Potential Risks of myoTherapy

Myotherapy is a physical therapy focusing on the assessment, treatment, and rehabilitation of musculoskeletal pain and associated conditions. While myotherapy is generally considered safe and effective for many people, like any therapeutic intervention, it carries some risks. Understanding these risks can help individuals make informed decisions about their care.

 

Common Risks

Temporary Soreness or Discomfort

Post-treatment soreness is common, especially after deep tissue manipulation. This is typically mild and resolves within a day or two.

Bruising

Some individuals may experience minor bruising due to techniques such as deep tissue massage or trigger point therapy, especially if they have sensitive skin or certain medical conditions.

Fatigue

A feeling of tiredness or lethargy following a session can occur as the body processes the physical adjustments made during treatment.

Skin Bruising and Discoloration (Cupping specific)

The suction involved in vacuum cupping creates localized pressure that can lead to circular marks or bruises on the skin. These marks are typically harmless and fade within a few days to a week.

 

Less Common but Possible Risks

Exacerbation of Symptoms

Occasionally, treatment may temporarily worsen symptoms, particularly if the therapist applies excessive pressure or if the underlying condition is severe.

Allergic Reactions

Some individuals may react to oils, creams, or other products used during treatment. It is important to inform the therapist of any known allergies.

Dizziness or Lightheadedness

Manipulation of muscles and tissues can occasionally result in dizziness, particularly if the client is dehydrated or has low blood pressure.

 

Rare and Serious Risks

Nerve Damage

Improper techniques or excessive pressure in sensitive areas may cause nerve irritation or damage. This risk is rare when treatment is performed by a qualified therapist.

Injuries to Soft Tissues

Overzealous treatment or pre-existing conditions may lead to sprains, strains, or other injuries to muscles and tendons.

Infections

Though highly uncommon, infections could occur if hygiene standards are not maintained, such as using contaminated equipment or inadequate cleaning protocols.

Underlying Conditions Worsened

If undiagnosed conditions such as fractures, infections, or severe inflammation are present, myotherapy could inadvertently aggravate them.

 

Risks specific to Dry Needling

Infection

Any form of skin penetration creates an opportunity for bacteria to enter the system. Your therapist uses single-use sterile needles to minimise this risk.

Pain

A needle in the correct location may briefly reproduce a muscular ache; that is normal and indicates that the technique should be effective in reducing the symptoms very quickly.

You may experience a muscular ache for one or two days following the treatment; this is uncommon.

In the unlikely event that the needle irritates a nerve as it passes through the tissue you may feel a sharp nerve-like pain which will disappear immediately; in this instance the needle would be withdrawn and a fresh needle inserted in a different location.

A nerve pain which does not subside straight away would be very uncomfortable. In the very unlikely event of this occurring, the needling would be withdrawn and a fresh needle inserted in a different location.

2/100 clients may experience a pain sensation other than the expected muscular ache. It is extremely important that your therapist is made aware if you are feeling uncomfortable with the treatment.

Bruising or Bleeding

On occasion a spot of blood may be visible on the skin after a needle has been withdrawn.

In the very unlikely event that a needle causes bleeding underneath the surface of the skin, a painless bruise may appear following the treatment; bruising of this nature would normally clear very quickly.

Drowsiness, fatigue and autonomic responses.

Dry needling may cause sleepiness; if this occurs you will be asked to avoid drivinguntil the feeling has passed. This occurs rarely.

Rate of breathing, sweating, blood pressure, heart rate and flushing of the face are involuntary reflexes which may occur temporarily

Pneumothorax

There have been approximately 100 reported cases worldwide of acupuncture needles puncturing a lung. This only occurs when needles are inserted incorrectly or too deeply. This is a serious medical condition requiring admission to hospital. Your therapist has been trained to avoid the lungs and limit needle depth to avoid this occurring.

Risk Factors Influencing Outcomes

Several factors can increase the likelihood of adverse outcomes:

Pre-existing Health Conditions: Conditions such as osteoporosis, blood clotting disorders, or cardiovascular disease require extra caution.

Pregnancy: Some techniques may not be appropriate for pregnant individuals, particularly during the first trimester.

Unqualified Practitioners: The risk of injury or adverse effects increases when treatments are performed by individuals without proper training or certification.

Communication Issues: Failing to inform the therapist of medical history, pain thresholds, or current medications can increase risks.

 

Minimizing Risks

To ensure a safe and effective treatment:

Choose a Qualified Therapist: Verify that the myotherapist is registered with a recognized body, such as Myotherapy Association Australia (MAA).

Disclose Medical History: Provide the therapist with comprehensive details about your health, including past injuries, current medications, and allergies.

Communicate During the Session: Inform the therapist immediately if you feel pain or discomfort during treatment.

Follow Aftercare Instructions: Adhere to any post-treatment advice, such as staying hydrated, applying ice packs, or avoiding strenuous activities.

 

Legal and Regulatory Considerations in Australia

Myotherapy practitioners in Australia are not regulated under a national registration system like physiotherapists or chiropractors. However, as a member of a professional organization such as Australian Natural Therapists Assocaition (ANTA), I am required to maintain strict standards of practice, ethics, and continuing education.

 

Conclusion

While myotherapy is generally safe, understanding the potential risks is essential for making informed decisions. By choosing a qualified practitioner, communicating openly, and following appropriate aftercare, individuals can minimize the likelihood of adverse effects and maximize the benefits of treatment.