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9. September 2025

When is massage not recommended?

Massage is not recommended if you have a fever, infection, fresh injury, skin disease, thrombosis, or serious cardiovascular problems. In such cases, massage can do more harm than good. If you are unsure, it is always best to consult your doctor first or inform your massage therapist.

Why is massage not always safe?

Imagine this situation: You’ve had a stressful week, your whole body aches, and you finally book that long-awaited massage at our Thai salon. But what if…

  • You wake up in the morning with a fever?
  • You notice a suspicious rash on your skin?
  • Do you feel pain in your leg that could be thrombosis?

Then a massage can turn from a healing experience into a health risk.

Why is it important to know when to say “no”?

Massage is a powerful tool – it stimulates blood circulation, activates the lymphatic system, and affects the whole body. But this very power can be dangerous if…

✘ Your body is fighting an infection

✘ You have an inflammatory process in your body

✘ You suffer from a serious illness

The result? Instead of relaxation, you may experience worsening symptoms, spread of infection, or even life-threatening complications.

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If you have a fever or infection, do not go for a massage.

6 main situations when massage is not safe

1. Fever and acute infection

Fever means a body temperature above 38°C – a sign that the body is fighting inflammation or infection. Massage can be dangerous in this case because fever and infection accelerate the spread of pathogens through the bloodstream, and massage unnecessarily increases the burden on an already weakened immune system.

Ultimately, massage in such cases can worsen your overall condition and, in addition, you may infect staff or other visitors to the salon.

Solution: Rest, hydration, and return to massage only after full recovery.

2. Fresh injuries and acute inflammation

Practical test: If the area is painful, hot, swollen, and sensitive to touch, say no to massage!

Includes:

  • Strained muscles and tendons
  • Sprained ankles
  • Fresh bruises and hematomas
  • Acute back pain

3. Skin problems and open wounds

When to postpone a massage:

  • Eczema and dermatitis
  • Fungal infections
  • Rashes of unknown origin
  • Cuts, abrasions
  • Active acne on the massaged area

4. Thrombosis and blood clotting disorders

HIGH RISK: Massage can loosen a blood clot and cause an embolism.

Warning signs of thrombosis:

  • Pain and swelling in the leg
  • Feeling of heaviness in the limbs
  • Red or blue discoloration of the skin
  • Feeling of warmth in the affected area

5. Serious cardiovascular diseases

Massage affects:

  • Blood pressure
  • Heart rhythm
  • Strain on the heart

In cases of unstable angina pectoris, recent heart attack or cardiac arrhythmia, or untreated hypertension, consultation with a physician is necessary.

6. Pregnancy – special rules

Massage during pregnancy can be beneficial, however, the massage therapist should only use special pregnancy techniques, and mothers in their first trimester should avoid massage. It is important to inform the massage therapist about the pregnancy and, if necessary, consult with your gynecologist.

If you experience warning signs of thrombosis, skip the massage and see a doctor.

Quick guide: Massage yes or no?

Status/ConditionMassage?Recommendation
Fever above 38°CNoWait for full recovery
Mild cold without feverCarefullyInform the masseur, shorter massage
Fresh injury (0-48 hours)NoFirst, anti-inflammatory treatment
Older injury (>1 week)YesA gentle massage can help
Skin rashNoAvoid the affected area
Healthy skinYesAll types of massage
Active thrombosisNoAbsolutely contraindicated
Controlled high pressureYesInform the masseur about the treatment
First trimester of pregnancyNoOnly from the 13th week onwards
Second/third trimesterYesSpecial pregnancy massage
Chronic fatigueYesThai massage is ideal
Stress and tensionYesRegular massages recommended

How to decide: 3-point self-assessment

Before booking a massage, ask yourself these questions:

1. Simple activity test

“Could I easily manage a 15-minute walk today?”

✅ Yes → Massage is probably safe

❌ No → Better wait until you feel better

2. Overall condition test

“Do I feel healthy and energetic?”

✅ Yes → Ideal time for a massage

❌ No → Recover first

3. Specific problems test

“Do I have any of the following problems?”

Fever, infection, fresh injury, skin problems, suspected thrombosis

✅ No → You can book an appointment

❌ Yes → Postpone the massage

Frequently asked questions (FAQ)

1. Can I go for a massage with a slight cold?

If you don’t have a fever and feel relatively well, a slight cold is not an obstacle. However, inform the massage therapist and choose a shorter, gentler massage.

2. Is Thai massage safe for high blood pressure?

Yes, if your blood pressure is stable and under medical supervision. The massage therapist must be aware of your diagnosis and adjust the intensity accordingly. We recommend gentle oil massages rather than intense Thai or deep tissue massages.

3. How long after an injury can I go for a massage?

First 2 days: Absolutely not – risk of worsening swelling

2-14 days: Only after consulting a doctor

After 2 weeks: A gentle massage can help healing

4. Can massage help with chronic conditions?

Massage can be beneficial for many chronic conditions (arthritis, fibromyalgia), but it is always necessary to consult your doctor.

5. What if I am not sure whether I can have a massage?

First, consult your doctor. Alternatively, call our salon—our experienced massage therapists will advise you. Always follow the golden rule: better to be safe than sorry.

6. How often can I get a massage if I am healthy?

If you are in good health, you can have a massage 1-2 times a week. For optimal results, we recommend at least once every 2 weeks.

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A gentle oil massage can speed up the healing process for injuries that are more than 2 weeks old.

Conclusion: Massage as a gift for body and soul

Massage is a unique tool for relaxing both body and mind. However, in order for it to bring you only joy and benefits, it is crucial to know when to postpone it until later.

Remember:

  • Fever, infection, recent injuries = no massage
  • If in doubt, consult your doctor or us
  • Your health is our priority

Ready for a massage? We look forward to welcoming you to any of our 6 Thai massage salons, where we will take care of your body safely, professionally, and with respect for your individual needs.

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