College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is the appropriate intervention when a patient with Raynaud's disease experiences increased symptoms during massage?

1. Cool to the low back

2. Cold to the extremities

3. Warmth to the extremities

4. Warmth to the back of neck

The correct answer is: Warmth to the extremities

In managing a patient with Raynaud's disease, an appropriate intervention during a massage session when the patient experiences increased symptoms is to apply warmth to the extremities. Raynaud's disease is characterized by constriction of the blood vessels in response to cold or stress, leading to reduced blood flow, often resulting in painful and sometimes debilitating symptoms in the fingers and toes. Applying warmth to the extremities helps to dilate blood vessels, improving circulation and alleviating the symptoms associated with the condition. This can promote comfort and prevent the exacerbation of symptoms during the massage. Warmth increases blood flow and can help reduce the pain and discomfort that often come with increased symptoms of Raynaud's disease. While other options may seem viable, they do not address the root issues associated with Raynaud's. Cooling the low back, applying cold to the extremities, or providing warmth to the back of the neck may not be as effective at directly relieving the vascular constriction experienced in the hands and feet. Consequently, focusing on providing warmth specifically to the affected extremities ensures the most appropriate intervention.