Using Topical Ointments in Your Practice
I’ve been noticing an increase in massage therapists adding ointments during/after a massage treatment. This can be an excellent add-on as well as home-care tool for clients. However, we need to be sure that we are utilizing them with care.
⚠️ Please note that standard of practice on topical use will vary based on your governing body.
Client Safety
Always check the client’s health history for allergies and sensitivities.
Do not apply to compromised skin.
Perform a patch-test.
Informed Consent
Have you ever been non-consensually doused with peppermint oil? I have! Right over my eczema patch on my neck no less. 🤦🏼
Always explain what/why you are recommending a topical and receive permission.
Medication considerations
Some ointments are contraindicated while using certain medications (for example, products containing methyl salicylate are contraindicated if you are taking blood-thinning medications).
Scope of Practice
Follow your governing body’s guidelines for applying products and selling products in your clinic.
From my research, RMTs across Canada are not allowed to apply prescription medications or products with cannabis/CBD.
Product Transfer
Always wash your hands.
Be sure to avoid touching your eyes and tell this to clients as well. (Spicy eyes!)
Heating/Cooling
Products that have a heating or cooling effect often warn against using a heating pad in the area.
Evidence-Based Considerations
Do not make claims that cannot be backed by research. Do not overstate effectiveness.
Hygiene
Be aware of how you are distributing products so as not cross-contaminate between clients. Sprays are an easy option. Do not use roller-balls. For products in tins/sticks, a single use popsicle stick or small washable spoon should be used instead of your finger or applying directly to the client.
Documentation
In the client’s chart, document what product you used and in what area.
Closing thoughts
Treat topical ointments like any other part of your practice. Screen for contraindications, obtain consent, apply appropriately, and document.
If using topicals in your practice is something you’d like to add, this course on safe essential oil use is a must:
