Safety · hot stones

Contraindications for hot stone massage: when to skip it

5 min read Updated 5 Jul 2026 ESCAPE Thai Massage, Prague

A hot stone massage is warming and deeply relaxing — but it is precisely the work with heat that means it is not suitable for some people. Let's look at when it is better to skip this method and choose another.

In short: skip a hot stone massage during pregnancy, with inflammation, circulatory problems, a fever, high blood pressure and reduced sensitivity to heat. If in doubt, consult your doctor.

Why this massage has its limits

Unlike an ordinary massage, a hot stone massage works with heat, which dilates the blood vessels and penetrates deep into the tissues. This is usually a benefit — but with certain conditions it can be harmful. We describe the effects and how it works in the article hot stone massage: benefits.

Hot stone contraindications at ESCAPE spa in central Prague
ESCAPE spa · Elišky Krásnohorské, Prague 1 – Staré Město

When to avoid a hot stone massage

How a safe hot stone massage works

We heat the stones to a pleasant, controlled temperature and always check them before applying them. If the heat were uncomfortable, we adjust it immediately. Always tell us about any health problems before the massage — in the event of a contraindication we will recommend another massage.

Not sure? We'll advise you

We will choose a massage that is both safe and pleasant for your body.

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Frequently asked questions

Can I have a hot stone massage during pregnancy?
No — heat is not suitable during pregnancy. Choose a gentle pregnancy massage.
Do high blood pressure or diabetes matter?
Yes, with both we recommend skipping a hot stone massage and choosing another option; consult your doctor.
How do I know the heat won't bother me?
Your therapist always checks and adjusts the temperature; we deal with any unpleasant sensation right away.
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