Reflexology Refusal?
Hi,
I am nearly 4 weeks post mastectomy. My co-workers bought me a beautiful gift certificate for a rather spiffy spa that offers massage and reflexology along with facials and manicures etc. I know I didn't want anyone around my neck and shoulders yet (tender, just had drain out) so I thought perhaps Reflexology might be just the ticket. I have had it before but not by a "pro" just one in training who wanted practice sessions (lovely). However - when I called for the appointment, explained about my surgery and how I needed some relaxation and assistance the Reflexologist refused on the grounds that she would be moving lymphatic fluid around my body. She also stated that she would not do it during chemo for the same reason. ( not to mention skin and nail issues). Is this "normal". Has anyone been refused before basically because of known cancer? I guess I could go "shopping" for another reflexologist but what a shame about the gift certificate that expires in six months which is just before my chemo theoretically ends. (I can give it away but I really appreciated the thought behind it)
Thanks
Karyll
Comments
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sorry for the double postings on this subject - my computer went blank and I didn't think it posted the first time.
Karyll
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Karyll,
Let me answer this question as a bc survivor and as a physical therapist.
We are taught that massage techniques move lymph throughout the body and that in active cancers it is a contraindication. Having said that, there is no research that I am aware of that suggests massage in and of itself spreads cancer. Exercise/any movement moves lymph throughout the body.
I would not do lymphatic massage on anyone who has active cancer. I have done myofascial techniques (a type of deep tissue work) on a woman with metastatic bc because the benefits outweighed the risk. I know a woman with metastatic ovarian cancer who regularly recieves massages because again for her, the benefits outweigh the risks.
I recieved regular massages before my bc diagnosis. I was blissfully unaware that I had anything going on yet like a lot of women I was told my tumor had been growing for years. Obviously my massage therapist was not massaging my breasts (that was my husband's job
) but he was stretching my pecs and massaging my neck with it's very superficial lymph nodes. He did not spread my cancer.
When I was going through chemo I had him do reflexology. It was interesting because the point corresponding to the liver was very painful and post chemo it was not. My oncologist office has a massage therapist on staff and she would do massage while you were having your infusion.
If you want a massage, find someone who will give you a massage. Reflexolgy is probably one of the most safe treatments you can get at this time.
Some people just freak when they hear the word cancer and common sense leaves them.
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With more and more cancer centers offering massage on site for patients geting chemo, there can't be much evidence that massage spreads cancer. Can you imagine the cancer center doctors allowing a treatment that could lead to malpractice suits to be offered in their center? I think the idea that massage spreads cancer is an old assumption, like the assumption that exposing a cancer tumor to the air during surgery causes cancer to spread. That one's been pretty thoroughly debunked. Also, massage is the only really effective treatment for lymphedema. I can see using caution near a recent surgical site, but I can't see how massaging the back, shoulders, necks or legs could be harmful. For myself, I can't wait until I can lie on my stomach comfortably again to start getting full body massages again. Even if I knew it was spreading cancer I would still get them, they make me feel so much better!
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The new radiation cancer center here in town now offers massage one day a week to the paitents and their caregivers as they are waiting for their treatments.
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Thank you, Ladies - I am now armed with facts when I phone them again, OR someone else!!
Karyll
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as a licensed massage therapist and trainer, I of course agree with the physical therapist. When we are in school we are trained to work lighter on survivors and not on area where cancer occured. For instance, if skin cancer on left arm, work around, just not on. After mastectomies there is a lot of various scar tissue and massage is wonderful to break it up and release the fibers. Its a personal comfort thing for the patient and therapist and should have a release from the oncologist to perform a massage according to doctors directives or suggestions. Get a skilled, compassionate therapist that you feel safe with and watch your outcome and how you feel. We were also told to offer a half an hour massage to try it out first. Some of us take a lot of meds and massage can dump the residual back into system, could cause a detox, no fun. Drink lots of water before and after regardless. I am having a massage tomarrow myself which will include Lymphedema drainage work on my arm and upper body. It's amazing how fast it works, when she's done, I am running for the potty! I am a bc survivor of two years, single mastectomy and reconstruction. I can't wait! She has the best warm hands and heart...good luck
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another thought Karyl, contact the spa and see what else they offer. Facials and pedicures are great too? just a thought, good luck
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THanks very much, I have most recently been having some lower back trouble - and ended up actually going to emergency with these horrible spasms. The doc said it could have absolutely nothing to do with cancer (which of course is my first concern these days) and my bone scan had come up okay. He suggested I do more tests, CT and MRI of my spine to make sure nothing is pressing into that area that seems to be affecting my sciatic nerve. Unreal that pain - SO I am investigating all of that as well as trying to find ANYONE that will rub that back for me... lol...Thank you muchly for the input. I appreciate a good deal, I can be armed with information next time I try for a massage, reflexology or anything of the sort.
Karyll
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I just entered a Reflexology clinical trial with Michigan State University Department of Nursing. They will provide weekly visits for 4 months. One group will get plain foot massages and ojne will get official reflexology. Whichever group I get assigned seems good to me. Foot rubs every week...
Ruth
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