Burns to the skin can be caused by direct contact with fire, overexposure to the sun, electricity, radiation, toxic chemicals, hot liquids, hot vapor or extreme cold. Anything in the temperature extremes can cause the skin to burn, and cells to die. First degree burns have only mild inflammation and some redness. Second degree burns result in blistering and may damage deeper epidermal layers. Third degree burns affect the dermis and may result in the charring of tissue.
Massage should not be administered directly on burned areas. During the latter stages of healing, massage may be used to reduce scarring and improve flexibility.