Hawaii Massage License Practice Exam

Your client is lying in the supine position and complains of lower back pain. What is the first action you should take?

1. Apply a hot pack

2. Place a pillow under their knee

3. Reposition them onto their side

4. Suggest they stretch

The correct answer is: Place a pillow under their knee

Placing a pillow under the client’s knees while they are in the supine position is an effective way to alleviate lower back pain. This action helps to maintain the natural curve of the spine, reducing stress on the lumbar region and providing support to the lower back. Elevating the knees can relieve pressure on the lumbar discs and ligaments, potentially offering immediate comfort and relaxation. In contrast, applying a hot pack might provide temporary relief but often isn’t the first step. It may not address the root cause of discomfort effectively compared to adjusting support through positioning. Repositioning the client onto their side could be appropriate in some situations, but it may not be necessary right away and could cause discomfort if not done carefully. Suggesting stretches may also be beneficial, but in the moment of acute pain, it might be inappropriate as the client may not be able to perform those movements safely or comfortably. Therefore, placing a pillow under the knees is the most suitable initial action.