You should avoid performing massage manipulations on clients with all of the following EXCEPT:

You should avoid performing massage manipulations on clients with all of the following EXCEPT:

• A. Stroke
• B. Tense Shoulders
• C. Arthritis
• D. High blood pressure

Answer: (B)

Understanding when massage manipulations are appropriate in a nail service hinges on recognizing conditions that require caution or medical clearance. A client with tense shoulders is not a contraindication; these muscles often respond well to massage, with relief from tightness and improved circulation when pressure and technique are tailored to comfort. In contrast, a history of stroke, active arthritis flare, or uncontrolled high blood pressure typically warrants avoiding manipulations or seeking medical clearance before proceeding, because these situations can introduce risks such as cardiovascular strain, pain amplification, or joint instability. So the best choice is that tense shoulders can be worked on with massage, while the other conditions generally require caution or medical guidance.

Understanding when massage manipulations are appropriate in a nail service hinges on recognizing conditions that require caution or medical clearance. A client with tense shoulders is not a contraindication; these muscles often respond well to massage, with relief from tightness and improved circulation when pressure and technique are tailored to comfort. In contrast, a history of stroke, active arthritis flare, or uncontrolled high blood pressure typically warrants avoiding manipulations or seeking medical clearance before proceeding, because these situations can introduce risks such as cardiovascular strain, pain amplification, or joint instability. So the best choice is that tense shoulders can be worked on with massage, while the other conditions generally require caution or medical guidance.