Under what condition would you perform only superficial massage of the neck, and only with a physician's clearance?

Performing only superficial massage of the neck with physician's clearance is particularly indicated for a client with severe atherosclerosis. This condition involves the thickening and hardening of the arterial walls, which can significantly increase the risk of cardiovascular problems. Deep tissue work in the neck area may inadvertently cause stress to the surrounding vascular structures, potentially leading to complications such as dislodgement of plaques or altered blood flow.

By opting for only superficial techniques, the therapist can help promote relaxation and relieve tension without placing undue stress on the cardiovascular system. This conservative approach helps ensure the safety of the client while addressing any musculoskeletal issues they may have without exacerbating their condition.

In contrast, other conditions, while they have their own considerations, do not necessitate such restrictive measures concerning the use of deep tissue work as seen in cases of severe atherosclerosis.