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Clinical science · 6 min
Contraindications the stem is begging you to see
Fever, a sprain from half an hour ago, heat on a red hot joint. The fancy stroke is bait.
Treatment-planning items love a client who almost qualifies for your favorite technique. Then they drop one word that ends the session. Acute. Fever. Unexplained swelling in a calf. You are not being creative. You are being licensed.
Acute plantar fasciitis wants ice and rest, not a heroic first-visit scrape. Chronic tendinitis in this bank is friction then ice, not a cooking show about heating the pan. Deep belly work on a high-pressure client is a caution (aorta, vagus, sudden change), not a cartoon rupture.
Stem word to default (exam behavior, not your whole clinical career)
If the stem says
Default move
Usual bait
Fever / systemic infection signs
No massage, refer
Lymphatic 'detox' story
Sprain 30 minutes ago
Ice, rest, do not deep-tissue it
Cross-fiber to 'realign'
Acute inflammation
Cold, back off
Heat because it feels nice
Chronic tendinitis (this bank)
Friction then ice
Heat then ice
Hypertension + deep abdomen
Caution / modify
Burst-the-aorta folklore
Spastic paralysis
Effleurage
Tapotement to 'wake it up'
Treatment planning
Stroke table
Hemiplegia laterality
Quiz
If the stem hands you a red flag, do not negotiate with it.
Keep reading
Treatment planning is 37 questions of “what would you do”
Clinical science · 6 min
Stroke names the exam actually tests
Technique · 5 min
Left hemiplegia is the body, not the brain
Clinical science · 4 min
Lymph questions: feet, proximal first, and what the brain does not have
Clinical science · 5 min
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