1. Modified Massage
Brian J. Piccolo, NCTMB

2. Modified Massage Benefits
Pregnant Women
Client with breathing difficulties
Acute Back Pain
Recent Abdominal Surgery
Anyone who has problems lying Supine
Anyone who has problems lying Prone
Wheel Chair Clients

3. Modified Massage Preformed in Side Lying Position
Client may need stool to reach a high table. Assist them up to the table.
Client will lay on their side with a pillow between their knees and head.
The goal is to keep the spine straight, a folded towel under the waist helps.
Check the distance between the table and their waist with your hand.

4. Side Lying Examples
Pregnancy Situations

5. More Side Lying Examples

6. Supine Position With Pillows

7. All Massage Techniques Apply
Apply oil and effleurage front or back of the body.
Use a position comfortable to the therapist (client may be elevated higher in side lying position).
Loosen and rotate the Scapula.
Work the lower back with your fist.

8. Massage Everywhere Needed
Work the Neck hand over hand.
Then work the Gluteals through the towel.
Stand on side of table easiest to work from.
Working the coccyx area over a towel may help for hemorrhoids.

9. Massage Indications for Pregnant Women
Massage room/area should be comfortable and warm.
The lower back and hip joints are usually sore during pregnancy. Leg & foot cramps happen often in the last months of pregnancy.
Special attention should be given to these areas.
Cocoa butter on the abdomen will prevent stretch marks and improve flexibility. Safe scents are lavender, neroli, lemon grass, sandalwood, ylang-ylang, or orange
Nurture the woman’s spirit as well as the body.

10. Contraindications for Pregnant Women
Unsafe scents: oregano, common sage, savory, mugwort, clove, basil, thyme, wintergreen, hyssop, myrrh, cinnamon, juniper, and aniseed.
Avoid the uterus and reflex points on the ankles.
Avoid pressure points within two inches of the spine, and the bladder meridian points.

11. Other Types of Modified Massage: Wheel Chair

12. Chair Massage = Modified

13. Clips
Aids
Cancer
Pregnant
Wheel Chair
Baby
Pet

14. The End