A client with knee pain asks, 'Do you think I tore my meniscus?' What is the appropriate response?
- Palpate the knee and tell the client what is probably torn
- Tell the client it is likely just a tight muscle near the knee joint
- Recommend a knee brace and an anti-inflammatory drug
- Explain that therapists cannot diagnose and suggest a physician
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D. Explain that therapists cannot diagnose and suggest a physician
Diagnosing an injury and recommending medication are outside the massage scope of practice; the therapist shares what was observed and refers. Reassuring the client that it is 'just a tight muscle' is still a diagnosis.
Reference: MBLEx content outline: Ethics, Boundaries, Laws and Regulations; scope of practice
A client asks whether she should stop taking her blood pressure medication now that she gets regular massage. What should the therapist say?
- She should replace it with a herbal supplement
- That is a decision to discuss with her prescriber
- She can cut the dose in half and see how she feels
- She should stop it, since massage lowers pressure
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B. That is a decision to discuss with her prescriber
Advice about starting, stopping or changing medication belongs to the prescribing provider. Any suggestion to change the dose, even a cautious one, is outside the scope of massage practice and could harm the client.
Reference: MBLEx content outline: Ethics, Boundaries, Laws and Regulations; scope of practice
Which of these is outside the scope of practice of a massage therapist?
- Applying a moist heat pack to the low back
- Cross-fiber friction to a wrist extensor tendon
- Passive stretching of the hamstring muscles
- A high-velocity thrust to adjust a spinal joint
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D. A high-velocity thrust to adjust a spinal joint
High-velocity, low-amplitude thrust manipulation of joints is reserved to professions such as chiropractic and osteopathy. Stretching, heat application and friction are standard parts of massage practice.
Reference: MBLEx content outline: Ethics, Boundaries, Laws and Regulations; scope of practice