Is deep tissue massage always safe?
Many types of massages have become popular of late, and one of them is the deep tissue massage. However, if you are looking to book a deep tissue massage session with your therapist, it is first important to understand the risks of deep tissue massage along with its benefits.
A deep tissue massage can work out stubborn knots and tension from your muscles, but there are certain side effects of massage therapy that you should be aware of. Deep tissue massage is not suitable for everyone, and the negative effects of deep tissue massage can sometimes be felt by certain individuals more than others.
Here, we will take a look at the various risks, side effects, and dangers of deep tissue massage to help you make an informed decision at the end of the day.
What is deep tissue massage?
A deep tissue massage is a special massage therapy technique that helps address strains and sports injuries associated with the musculoskeletal system in our body. Deep tissue massage uses slow, deep strokes with continued pressure. This technique helps target the inner layers of muscles and the connective tissues of our body.
As a result of the technique it uses, therapists can break down scar tissue, provide relief from muscle tension, and improve flexibility. A deep tissue massage can also improve the body’s healing process by encouraging blood circulation and minimizing inflammation.
A Report published by T.D. Pystupa, University School of Physical Education, Wroclaw, also states that deep tissue massage can help reduce blood pressure levels in the body.
Common side effects of deep tissue massage
While deep tissue massage offers many benefits, you also need to be aware of its side effects. By staying informed about the potential dangers of deep tissue massage therapy, you will be able to judge whether or not to opt for one.
Muscle soreness after massage therapy
Muscle aches and soreness are common after a deep tissue massage. This is the result of the stimulation of muscle fibers that happens during the massage. In most cases, this soreness is temporary and lasts a few days. However, in case the pain does not subside after a few days, it’s best to consult your physician.
Bruising and tissue damage
Another side effect of deep tissue massage is the bruising that you might face after it. Though it is not as common as soreness, it is not a rare occurrence. With that in mind, it is important to discuss any pre-existing conditions you might be suffering from with your massage therapist before your session begins to avoid complications like tissue damage or excessive bruising.
Fatigue or dizziness post-massage
Though fatigue and dizziness after a massage are not uncommon, they can be another side effect you might experience. This is true especially if you haven’t eaten beforehand or if you get up too quickly after your session.
Since deep tissue massage affects circulation, it can sometimes lead to dizziness or mild nausea. Talk to your therapist beforehand about what precautions you can take to avoid this problem after your massage.
Serious risks and complications of deep tissue massage
Most side effects one might face after a deep tissue massage are usually temporary. However, certain serious risks and complications can arise after a deep tissue massage if the technique is not carried out properly.
Risk of nerve damage from massage
If excessive pressure is applied during a deep tissue massage, it can sometimes cause nerve damage if the nerve remains compressed too long because of the pressure of the massage. Though this is rare, it is one of the more serious after effects of deep tissue massage sessions.
Any time you feel any numbness, tingling, or sharp pain during your session, inform your therapist immediately.
Blood clots and deep vein thrombosis (DVT) risk
Of the dangers of deep tissue massage therapy, the formation of blood clots and the risk of deep vein thrombosis also exists. Though blood clotting is our body’s way of preventing excessive bleeding after an injury, sometimes clotting can lead to blood clots or deep vein thrombosis (DVT).
DVT is a condition where clots form in the legs, usually due to inflamed or blocked blood vessels, prolonged sitting, or weakened veins. Though deep tissue massage does not result in the formation of blood clots, it can lead to them being dislodged, thus adding to the potential of the DVT risk.
Bone fractures in vulnerable individuals
Anyone who is suffering from osteoporosis or cancer that’s spread to the bones should avoid deep tissue massage. This is because the firm pressure that is applied during the session could potentially cause a fracture.
Infections and skin complications
If you have any active skin conditions, open wounds, burns, rashes, or even a contagious infection, you need to avoid massages. Conditions like psoriasis or eczema may also worsen if not handled well during a deep tissue massage session.
When pressure is applied to broken or inflamed skin, you can feel discomfort. The healing process of the skin also slows down, and the risk of infection increases. Contagious skin conditions can also spread to your therapist and other clients if not managed properly.
Contraindications: Who should avoid deep tissue massage?
Though massage therapy undoubtedly provides benefits like stress relief, improved circulation, and enhanced recovery, it’s not suitable for everyone. Here’s a look at who should avoid deep tissue massages.
Individuals with blood clotting disorders
Individuals who suffer from blood clotting disorders should best avoid deep tissue massage sessions. This is because one of the side effects of deep tissue massage therapy is its potential to dislodge existing clots or increase the chances of clot formation. This could prove to be quite dangerous if not addressed or avoided.
Recent surgery recovery patients
If you are someone who is recovering from a recent surgery, then it is best to avoid deep tissue massage, especially around the surgical site. This is because the pressure applied during the massage can interrupt the body’s healing process and cause discomfort.
Cancer patients undergoing chemotherapy
As chemotherapy can lead to a reduction of both red and white blood cells in the body, it increases the risk of bruising and bleeding. If deep massage techniques are used on a person undergoing chemotherapy, it can result in small bleeds or bruises, aggravating the issue.
Pregnant women and massage risks
Though the right massage techniques during pregnancy can help ease aches and pains, deep tissue techniques are generally not recommended for expectant mothers. This is because the strong pressure can be too much for both the mother and baby.
Osteoporosis or bone disorders
If you are suffering from any bone disorders like osteoporosis, it is best to avoid a deep tissue massage session. The pressure applied during the deep tissue massage could lead to fractures because of the existing fragility of the bones.
How to ensure a safe deep tissue massage
There are a few sure-shot ways to ensure a safe deep tissue massage experience for you.
- Choose a Qualified Therapist: Look for a therapist who has a proper certification, license, and experience in deep tissue techniques.
- Talk to your therapist: You must discuss any areas of discomfort, medical conditions, or preferences that you might have with your therapist before the massage session begins. This will help your therapist customize your treatment and provide a safer experience.
- Feedback During the Session: If at any time during the massage session you experience pain or discomfort, let your therapist know immediately. This will help your therapist change their approach during the massage to ensure comfort and prevent injury.
Post-massage care tips for optimal recovery
There are certain post-massage care tips that you can follow to ensure you recover well after a deep tissue massage session.
- Hydrate: Drink plenty of water after a massage. This will help flush out toxins that are released during the massage and decrease the chances of post-massage soreness. Avoid caffeine or alcohol in this instance.
- Stretch: Stretch lightly after your massage session to maintain the muscle flexibility that you got from the therapy session and prolong the benefits of the massage.
- Ice and Heat Therapy: For post-massage soreness, apply ice packs as they can help reduce inflammation. Heat therapy, on the other hand, relaxes muscles and decreases any discomfort you might be feeling.
- Do not strain yourself: Intense physical activities after a massage session are not recommended, as your muscles need time to recover from the massage session. Such activities could hamper the recovery process.
Safer alternatives for at-risk individuals
The good news is that even for at-risk individuals who cannot get a deep tissue massage, there are several safer alternatives to reduce muscle tension and promote relaxation.
Swedish massage for gentle muscle relief
Swedish massage is a gentle technique that focuses on long, flowing strokes to provide benefits like better blood circulation and reduced muscle tension in the body. This makes it a good alternative to deep tissue massage.
Myofascial release techniques
With the Myofascial release techniques at play, you experience a gentler way of relieving tension in the fascia, which are the connective tissues that surround the muscles. This technique uses continued, light to moderate pressure and a bit of stretching, making it safe for at-risk individuals.
Physical therapy for pain management
Physical therapy is a safe and effective alternative as it has targeted exercises, manual therapy, electrical stimulation, etc, to help reduce pain, strengthen muscles, and improve mobility. This is done without the intense pressure that accompanies deep tissue techniques.
Physical therapy is particularly beneficial if you are recovering from injuries or have conditions like arthritis or osteoporosis.
Final thoughts: Stay informed and prioritize safety
Though a study published in The Scientific World Journal in 2014 found that deep tissue massage helped reduce the lower back pain individuals had to deal with, it is important to understand when this massage technique is not ideal for you.
There is no doubt that deep tissue massage is effective in helping relieve chronic pain and tension. However, there are a few side effects of this massage therapy that you need to be aware of to make an informed decision and opt for a safer massage practice, especially if you have any underlying health issues.
FAQs about the risks of deep tissue massage
Is deep tissue massage dangerous for everyone?
No, deep tissue massage isn’t dangerous for everyone. However, it is not the best option for individuals who are suffering from certain medical conditions or someone who have a higher risk of injury. This can include individuals suffering from blood clotting disorders, osteoporosis, cancer patients going through chemotherapy, or someone who has had a recent surgery.
Can deep tissue massage cause nerve damage?
Though it is rare, if excess pressure is applied, then deep tissue massage can cause serious nerve injuries.
What are the side effects of deep tissue massage?
Some of the side effects of deep tissue massage include:
- Muscle soreness
- Bruising and tissue damage
- Dizziness or nausea
- Nerve damage
- Possible fracture in at-risk individuals
- Blood clots or DVT in at-risk individuals
Who should avoid deep tissue massage?
Certain individuals need to avoid deep tissue massage, including:
- Individuals who have blood clotting disorders
- Someone who is recovering from a recent surgery
- Cancer patients undergoing chemotherapy
- Pregnant women
- Those suffering from bone disorders
How can I ensure a safe massage experience?
There are certain precautions you can take to have a safe massage experience:
- Choose a qualified and experienced massage therapist
- Openly communicate with your therapist about any underlying health conditions you might have so that they can customize your treatment accordingly.
- Give your therapist feedback during the session, especially if you experience pain.
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