If you are a massage therapist, or sports physical therapist, it might be a good idea to explain what a this type of massage will accomplish and what to expect.  At first, a Deep Tissue massage might feel like your typical Swedish massage. First, your therapist will warm up and prepare your muscles by applying light pressure to the areas that require attention. Only after your muscles have been sufficiently prepared will your therapist begin applying specific techniques. The most commonly used strokes in Deep Tissue massages are stripping and friction. Stripping usually involves your therapist applying deep and gliding pressure to the length of your muscle fibers with an elbow, forearm, knuckles or thumbs. Friction, on the other hand, applies pressure across the grain of the muscle in order to relieve adhesions and realign the fibers of the tissue.
Before a session begins, the client will typically be led to the treatment room and asked to remove their clothes and lie down under a sheet or blanket on the massage table. In most cases, and based on comfort level, it is up to the client to determine whether to leave undergarments on. Clients will generally be covered with a sheet for the majority of the session. Those who have privacy concerns may wish to discuss these with the massage therapist before the session begins.

To put it bluntly, it’s not clear that massage has any musculoskeletal benefits at all. It probably does, but mostly quite temporary and highly unpredictable. There’s not nearly enough science, and therapists are hopelessly biased assessing their own efficacy. See Does Massage Therapy Work? A review of the science of massage therapy … such as it is. BACK TO TEXT
In Germany massage is regulated by the government on a federal and national level. Only someone who has completed 3,200 hours of training (theoretical and practical) can use the professional title "Masseur und Medizinischer Bademeister" or Medical Masseur and Spa Therapist. This person can prolong his training depending on the length of professional experience to a Physiotherapist (1 year to 18 months additional training). The Masseur is trained in Classical Massage, Myofascial Massage, Exercise and Movement Therapy. During the training they will study: Anatomy, Physiology, Pathology, Gynecology, Podiatry, Psychiatry, Psychology, Surgery, and probably most importantly Dermiatry and Orthopedics. They are trained in Electrotherapy, and Hydrotherapy. Hydrotherapy includes: Kneipp, Wraps, underwater Massage, therapeutic washing, Sauna and Steambath. A small part of their training will include special forms of massage which are decided by the local college, for example: Foot reflex zone massage, Thai Massage etc. Finally a graduate is allowed to treat patients under the direction of a doctor. He is regulated by the professional body which regulates Physiotherapists. This includes the restriction on advertising and oath of confidentiality to clients.[citation needed]

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Reflexologists posit that the blockage of an energy field, invisible life force, or Qi, can prevent healing. Another tenet of reflexology is the belief that practitioners can relieve stress and pain in other parts of the body through the manipulation of the feet. One claimed explanation is that the pressure received in the feet may send signals that 'balance' the nervous system or release chemicals such as endorphins that reduce stress and pain. These hypotheses are rejected by the medical community, who cite a lack of scientific evidence and the well-tested germ theory of disease.[9]

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Deep tissue massage is a type of massage that aims at affecting the deeper tissue structure of the muscles. It also affects the connective tissue, known as fascia. Deep tissue massage helps with both small muscle injuries as well as chronic problems. Deep tissue massage is an excellent way to deal with a whiplash or sports injury, postural misalignment, treating spasms as well as muscle tension. During a deep tissue massage the therapist concentrates on releasing specific chronic muscle tension as well as the muscular knots, or adhesions.
While many believe that Deep Tissue Massage simply means heavy pressure, this is a misconception.  Deep Tissue Massage includes many of the same techniques from its foundation in Swedish massage, but takes it in a different direction with a different purpose. Often times the pressure is deeper, but it doesn’t have to be.  Remember, deeper isn’t always better.  Deep Tissue Massage should be looked at as technique with a purpose, to provide structural and functional outcomes.

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Fibromyalgia syndrome is a common and chronic disorder characterized by widespread pain, areas of tenderness, and a number of other symptoms. While massage can be an effective way to manage fibromyalgia pain, most studies done on the effects of massage on fibromyalgia symptoms only showed short-term benefits of massage. Only one study proved to have long-term benefits.9 Though more studies are needed to confirm the positive effects of massage on this condition, you could go to a registered remedial therapist for massage therapy to help with the pain.

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Deep tissue massage is focused on pain relief through manipulation of soft tissue including muscle and fascia, so it is a great treatment if you’ve been experiencing chronic pain, have an injury, or lead an active lifestyle. Our massage therapists will use special techniques to address localized areas of tension. Muscles are worked in layers superficial to deep and unlike Swedish massage, which has its primary focus on relaxation and overall wellness, deep tissue is done using strokes that are typically firm and slow, and may include elbows and deep finger pressure. After a deep tissue massage, you should still feel calm and relaxed, although you may have some slight muscle soreness for up to a few days after the massage.

Of course, a map is useless unless you understand it! Take a look at the basic sections, so you can know where to start and finish, what corresponding body part you’re working on, and so on. With a little practice, you’ll be affecting the right places without even looking at the chart. Always make sure that the person receiving the treatment has a lot of water afterwards!
The main professionals that provide therapeutic massage are massage therapists, athletic trainers, physical therapists and practitioners of many traditional Chinese and other eastern medicines. Massage practitioners work in a variety of medical settings and may travel to private residences or businesses.[10] Contraindications to massage include deep vein thrombosis, bleeding disorders or taking blood thinners such as Warfarin, damaged blood vessels, weakened bones from cancer, osteoporosis, or fractures, and fever.[10]
For thousands of years, Eastern healers have used pressure-point massage to balance the body; shiatsu is the Japanese version. The idea is that chi, or life energy, flows through the body in 14 meridians. When the meridians are blocked, physical or emotional problems result. During a shiatsu massage, you lie on a floor mat while the therapist gentl Show more

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In this particular study, published in Studies in Health Technology and Informatics, therapeutic massage included techniques of tapping and friction, while DTM used “oblique pressure and a combination of lengthening and cross-fiber strokes.” All sessions were 30 minutes long and preformed daily, and all participants did not receive any other treatments during the course of the study. After 10 days, participants treated with DTM reported significant improvements in pain (lower back pain in this case) compared to those treated with therapeutic massage, based on scores using the Modified Oswestry Low Back Pain Disability Index, Quebec Back Pain Disability Scale and Visual Analog Scales. (4)
Before a session begins, the client will typically be led to the treatment room and asked to remove their clothes and lie down under a sheet or blanket on the massage table. In most cases, and based on comfort level, it is up to the client to determine whether to leave undergarments on. Clients will generally be covered with a sheet for the majority of the session. Those who have privacy concerns may wish to discuss these with the massage therapist before the session begins.
Friction strokes work on deeper muscles than the techniques previously described. The friction technique is a pressure stroke and is the deepest that is used in Swedish massage. The massage therapist applies pressure by placing the weight of his or her body on the flat of the hand and the pads of the thumbs, knuckles, fingers, or the back of the forearms, and then releases the pressure slowly and gently. This movement should be a continuous sliding motion or a group of alternating circular motions.

After the session, the client may experience tenderness or soreness, and the massage therapist may recommend ice or heat for easing any pain. It can also be helpful to drink water immediately following the session to flush out any toxins and rehydrate the body’s muscles. Even if the client does not experience any soreness after the massage, simple stretches can prevent any potential stiffness. It is generally recommended to avoid any strenuous activity after a massage to give the body time to recuperate.


Swedish massage is given to increase blood circulation, easing the tension in the body’s muscles and improving the muscles’ flexibility. It stimulates the skin as well as the nervous system to soothe the nerves, reducing both emotional and physical stress. In fact the massage is a staple in most stress management programs. A Swedish massage is given to help with increasing the flow of oxygen in the blood, releasing toxins from the body’s muscles flushing the lactic acids, uric acids, and other type of metabolic wastes out of the body tissues. It can really shorten the recovery time for a muscular strain!!
Massage therapy involves rubbing muscles and joints of the body, generally to relieve tension. When it comes to Swedish massage versus deep tissue massage, they are similar but with defining differences, as the pressures and techniques help to differentiate between massage methods. Swedish massage is most commonly offered and utilizes a firm pressure on muscles. Five primary strokes encompass Swedish massage to increase blood flow, ease muscular tension, and reduce stress response.

Due to the harsher pressure of this technique, there are certain individuals who should seek pain relief elsewhere. Deep Tissue massages can be dangerous for clients who have blood clots, as the pressure and movements might cause the clots to be dislodged. If you have had blood clots in the past, currently have blood clots or are at risk of forming blood clots, you should consult a doctor before pursuing a Deep Tissue massage. If you are currently recovering from recent surgery, chemotherapy, radiation or are suffering from osteoporosis you too should speak with a doctor before experimenting with Deep Tissue massages. As this is particularly high-pressure massage, you should not allow rashes, wounds, tumors, hernias, etc. to be massaged directly. Expecting mothers should also avoid Deep Tissue massages; instead, ask your doctor about therapists that specialize in pregnancy massage techniques.

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