What is a contraindication for massage in clients with diabetes?

Clients with diabetes can experience a range of complications that make certain physical treatments, such as massage, potentially hazardous. Poor circulation and increased risk of neuropathy are critical concerns for individuals with diabetes. Neuropathy refers to nerve damage that can result in significant loss of sensation, particularly in the extremities. This reduced sensation can lead to clients not recognizing injuries or discomfort during a massage, which can prevent them from communicating problems to the therapist.

Additionally, diabetes often contributes to poor circulation, which can limit the body's ability to heal and may exacerbate issues like swelling and infection at the site of skin injuries. These factors make it essential for massage therapists to proceed with caution, as applying pressure in areas where sensation is diminished or circulation is compromised may cause harm rather than therapeutic benefit.

Evaluating blood sugar levels is also important and can influence a massage session, but poor circulation and neuropathy directly relate to the physical safety and effectiveness of the massage treatment itself, distinguishing them as a significant contraindication for clients with diabetes.