A deep tissue massage can help with small or large muscle injuries or aid in the healing of chronic problems. Deep tissue massage targets deep muscles, tendons, as well as protective and connective tissue known as fascia. It requires total relaxation of superficial muscles, as the lessened tension allows deeper muscles to come into contact and be manipulated (hence "deep tissue massage"). Individuals with chronic muscle tension or injury are more prone to adhesions, or thick "knots" that form in muscle fibers. These adhesions may not only be painful, but can disrupt blood flow and circulation, diminish natural movements, and result in inflammation. Undergoing deep tissue massages helps break down the adhesions and restore proper body functions.

Deep Tissue Massage can release the chronic patterns of tension in the body through slow deep strokes on any contacted areas and deep finger pressure on the contracted areas, either following or going across the grain of muscles, tendons and fascia. It is called deep tissue, because it also focuses on the deeper layers of muscle tissue. It can help reduce pain, increase range of motion, relieve muscle spasms and improve circulation.
In another study, researchers took muscle biopsies from participants who had received massage therapy or no treatment for exercise-induced muscle damage. The study showed that massage therapy reduced inflammation and promoted mitochondrial biogenesis in the skeletal muscle. In addition, a review published in the journal “Complementary Therapies in Clinical Practice” revealed that moderate pressure massage reduced depression, anxiety, heart rate, and cortisol levels and altered EEG patterns to indicate a relaxation response.
Research shows that firmer massages with more pressure can result in a significant reduction in arthritis pain compared to lighter massages. Lighter massage tends to be arousing (not relaxing) because often the heart rate goes up. However, with moderate pressure, heart rate usually goes down, and this stimulates relaxation and reduced tension. (13)
The purpose of the practice of massage is to enhance the general health and well-being of the recipient. ‘Massage’ is used as a general term to describe manual manipulation of the muscles and joints to help relieve pain and stress in the body. This generalized term can be broken down into many subcategories such as: deep tissue, trigger point, prenatal/pregnancy massage, hot stone, sports massage, Thai massage, myofascial release, lymphatic drainage, crainiosacral, lomilomi, shiatsu, reflexology, Hellerwork, looyen work, polarity therapy, tui na, and connective tissue massage, just to name a few.
The physiological effects are a bit of a moot point: if the pressure doesn’t suit you, you’re not likely to continue with the therapy. The exception is the patient who is willing to put up with intense pain long enough to find out if there appears to be a therapeutic effect afterwards, which there may be. But that judgement call is often made without much knowledge of whether or not the pain is really justified. BACK TO TEXT

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BC 722-481: Huangdi Neijing is composed during the Chinese Spring and Autumn period. The Nei-jing is a compilation of medical knowledge known up to that date, and is the foundation of Traditional Chinese Medicine. Massage is referred to in 30 different chapters of the Nei Jing. It specifies the use of different massage techniques and how they should be used in the treatment of specific ailments, and injuries. Also known as "The Yellow Emperor's Inner Canon", the text refers to previous medical knowledge from the time of the Yellow Emperor (approx 2700 BC), misleading some into believing the text itself was written during the time of the Yellow Emperor (which would predate written history).[7][8]
Deep tissue massage and Swedish massage are both types of therapeutic bodywork whose goals is to aid in relaxation, relieve pain and promote overall wellness. A major difference in the two modalities is the area of the body that is targeted. The strokes used in Swedish massage loosen and relax the top layer of your soft tissues. The strokes used in deep tissue massage work deep under the surface to release adhesions and knots in the fascia (connective tissue) around your muscles and organs. Some massage therapists charge more for deep tissue massage than lower-pressure massage techniques such as Swedish massage because of the increased physical effort required. Here's an example of this pricing difference from a provider in Texas:
Completely new to massage? Book your first appointment either well before a race—at least a few weeks out—or wait until the day after. “Just like you wouldn’t test out new socks or shoes on day of race, you shouldn’t experiment with any pre-race bodywork,” says Denunzio. Those who are familiar with massage can benefit from a pre-race rubdown in the seven to two-day window prior to an event. Getting treatment less than 48-hours prior puts all runners—even those who are massage veterans—at risk of race day soreness.

No one really knows how a painful massage can also feel so good at the same time. This is a sensory phenomenon mostly beyond the reach of science — not entirely14 — all we can do is speculate. A main question is whether good pain is good because we expect relief to follow pain, or because positive and negative qualities are being produced simultaneously. My bet is on the latter.
In short, yes. An athlete’s medical condition and history should not be discussed with anyone except other trainers or coaches. There is nothing the media likes more than to hear a high profile athlete is sick or injured, so those discussions don’t happen outside of closed doors. The athlete is the only person who should be deciding what information they want to share.
“The number one thing therapists should do to protect themselves from injury is avoid doing too much work,” says Bykofsky. She also recommends not over-scheduling, working too many hours, or holding too many deep massage sessions a week. Also, take advantage of other “tools” at your disposal, such as different parts of your hands and arms, using them for leverage to take some of the pressure off your thumbs.

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