This topic is about how to disclose having an ostomy to a massage therapist, especially when seeking relief for shoulder injuries. Here are some helpful tips and insights for navigating this situation:

1. Be straightforward: When filling out the intake form or speaking with the therapist, simply mention, "I have an ostomy." A knowledgeable, licensed massage therapist should understand what this means. If they don't, it might be worth considering another therapist.

2. Prepare beforehand: Empty your pouch right before the appointment to reduce the risk of any leakage or ballooning during the session.

3. Positioning: Lying on your stomach is generally safe for the stoma. However, if it feels uncomfortable, don't hesitate to ask for adjustments, such as side-lying or seated positions. Most therapists can modify their techniques to accommodate your needs.

4. Consider chiropractic care: Some people find chiropractic adjustments helpful for shoulder and back issues. Look for practitioners who are open to adjusting positions to protect your stoma, whether you are lying down, seated, or side-lying.

5. Set clear boundaries: If a therapist seems unsure or disregards your instructions, it's important to communicate your boundaries clearly. If necessary, stop the session and leave.

6. Use heat or ice packs: If lying face down is uncomfortable, you can apply heat or ice packs while seated to help with any discomfort.

7. Massage tables vs. dentist chairs: Many find that massage sessions are generally easier to manage than dental appointments, especially once the pouch is emptied.