- Choosing a massage therapist
- Discussing your medical history
- Setting the scene
- Taking it slowly
- Feeling safe
Choosing a massage therapist
It is recommended that you choose a therapist who is a member of a professional massage association (see page 29 for details). These associations ensure that members have received adequate training in massage, undertake continuing professional education, and have a current first-aid certificate and professional indemnity insurance. Ideally a therapist has at least a Diploma of Massage or equivalent.
Oncology massage therapists
Some massage therapists have undertaken specialist training in massage for cancer (oncology massage). To find a local oncology massage therapist see www.oncologymassagetraining.com.au and enter your postcode in the ‘Find Your Nearest Therapist’ box.
Ask a potential massage therapist about their training and experience, and whether they’ve worked with people who have cancer. Other questions include:
- Do you have any specialist oncology massage training?
- What certification do you hold as a massage therapist?
- What types of massage or touch therapies have you been trained in? (See pages 10–12 for a list of different therapies.)
- What modifications would you make for me?
- What type of clients do you most often work with? (Ideally they are people who require special adjustments such as infants, the elderly, or those with a serious illness.)
- Are you able to treat me at home if I am unwell?
- Would you be able to liaise with my doctors or other health professionals, if needed?
- What is the cost?
- Are your services covered by my health fund?
Discussing your medical history
It is important to talk about your medical history with your massage therapist, even if the massage is part of a beauty routine such as a facial or pedicure. This will help the therapist make the right adjustments to the session so that it’s safe and comfortable. The therapist may need to decrease the pressure of their strokes and avoid areas affected by cancer.
Give your therapist information
Let the therapist know if you have any of the following symptoms or side effects from treatment:
- easy bruising or bleeding
- low white blood cell count
- recent blood clot
- oedema or lymphoedema
- incisions or scars from surgery
- sensitivity to certain scents or smells
- skin conditions such as rashes, inflammation, broken areas of skin, or fungal infections
- medical devices such as a catheter or stoma bag
- cancer in the bones, or fragile bones as a result of osteoporosis.
Most professional massage sessions last 30–60 minutes and cost $60–$80 per hour. Prices vary, depending on the therapist’s location, training, experience and style of massage being used. If you have private health insurance, check with your fund whether you’re eligible for a rebate.
Setting the scene
Massage usually occurs in a warm, quiet room. It can be given either while you lie on a massage table or sit in a chair. It can involve only part of the body or the whole body. You can have a massage while you’re fully clothed or directly on the skin. If you have undressed, only the area being worked on will be exposed. The other parts of your body will be covered by a towel or blanket.
The therapist may place pillows under different parts of your body so they’re supported. Let the therapist know if you need anything relevant to the session such as a change in pressure or another blanket. You may like to close your eyes during the massage.
Taking it slowly
When starting a massage program, it’s important for the therapist to begin with moderately light pressure. The therapist should consider your state of health at the time and your recent treatments.
Judge the effects of the session not only by how the massage feels while you’re having it, but by how you feel 24 hours afterwards. While a massage may feel comfortable at the time, a few hours later or the next day you may feel light-headed, tired or in pain, even if the pressure was light. Massage related soreness should subside within 48 hours. If the symptoms persist consult your doctor. If you do not feel any side effects from the massage and want to increase the pressure of the strokes at your next session, ask the massage therapist to do so gradually until you find the right level of pressure for you.
You should feel safe, respected and comfortable during a massage. Communicate your needs to the therapist (e.g. let them know if their pressure is too strong or if you’re feeling cold). If you feel uncomfortable for any reason, or the therapist is unable to make the adjustments you have requested, ask them to stop the session.
- Talk to your doctor before having a massage.
- A letter from your oncologist outlining your diagnosis and treatment will help your massage therapist develop an appropriate treatment plan.
- Tell the therapist if something hurts or causes discomfort, or if there’s a certain area that shouldn’t be massaged.
- Choose a massage time that suits you. You may find it helpful to have the massage before your pain becomes severe or you get tired.
- Tell the therapist if you are sensitive to any lotions, oils or scents.
- Record how the massage feels in a journal or pain diary.