Please read this list before answering the questions below. Some conditions mean treatment cannot go ahead; others simply need a GP sign-off or an adapted approach.

Absolute - treatment cannot go ahead

• Active cancer, or currently undergoing chemotherapy or radiotherapy
• Active deep vein thrombosis (DVT) or blood clots
• Acute infection, fever, or sepsis
• Active cellulitis
• Congestive heart failure (decompensated)
• Acute kidney failure or severe renal impairment
• Active tuberculosis
• Acute phlebitis or thrombophlebitis

Relative - GP referral may be needed, or treatment adapted

• Heart conditions, including uncontrolled high or low blood pressure
• Thyroid disorders, particularly hyperthyroidism
• Autoimmune conditions
• Diabetes
• Epilepsy
• Asthma or other respiratory conditions
• Blood-thinning medication (e.g. warfarin, apixaban)
• Severe varicose veins in the treatment area
• Open wounds, broken skin, or active skin conditions (eczema, psoriasis) in the treatment area
• Recent tattoo in the treatment area
• Lymphoedema (requires specialist referral and an adapted approach)
• Pregnancy or postnatal (I offer adapted pre and postnatal treatments)
• Recent surgery or medical procedure (treatment can often still go ahead with adaptations)
• Known allergies to massage oils or lotions