduce the redness and swelling of both forms of Phlebitis, Thrombophlebitis Massage es. This was the subject of an Italian study published in A publication by Cornell University pointed out the effectiveness of massive hot wet compresses for more severe phlebitis.
A study published in in which the University of Vermont participated advises that, in more serious cases of DVT, low doses of blood thinning drugs or anticoagulants such as Warfarin could be helpful. While these do not remove blood clots they reduce the possibility of these getting bigger and further clots forming.
The Mayo Clinic explains that compression stockings, worn on the leg from the foot to the knee, help with the swelling associated with deep vein thrombosis. This is also recommended by the Cornell University publication exploring the most effective ways to treat Phlebitis. These stockings, which should be worn for a year, reduce the chances that die Behandlung von venösen Geschwüren, Hirudotherapie will pool and clot.
However, Thrombophlebitis Massage es, because these can cause serious bleeding they are generally only applied in life threatening scenarios.
A Brazilian study presented a systematic review for evaluating the efficacy of treatment of phlebitis stemming from IV therapy.
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Massage therapist can choose to wear latex gloves to protect itself of any contagion. In conclusion Counter-indications mentioned above are related to the muscular.
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Thrombophlebitis. Thrombophlebitis of the deep leg veins is one of the most potentially dangerous conditions to a massage client’s health. Deep massage to such.
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Ethically Speaking. DIANNE POLSENO, June 21, and that I was unwilling to give her an appointment for a massage while she had thrombophlebitis.
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Learn about phlebitis and thrombophlebitis, an inflammation of a vein, and blood clots that cause the inflammation. Complications of phlebitis and thrombophlebitis.
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Looking for online definition of thrombophlebitis in the Medical Dictionary? thrombophlebitis explanation free. What is thrombophlebitis? (touching or massage).