Contraindications

Question 1

Whiplash

Answer 1

Extreme stretches, Tests within 24 hours, removing protective spasm, mobilizing hypermobile side

Question 2

Parkinson’s

Answer 2

Avoid deep, painful technique, If Hypertension-No Left side lying or hot hydro

Question 3

C.V.A and Hemiplegia

Answer 3

Shorter treatment with Hypertension, avoid painful technique, extreme hydro, don’t stimulate or elevate limbs

Question 4

Cerebral Palsy

Answer 4

Avoid vigorous techniques

Question 5

Torticollis

Answer 5

Don’t stretch spasm

Question 6

Headaches

Answer 6

Caution with deep on-site work during headache

Question 7

Fibromyalgia Syndrome, Chronic Fatigue Syndrome

Answer 7

Deep work, Over stretching muscle, Long treatment

Question 8

COPD’s

Answer 8

Don’t overstimulate

Question 9

Compartment Syndrome

Answer 9

No frictions with inflammation

Question 10

Plantar Fascitis

Answer 10

No frictions with bone spurs or with corticosteroids and anti-inflammatory medications

Question 11

Multiple Sclerosis

Answer 11

Avoid deep painful techniques, extreme hydro and modify pressure with sensory loss

Question 12

Common Fibular Nerve Lesion

Answer 12

Avoid disrupting the healing process, don’t traction until regeneration past lesion site

Question 13

Scoliosis

Answer 13

Heat over metal rods, stretch on convex side

Question 14

DDD

Answer 14

Early- Avoid ranges that aggravate joint

Late- Don’t remove protective spasm

Question 15

Constipation

Answer 15

No heat on abdomen with hypertension or cardiovascular problems

Question 16

Women’s Health Conditions

Dysmenorrhea, Pelvic Inflammatory Disease, Endometriosis

Answer 16

No heat over inflamed, painful abdomen, no extreme hydro, no abdominal work while client is on period

Question 17

Pregnancy

Answer 17

No Abdomen work or Sacral vibes, no deep work on L/S Pelvis

Question 18

Ankylosing Spondylitis

Answer 18

Don’t eliminate protective spasm supporting joint, All ROM testing

Question 19

Rib Subluxation and Intercostal Neuralgia

Answer 19

Local massage over trigger zones, rib springing-mm spasm or joint pathologies are present

Question 20

Hyperlordosis

Answer 20

Avoid mobilizing hypermobile joints

Question 21

Nerve Lesions

Median and Ulnar

Answer 21

Avoid disrupting the healing process, don’t traction until regeneration past lesion site

Question 22

DeQuervain’s Tenosynovitis

Answer 22

No frictions with CNS, Fibromyalgia, RA, Osteoporosis, Diabetes, No Heat with Hypertension, RA, Ankylosing Spondylitis

Question 23

Rheumatoid Arthritis

Answer 23

Deep direct fascial, painful techniques, caution with stretch, mobilizing hypermobile joints

Question 24

Dupuytren’s Contracture

Answer 24

Slow stretch tp prevent rebound spasm, if surgically repaired incision must be completely healed before treatment

Question 25

Patellofemoral Syndrome

Answer 25

Full flexion

Question 26

Tendonitis

Answer 26

Caution with ice over bone

Question 27

Frozen Shoulder

Answer 27

Frictions with anti-inflammatory’s

Question 28

Piriformis Syndrome

Answer 28

Avoid compressing sciatic nerve

Question 29

ITB Friction Syndrome

Answer 29

Frictions with anti-inflammatory med’s

Question 30

SI Joint Dysfunction

Answer 30

Don’t mobilize hypermobile joint

Question 31

Facet Joint Dysfunction

Answer 31

Spinal traction if pain increases

Question 32

Intervertebral Disc Herniation

Answer 32

Don’t remove protective spasm

Question 33

Cruciate and Meniscal Injuries

Answer 33

No stretch until strength returned

Question 34

TMJ Dysfunction

Answer 34

Deep work over styloid process of temporal bone

Question 35

TOS

Answer 35

Don’t use Heat on neck, anterior chest with hypertension

Question 36

Trigeminal Neuralgia

Answer 36

Local massage over trigger zone

Question 37

Bell’s Palsy

Answer 37

Long dragging stroke on affected

Question 38

Chronic Congestive Heart Failure

Answer 38

Prone or left side lying, avoid forced expiration, avoid techniques that increase venous return, caution with carotid artery, no bilateral work on anterior neck, check BP with treatment

Question 39

Cancer

Answer 39

Highly metastatic cancers, oils before chemo or radiation, Treatment until 3 days after radiation therapy

Question 40

AID’s

Answer 40

Don’t treat if you have a contagious illness, no vigorous or stimulating technique, 30 minute treatment

Question 41

Diabetes/Hypertension

Answer 41

Diabetics should snack before treatment, no tapotement, MTP, frictions, MM strip, caution with carotid artery, don’t elevate legs, no hydro, no full body MLD

Question 42

Raynauds

Answer 42

Treatment to extremities during an attack, extreme hydro, deep work with antispasmodic meds

Question 43

Buerger’s Disease

Answer 43

Treatment, hydro and REMEX if trophic skin changes or loss of sensation, if thrombus present, no local or distal technique, vigorous proximal work, drainage locally or distally

Question 44

Varicosities

Answer 44

On site work, treatment on affected limb if client has DVT, heat on varicosities