Deep tissue massage is known for its ability to relieve chronic tension, reduce muscle stiffness and support injury recovery. But like all treatments, it’s not right for everyone or for every situation.
If you’re wondering when not to get a deep tissue massage, it’s important to understand the contraindications and conditions where this popular therapy may do more harm than good. In this guide, we’ll explore when deep tissue massage should be avoided, why it matters and what alternative treatments may be more appropriate depending on your condition.
Quick Overview: When Not to Get a Deep Tissue Massage
You should avoid deep tissue massage if you have open wounds, active inflammation, recent surgery, certain medical conditions (e.g., blood clotting issues, infections) or if you’re pregnant without medical clearance. It’s also not advised immediately after intense workouts or injury.
Not sure if deep tissue massage is safe for you? Speak with a qualified physiotherapist before booking.
Get the Right Advice from FlexiFit Physiotherapy
At FlexiFit Physiotherapy, we assess your health, injury history and goals before recommending any manual therapy. If deep tissue massage isn’t suitable, we’ll offer safer, evidence-based alternatives to help you feel your best.
Call us on 02 8542 9507 or visit our Contact Us page to book your consultation.
When to Avoid Deep Tissue Massage
Here are the main situations where deep tissue massage should be postponed or avoided:
1. Recent Injury or Acute Inflammation
If you’ve just sustained an injury (e.g., sprain, strain, muscle tear), deep tissue massage can aggravate inflammation and delay healing.
Avoid if:
- The area is red, swollen or hot.
- You’re within 48–72 hours of an acute injury.
2. Open Wounds or Skin Infections
Massage over broken skin can introduce bacteria and lead to further infection.
Avoid if:
- You have cuts, grazes, burns or rashes in the treatment area.
- You’re recovering from recent skin infections (e.g., cellulitis).
3. Blood Clotting Disorders or Risk of DVT
Deep pressure can dislodge clots or cause bruising in individuals with clotting conditions or on blood-thinning medication.
Avoid if:
- You have a history of deep vein thrombosis (DVT).
- You’re taking anticoagulant medication.
- You bruise easily or bleed excessively.
4. Certain Chronic Conditions
While massage can help some chronic issues, others require caution or full avoidance, depending on your medical history.
Use caution or avoid if you have:
- Advanced osteoporosis
- Cancer (without doctor’s clearance)
- Uncontrolled diabetes
- Heart disease or uncontrolled hypertension
- Neurological disorders that affect sensation
5. Pregnancy (Unless Cleared)
While massage during pregnancy is beneficial in many cases, deep tissue massage should only be performed by a practitioner trained in prenatal care and only with medical clearance.
Avoid if:
- You are in your first trimester.
- You have a high-risk pregnancy or complications.
6. Immediately After Intense Exercise
Your muscles need time to recover and repair. Applying deep pressure too soon can cause more soreness or slow the healing process.
Wait at least:
- 24–48 hours after intense workouts, events or competitions
7. Severe Pain or Sensitivity in the Area
If a muscle or joint is extremely sensitive to the touch, deep tissue massage may aggravate the issue.
Alternative options may include:
- Gentle manual therapy
- Ice/heat application
- Exercise therapy
Side Effects of Incorrect Deep Tissue Massage
When performed incorrectly or in contraindicated situations, deep tissue massage can lead to:
- Increased inflammation
- Bruising or skin damage
- Worsened muscle soreness
- Headaches or dizziness
- Nerve irritation
This is why it’s crucial to work with a qualified professional who understands when to use and when to avoid certain techniques.
Alternatives to Deep Tissue Massage
If deep tissue isn’t suitable for your condition, there are other safe, effective options:
1. Myofascial Release
A gentle, sustained pressure technique that targets fascia to reduce restriction and improve mobility.
2. Trigger Point Therapy
Focused pressure on specific muscle knots to relieve pain without excessive depth.
3. Dry Needling
Targets deep muscle fibres using sterile needles, ideal for chronic tightness when hands-on pressure is not appropriate.
4. Therapeutic or Relaxation Massage
A lighter approach to reduce stress, improve circulation and ease general tension.
5. Guided Exercise Therapy
Customised movement programs to restore strength and function without aggravating sensitive tissues.
Your FlexiFit physiotherapist will determine which approach suits your current needs and health status.
Precautions Before Booking a Massage
Before scheduling a deep tissue session, be sure to:
- Disclose any medical conditions or recent changes
- Tell your therapist about injuries, medications or pregnancy
- Ask about alternatives if deep tissue seems too intense
Final Thoughts
Deep tissue massage offers amazing benefits, but it’s not suitable for everyone, all the time. Whether you’re recovering from surgery, managing a chronic condition or simply unsure about your readiness, speaking with a professional is the safest way to go.
Not sure if deep tissue massage is right for you? At FlexiFit Physiotherapy, our expert team will assess your needs and provide personalised care, whether that includes massage or another treatment entirely.
Call us on 02 8542 9507 or visit our Contact Us page to schedule your consultation and explore your best recovery options.