Concerns After Massage: Joint Sounds, Skin Reactions, and Health Risks

Q: Concerns After Massage: Joint Sounds, Skin Reactions, and Health Risks

Dear Mr. <br>Chen： [Feeling a popping sound in the bones during massage]： This may be the sound produced by the movement of ligaments colliding and rubbing against the bones. <br>[What bloodborne diseases can be transmitted through massage?]： The premise for bloodborne diseases i

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Hello doctor, I would like to ask about my first massage today.
It was at a regular establishment, but I am currently in Vietnam.
During the massage, I sometimes heard a cracking sound from my bones; does that indicate any joint issues? Additionally, for the massage, I was required to remove my upper clothing while I kept my lower clothing on.
I would like to know if this type of massage poses any risk of transmitting bloodborne diseases.
After the massage, I returned to my hotel and noticed some red spots on my arms.
Although they are not itchy, there is a slight pain when pressed.
I recall that some areas were quite painful during the massage.
I am unsure if this could be an injury, an allergic reaction, or if I could have contracted any sexually transmitted infections, including HIV.
Should I consider getting a medical check-up when I return home in a couple of days? Thank you.

Chen, 20~29 year old female. Ask Date: 2023/10/21

Dr. Xiao Yongxun reply Family Medicine

Dear Mr.
Chen: [Feeling a popping sound in the bones during massage]: This may be the sound produced by the movement of ligaments colliding and rubbing against the bones.
[What bloodborne diseases can be transmitted through massage?]: The premise for bloodborne diseases is the presence of wounds or skin breaks, allowing bacteria or viruses to be transmitted through blood or bodily fluids.
Theoretically, massage does not transmit bloodborne infectious diseases.
[If a certain area is quite painful during massage, could this be due to an injury, an allergy, or the transmission of a sexually transmitted infection or HIV?]: It is likely a localized inflammatory response; if there are no wounds on your body and the other person also has no wounds or bleeding, there is no reason to suspect transmission of sexually transmitted infections or HIV.
[Should I get a check-up when I return to my country next week?]: Yes, you can! However, it depends on what you want to check for.
Therefore, I recommend discussing this directly with the physician to determine which tests may be advisable.

Reply Date: 2023/10/21

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your recent massage experience. It’s understandable to have questions about joint sounds, skin reactions, and potential health risks, especially after a new experience like a massage.

Firstly, regarding the sounds you heard during the massage, such as "cracking" or "popping" noises, these are often normal and can occur when joints are manipulated. This sound is typically caused by the release of gas bubbles in the synovial fluid that lubricates the joints, a phenomenon known as cavitation. Unless you are experiencing pain or discomfort in the joints themselves, these sounds are usually not indicative of any underlying joint issues. However, if you do feel persistent pain or discomfort in the joints, it would be wise to consult a healthcare professional for further evaluation.

As for the skin reactions you observed post-massage, such as redness and slight pain, these could be attributed to a few factors. The pressure applied during the massage can sometimes cause temporary redness or even minor bruising, especially if the massage was deep tissue or if you have sensitive skin. This is generally not a cause for concern and should resolve on its own within a few days. However, if the redness persists, worsens, or is accompanied by other symptoms such as swelling or itching, it may be advisable to seek medical attention to rule out any allergic reactions or skin irritations.

Regarding your concerns about potential transmission of bloodborne diseases during the massage, it is important to ensure that the massage establishment follows proper hygiene and sanitation protocols. Reputable massage therapists should use clean linens, properly sanitize their hands, and avoid any practices that could lead to the transmission of infections. If you have any doubts about the cleanliness of the environment or the practices of the therapist, it is always best to err on the side of caution.
In terms of your specific worries about sexually transmitted infections (STIs) or HIV, the risk of transmission through a massage is extremely low, especially if there was no direct contact with bodily fluids. However, if you have any concerns about potential exposure to STIs, it is always a good idea to get tested. Many healthcare providers recommend routine screenings for sexually active individuals, particularly if there are any concerns about exposure.

If you notice any unusual symptoms in the days following your massage, such as persistent pain, swelling, or any signs of infection (like fever or discharge), it would be prudent to seek medical attention. Additionally, if you are feeling anxious about your health after this experience, a visit to your healthcare provider for a general check-up can provide peace of mind.

In summary, while the sounds and skin reactions you experienced are likely normal and not a cause for alarm, it is always best to monitor your symptoms and consult a healthcare professional if anything seems out of the ordinary. Taking care of your health is paramount, and being proactive about any concerns is a wise approach.

Best wishes for your health and well-being, and don’t hesitate to reach out if you have further questions or concerns.

Sincerely,
Doctor Q&A Teams

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