Which of the following is an absolute contraindication to massage therapy?

• A. Chronic mild knee pain
• B. Acute fever/illness
• C. Seasonal allergies
• D. Sore muscles after workout

Answer: (B)

Acute fever or illness is an absolute contraindication because the body is actively fighting infection, and massage can increase circulation and lymphatic flow in a way that may spread infection, raise metabolic stress, or worsen symptoms. Delaying treatment until the fever resolves and the person is fully well helps protect both the client and the practitioner.

Chronic mild knee pain isn’t an absolute issue; therapists can modify technique, avoid the inflamed area, and use gentler work or supportive modalities. Seasonal allergies and post-workout soreness are also not absolute contraindications—their management simply involves adjusting pressure, technique, or duration to promote comfort and relief.