What Is Massage Therapy?

Massage therapy involves the manipulation of soft tissues (muscles, tendons, ligaments, fascia) to promote health and well-being. For chronic pain, massage can help reduce muscle tension, improve circulation, promote relaxation, and may directly reduce pain. It's one of the most commonly used complementary therapies.1

How It May Help2

  • Reduces muscle tension
  • Improves blood circulation
  • Promotes relaxation
  • May reduce stress hormones
  • Can release trigger points
  • Improves range of motion
  • Provides therapeutic touch

Types of Massage3

Swedish Massage

  • Long, flowing strokes
  • General relaxation
  • Good for beginners

Deep Tissue

  • Firmer pressure
  • Targets deeper muscle layers
  • For chronic tension

Myofascial Release

  • Targets fascia (connective tissue)
  • Sustained pressure
  • For restrictions and trigger points

Trigger Point Therapy

  • Focuses on specific tight spots
  • Direct pressure to release knots

Evidence

  • Some evidence for low back pain
  • May help neck and shoulder pain
  • Beneficial for fibromyalgia in some studies
  • Effects often short-term
  • More research needed

What to Expect

  • Sessions typically 30-90 minutes
  • You undress to comfort level
  • Communication about pressure is key
  • May feel relaxed or tired after
  • Some soreness next day is normal

Finding a Therapist

  • Look for licensed massage therapist (LMT)
  • Ask about experience with chronic pain
  • Get referrals
  • Many insurance plans don't cover
  • Some pain clinics offer massage

When to Avoid

  • Active inflammation or infection
  • Blood clots
  • Open wounds
  • Severe osteoporosis
  • Some cancers (check with doctor)

Self-Massage

  • Foam rollers
  • Tennis balls
  • Massage tools
  • Can complement professional massage

References

  1. Field T. Massage therapy research review. Complement Ther Clin Pract. 2016;24:19-31.
  2. Furlan AD, Giraldo M, Baskwill A, et al. Massage for low-back pain. Cochrane Database Syst Rev. 2015;9:CD001929.
  3. Crawford C, Boyd C, Paat CF, et al. The impact of massage therapy on function in pain populations—a systematic review and meta-analysis. J Altern Complement Med. 2016;22(3):223-237.