SATCC issues updated guidance on using heat in spa treatments for cancer patients

By Wendy Golledge

16 October 2025

satcc.co.uk

The Standards Authority for Touch in Cancer Care (SATCC) has revealed updated research and guidance on the use of heat in cancer touch treatments.

Heat has historically been an area of caution for spas offering treatments to anyone undergoing a cancer journey. New analysis of research in this field now provides clarity on how best to use heat during touch therapies for anyone with a cancer diagnosis.

The data is based on the latest research from Anna Campbell MBE, a professor at Edinburgh Napier University. She is also on the World Health Organisation (WHO) Cancer Rehabilitation 2030 working group and an adviser to the SATCC.

“The increasing spotlight being shone on the importance of holistic care for cancer patients is essential for supporting people on a human level during and beyond medical treatment. The more knowledge with which we can empower therapists and patients, the better.”

Sue Harmsworth MBE

Founder and chairman, SATCC

“At the SATCC we welcome this increasing level of understanding,” said Sue Harmsworth MBE, founder and chairman of the SATCC. “I congratulate Anna and her researchers on their continued efforts to bring greater clarity and make such an important difference.

“Anna has been instrumental in the implementation of evidence-based exercise programmes for people affected by cancer around the world. She continues to help us gain greater insights and more detailed knowledge to help therapists and wellbeing practitioners.”

The new heat guidelines

• The safe upper limit for heat during treatments is 42°C (107.6°F)

• The application of heat in touch therapy is safe for those living with cancer and those currently undergoing chemotherapy or other cancer treatments up to this limit

• Therapists are advised to avoid static heated tool placement and always keep tools such as such as stones, shells and poultices moving

• For those at risk of or suffering lymphoedema, therapists should avoid direct and indirect heat treatments on affected limbs. Research indicates lymphoedema risk is highest for clients who’ve had lymph nodes removed or received radiation targeting lymph areas within the last three years

• It’s advised therapists avoid direct heat therapy on recently radiated or operated skin, or sites with implanted devices such as a PICC line

• Therapists should avoid all areas of impaired sensation/neuropathy

• The specifics of individual wants and needs will remain dependent on personal experiences and the type of treatment they’re experiencing, as well as the type and stage of cancer and treatment.

Using thermal facilities

During cancer treatments such as chemotherapy, immunotherapy and radiotherapy, the safest recommendation remains to avoid the use of thermal facilities including hot tubs, steam rooms and saunas.

Because the body may already be challenged, thermal facilities could lead to increased risk of dehydration, infection, cardiovascular stress, skin changes and lymphoedema.

“It is important that therapists and wellbeing practitioners continue to develop their practice based on current evidence in order to provide a safe and effective service,” said Prof. Campbell.

“At the SATCC we are committed to ensuring all therapists, spas and salons delivering touch for cancer treatments are supported with the most up-to-date, evidence-based guidance,” added Harmsworth.

“As such, we continue to review and share emerging research so our professional community can confidently deliver safe, inclusive and effective therapies for people living with cancer.”

Living with Cancer Retreat

The SATCC has also announced the launch of its first Living with Cancer Retreat. The four-night stay at Carden Park Hotel and Spa will include therapies, talks and practical, holistic support for anyone who’s experienced a cancer diagnosis.

The event will be led by Sue Harmsworth and Prof Campbell. “The Living with Cancer Retreat has been a long time in the making, and will really set out an offering like no other for cancer patients in the UK,” said Harmsworth.

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