Which of the following is an indication for massage therapy?

• A. Scar tissue
• B. Acute infection
• C. Embolus
• D. Thrombus

Answer: (A)

Massage helps guide the healing process in scar tissue. Scar tissue is formed from collagen fibers that can become stiff and create adhesions between tissues. Manual work with scar tissue promotes realignment of those fibers, reduces adhesions, and improves tissue glide and circulation. When healing has progressed past the initial inflammatory phase and there are no active safety concerns, addressing scar tissue with massage can improve range of motion and reduce hypersensitivity, making scar tissue an indication for massage therapy.

On the other hand, massage is not appropriate during an acute infection because it can spread infection and worsen symptoms. Likewise, an embolus or a thrombus are serious contraindications because manipulating tissues could dislodge a clot and cause a dangerous event like a pulmonary embolism.