pulmonary embolism

[lala619]

hi ive a client who has a regular deep back massage and is also pregnant [gp consent given] recently she was diagnosed with a p.e and is on daily heparin injections until after the baby is born. would it be safe to continue with further treatments? gp consent etc? has anyone come accross this situation before and can give any advice?

thanks

 

[sciguy]

I am at present studying massage and also a nurse. An embolismis a dangerous, potentially life threatening condition. It is always a sequal to a Deep Vein Thrombosis, whether this was diagnosed or not. DVT is a total contraindication to massage, however, if the client has been treated withanticoagulants ie.heparin,warfarinfor long enough, the clot may have been broken down / reabsorbed (for want of a better word). The bottom line is you/she must seek advice from the doctor treating your client, before considering massage.
Heparin also greatlyincreases the risk of bleeding in general and needs close monitoring whilst on the treatment,with frequent blood tests.
Hope this helps.

David.