Deep Tissue Massage: Benefits, What To Expect, And Side Effects

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Is a Deep Tissue Massage What Your Muscles Need?Medically reviewed by Deborah Weatherspoon, Ph.D., MSNWritten by Adrienne Santos-Longhurst Updated on May 4, 2023
  • Benefits
  • Comparison to Swedish massage
  • What to expect
  • Side effects
  • Finding a therapist
  • Takeaway

Deep tissue massage offers both physical and psychological benefits. It can relieve muscle pain and stiffness and provide stress-relieving relaxation for the body and mind.

Deep tissue massage is a massage technique that’s mainly used to treat musculoskeletal issues, such as strains and sports injuries. It involves applying sustained pressure using slow, deep strokes to target the inner layers of your muscles and connective tissues. This helps to break up scar tissue that forms following an injury and reduce tension in muscle and tissue.

It may also promote faster healing by increasing blood flow and reducing inflammation.

Read on to learn more about deep tissue massage, including how it stacks up against Swedish massage and what to expect during a session.

What are the benefits of deep tissue massage?

Deep tissue massage offers both physical and psychological benefits. Unlike other massage techniques that focus on relaxation, deep tissue massage helps to treat muscle pain and improve stiffness. But it can still help to you unwind mentally, too.

A 2014 study involving 59 participants found that deep tissue massage helped to reduce pain in people with chronic low back. The authors likened its effects to those of nonsteroidal anti-inflammatory drugs, such as ibuprofen (Advil).

People have also reported that deep tissue massage helps with:

  • sports injuries
  • fibromyalgia
  • plantar fasciitis
  • high blood pressure
  • sciatica
  • tennis elbow

How does it compare to Swedish massage? 

Deep tissue massage and Swedish massage are two different types of massage therapy. Both use some of the same strokes, but they have different uses and vary greatly when it comes to the amount of pressure used.

Here are the key differences between deep tissue massage and Swedish massage:

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Read more about the differences between Swedish massage and deep tissue massage.

What happens during the massage?

Before your deep tissue massage, your massage therapist will want to know about your problem areas. A deep tissue massage can involve your entire body or just one area.

Once ready, you’ll be asked to lie on your back or stomach, under a sheet. Your level of undress is based on your comfort, but the area being worked on will need to be exposed.

The massage therapist will warm up your muscles using a lighter touch. Once you’re warmed up, they’ll start working on your problem areas. They’ll use deep kneading and stroking with varying amounts of intense pressure.

Are there any side effects?

It’s not unusual to have some lingering soreness for a few days following a deep tissue massage. Using a heating pad or a cold pack wrapped in a towel may help to relieve soreness.

Though massage therapy is generally safe, deep tissue massage uses very firm pressure and may not be safe for everyone.

Speak to your doctor before having a deep tissue massage if you:

  • have a history of blood clots or a clotting disorder
  • are taking blood thinners
  • have a bleeding disorder
  • have cancer or are undergoing cancer treatment, such as chemotherapy or radiation

Anyone with osteoporosis or cancer that’s spread to the bones should avoid deep tissue massage as the firm pressure used may cause a fracture. You should also hold off on deep tissue massages if you’re pregnant. Gentler types of massage, such as Swedish massage, may be a better option.

If you have an open wound or skin infection of any kind, you’ll need to reschedule to avoid developing a new infection or making an existing one worse.

How do I find a therapist? 

If you want to try a deep tissue massage, it’s important to work with a qualified massage therapist.

To find a massage therapist:

  • ask your doctor or physical therapist for a referral
  • ask friends and family for a recommendation
  • search the National Certification Board for Therapeutic Massage & Bodywork’s database
  • use the America Massage Therapy Association’s database

As you sort through potential massage therapists, keep a few things in mind:

  • Area of focus. Not all massage therapists specialize in deep tissue massage. Some are trained in several types while others focus their practice on one or two. Be sure to ask if they offer deep tissue massage and what conditions they have experience treating.
  • Cost. Ask about the cost per session and whether they offer cost-saving incentives, such as a sliding-scale option. You might also want to check with your health insurance provider, as some cover massage therapy, especially for specific conditions.
  • Credentials. Ask for credentials and make sure that the therapist is licensed to practice massage therapy in your area. In the United States, most states regulate the massage therapy profession.

The bottom line 

Deep tissue massage is best suited for people who engage in highly physical activities, such as running, or those who have an injury or chronic pain.

If you have a low pain threshold or are looking for relief of tense muscles, Swedish massage is gentler and may be a better option. Speak with your doctor before trying deep tissue massage if you have an underlying medical condition.

 

How we reviewed this article:

SourcesHistoryHealthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.
  • Kalichman L. (2010). Massage therapy for fibromyalgia symptoms. DOI:https://doi.org/10.1007/s00296-010-1409-2
  • Kaye AD, et al. (2008). The effect of deep-tissue massage therapy on blood pressure and heart rate. DOI:https://doi.org/10.1089/acm.2007.0665
  • Koren Y, et al. (2018). Deep tissue massage: What are we talking about? DOI:https://doi.org/10.1016/j.jbmt.2017.05.006
  • Majchrzycki M, et al. (2014). Deep tissue massage and nonsteroidal anti-inflammatory drugs for low back pain: A prospective randomized trial. DOI:http://dx.doi.org/10.1155/2014/287597
  • Massage therapy for health purposes. (2016).https://nccih.nih.gov/health/massage/massageintroduction.htm
  • Massage therapy. (n.d.).http://www.cancer.ca/en/cancer-information/diagnosis-and-treatment/complementary-therapies/massage-therapy/?region=on
  • Romanowski MW, et al. (2017). Comparison of deep tissue massage and therapeutic massage for lower back pain, disease activity, and functional capacity of ankylosing spondylitis patients: A randomized clinical pilot study. DOI:https://doi.org/10.1155/2017/9894128

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Medically reviewed by Deborah Weatherspoon, Ph.D., MSNWritten by Adrienne Santos-Longhurst Updated on May 4, 2023

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