For your convenience and to ensure things run smoothly on your spa day, please print off and complete a copy of the medical questionnaire and bring it with you on the day. Please ensure you read the below and contact us if you are unsure or have any questions, our team will be able to advise you on the best course of action.
Click here to download your medical questionnaire.
Contraindication – means you are not able to receive massage or the massage may be limited to certain areas of your body. Contraindications are there for your health and safety along with that of your therapist.
Total Contraindication – A situation where massage is avoided completely. This is usually for reasons presented by the customer and therapist safety and protection.
Relative Contraindication - a situation in which a massage Practitioner may proceed with the treatment with a doctor’s note, but will need to modify techniques related to the client’s condition e.g., using lighter pressure.
Local Contraindication - a situation in which a local area of the client’s body should not be massaged under any circumstances. This may be for the client’s own comfort, to avoid spreading infection or to avoid further injury
Massages are not permitted if you have had surgery within the last 6 months.
Please note that all treatments and packages are subject to medical status, some medical conditions require a doctor’s note. A full list can be found below. If you are unsure, please contact our central booking team on 0344 477 4777, who will be able to advise further.
Suitability of treatments will be confirmed on arrival at the Spa with a consultation with your therapist. If treatments are unsuitable we will endeavour to offer alternatives, where possible.
Bannatyne reserves the right to refuse treatment where it is deemed to be a risk to the health and safety of the client or therapist.
Disorders of the Nervous System
Stroke - There is a high risk of a second stroke occurring within six months.Undiagnosed Severe headaches - that come on suddenly, with no previous history of similar headaches, and dizziness or numbness or sleepiness.
Disorders of the Heart and Blood
Heart attack - Because there is a very high risk of a reoccurrence in the two to three months after the attack, massage is contra-indicated. After this time is permitted with a doctor’s note.Haemophilia - severe haemophilia is a total contraindication to massage. (Mild forms consult a doctor)Severe Anemia - Massage is fine for mild anemia, but contraindicated for severe anemia.
Disorders of the Immune System
Cancer – if undergoing treatment.
If the client is currently undergoing any form of treatment for cancer then a doctor’s note must be produced prior to treatment. If the doctor is happy for the client to receive treatment then his note should be attached to the therapist consultation form and then the relevant treatment can be carried out.
If the client has cancer but is not currently undergoing any treatment for the disease then we would carry out the treatment, making any relevant notes on the consultation form. If the client is having a massage then the following adjustments should be made by the therapist: the massage should be very light and gentle, no aromatherapy oils should be used and the site of cancer if relevant should be avoided.
Disorders of the Abdominal Organs
Hepatitis is contra-indicated in acute stages for client/therapist protectionCirrhosis of the liver - is contraindicated for advanced cirrhosis.
Disorders of the Urinary System
Acute urinary tract infectionsAcute or chronic renal failureAcute stages of goutKidney stone attack.
Conditions of the Reproductive System
Pregnancy - We recommend that massage is avoided during pregnancy due to facilities not being consistent across the estate.
Spa Pools/Saunas/Steam rooms where heat is prevalent needs to be avoided during pregnancy.
Infectious Skin Conditions (viral, fungal, parasites and bacterial)
Non Infectious Skin Disorders
Areas of skin that are bleeding, broken or weeping fluid.Open wounds
FeverInflammation or OdemaUndiagnosed Severe headaches - that come on suddenly, with no previous history of similar headaches, and dizziness or numbness or sleepiness.
Disorders of the Heart & Blood
Blood thinning tablets i.e Warfarin Seek medical permission prior to massage - if permitted, massage should be light and gentle with no firm pressures or deep tissue movements due to increased risk of bruising to client.
Proceed with caution (treatment can go ahead with a doctor’s note or require separate Risk Assessment)
Skeletal System Diseases
Stroke – after 6 monthsTransient Ischaemic Attack – (TIA- a mini-stroke from which the person recovers with little or no damage.Meningitis, Brain haemorrhage and Brain tumorsEpilepsy – active epilepsy only (previous 18 months). Do not use essential oils.
Disorders of the Motor Nerve System
Parkinson’s disease - Massage: is indicated under medical supervision, to maintain flexibility and reduce anxietyMultiple sclerosis (MS) - Massage: is indicated in sub acute stages, when the client is in remission.Neuralgia - Massage: Light massage to relieve muscle tension can be beneficial. Deep massage on the site is contra-indicated
Disorders of the Endocrine System
Diabetes – doctors note only needed if not under medical control (diet or insulin)
Infectious Respiratory Disorders
Tuberculosis (TB) – until the client has been on medication for 1 month
Inflammatory Respiratory Disorders
Unstable angina - should only with permission from the person’s doctor.Heart failure - Get medical permission, and then give only gentle massage to avoid stressing a weak heart.High blood pressure - Deep abdominal massage is contra-indicated, high blood pressure that is not controlled by medication requires a doctor’s note. Low Blood pressure is not contraindicated but extra care is needed.Thickening of the arteries - Seek medical permission, and then give gentle massage only.Deep vein thrombosis (DVT) - Totally contra-indicated for 3–6 months after diagnosis, for client/therapist protection. After that period, seek medical permission, and give gentle massage only.
Leukaemia (‘cancer of the blood’) - Seek medical permission and then use gentle massage.
HIV/Acquired Immune Deficiency Syndrome – see guidelines and separate risk assessment which assist with this condition
Local Contraindications – avoid the affected area (therapists)
Skeletal System Injuries
Partial fracturesSimple fracturesCompound fracturesSprains
Osteoarthritis and Rheumatoid arthritis – in acute stagesAnkylosing spondylitis – in acute stages
Disorders that affect motor nerve supply
Non-infectious Skin Conditions
Skin cancerBlistersEczema – only when open and weepingPsoriasis – only when skin is brokenRecent Surgery and open wounds.
Infectious Skin Conditions (bacterial, fungal and viral)
Acne (vulgaris) – depending on severity and degree of inflammationBoils and carbunclesWarts and VerrucasHerpes – coldsoreAthlete’s foot
The Cardiovascular System
Varicose veins - Massage is contra-indicated in the area directly over, or immediately below the veinsPhlebitis - Massage of the affected area is contra-indicated.
Urinary System Disorders
Joints/limbs affected with gout or onThe abdomen in non acute stages of urinary tract infection.
Abdominal Contraindications – massage needs to be adapted.
EndometriosisIBSCrohn'sColitisCysts / Fibroids if localised pain
If you require any further information, please do not hesitate to contact us on 0344 477 4777 or contact us on email@example.com (ensuring you quote Spa location, and booking reference number on all correspondence.)
Sign up to our newsletter