Why does my back hurt when I get a massage?

Author: Freda Harris  |  Last update: Thursday, June 12, 2025

First off, we should state that some pain during a massage is quite normal. If you have particularly tight muscles or “knots” in your back or neck, it's probably going to hurt a little as your masseuse works those out. However, this pain should only be temporary and resolve in a day or so following your massage.

Why does my back hurt during a massage?

The pain can be caused by a poorly done massage where the therapist uses too much pressure. So, it's a good idea to check with your doctor about the injury and whether massage is a recommended treatment or not. In other cases, the pain may result from an injury caused by deep tissue massage.

Does pain mean a massage is working?

Massage can hurt, and the level of discomfort will have a story to tell about current tissue condition. However, whether it hurts to receive deep tissue massage, or not is not an indicator of the effectiveness of treatment. The following paragraphs explain scenarios why massage does not need to feel painful.

What does it mean when a massage hurts?

Often, the pain associated with this type of massage comes from the release of chronic muscle tension. Sometimes, the pain comes from poor technique from the massage therapist, however. If the therapist works too deep, it can damage the tissue, which can cause the pain.

What body parts should not be massaged?

These are areas of the body where deep, sustained pressure should be avoided because of the structures that lie beneath. Those areas are the anterior and posterior triangles of the neck, suprasternal notch, sternum, axilla, spinal column, umbilical area, inguinal triangle, popliteal fossa, and the antecubital fossa.

Why do I get sore after a massage?

What areas are off limits during a massage?

These include direct manipulation of the spine, the front of the neck, and any visibly injured or inflamed areas.

What are 3 instances when massage is not recommended?

Certain skin conditions, such as open wounds, burns, rashes, or contagious skin infections (like impetigo or fungal infections), should not be treated with massage. Even non-contagious skin conditions like psoriasis or eczema may be aggravated by massage if not handled carefully.

Why is my back so sensitive to massage?

If your muscles were particularly tense or knotted before the massage, the manipulation could lead to soreness as those knots are worked out. Individual sensitivity. Everyone's body reacts differently to massage. Some people might be more sensitive and experience soreness even with a gentle massage.

Can massage therapists feel knots?

In conclusion, yes, massage therapists can indeed feel knots in your muscles. Through their extensive training and experience, they have honed their ability to detect areas of tension and release them effectively.

How do you know if you had a bad massage?

Experiencing sharp pain or excessive discomfort during or after the session is a clear indication that the massage wasn't beneficial. While some discomfort can be normal, especially with deep tissue massage, it should never cross the line into sharp pain.

What massage is best for back pain?

The main takeaway point is that deep massages will help to loosen up the surrounding muscles in order to provide a significant amount of pain relief. Some conditions which can be alleviated with this type of massage include (but are not be limited to): Repetitive strain injuries. A sudden (acute) injury.

Can you over massage your back?

When too much pressure is applied, your muscles take an additional beating that can lead to more bruises, nerve damage, and trauma. This pain can last days after your massage, and neither you nor your massage therapist would certainly want that.

Why does massaging muscles hurt but feel good?

When a skilled massage therapist applies pressure to these areas, it can create a sensation of pain that is ultimately therapeutic. This type of pain triggers the body's natural healing response, releasing endorphins and reducing inflammation, which can lead to an overall sense of well-being.

How often should you get a massage?

1. What are the general massage frequency guidelines? It is generally recommended to get a massage once a month to maintain the benefits of relaxation and stress relief. However, some individuals may benefit from more frequent sessions, especially if they have specific health concerns or physical discomfort.

Why is my back so crunchy when massaged?

Lack of blood supply to the muscle causes lactic acid to build up, over time this can solidify with calcium deposits and is often the reason we hear a crunching sound when trying to realise the knots.

Can a massage therapist feel inflammation?

Limitations and Considerations. It's important to note that while massage therapists can detect signs that may indicate inflammation, they cannot diagnose medical conditions. Their ability to “feel” inflammation is based on the detection of physical changes in the body's tissues and the client's responses.

What does it feel like when a knot releases?

This myofascial release has a comparable sensation to being rocked by your mother when you were a baby. It causes a pleasant wave sensation to travel throughout the body. It is, in fact, a relaxing experience. That wave infiltrates the restricted areas to allow for softening.

Where should a massage therapist not touch?

Never touch the client's genitals or anus. Clients can only provide explicit consent to have their genital area and gluteal cleft exposed for the purpose of Massage Therapy during childbirth.

Can a masseuse tell if you're stressed?

You Are Super Stressed

When the massage begins all the signs are there. Our poor muscles become taut and tense during stressful times, especially so in the shoulders, nec,k and head. Constant muscle tension causes aches and pains too so there are usually some tender areas as well.

Where are the trigger points in your back?

Trigger points within the upper region of the rectus abdominus can present as a band of pain across the mid-back and can also feel like heartburn, indigestion, or nausea. Trigger Points within the lower rectus abdominus refer a band of bilateral pain across the low back.

Is it good if a massage hurts?

It's important to know that it isn't unusual to feel a degree of discomfort during the massage itself. The whole point of this treatment is to break up muscle tension, adhesions and scar tissue that often lie in deeper musculature, so your therapist will likely be applying a good deal of pressure.

How do you release tension in your back during a massage?

If you encounter knots or tension in the muscles, use your fingers or knuckles to apply pressure to the area. This technique is used in Japanese massages. Use circular motions to help release the tension.

When should I not get a back massage?

Contagious skin conditions (boils, warts, or herpes) Other skin conditions (burns, rashes, or sores) Circulatory system issues (high blood pressure, varicose veins, or stroke) Digestive system issues (ulcers, irritable bowel syndrome, or colitis)

Is it normal to bleed after a massage?

The pressure applied during the massage can break capillaries and cause tiny amounts of capillary damage to bleed, leading to the appearance of bruised skin. This is more likely to occur in individuals with thinner skin, who may be more prone to bruising.

What can go wrong during a massage?

Disc herniation, soft tissue trauma, neurologic compromise, spinal cord injury, dissection of the vertebral arteries, and others were the main complications of massage. Spinal manipulation in massage has repeatedly been associated with serious AEs especially. Clearly, massage therapies are not totally devoid of risks.

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