2. Macule
-change in surface color without
elevation or depression
-not palpable
-less than 1 cm wide
3. Patch
-a large macule
-greater that 1cm wide
-subtle surface changes such as
fine scales or wrinkling
-lesion is not palpable
LOCAL
Note: depends on the skin condition as to whether
or not it can be massaged
ie. measles would be severe, general
4. Papule
-circumscribed, solid elevation
of skin
-no visible fluid
-less than 1cm wide
Note: Do not massage if skin on papule is torn
LOCAL
5. Plaque
-a elevated area of skin
-greater than 1cm wide
-broader than it is high
-may be red or pink, scabbed or
crusted
LOCAL
Note: DO NOT MASSAGE IF INFLAMED OR SKIN IS CRACKED
6. Nodule
-solid collection of tissue
-greater than 1cm wide
-may be present in
epidermis, dermis or
subcutaneous layer of skin
LOCAL
Note: depends on the skin condition as to whether or not it can be massaged
7. Tumor
-nodule with a diameter exceeding
5cm
-an overgrowth of tissue
LOCAL
Note: may be cancerous, recommend they get it checked by physician
9. Bulla
-large vesicle
-rounded or irregularly shaped
blister containing fluid
-greater than 1cm wide
LOCAL
10. Ulcer
-open craters, often round, with
layers of skin that have eroded
-fluid may ooze from inside
-skin around may be red, swollen
and tender
LOCAL
11. Pustule
-small collection of pus in the top
layer of skin (epidermis) or in the
dermis
-frequently form in sweat glands
or hair follicles
LOCAL
12. Cyst
-epithelial-lined cavity
containing liquid, semi-solid or
solid material
LOCAL
Note: depends on the skin condition as to whether or not it can be massaged
13. Erosion
-loss of the top layer of skin
-lesion is moist, circumscribed
and usually depressed
LOCAL
14. Wheal
-rounded or flat-topped, pale red
papule or plaque
-cutaneous condition left by a
blow or as part of an allergic
reaction
LOCAL
15. Telangiectasia
-enlargement of superficial
blood vessels to the point of
being visible
-red marking on skin, resulting
from permanent dilation of
small blood vessels
-sometimes accompanied by
tingling, numbness
Note: do not use too much pressure
LOCAL
17. Cellulitis
-bacterial infection of the skin
and the tissues beneath
-tender, swelling, redness
-fever, chills, sweats
-swollen lymph nodes near infected
skin
GENERAL
18. Crust
-dried serum, pus or blood
usually mixed with epithelial and
sometimes bacterial debris
LOCAL
19. Scales
-excessive production of new skin
cells that pile up
-pink or reddish patches, sometimes
with silvery top
-may look like pustules, small red
circles or shiny reddened skin
LOCAL
20. Squames
-large scale, thickening of the skin
Note: do not massage if inflamed or chance of spreading
ie. scleroderma
21. Fissures
-a sharp-edged crack in the skin
that is usually narrow but deep
Note: depends on the skin condition as to whether or not it is general or local
ie. athlete’s foot is general
22. First Degree Burns
-superficial and causes local
inflammation of skin
-sunburn
-pain, redness, mild amount of
swelling
-tender to touch
LOCAL
Note: avoid massaging the area unless client is comfortable with it
23. Second Degree Burns
-deeper than first degree
-pain, redness, inflammtion
-blistering
LOCAL
Note: may massage in postacute stage within client’s pain tolerance
24. Third Degree Burns
-deeper than second degree
-involves all layers of skin
-kills the skin in the area
-white, leathery and tend to be
painless
LOCAL
Note: may massage in postacute stage within client’s pain tolerance
25. Frostbite
-frostnip: white, red and yellow patches
and become numb, no permanent damage
-2nd degree: skin may harden, blister 1-2
days after, may become insensitive to heat
and cold
-3rd and 4th degree: muscles, tendons,
blood vessels, and nerves freeze, skin is
hard, use of area is lost, purplish blisters
which turn black and blood filled, loss of
feeling, may lead to amputation
LOCAL
26. Acne Rosacea
-red or pink patches
-visible tiny broke blood vessels
-small red bumps
-pink or irritated eyse
-chronic, non curable skin condition
-continual flushing and blushing may
promote inflammation
Note: may get worse with local massage
27. Acne Vulgaris
-most often in teenagers
-result of overactive oil glands
that become plugged, red and
inflamed
-massage oil may make it worse
LOCAL
Note: do not massage if inflamed, oozing or painful
28. Psoriasis
-irritated patches of skin
-dry, silver, flaky skin
-pink-red in color
-raised and thick
-may have joint pain or aching
-nail thickening, yellow-brown
spots, dents on nail surface,
separation of nail from base
-dandruff on scalp
Note: massage for detoxification and stress reduction LOCAL
DO NOT MASSAGE IF INFLAMED OR SKIN IS CRACKED
29. Eczema
-inflammatory skin reaction
-vesicles followed by redding,
swelling, bumps and then crusting
of the skin followed by thickening
and scaling of the skin
-itchy and burning feeling
-may be from an allergen
LOCAL
Note: general contraindication if rash can be spread
30. Scabies
-contagious
-rash composed of small red
bumps and blisters which
may contain blood crusts
-thin, pencil-mark lines on
skin
Note: refer to Physician for diagnosis
GENERAL
31. Shingles
-highly contagious
-burning pain and sensitive skin
-collection of blisters following
the path of individual nerves
-blisters pop, ooze, and then
crust over
-may have abdominal pain,
headaches, fever and chills, joint
pain, swollen glands
GENERAL
32. Folliculitis
-scattered pinpoint
red bumps
-rash, itching, and pimples or
pustules near a hair follicle
-pimples may crust over
LOCAL
Note: massage to increase circulation and remove toxins
33. Impetigo
-bacterial infection of the skin
-highly contagious
-sores that scab with a yellow-
brown crust are the most common
sign, but other forms may involve
large blisters or ulcers
GENERAL
34. Ringworm
-fungal infection of skin
-round or oval defined edges,
scaly, crusted rash
-may itch
-may blister and ooze
-normally redder around the
outside and normal skin tone in
center
GENERAL
35. Athlete’s Foot
-fungal infection
-cracking and itchy, moist, white,
scaly lesions or sores on feet
-may have painful blistery lesions and
a strong odor
-thickened, pitted, discolored nails
that may detach
LOCAL
Note: tea tree oil may help
36. Skin Cancers
-sores that never heal or that
consistently come and go
-may resemble blisters, warts, pimples,
scars or simple unexplained bumps and
abrasions
-painless, may bleed or be itchy
-watch for asymmetry, irregular borders,
varying color
-may be small, shiny, waxy, scaly and
rough, firm and red, crusty
Note: massage for stress reduction and detoxification
LOCAL
38. Kaposi’s sarcoma
-cancerous tumor of blood
vessels and connective tissue
cells
-bluish-red or purple bumps on
the skin
-bloody sputum
-shortness of breath
LOCAL
