Crohn's disease is a contraindication for deep abdominal techniques.

• A. True
• B. False
• C. Not sure
• D. Only sometimes

Answer: (A)

Focusing on safety in manual lymph drainage, Crohn’s disease involves inflammatory changes in the bowel that can make the abdominal tissues fragile and sensitive. Deep abdominal techniques apply more substantial pressure and work through the abdominal wall, which can irritate the bowel, worsen inflammation, or risk discomfort and complications if there are active flares, strictures, fistulas, or abscesses. Because of these potential risks, deep abdominal MLD is contraindicated during active Crohn’s disease. Superficial or other non-abdominal approaches may be used instead, and any deeper work should wait until the disease is in remission and cleared by a clinician.