A massage therapist guide to pathology

Chapter Review Questions: Integumentary System Conditions

1. A client has a large abrasion on her right knee that is crusted and dry. Does this situation
contraindicate massage? Locally or systemically? Why?
Without knowing the origin of the abrasion, a therapist should at least locally
contraindicate. Abrasions and scabbed skin are red flags for massage therapists as
the skin is not completely intact and therefore can invite infection.

2. A client has extremely dry and flaky eczema on her hands. Does this condition indicate or
contraindicate massage? Why?

The massage therapist would locally contraindicate massage as increased

local circulation may exacerbate symptoms. Also, the client may have an
increased hypersensitivity to massage lubricants (something that should be

addressed prior to the massage session).

3. A client has several raised red circles on his truck. They are paler in the middle. He
reports that they are mildly itchy. What condition is probably present?
Tinea Corporis or "body ringworm."
4. Describe the difference between acne lesion and a boil.
Acne is spread over large areas versus a boil which shows one lesion at a time or a
small interconnected group of pustules. Acne is a less aggressive bacterial infection
than a boil. Acne is less painful compared to a boil.
5. If a client is concerned about massage lubricant, the best options are to use a water-based
lotion instead of oil, or to recommend that the client shower with gentle soap as soon as
possible after treatment.
6. Head lice
7. Boil or genital herpes
8. This client may not be a good candidate for massage because she is showing symptoms
of cellulitis, a highly contagious bacterial infection
9. Refer the client to see a dermatologist.

10. This type of skin cancer is as common in people of color as it is in Caucasians. It often
begins under the nails or on the palms or soles.