Massage a Client with an Ear Infection

When I began giving massages, I learned something with each client. Everyone has their own needs, wants, and at times, IDiosyncratic challenges. One such challenge? Giving a massage to a client with an ear infection. You might say, “Why would anybody get a massage if they’re going through that?” But here’s the deal — I’ve come across clients who walk into me, not just for de-stressing, but because they think massage can ease the discomfort that comes with other ailments.

As a massage therapist, or even as someone who is just curious about how to help someone with an ear infection, you need to proceed with care, caution, and empathy. I’m going to give you a framework to navigate this and help your client feel safe and massage a client with an ear infection.

First, let’s dissect what an ear infection is. It’s basically inflammation caused by bacteria or viruses, and it can be excruciating. Symptoms can include ear pain, pressure, swelling or even a low-grade fever. For some cases, even micro-movements of the head or neck are enough to trigger discomfort.

When a client with an ear infection arrives for their massage, your first instinct might be, “Should I even be massaging them?” And the answer is yes — in most cases! However, you have to change your way of thinking. Always listen to your client, and work within the physical capability of the body! We should never aim to make their pain or symptoms worse.”

For example, some massage techniques can relieve tension around the neck, shoulders and head. And that, in turn, may help circulation and alleviate certain discomfort associated with an ear infection. Note, this is not to cure the infection — that’s a doctor’s job — but rather to give your client some relief.

As soon as a client tells me that they have an ear infection my first step is to ask some questions. So I can say things like, “How are you feeling today? Is there something specific I need to know about your discomfort?” That important talk helps me personalize the session.
You’ll have to invite them to describe how bad their symptoms are. Clients who are experiencing significant pain or swelling may not feel like moving too much. If they seem unwell or have a fever, I’ll recommend they reschedule. Fever often indicates the infection is still ongoing and it’s best for them to rest.

Once you’ve ensured the client can be safely massaged, take precautions. Comfort should be getting a lot of attention. I say to my clients, “If anything feels wrong or doesn’t feel right, please say so. This lets them know it’s perfectly fine to hit pause or shift gears at any time.

Now, let’s speak of the massage. With the person having an ear infection, I try to keep away from the ear in problem and as much surrounding area unless they specifically ask for work there. All miracles can be done with reflexology, lymphatic drainage and some head or neck massage techniques.

Lymphatic Drainage Massage

One of the least aggressive and most effective massages one can give clients with an ear infection. I then apply light, sweeping motions to the lymph nodes surrounding the ears, neck and collarbones. These movements help drain some of the fluid that accumulates, Lymphatic Drainage Massagewhich might reduce swelling and pressure around the infection.

For instance, I would trail my hands just beneath the ear in gentle circles toward the neck. When done right, it can increase blood flow and allow the body to work more effectively.

Neck and Shoulder Massage
The neck and shoulders are especially common areas for tension to build, especially if someone is dealing with pain. This region can be operated without any problem even if the ear is infected. You can apply basic kneading and rolling techniques to help alleviate tightness here.

I always like to take a few minutes to gently stretch my client’s neck. That can make it a more casual atmosphere and help take the edge off any discomfort they may be feeling.

Scalp Massage

If my client’s up for it, a light scalp massage can be amazing. It may sound unrelated to the ear, but there are many nerves in this area, believe me. You can gently massage with fingertips (be careful with pressure) to release tension.
When I do these techniques, I’ll always check in, “Does this pressure feel okay? It’s a simple question, yet it guarantees that my client feels relief, not more stress.

Fly With Two Covered Ears

I can’t stress this enough. Avoid applying any pressure to an inflamed ear or surrounding tissue. Even with good intentions, this can bring about a lot of needless suffering. If my client says they’re in pain even lying on their side, I’ll adjust the setup of the massage table, so that they’re able to stay upright, or at least semi-reclined.

Hygiene is another crucial thing you must remember. Built up bacteria due to ear infections can spell trouble during a massage session. Be sure to wash and sanitize your hands (I wash mine several times) before you lay a hand on the client. It’s routine in our line of work, but with something like this, it’s all about no shortcuts.
I also disinfect the massage table and equipment before and after each session. If you happen to have a client file with a note about ear infections, and it has visible drainage included (not common, but it does happen), ensure that you always run a disposable cover on the face cradle or headrest.

Most important, don’t ever attempt to “treat” or “fix” a medical problem that’s outside your jurisdiction. An ear infection requires antibiotics or organizes a medical plan correctly, so be sure to encourage your clients to see a doctor if they haven’t already.

After the session, I do like to check in with my clients as they leave. I’ll ask, ‘How do you feel now? Did the massage released some of the tension?” These feedbacks are very useful because it helps me to improve my techniques.

I tell clients struggling with ear infections to drink a lot of water. Massage can relieve tension and boost circulation, but hydration aids the elimination of toxins and supports the recovery process. At home, I also recommend warm compresses or gentle stretches to keep their muscles relaxed. Sometimes simply holding a warm washcloth near the affected ear (but not touching it) can also ease pain.
Most importantly, remind them that self-care is fundamental. Attending to their body and taking it easy can help prevent additional aggravation. It is your job just to help them with healing, not to take the place of medical intervention.

At first, massaging a client with an ear infection can sound scary and even overwhelming. With proper techniques, and some extra empathy, you can truly improve their comfort and quality of life. Never forget that the client’s needs always come first. Ask questions, stay present, and listen for their answers — during the entire session.

I’m also a massage therapist with subsections of this at Raleigh Massage if you have one that suits you! For whatever it is, whether relaxation or relief, I am here to help you feel your best.