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What is deep tissue massage?

What is deep-tissue massage?

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:

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:

  • Intended use. Deep tissue massage is primarily used to treat chronic pain and muscle and sports-related injuries. Swedish massage is mainly used to promote relaxation and reduce muscle tension caused by everyday activities, such as sitting at a computer.
  • Pressure. Swedish massage is a gentler form of massage that uses far less tension than deep tissue massage. Both types involve use of the palms and fingers to knead and manipulate your tissues, but the elbows and forearms may also be used to apply increased pressure during a deep tissue massage.
  • Area of focus. Deep tissue massage targets the inner layers of your muscles. It’s used to treat muscle and tendon injuries, pain, and stiffness in your major muscle groups and joints. Swedish massage targets the superficial layers of muscle and focuses on the parts of your body that tend to hold the most tension, such as your neck, shoulders, and back.

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, maybe a better option.

If you have an open wound or skin infection of any kind, you’ll need to reschedule to avoid developing 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 to your doctor before trying deep tissue massage if you have an underlying medical condition.

MASSAGE FOR WINTER SPORTS

MASSAGE FOR WINTER SPORTS – Unfortunately, the vast majority of people who participate in many outdoor winter sports do not properly prepare themselves ahead of time for the stress these activities can place on their bodies. Furthermore, most do not live close enough to an area where they can engage in these activities on a regular basis.

At best, they end up hitting it hard on the weekends or, more likely, packing as much activity as possible into sporadic stints of a week here or long weekend there. As a result, a combination of a lack of proper preparation and intermittent yet intense periods of activity can frequently lead to post-exercise soreness, strained and pulled muscles—or worse.

A sports massage therapist can do a few things to help this type of client. there are four different types of sports massage: general massage, pre-event massage, post-event recovery massage and injury massage. For most individuals involved in winter sports, massage can be consolidated into two categories: general pre-activity massage and post-activity recovery massage.

For both types of sports massage, it is useful to go through a series of range-of-motion tests before the session to look for areas that may be tight and restricting normal movement, and again after the massage to examine how the treatment has impacted these restrictions.

General Pre-Activity Massage
General pre-activity massage should focus on loosening up the muscles that are primarily engaged during that sport and preparing the body to perform the best it possibly can. The work should combine slow, controlled strokes with compressions and kneading. The pressure should be deep enough to be effective, yet not so deep that your client’s body fights you by resisting and tensing up. It is also beneficial to incorporate some assisted dynamic stretching, such as Active Isolated Stretching, into part of your session.

Post-Activity Recovery Massage
Post-activity recovery massage should be geared toward helping the body recover more quickly from an activity, while at the same time addressing any muscle strains or pulls. It should combine flushing strokes using moderate pressure with trigger-point therapy and movement techniques, such as pin-and-stretch or Active Release Technique. Static stretches of 30 to 45 seconds can also be incorporated after massaging a muscle or region. A cold whirlpool or ice bath for 10 minutes is a great way to top off the end of the session.

Regardless of which type of massage you are giving, it is important to understand the muscles that experience the most stress for each of the more popular winter sports. Outlined below are five recreational winter activities and the primary muscles that are engaged during those activities.

Downhill Skiing
The entire way down the mountain, downhill, or alpine, skier is essentially maintaining a quarter-squat position. The rectus femoris, vastus intermedius and gluteus maximus bear the brunt of the workload, as they are in a constant state of contraction. A large part of the massage should focus on these two regions.

Other muscles that are stressed in the lower body during downhill skiing include the peroneus longus, biceps femoris, adductor longus and gluteus medius. Although the upper body is usually not heavily involved, it may also be worthwhile to check certain muscles around the shoulders including the rhomboids, trapezius, latissimus dorsi, pecs and deltoids as well as the erectors down the spine.

Snowboarding
Snowboarders stress their bodies a bit differently than downhill skiers do. The core plays a key role in moving a snowboarder down a slope. As a result, the low back has to do a significant amount of work.

You should start by working the quadratus lumborum, multifidi, external obliques and psoai. The gastocnemius, soleus and tibialis anterior of the lower legs should also be massaged, as they are fundamental to the heel-toe motion that occurs when snowboarding. The hamstrings and quadriceps muscles should also be checked.

Beginners who fall a number of times also stress their wrists and shoulders. Snowboarders who end up spending a lot of time on the ground usually require work on the forearm flexors and extensors as well as supraspinatus and subscapularis.

“MASSAGE FOR WINTER SPORTS”
About the Author
Mark Fadil is the co-founder of Sports Medicine Institute, a performance center which focuses on sports and orthopedic massage, in Palo Alto, California. He is also the founder of PHLX, a comprehensive foam roller system that empowers the user to recreate hands-on techniques utilized by skilled massage therapists. He wrote “Sports Massage for Runners” and “Massage for Golfers: Keep Your Clients on the Course” for MASSAGE Magazine.

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