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Should you massage when you're sick? An expert guide

4 min read

According to massage therapy professionals, timing is crucial when considering bodywork during illness. So, should you massage when you're sick? The answer depends heavily on your symptoms and the stage of your illness, balancing potential benefits with significant risks.

Quick Summary

It is generally recommended to avoid a massage during the active, contagious phase of an illness like a cold or flu, especially if you have a fever. A massage can potentially worsen symptoms by over-stimulating your body's response. However, a gentle massage may aid recovery once you are no longer contagious and the fever has passed, helping to relieve lingering muscle aches and fatigue.

Key Points

  • Rest is Primary: During the active, contagious stage of an illness with a fever or chills, full body rest is the most beneficial approach, not a massage.

  • Avoid Contagion: A massage can stimulate circulation and potentially spread an infection within your body or, more importantly, to your therapist and other clients.

  • Post-Illness Aid: A gentle massage can be beneficial for recovery after you are no longer contagious, helping with lingering aches and fatigue and boosting immune function.

  • Communication is Key: Always inform your massage therapist if you are feeling unwell; they have a right and a responsibility to decline the session if it poses a health risk.

  • Know When to Avoid: Always reschedule your appointment if you have a fever, are severely congested, or are experiencing nausea, as a massage can worsen these symptoms.

  • Consider Alternatives: If you need to cancel your appointment, consider gentle alternatives like a warm bath, rest, or light self-massage at home.

In This Article

The Core Question: Is a Massage Safe?

For many people, the thought of a relaxing massage when feeling under the weather is incredibly appealing. However, the decision to get a massage when sick is not always straightforward and requires careful consideration of your symptoms and the potential impact on both your health and the well-being of others.

The Dangers of Massaging While Sick

Massage therapy works by increasing circulation and stimulating the lymphatic system. While this is beneficial for a healthy body, it can be detrimental when your body is actively fighting off an infection.

  • Spreading Infection: During an active illness, your body is producing toxins and inflammatory chemicals to fight the pathogen. By increasing circulation and lymphatic flow, a massage can spread these inflammatory agents, potentially prolonging or worsening your symptoms.
  • Exacerbating Symptoms: If you are experiencing flu-like symptoms, such as fever, chills, and body aches, a massage can be too stimulating and may intensify these feelings. The deep work of a massage puts a strain on your body when it should be resting and focusing on recovery.
  • Contagion Risk: One of the most important reasons to avoid a massage is the risk of spreading your illness. If you have a contagious viral or bacterial infection, you put your massage therapist and other clients at risk of getting sick. It is both ethical and responsible to cancel your appointment if you are contagious.
  • Increased Nausea: For some, a massage can cause a temporary feeling of nausea as the body releases toxins. If you already have an upset stomach, a massage can worsen this feeling.

When to Absolutely Avoid a Massage

There are clear circumstances where you should always reschedule your massage appointment. These include:

  • Fever or Chills: A fever is a sign your body is actively fighting a significant infection. A massage can potentially increase your body temperature, which is dangerous when you already have a fever.
  • Early, Contagious Stage: The first few days of a cold or flu are typically the most contagious. Reschedule your massage to prevent spreading germs.
  • Severe Congestion: Lying face-down for an extended period can make breathing difficult and uncomfortable if you are severely congested.
  • Nausea or Upset Stomach: As mentioned, massage can sometimes trigger or worsen nausea, making for an unpleasant experience.

When a Massage Can Help: The Recovery Phase

Once the acute, contagious stage of your illness has passed and you are on the mend, a massage can be a valuable tool for speeding up your recovery. Timing is key.

How Massage Aids in Post-Illness Recovery

  • Boosts Immune Function: Studies show that massage can increase the number of lymphocytes, the white blood cells that help fight disease, and decrease levels of the stress hormone cortisol, which can boost immune function.
  • Relieves Lingering Aches: It is common to experience persistent muscle soreness and fatigue after an illness, especially from prolonged coughing or inactivity. A gentle massage can help relax these sore muscles and reduce tension.
  • Efficient Waste Removal: During recovery, a massage can support healthy circulation and lymphatic drainage, helping your body more efficiently eliminate the metabolic waste products that accumulated during the illness.

Safe and Unsafe Massage Techniques When Ill

Understanding the difference between massage types can help you make an informed decision when you are sick. Different techniques have different effects on your body.

Condition Potentially Safe Techniques (Post-Contagious) Techniques to Avoid
Recovering from Flu Gentle Swedish massage, Light lymphatic work Deep tissue massage, intense sports massage
Lingering Sinus Pressure Gentle pressure point massage, Facial massage, Head and neck work Lying face-down, Overly stimulating or intense techniques
Mild, Non-Contagious Aches Relaxation massage, At-home self-massage Aggressive or deep work on very tender muscles

Alternative Self-Care When Under the Weather

If you need to cancel your massage appointment, there are many alternative self-care practices that can help you feel better and support your body's healing process:

  1. Prioritize rest and hydration, which are the most important tools your body has for fighting illness.
  2. Take a warm bath with Epsom salts to relax sore muscles and reduce tension.
  3. Utilize a home massage tool, like a percussion massager or massage chair, for mild aches and pains after your fever has passed.
  4. Perform light stretching or gentle yoga to prevent muscle stiffness from inactivity, but do not push yourself.
  5. Try gentle self-massage on your hands, feet, or temples for a soothing effect.

The Importance of Communication and Ethical Practice

Clear communication with your massage therapist is essential for everyone's safety. If you feel unwell, contact your therapist to discuss your options. Most massage businesses have clear policies regarding illness and will appreciate your consideration for their health and the health of their other clients. This transparency allows them to manage their schedule and take appropriate precautions.

For more information on the contraindications for massage therapy and how to ensure a safe session, consult with a licensed massage therapist or medical professional.(https://www.tucsonsportsrecovery.com/contraindications-for-massage-therapy)

Conclusion: Listen to Your Body and Be Considerate

Ultimately, the decision of whether to get a massage when you're sick comes down to common sense and listening to your body's needs. During the active, infectious phase of an illness, rest is the most effective medicine. A massage can be overstimulating and poses a significant risk of spreading germs. Once you are clearly on the road to recovery and have been fever-free and non-contagious for at least 24-48 hours, a gentle massage can provide a welcome boost to your body's healing process, relieving those lingering aches and fatigue. Always prioritize rest and recovery first, and safety for everyone second.

Frequently Asked Questions

It is not recommended to get a massage if you have an active cold, especially during the first few days when you are most contagious. A massage stimulates circulation, which could spread the infection throughout your body and potentially worsen your symptoms. You should also consider the risk of infecting your therapist.

A fever is a sign your body is actively fighting an infection. A massage elevates your body temperature, which can interfere with your body's natural defense mechanisms and place additional stress on your system. Always wait until your fever has been gone for at least 24 hours before considering a massage.

During the active phase of the flu, a massage can be too intense and potentially worsen symptoms. However, once your fever has passed and you are in the recovery phase, a gentle massage can be effective at relieving lingering muscle aches and fatigue associated with the illness.

Even with mild symptoms, it is best to be cautious. If you are not contagious and your symptoms are very minor (e.g., light sinus pressure with no fever), a gentle massage might help. However, always inform your therapist, and be aware that lying down could increase sinus discomfort.

Yes, once you are no longer contagious and have been fever-free for a full day, a gentle massage can support your recovery. It can help reduce residual muscle soreness, boost your mood, and aid in flushing out metabolic waste from your system.

Some studies suggest that regular massage therapy can increase the number of white blood cells and decrease stress hormones, which may help support a healthy immune system and potentially aid in illness prevention.

A sick client poses a high risk of spreading germs to the therapist and other clients. Massage therapists rely on their health to work, and infecting them can cause them to lose income. Canceling your appointment is an act of respect and professionalism.

No, it is highly inadvisable. The purpose of a lymphatic drainage massage is to increase the flow of lymphatic fluid. If you have an active infection, this can spread the infection further throughout your body and is considered a contraindication.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.