Gout - Local Massage Therapy, Pedicure & Spa Service Contraindication

Gout - Local Massage Therapy, Pedicure & Spa Service Contraindication

Author: Selena Belisle, Owner/Instructor, CE Institute LLC, Miami FL

Gout is a form of arthritis generally caused by a build-up of uric acid in the joint. It regularly starts in the big toe joint and joints furthest from the heart where our body’s temperature is coolest, and the uric acid can “crystalize”.  

  • Considered one of the most painful kinds of arthritis
  • Symptoms include:
    • Pain/tenderness
    • Tightening of the skin
    • Swelling
    • Redness or discoloration
    • Warm to the touch
  • Is generally caused by consuming purine rich foods, such as alcohol, anchovies, dried beans, gravies, liver and peas

An area affected by gout may be red, hot to touch on the surface, swollen, and the client may have moderate to extreme pain.

Most people who have gout are house-bound, and are unable to stand or walk without extreme pain.  It is ill-advised to press on the affected area, and it is recommended to seek approval and/or direction for services from a medical physician regarding medical conditions.  This may include rescheduling any services that involves the affected area (i.e., a pedicure for someone who has gout in their big toe), so that they can receive their personal care service without extreme pain.  Manicures will also have similar contraindication if any of the joints of the fingers or hands are suffering from gout.  Pressing or providing traction to a tissue that is already swollen with gout could create greater tissue damage and swelling, regardless of location. 


Author Selena Belisle is the Founder of CE Institute LLC in Miami FL. She is a retired professional athlete and has been practicing massage therapy for over 30 years. Selena is an approved CE Provider with NCBTMB & the Florida Board of Massage. She now teaches full time for the Complementary and Alternative Health Care Industries. You can learn more about Selena’s training and CE classes at www.CeInstitute.com

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