Your skin is your body’s largest organ and what you put on it and how you treat it really does matter. It is also your first-line of defense against the numerous toxins and infectious organisms you come into contact with every day. If you have cancer or have been treated for cancer in the past, these recommendations are important.
General Recommendations:We highly recommend that before you head out to the spa/salon, seek out aestheticians or massage therapists who are trained in Oncology Esthetics® or Oncology Massage Therapy. Additionally, ask your oncology providers for their recommendations on reputable spas/salons and on whether they have any specific concerns or risks pertaining to your situation. You can find oncology-trained aestheticians and massage professionals on these websites:
Common Sense Guidelines:
- Just because a product claims to be organic or natural (i.e. ‘natural ingredients,’ ‘not tested on animals,’ etc.) does not mean it is necessarily safe to use for your particular circumstances.
- Always discuss skin care products with a salon/spa professional who is experienced in working with cancer patients.
- A great online resource to learn more about skin care products is The Campaign for Safe Cosmetics.
- Watch this enlightening 8-minute video on what is in your cosmetics:
- The Environmental Working Group’s “Skin Deep” is another excellent resource to help you find safer skin care products.
- Massage techniques, body positioning and areas to avoid should be modified based on the specific treatments and side effects unique to each patient.
- According to the Society for Oncology Massage, “When you are receiving an oncology massage, you are receiving traditional, established massage therapy techniques that have been adapted to account for your unique health situation. The changes that might be made to a massage that make it an oncology massage can fall under any number of categories, but typically they will be related to session length, pressure, positioning and areas of specific compromise or concern like mediports, bone metastases or skin reactions to treatment.”
- It is important for your massage therapist to know where any tumors are located in your body. This can help them make modifications in their technique, pressure and joint movements. Massage over superficial tumor sites is typically contraindicated. If the tumor is in a deep location (i.e. lung, pelvis), modifications to technique may still be indicated but massage over these sites is permissible. Bone metastases can predispose to fracture or pain, especially with heavy pressure, torque or forceful movements.
- Cancer patients and survivors may have side effects, complications or other concerns relating to their cancer or treatment. As such, additional massage or positional modifications may be needed (examples):
- Reduced massage pressure for individuals with a history of blood clotting, bleeding, neuropathy or pain.
- Predictable rhythms and slower speed massage for individuals who are experiencing nausea.
- Shorter massage sessions for individuals with a fever or are fatigued.
- Limb avoidance or technique adjustments may be needed in any patient who has had lymph node surgery or radiation to reduce the risk of exacerbating lymphedema.
- Learn more about lymphedema in my review paper.
- Existing lymphedema should only be managed by specially trained therapists (find a qualified lymphedema therapist here).
Appearance Recovery During Cancer Treatment:At the beginning of your cancer journey or anytime before, during or after treatments, there are many things you can do to help ensure your appearance remains as normal (under the circumstances) as possible. Let you medical team know that you would like to be able to go to a salon or spa for hair, skin and/or nail services. Ask them to provide you with a list of possible treatment-related side effects that might impact your skin, hair and nails. You may be able to circumvent some of these through a variety of strategies before treatment. Oncology-trained salon/spa professionals will likely ask you to obtain a medical release note from your medical providers to indicate limitations, if any. Cancer treatments can cause short-term or permanent side effects on the skin, hair and nails may include:
- Radiation therapy – hair loss (alopecia), skin inflammation, discoloration and scarring
- Chemotherapy and some other drugs – hair loss, skin sensitivity, skin rashes and dryness, nail changes (texture, coloration, nail loss)
- Surgical procedures – inflammation, scars and bruising
Recommendations After Cancer Treatment:Even after your cancer treatment is over, your skin has a memory and does not forget the damage or inflammation from the past. So, you still need to be careful in how you treat it.
- Radiation therapy can cause either thinning of the skin in the area radiated or scarring/fibrosis (thickening of the skin), impaired circulation of blood or lymph fluid (lymphedema) and increased sensitivity to chemicals, ultraviolet light and heat.
- Cancer drugs can cause scarring of the skin or make the skin more sensitive to chemicals and ultraviolet light.
- Surgery can lead to impaired blood and lymph circulation, thinning or scarring of the skin, decreased skin pliability and limitations in limb range of motion.