These recommendations are derived from consultation with medical experts and the published research in regards to precautions and contraindications for myofascial interventions.1
Precautions:
Due care is required in these circumstances and the use of the devices may need to be modified. Where appropriate or if you have any concerns, seek the advice of a medical professional.
- Recent injury or surgery
- Pregnancy Diabetes
- Osteopenia
- Osteoporosis
- Hypertension (controlled)
- Abnormal sensations (e.g., numbness)
- Bony prominences or regions
- Sensitivity to heat, vibration, or pressure
- Mild peripheral neuropathy
- Do not wear this device overnight while sleeping
Contraindications:
The following are circumstances where the potential risks may outweigh the benefits. Therefore, it is advised that you should seek the advice of a medical professional before using the device.
- Skin rash, open wounds, blisters, local tissue inflammation, infections, bruises, or tumors
- Skin conditions such as eczema or psoriasis
- Bone fracture or myositis ossificans
- Osteomyelitis
- Severe scoliosis or spinal deformity
- Hypertension (uncontrolled)
- Vascular/arterial and circulation diseases, including blood clots, phlebitis, thromboses (DVT), and varicose veins
- History of embolism
- Acute or severe cardiac, liver, or kidney disease
- Severe peripheral neuropathy or other cause of sensory impairment
- Bleeding disorders
- Connective tissue disorders
- Medications that thin the blood or alter sensations
- Direct pressure over surgical site or hardware
- Direct application to the face, head, throat, neck, or genitalia Pacemaker or ICD
- Do not use in the presence of unexplained pain