Pathology for Massage Therapists
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Osgood-Schlatter Disease
Definition: inflammation or partial detachment of the tibial tuberosity from the tibia; where patellar ligament inserts on tibia
Causes: repetitive trauma, chronic inflammation, from too much jumping, running
Signs/Symptoms: pain and swelling in area of tibial tuberosity
Indications: Relax quadriceps femoris and treat tibial tuberosity
Contraindications: none

Osteoporosis
Definition: "porous bones"; weakening of bones, loss of bone mass
Causes: aging, lack of exercise, menopause ( reduction of hormones), cortisone use, trauma, injury, calcium deficiency, unable to absorb and metabolize calcium, high intake of phosphate in foods
Signs/Symptoms: weakened bone structure, shrinkage in height of backbone, hip fractures
Indications: Massage lightly for stress reduction; Use caution as bones could break
Contraindications: Caution: bones brittle and subject to breaking under slightest pressure

Ottis Externa, Media, Interna
Definition: Ear infections: externa-outer ear (swimmer's ear), Media- middle ear, usually in children. Interna- inner ear
Causes: food allergies, impacted wax, bacterial or viral infection
Signs/Symptoms: fever, chills, pain in ear, plugged feeling in ear
Indications: Massage for stress reduction and removal of toxins
Contraindications: Refer to appropriate health care practitioner for treatment and diet changes

Ovarian Cyst
Definition: Cyst on ovary
Causes: endometriosis, improper diet and lifestyle
Signs/Symptoms: pain in abdominal region, pain at ovulation
Indications: Massage for stress reduction and removal of abdominal adhesions (may need visceral manipulation specialist)
Contraindications: Refer to Physician to rule out ectopic pregnancy and cancer. Refer to appropriate health care practitioner.

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