There are some medical conditions as to why treatment may not be given, why treatment may need adjusting on a localised area, or why treatment may only be given after you have sought advice from your G.P.  

If you are receiving current medical treatment from your doctor for a medical condition it is advisable to obtain his or her advice before having any complementary therapies to ask if there is a reason why you may not go ahead.   

Unexplained and Undiagnosed Symptoms, illness and high risk conditions

There are some circumstances when it is not safe to proceed with treatment, either for your safety or mine.  Sometimes my clients need a medical health check up before coming to see me and the first port of call is your GP. Sometimes the reason we are feeling unwell is that we have a physiological issue – for example, low haemoglobin, blood sugar or thyroid, problems with blood pressure etc.  In this situation then I will ask you to please consult your GP first.

Examples include symptoms such as:

  • constant pain (this is when pain is unrelenting and does not seem to go away even when changing position by lying down)

  • unexplained weight loss 

  • unexplained exhaustion or tiredness

  • frequent digestive tract problems such as an upset stomach or bowels

  • a suspected DVT

  • severe headaches

  • unexplained lumps and/or swellings

  • lesions and/or sores

  • numbness/tingling

  • unexplained chest or bilateral limb pain


If in doubt, check it out!  It may be nothing but always better safe than sorry.

Please see my Covid19 page on guidance around symptoms such as headache, fever and a cough.

You will need to inform me if you have any of the following in our health consultation and also if you experience any medical changes please inform me so I can adjust treatment accordingly. You may also need to state that you have sought medical advice before proceeding.  I will require you to sign a further consent form stating that you have sought advice that there is no reason not to go ahead.

  • Cancers (particularly bone/lymph),

  • epilepsy

  • allergies

  • diabetes

  • thyroid issues

  • epilepsy

  • heart condition

  • osteoporosis and osteopenia

  • arthritis including gout

  • surgeries and in particular recent ones

  • injuries including broken bones, fractures, concussion, head or upper torso/spine including whiplash

  • severe varicose veins  

  • Deep Vein Thrombosis (blood clots) /Phlebitis/Stroke/Post Heart-attack - due to the risk of moving blood clots or infection reflexology and massage is not suitable without GP advice.

  • Recent cortisone injection/surgery in the treatment area (needs to leave around 8 weeks and may need medical advice from consultant before working on area)

  • pregnancy

Contraindications for all in person therapies (please contact me and cancel):

  • body or head lice

  • active cold sore

  • impetigo or other contagious infections

  • current fever (high temperature)

  • covid symptoms


Reflexology example contraindications include (as well as the ones above):

  • Infectious conditions including verrucas, tinea pedis (Athlete’s Foot), need to wait until they have cleared up (please visit GP or pharmacist for advice)

Massage/IHM/Aromatherapy example contraindications (as well as the ones above) include:

  • open wounds or major bruising in treatment region

  • current migraine

Pregnancy Massage/Reflexology

Massage therapy and reflexology are considered safe for a normal pregnancy and there is no scientific evidence to show that they may be harmful.  However, there are certain issues that may mean it is not adviseable to go ahead either at all (contraindications) or without seeking further advice (cautions).  Therefore I ask that my patients please seek advice from their seek medical advice from your midwife, specialist or GP before having a Pregnancy therapy session.  This is to ensure there is no reason for massage and/or reflexology not to go ahead. 


Example contraindications (as well as the above) include:

  • Pre-eclampsia

  • thrombosis

  • placenta previa

  • current uterine bleeding

  • high risk pregnancy

  • high risk of pre-term labour

  • gestational diabetes

  • unexplained  continuous abdominal pains

  • chronic hypertension

  • redness/heat/pain in legs

  • current high temperature

Ear Candling


Example contraindications include:

  • grommets/cochlear implants - not suitable 

  • infectious conditions

  • inflammation in the ear area 

  • pregnancy - it is not adviseable to have ear candling during the first trimester 

  • Head lice

  • infectious/contagious conditions (e.g. cold sores),

  • open wounds or major bruising in treatment region,

  • current migraine

Treatment can only commence when these have been cleared up.


The medical advice for vaccines is it is NOT advisable to receive a treatment for 48 hours after you have received any vaccination.  As I have seen people who have experienced adverse effects for a week after vaccines I am erring on the side of caution and asking people not to book in until a week has passed.