New requirements and training for specialized services may affect your practice. The Nevada Board of Massage Therapy (Board) adopted new rules effective December 18 that clarify professional standards and ensure client safety. Here’s how the rules update draping requirements and detail when breast massage may be permitted for therapeutic or medical purposes.
Draping and Consent
Massage therapists must continue to drape clients so that genitals, gluteal cleft, and breasts remain covered. This rule now applies to structural integration practitioners.
Massage therapists and structural integration practitioners must receive informed, written consent on a Board-approved form before performing breast massage and a valid prescription or referral from a qualified medical professional (see list below). Practitioners must conduct a consultation at least 24 hours before treatment and obtain verbal permission right before uncovering the breast.
Permitted Breast Exposure
For non-female clients, exposure is permitted. For female clients, exposure is allowed only for therapeutic or medical purposes, such as:
- Reducing scar tissue after surgery
- Releasing myofascial binding
- Improving lymphatic flow
Education Requirements
Practitioners must complete 48 hours of in-person continuing education in any of the following areas:
- Breast anatomy and physiology
- Pathology, indications, and contraindications
- Therapeutic treatment and client safety
- Lymphatic massage, myofascial release, oncology massage
Qualified Medical Professionals
Referrals may come from physicians, physician assistants, advanced practice nurses, physical therapists, occupational therapists, psychologists, chiropractors, or doctors of Oriental medicine.
Enforcement
The Board will revoke a practitioner’s license if they expose a female client’s breast without meeting these conditions. Revoked licenses may be reinstated after three years.