15.
A client has been diagnosed with TMJ dysfunction and typically requests deep, focused massage around the head, neck and jaw to release tension. This morning, before a scheduled massage, the client visited a dentist for a checkup and ended up needing some additional work. The dentist gave the client a local anesthetic which still has an effect on the client. How should the therapist proceed with the typical jaw work that the client requests?
a. Go extra deep to take advantage of the local anesthetic
b. Work the area as normal
c. Work in the area but use caution
d. Avoid the area for this session
Explanation: A local anesthetic to the jaw will numb the area and prevent the client from giving appropriate feedback. Also, there might be an issue related to the dentist visit. If there is tissue damage, the client will not be able to tell until after the anesthetic has worn off. This could put the massage therapist at risk for injuring the client. It is recommended to avoid the area until the client has healed, long after the anesthetic has worn off.