Can a massage affect your epilepsy?

Before every Urban treatment, your therapist will ask a few quick questions about your health. It’s not just small talk — it’s to make sure your massage is safe and tailored to you.

For most people, that might mean working around a sore spot or pregnancy. But for some conditions, like epilepsy, it takes a little extra care.

Why it’s important to talk to your pro

Epilepsy affects the brain, so it might not seem like something that impacts your massage — but it can.

If you have epilepsy, it’s always best to check in with your GP first, and let your therapist know before your session begins. This helps them choose the right approach, pressure, and techniques for you.

According to UK equality laws, everyone has the same right to access beauty and wellness treatments. So there’s no reason to miss out — it’s simply about finding the safest, most relaxing experience possible.

As Nicola Swanborough from the Epilepsy Society explains: “Massage promotes wellbeing and reduces stress for people with epilepsy and can be used alongside any epilepsy medications they are taking. Where seizures are triggered by stress, a massage that helps reduce stress may, for some people, also help reduce seizures.”

That means a calm, restorative treatment could actually help you manage triggers like stress, tension, and poor sleep.

The best massage types for epilepsy

There’s no one-size-fits-all answer — it depends on your type of seizures and how your body reacts.

Massage therapist Dianne explains:

“For those with tonic-clonic seizures, it can be beneficial to work on the body and limbs, as these areas often contract during seizures.”

Generally speaking:

• Hot stone and grounding head massages are considered safe and deeply relaxing

• Energy work to the head should be avoided

• Reflexology can be a great choice if stress is a trigger — but too much stimulation might have the opposite effect

The golden rule? Book with a therapist who understands epilepsy and always mention it when you schedule your treatment.

Aromatherapy and essential oils: What to avoid

Certain essential oils can increase the risk of seizures — including fennel, rosemary, and sage.
If your treatment includes aromatherapy, ask your therapist (or your doctor) for a full list of oils to avoid.

Instead, go for calming options like ylang ylang, chamomile, or lavender — all known for their soothing, stress-relieving effects.

And make sure your therapist is a qualified aromatherapist, so they can safely adapt the blend for you.

If you’re on a ketogenic diet

Some people follow a ketogenic diet to help manage epilepsy symptoms. If that’s you, mention it when booking.

Side effects like dizziness, fatigue, or nausea can influence how your therapist positions you and how the session is paced — all to make sure you’re comfortable and get the most from your treatment.

The bottom line

Every person – and every experience with epilepsy – is unique.

The key to a safe, restorative treatment is open communication. Tell your therapist before you begin, share how you’re feeling, and never hesitate to ask questions.

Because when your therapist knows your body, they can help you feel your best — safely, confidently and completely relaxed.