Which of the following is a contraindication for manual therapy?

• A. All of the above
• B. Unhealed fractures
• C. Blood clot
• D. Acute sprains/strains

Answer: (A)

Manual therapy should be avoided whenever applying hands-on techniques could cause harm. Each of these conditions fits that rule: unhealed fractures risk displacement or disruption at the fracture site if moved; a blood clot raises the danger of embolism with any added circulation or pressure changes; and an acute sprain or strain involves active tissue damage and inflammation, where manipulation could worsen pain, swelling, or tissue injury. Because all of these are contraindications, the overall correct choice is the one that includes all of them. In practice, you would pause manual therapy in these situations and pursue other rehab approaches appropriate to the stage of healing.