Pathology L for Massage Therapists

Lactic Acid Build Up  – Fact or Myth

Sports Massage & Recovery Time

Re-examining the Role of Lactic Acid – By Shirley Vanderbilt

Lactose Intolerance

Definition: inability to digest milk sugar

Causes: lack of or deficiency of lactase (enzyme that digests lactose); we are not designed to digest
cow’s milk. May be due o other gastrointestinal disorder that damages digestive tract.

Signs/Symptoms: retain fluid, gas, diarrhea, abdominal cramps

Indications: Massage OK.

Contraindications: N/A


Definition: fatty tumor

Causes: toxins, excess fat

Signs/Symptoms: lumpy feeling tissue, may be painful or tender

Indications: Massage around area.

Contraindications: Refer to physician to rule out other tumors


Definition: abnormal increased concavity in the curvature of the lumbar spine; sway backed

Causes: malfunctioning psoas (weakness, shortness, inability to activate), tightness in adductors, quadriceps, too many sit ups

Signs/Symptoms: sway back, tightness in low back, may have pain

Indications: Deep tissue, structural realignment; release psoas, rectus abdominis, adductors and rebalance pelvis; movement re-education

Contraindications: N/A

Lupus (DLE, SLE)

Definition: chronic inflammatory disease affecting the body’s organs

SLE- systemic lupus erythematosus; affects many parts of body including lungs, kidneys, spleen heart

DLE- discoid lupus erythematosus; less serious affecting skin mainly

Causes: autoimmune  inflammatory disease, viral, hereditary, sex hormones, drug reactions, faulty genes, triggered by medications such as penicillin, sulfa or tetracycline, excessive sunlight, injury, stress, infection

Signs/Symptoms: butterfly shaped rash on face that gives person the appearance of a wolf; abnormal cells in urine, arthritis, sun sensitivity, mouth sores, seizures and psychosis, low white blood cell count, low platelet count or hemolytic anemia, low grade fever, aches, hair loss, weight loss

Indications: Massage for stress reduction, reduce inflammation, increase circulation

Contraindications: May have complications of the liver, kidneys, spleen, heart, central nervous
system. Work with physician referral. Hot hydrotherapy contraindicated. Florescent lights and heat lamps may aggravate condition.


Definition: inflammation of the lymphatics system

Causes: bacterial

Signs/Symptoms: fever and chills, swelling and pain

Indications: Massage ok as per physician.

Contraindications: Physician referral

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