TERMS AND CONDITIONS
All treatments must be paid by Cash or Card at the time of appointment, or in advance. No credit will be given.
After the initial consultation please ensure you advise me of any change in medical or health status since your last visit.
A 50% charge will be made on cancellations made less than 24 hours in advance.
Please call to cancel and do not attend if unwell. Please read the contraindication information below.
Please call to discuss before booking a treatment if you have an injury less than 3 days old.
60 minutes - £60
30 minutes - £30
45 minutes - £40
60 minutes - £50
Kinesiology Taping only - £10
NOTE : First consultations will include an initial assessment which takes approximately 15 minutes and is free of charge
WHAT TO EXPECT
Your first consultation will include taking a full history of your injury or condition plus other relevant medical information, a postural assessment to analyse your body alignment, and possible tests to measure flexibility and strength. This could take approximately 15 minutes, and is free of charge.
In addition to general massage, after discussion with you following assessment, I may use several other techniques during your treatment if appropriate. The use of kinesiology taping or dry needling within an appointment does not incur an extra charge.
If you have a specific condition you would like to discuss, please contact me. Please be assured that all enquiries are dealt with in the strictest professional confidence.
Contraindications relate to conditions where massage must not be applied as it could increase symptoms or possibly cause further damage or complications. There are some general contraindications where massage cannot be applied at all, but mostly they are local conditions where only the affected area should be avoided. Quite often treatment around the area can have a positive effect on the condition.
The most common contraindication is acute soft tissue inflammation with injury being caused by trauma or overuse. Affected tissues can be muscle, tendons and ligaments, as well as bursae, periosteum, and the intervertebral discs. These are recognised by visual symptoms such as heat, redness of the overlying skin, swelling, and also pain and dysfunction. Not necessarily all symptoms will be apparent. When inflammation occurs in deep tissues there is likely to be no visual symptoms but it can possibly be identified by palpation of the affected area. Palpation can sometimes identify an acute problem that cannot be treated, but chronic problems can also be found by textural differences and deep friction massage can be very effective. The pain response from a client is a good indication of the problem and its severity with most chronic inflammation treatment being painful but tolerable. Acute inflammation, where tissue is being further damaged tends to cause the client more considerable pain and should be stopped immediately. In the case of a muscle rupture, tendon or ligament injury, during the acute stage of healing they may still be bleeding, and massage could further increase the bleed, tissue damage and recovery time. After the initial 48-72 hours massage may be possible but will depend on the extent of the injury. Open wounds are another visible contraindication of massage and shouldn’t be treated until fully healed.
Fractures and subluxation of joints are contraindicated as massage to such an area would cause further damage and must be avoided. If a fracture or subluxation is suspected, I will refer you to your GP or for immediate attention at the hospital. Recovery from a trauma or fracture can cause a large haematoma which, when left untreated for a long time, can ossify and form small pieces of detached bone within the soft tissue. Massage treatment to such an area could cause damage to the surrounding soft tissue and myositis ossificans are a contraindication and must also be avoided. I am happy to discuss recent injuries before consultation if necessary. Arthritis and gout are inflammatory conditions that can be treated, but with caution due to massages ability to further spread inflammation.
Deep vein thrombosis is a condition that the therapist should be made aware of and failure to recognise it could be fatal to the client. A blood clot could be dislodged through massage and travel through the circulatory system cause a blockage and possibly death. Factors that could lead to this condition are long periods of immobility, recent surgery, heart disease, varicose veins, diabetes and impact trauma. Varicose veins usually occur in the back of the leg and occur when the valves inside the veins are damaged and stop functioning properly, allowing blood to collect which results in swelling. In minor cases, light stroking techniques can often aid repair of the vein. The area around the varicose vein can still be treated and might help to reduce pressure as well as aid healing.
There are several bacterial infectious skin diseases that should be avoided. Boils and folliculitis have blisters that can rupture causing further infection. Transmittable viruses considered contraindications are chicken pox and measles, as well as viral infections such as cold sores (herpes) warts and verruca’s.
Diabetes, although not a contraindication itself, harbours factors that should be considered. Circulatory problems affecting the hands and feet are often suffered and can cause tissue to be brittle. This is turn affects the clients nerve endings and sensitivity.
A number of contraindications are not visible so I can only rely on the information given to me by you as the client during initial assessment and follow up treatments. On initial assessment a questionnaire record that highlights these contraindications is required to be completed by all clients so that I can provide treatment fitting to your situation, taking into consideration your medical history and current conditions.