As Massage and Soft Tissue Therapists we have always had to pay close attention to contraindications and the symptoms or conditions which we believed could be made worse by our hands-on treatment. As we understand more now about the mechanisms and effects of our techniques we are realising that there are fewer situations where it is contraindicated than we used to think. However, we must broaden our awareness and also consider situations that require special caution or which may indicate a more serious Red Flag condition.