Scalp Massage Contraindications: When to Avoid and Safety Precautions

Scalp massage is generally safe but contraindicated in certain conditions due to risk of exacerbation or harm.

Absolute/Relative Contraindications

Category	Examples	Reason
Skin conditions	Active eczema, psoriasis, open wounds, infections, burns	Mechanical irritation worsens inflammation, spreads infection
Hair/scalp disorders	Alopecia areata, trichotillomania, recent hair transplant	Traction may damage fragile follicles or trigger pulling
Medical conditions	Uncontrolled hypertension, recent head/neck surgery, cervical spine instability, epilepsy (risk of seizure trigger)	Blood pressure spikes, mechanical stress, seizure provocation
Medications	Anticoagulants, antiplatelets, corticosteroids (skin fragility)	Increased bruising/bleeding risk; skin atrophy

Best Practices

• Screen clients with a health intake form.
• Use gentle pressure; avoid deep tissue techniques over contraindicated areas.
• Refer to a healthcare provider if uncertain.