How to massage a client with psoriasis condition

  • By mary-v
  • On 03/01/2017
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How to massage a client with psoriasis:
Sometimes in every job there are difficult situations and you don't know how to manage them, is happening to everyone, doesn't matter how well trained you are for that position, being a massage therapist, you will meet many new people, each of them with different personality, skin condition and you need to know how to act like a professional massage therapist in this situation.

How to massage clients with psoriasis condition

There are many skin conditions, some of them just inofensive, but some of them can be contagious.The good news about psoriasis is that is an inofensive skin condition which cannot be taken with directly skin contact.
Psoriasis is a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales.
These patches normally appear on your elbows, knees, scalp and lower back, but can appear anywhere on your body. Most people are only affected with small patches. In some cases, the patches can be itchy or sore.

"Psoriasis affects around 2% of people in the UK. It can start at any age, but most often develops in adults under 35 years old. The condition affects men and women equally.
The severity of psoriasis varies greatly from person to person. For some people it's just a minor irritation, but for others it can have a major impact on their quality of life.
Psoriasis is a long-lasting (chronic) disease that usually involves periods when you have no symptoms or mild symptoms, followed by periods when symptoms are more severe.

People with psoriasis have an increased production of skin cells.
Skin cells are normally made and replaced every three to four weeks, but in psoriasis this process only lasts about three to seven days. The resulting build-up of skin cells is what creates the patches associated with psoriasis.
Although the process isn't fully understood, it's thought to be related to a problem with the immune system. The immune system is your body's defence against disease and infection, but for people with psoriasis, it attacks healthy skin cells by mistake.
Psoriasis can run in families, although the exact role that genetics plays in causing psoriasis is unclear.
Many people's psoriasis symptoms start or become worse because of a certain event, known as a "trigger". Possible triggers of psoriasis include an injury to your skin, throat infections and using certain medicines.
The condition isn't contagious, so it can't be spread from person to person" ( source of info - NHS)

While psoriasis is inoffensive, the person who suffer from this condition is usually suffer from depression in most of the cases, because of stigma and their skin look,so be careful how you react when you will meet one client with psoriasis condition, you need to treat him with respect, don't ask questions about his problem, or if you decide to do, approach the subject in a positive manner, like " is massage sessions help improve his health condition, or, ask questions about how does it feel the area with psoriasis problem while is massaged.
This questions may help your client to feel comfortable talking about his problem, but also relaxing him, knowing that you are a professional massage therapist and understand his skin problem.
Is important to recognise psoriasis skin condition and know as much as possible about this problem.If you might feel like your client have different skin condition, you should ask him polite details,to proceed with massage session, but not before you know if your client suffer from allergies or sensitivity at some massage oils, lotions or cream.

Prepare yourself to recognise different skin conditions that look like psoriasis.
Other skin conditions might seem like psoriasis, but there are differences, from the shape of the borders of the affected areas to the colour and thickness of the scales.
Here are some similar-looking skin conditions that may even occur simultaneously with psoriasis:

Seborrheic dermatitis symptoms how to recognise signs


- Seborrheic dermatitis (seborrhea). While this can be confused with plaque-type psoriasis, the scales of psoriasis tend to be thicker and the lesions have much more clearly defined borders. Seborrhea involves only the oil-producing areas of the skin around the scalp, face, chest, and, less frequently, groin and upper back. Seborrhea lesions are poorly defined and pink with yellow-brown scales. A rash on the face could be either psoriasis or seborrheic dermatitis, and the two conditions can appear at the same time.

How to recognise dandruff from psoriasis

- Dandruff. Seborrhea on the scalp, known as dandruff, produces fine, greasy scales and usually is distributed generally over the head.

How to recognise eczema

- Eczema. Atopic dermatitis, or eczema, is more common than psoriasis and more likely to be diagnosed by primary care physicians. It appears frequently on the back of the knee or in front of the elbow — a much more limited area than the common forms of psoriasis. What triggers the rash also helps differentiate atopic dermatitis from psoriasis. Atopic dermatitis can be brought on by outside irritants such as dust, foods, or pollen. In addition, the skin lesions of eczema can get infected with bacteria. By comparison, such irritants generally do not trigger psoriasis, and psoriasis lesions are not usually susceptible to secondary infections.
Other more serious conditions that mimic the appearance of psoriasis include mycosis fungoides, a rare form of lymphoma, and pityriasis rubra pilaris, a rare skin disorder.
If you not sure about your client skin condition, you are welcome to ask polite. Ask if he have notice from doctor,so you will know for sure how to deal with this situation.
Since you are a professional massage therapists, your job require to meet different people, you ave to touch every kind of skin,that's why you have to take very serious skin conditions. 
Communication between you and your clients is important, you need to ask about sensitivity and allergies at massage oils, creams or lotions, but also the pressure you point during massage session.
Every massage therapists is trained about health condition's, skin problems, so if you like client, might not feel comfortable around your massage therapist, you need to communicate this, or change your therapist.
Psoriasis-related symptoms and response to treatment vary widely among individuals. Some people with psoriasis have gained relief from joint pain after a massage. Others find that it reduces stress, a common trigger of psoriasis symptoms. In addition to these potential benefits, the relaxing aftereffects of massage may help you deal with the social and physical difficulties of coping with the condition.

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