MassagePractice family20 styles
Massage
Massage is a hands-on practice studied mainly in relation to pain and emotional well-being, as well as physical function. Its evidence base includes pooled analyses, but conclusions are not equally settled across outcomes: some themes have been assessed across multiple studies, while others rest on more limited clinical research.
Massage’s possible effects are considered outcome by outcome, rather than as a single overall benefit.
56 studies on massage in general · +231 more studies of single styles, each counted once →
Styles of massage
20 styles in our catalog. 3 written up from studies.
- Foam Rolling
Good for: Analgesic Effect · Physical Function · Flexibility Improvement
Effort: Moderate–high · Session: 1–18 min · Studies: 146 own
- Swedish (Classic) Massage
Good for: Analgesic Effect · Blood Pressure Support · Anxiety Reduction
Effort: Low–high · Session: 10–60 min · Studies: 81 own
- Thai Massage
Good for: Analgesic Effect · Physical Function · Constipation Relief
Effort: Low–moderate · Session: 10–120 min · Studies: 28 own
Not written up yet (17): Ashiatsu Massage · Chi Nei Tsang (Abdominal Massage) · Craniosacral Therapy · Deep Tissue Massage · Gua Sha Body Massage · Hot Stone Massage · Lomi Lomi Massage · Lymphatic Drainage Massage · Manual Myofascial Release · Prenatal Massage · Rolfing / Structural Integration · Scalp Massage · Self Foot Reflexology · Self-Cupping Massage · Shiatsu Massage · Sports Massage · Trigger Point Therapy
What each style was studied for
Each column counts only trials of that style. Ratings sit side by side. We never combine them.
- Analgesic Effect
- Massage in general
- Medium · 20 trials
- Foam Rolling
- Medium · 28 trials
- Swedish (Classic) Massage
- Medium · 30 trials
- Thai Massage
- Medium · 10 trials
Trials, each once: 88
- Flexibility Improvement
- Massage in general
- Not rated, mixed results (3 trials)
- Foam Rolling
- Medium · 62 trials
- Swedish (Classic) Massage
- Low · 4 trials
- Thai Massage
- 2 trials
Trials, each once: 71
- Physical Function
- Massage in general
- Medium · 4 trials
- Foam Rolling
- Medium · 8 trials
- Swedish (Classic) Massage
- Low · 5 trials
- Thai Massage
- Medium · 4 trials
Trials, each once: 21
- Back Pain
- Massage in general
- 1 trial
- Foam Rolling
- High · 3 trials
- Swedish (Classic) Massage
- Medium · 7 trials
- Thai Massage
- 1 trial
Trials, each once: 12
- Blood Pressure Support
- Massage in general
- 1 trial
- Foam Rolling
- Low · 3 trials
- Swedish (Classic) Massage
- Medium · 5 trials
- Thai Massage
- 1 trial
Trials, each once: 10
- Physical Strength Increase
- Massage in general
- Medium · 3 trials
- Foam Rolling
- Not rated, mixed results (24 trials)
- Swedish (Classic) Massage
- —
- Thai Massage
- 2 trials
Trials, each once: 29
- Physical Endurance Increase
- Massage in general
- —
- Foam Rolling
- Not rated, mixed results (15 trials)
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- Not rated, mixed results (2 trials)
Trials, each once: 18
- Anxiety Reduction
- Massage in general
- Medium · 7 trials
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- Low · 8 trials
- Thai Massage
- —
Trials, each once: 16
- Muscle Recovery Acceleration
- Massage in general
- 1 trial
- Foam Rolling
- Medium · 11 trials
- Swedish (Classic) Massage
- Not rated, mixed results (1 trial)
- Thai Massage
- —
Trials, each once: 13
- Balance Improvement
- Massage in general
- 2 trials
- Foam Rolling
- Medium · 8 trials
- Swedish (Classic) Massage
- —
- Thai Massage
- Not rated, mixed results (2 trials)
Trials, each once: 12
- Sleep Quality Improvement
- Massage in general
- Medium · 5 trials
- Foam Rolling
- Not rated (1 trial)
- Swedish (Classic) Massage
- Not rated (4 trials)
- Thai Massage
- —
Trials, each once: 10
- Osteoarthritis
- Massage in general
- —
- Foam Rolling
- Medium · 4 trials
- Swedish (Classic) Massage
- Medium · 5 trials
- Thai Massage
- 1 trial
Trials, each once: 10
- Antidepressant Effect
- Massage in general
- Medium · 4 trials
- Foam Rolling
- —
- Swedish (Classic) Massage
- Low · 3 trials
- Thai Massage
- 1 trial
Trials, each once: 8
- Joint Health Improvement
- Massage in general
- 2 trials
- Foam Rolling
- Low · 4 trials
- Swedish (Classic) Massage
- 2 trials
- Thai Massage
- —
Trials, each once: 8
- Mood Improvement
- Massage in general
- 2 trials
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- Low · 4 trials
- Thai Massage
- —
Trials, each once: 7
- Stress Resilience Improvement
- Massage in general
- 1 trial
- Foam Rolling
- —
- Swedish (Classic) Massage
- Not rated (5 trials)
- Thai Massage
- 1 trial
Trials, each once: 7
- Fatigue Reduction
- Massage in general
- 2 trials
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- Medium · 3 trials
- Thai Massage
- —
Trials, each once: 6
- Muscle Relaxation
- Massage in general
- 1 trial
- Foam Rolling
- 2 trials
- Swedish (Classic) Massage
- —
- Thai Massage
- Not rated, mixed results (2 trials)
Trials, each once: 5
- Inflammation Reduction
- Massage in general
- 2 trials
- Foam Rolling
- Not rated, mixed results (1 trial)
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 4
- Stroke
- Massage in general
- Not rated (2 trials)
- Foam Rolling
- Not rated (1 trial)
- Swedish (Classic) Massage
- —
- Thai Massage
- Not rated (1 trial)
Trials, each once: 4
- Blood Flow Improvement
- Massage in general
- 1 trial
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 3
- Cancer (General)
- Massage in general
- Medium · 7 trials
- Foam Rolling
- —
- Swedish (Classic) Massage
- 2 trials
- Thai Massage
- —
Trials, each once: 9
- Breast Cancer
- Massage in general
- Medium · 5 trials
- Foam Rolling
- —
- Swedish (Classic) Massage
- 2 trials
- Thai Massage
- —
Trials, each once: 7
- Improve Heart Rate Variability (HRV)
- Massage in general
- —
- Foam Rolling
- Medium · 3 trials
- Swedish (Classic) Massage
- —
- Thai Massage
- 2 trials
Trials, each once: 5
- Tissue Elasticity Improvement
- Massage in general
- —
- Foam Rolling
- Medium · 4 trials
- Swedish (Classic) Massage
- —
- Thai Massage
- 1 trial
Trials, each once: 5
- Constipation Relief
- Massage in general
- Medium · 3 trials
- Foam Rolling
- —
- Swedish (Classic) Massage
- —
- Thai Massage
- 2 trials
Trials, each once: 5
- Multiple Sclerosis
- Massage in general
- 1 trial
- Foam Rolling
- —
- Swedish (Classic) Massage
- Medium · 4 trials
- Thai Massage
- —
Trials, each once: 5
- Nausea Relief Support
- Massage in general
- 2 trials
- Foam Rolling
- —
- Swedish (Classic) Massage
- 2 trials
- Thai Massage
- —
Trials, each once: 4
- Proprioception Improvement
- Massage in general
- —
- Foam Rolling
- Not rated (2 trials)
- Swedish (Classic) Massage
- Not rated, mixed results (1 trial)
- Thai Massage
- —
Trials, each once: 3
- Resting Heart Rate Improvement
- Massage in general
- 1 trial
- Foam Rolling
- —
- Swedish (Classic) Massage
- 2 trials
- Thai Massage
- —
Trials, each once: 3
- Chronic Pain
- Massage in general
- 2 trials
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 3
- Coordination Improvement
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- Not rated, mixed results (1 trial)
- Thai Massage
- —
Trials, each once: 2
- Posture Improvement
- Massage in general
- 1 trial
- Foam Rolling
- Not rated, mixed results (1 trial)
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 2
- Respiratory Rate Optimization
- Massage in general
- 1 trial
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 2
- Urinary Flow Improvement
- Massage in general
- Not rated, mixed results (1 trial)
- Foam Rolling
- —
- Swedish (Classic) Massage
- —
- Thai Massage
- 1 trial
Trials, each once: 2
- Physical Energy Increase
- Massage in general
- —
- Foam Rolling
- Not rated, mixed results (1 trial)
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 2
- Diabetes (General)
- Massage in general
- 1 trial
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 2
- Major Depressive Disorder
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- 1 trial
Trials, each once: 2
- Peripheral Neuropathy
- Massage in general
- 1 trial
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 2
- Plantar Fasciitis
- Massage in general
- 1 trial
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 2
- Pregnancy
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- 1 trial
Trials, each once: 2
- Rheumatoid Arthritis
- Massage in general
- 1 trial
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 2
- Muscle Soreness Reduction (DOMS)
- Massage in general
- —
- Foam Rolling
- Medium · 10 trials
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 10
- Hypertension (High Blood Pressure)
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- Low · 5 trials
- Thai Massage
- —
Trials, each once: 5
- Cognitive Function Improvement
- Massage in general
- —
- Foam Rolling
- Not rated, mixed results (2 trials)
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 2
- Respiratory Health Support
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 2 trials
- Thai Massage
- —
Trials, each once: 2
- Generalized Anxiety Disorder
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 2 trials
- Thai Massage
- —
Trials, each once: 2
- Fertility Improvement
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 1
- Lung Capacity Improvement
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 1
- Oxygen Utilization Improvement
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Thermoregulation Improvement
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Wound Healing Acceleration
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Antioxidant Protection Enhancement
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Nitric Oxide Production Increase
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Reaction Speed Increase
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- Not rated, mixed results (1 trial)
- Thai Massage
- —
Trials, each once: 1
- Blood Glucose Level Support
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 1
- Cardiovascular Health Support
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Immune System Support
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 1
- Muscle Preservation
- Massage in general
- —
- Foam Rolling
- Not rated, mixed results (1 trial)
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Addiction (General)
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- Not rated, mixed results (1 trial)
- Thai Massage
- —
Trials, each once: 1
- Arthritis (General)
- Massage in general
- —
- Foam Rolling
- 1 trial
- Swedish (Classic) Massage
- —
- Thai Massage
- —
Trials, each once: 1
- Chronic Fatigue Syndrome
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 1
- Endometriosis
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 1
- Headache Disorder (General)
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- —
- Thai Massage
- 1 trial
Trials, each once: 1
- Leukemia
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- 1 trial
- Thai Massage
- —
Trials, each once: 1
- Parkinson's Disease
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- —
- Thai Massage
- 1 trial
Trials, each once: 1
- Stroke Recovery
- Massage in general
- —
- Foam Rolling
- —
- Swedish (Classic) Massage
- —
- Thai Massage
- 1 trial
Trials, each once: 1
Cells with 1 or 2 trials show the count, not a rating.
2 studies in our set compare two massage styles.
For 20 more outcomes there are only studies of massage in general: Chronic Pain Reduction (Medium · 5 trials) · Increased Lactation (2 trials) · Appetite Increase (Desired) (1 trial) · Digestion Improvement (1 trial) · Grip Strength Improvement (1 trial) · Neuroplasticity Improvement (1 trial) · and 14 more
Massage in general
What studies of massage as a whole found. A single style may differ.
Overview
Massage is a hands-on practice studied mainly in relation to pain and emotional well-being, as well as physical function. Its evidence base includes pooled analyses, but conclusions are not equally settled across outcomes: some themes have been assessed across multiple studies, while others rest on more limited clinical research. The overall picture is therefore relatively well studied, but support varies by use; findings are best understood outcome by outcome rather than as a general guarantee of benefit.
Well researched: 56 studies. Last checked Oct 12, 2026.
- 34
- human evidence
- 15
- eligible
- 22
- unclassified
- 2
- animal / null result
Best-evidenced uses
- Analgesic EffectMedium · Meta-analysis
- Antidepressant EffectMedium · Meta-analysis
- Chronic Pain ReductionMedium · RCT
- 56
- Studies
Evidence checked Oct 12, 2026 · newest study 2026
- A
- 4
- B
- 28
- C
- 20
- D
- 4
377 community reports across 5 platforms
Coverage
- Effects
- 46
- Helps with
- 27
- Side effects
- 17
- Interactions
- 18 1 high-risk
How to read the evidence
Evidence tier — overall strength of the evidence for the whole compound
- StrongWell established — backed by strong, consistent human research.
- ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
- PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
- LimitedVery limited evidence — treat this as a hypothesis, not proof.
- InsufficientNot enough good evidence to draw conclusions yet.
Certainty — how sure we can be that the effect is real
- Very highVery sure — strong, consistent evidence
- HighFairly sure — consistent evidence from good studies
- MediumModerately sure — new studies could change this
- LowNot sure — little or mixed evidence
- Very lowVery unsure — almost no usable evidence
Source — where the data comes from
- Meta-analysisPooled analysis of many trials — the strongest evidence
- RCTRandomized controlled trial — a strong human study design
- ClinicalA human clinical study
- Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
- Animal researchStudied in animals, not humans
- Community reportsAggregated user reports — anecdotal signal, not evidence
- TheoreticalMechanism-based reasoning, not yet tested
Study grade — quality of each underlying study (A best, D weakest)
- AHigh-quality — strong, consistent human trials
- BGood — solid evidence with some limitations
- CModerate — limited, small, or mixed-quality studies
- DWeak — preliminary, indirect, or animal-only
Confidence — how strongly the sources back a finding
A 0–100 score from study quality and agreement
Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.
Interacts with some medications and supplements — worth checking before combining.See interactions
These are research findings, not promises. A practice does not replace medical treatment.
What does research say?
What studies found for each claimed effect, best evidence first.
46 claims:13 some evidence3 mixed24 not enough evidence2 not tested in people3 personal stories only1 no benefit found
Analgesic EffectSome evidence it helpsSize of effect: Medium
Some human studies found a benefit. More research could change this.
21 of 22 studies found a benefit; 1 found none. Strongest study: a pooled analysis of several trials. A trial found it after a single session. Trials that found it ran as little as 2 weeks, typically 6.
A pooled analysis whose designs were not recorded found that non-pharmacological nursing strategies, including massage, reduced cancer-related pain compared with usual care; 1,070 people were included in its pain analysis. Another pooled analysis of randomized trials found lower pain severity during the first 48 hours of ICU.
Open the Analgesic Effect pageAntidepressant EffectSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 5 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
Open the Antidepressant Effect pageChronic Pain ReductionSome evidence it helpsSize of effect: Large
Some human studies found a benefit. More research could change this.
All 6 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials. Trials that found it ran as little as 0.4 weeks, typically 3.
A pooled analysis whose designs were not recorded found lower pain scores with manual therapy; 311 people were included in this outcome’s analysis. Another pooled analysis also reported a reduction in VAS scores, although results varied considerably across studies.
Open the Chronic Pain Reduction pageIncreased LactationSome evidence it helpsSize of effect: Medium
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
A pooled analysis of randomized trials found that breast massage increased breast milk volume; 1,099 people were included in this outcome’s analysis.
Open the Increased Lactation pageConstipation ReliefSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 3 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials.
Open the Constipation Relief pageInflammation ReductionSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 3 studies with a clear result found a benefit. Strongest study: a pooled analysis of several trials. A trial found it after a single session.
A pooled analysis whose designs were not recorded found that massage or Tuina massage combined with antipyretic drugs improved fever reduction in children (RR of 0.38); 556 people were included in this outcome’s analysis.
Open the Inflammation Reduction pageVagal Tone ImprovementSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit. Strongest study: a systematic review of studies.
A pooled analysis whose designs were not recorded found that moderate-pressure massage was associated with a relaxation profile, including decreased heart rate and EEG changes; 36 people were included in this outcome’s analysis. A review also discussed vagal activity, but the reported finding does not give a specific change.
Open the Vagal Tone Improvement pageJoint Health ImprovementSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit. Strongest study: a randomized controlled trial.
A review reported improved range of motion in the affected arm after massage interventions, including shoulder range of motion in people with post-mastectomy adhesive capsulitis. The findings concern movement in a specific clinical group, rather than joint health generally.
Open the Joint Health Improvement page
Only reported by users, not studied: Present Moment Awareness.
What to expect
Some effects, including pain relief and anxiety reduction, have been measured after a single session. Other benefits were assessed at the end of programmes lasting 0.4 to 8 weeks, depending on the outcome; these trial durations do not establish a guaranteed onset. Unwanted effects have also been reported after a single session and during programmes lasting several weeks. The available findings do not establish how long any benefit lasts after massage stops.
Also studied in people with 27 health conditions
How strong the evidence is in each group. This is research, not a treatment recommendation.
Cancer (General)Some evidence it helpsSize of effect: Large
Some human studies found a benefit. More research could change this.
All 7 studies with a clear result found a benefit.
A pooled analysis whose study designs were not recorded reported a reduction in cancer-related pain with non-pharmacological nursing strategies that included massage therapy; the reported effect was classified as trivial.
Open the Cancer (General) pageBreast CancerSome evidence it helpsSize of effect: Large
Some human studies found a benefit. More research could change this.
All 5 studies with a clear result found a benefit.
Open the Breast Cancer pageChronic PainSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit.
A pooled analysis whose study designs were not recorded reported a reduction in pain scores. A review also found that changes in brain activity tracked with pain relief and symptom improvement.
Open the Chronic Pain pageHIV/AIDSSome evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit.
Pooled randomized and non-randomized human studies in people living with HIV reported benefits for anxiety, depression, stress, pain, and quality of life, but no change in CD4+ T-cell count.
Open the HIV/AIDS pageAnxiety Disorder (General)Some evidence it helpsSize of effect: Not known
Some human studies found a benefit. More research could change this.
All 2 studies with a clear result found a benefit.
A systematic review reported consistent increases in alpha activity, a shift in left-frontal asymmetry, and reduced anxiety and stress scores across EEG studies. A narrative review also reported reductions in state and trait anxiety, including outcomes assessed with STAI.
Open the Anxiety Disorder (General) pageBack PainMixed resultsSize of effect: Not known
Studies disagree: some found a benefit, others found none. Do not count on it.
2 of 3 studies found a benefit; 1 found none.
Systematic reviews reported short-term improvements in pain with massage and myofascial release. The finding concerns short-term relief, rather than longer-term outcomes.
Open the Back Pain pagePeripheral NeuropathyNot enough evidence
Too few or too small studies to know if it works.
All 2 studies with a clear result found a benefit.
Open the Peripheral Neuropathy pageAsthmaNot enough evidence
Too few or too small studies to know if it works.
The one study found a benefit.
A pooled analysis whose study designs were not recorded ranked massage highest for PEF, PAQLQ, and FeNO, but differences from conventional treatment were not statistically significant because the confidence intervals crossed zero.
Open the Asthma page
Before you try it
What studies and reports say about side effects and who it may not suit.
- Side effects
Possible: Pain.
16 more with weak evidence.
- May not suit you if you have
- Bleeding Disorders, Contagious Skin Infection, Deep Vein Thrombosis, Thrombocytopenia (Low Platelets), Acute Injury, Recent Stroke, and 3 more
- Some trials left out people with
- Bone Fracture, Pregnancy, and Allergies (General)
- Serious interactions with
- Anticoagulants
- Reported by users
- Muscle Ache (Myalgia) (23 posts), Physical Fatigue (20 posts), Pain (16 posts), Mental Fatigue (14 posts), and 6 more
General wellness information, not medical advice. Ask a doctor before you start, especially if you take medicines or have a health condition.
Safety across the styles
Which pages list each warning. A warning on one style page may not fit the other styles.
- Listed for massage in general and every written style
- Acute Injury · Bleeding Disorders · Deep Vein Thrombosis · Bone Fracture
- Listed on some pages only
- Acute Febrile Illness (Massage in general, Swedish (Classic) Massage) · Contagious Skin Infection (Massage in general, Swedish (Classic) Massage, Thai Massage) · Osteoporosis (Foam Rolling, Swedish (Classic) Massage, Thai Massage) · Recent Stroke (Massage in general, Swedish (Classic) Massage, Thai Massage) · Thrombocytopenia (Low Platelets) (Massage in general, Thai Massage) · Heart Disease (General) (Thai Massage) · Hemophilia (Foam Rolling) · Post-Surgery Recovery (Thai Massage)
Some of these precautions were written by our reviewers. They are not trial results.
- Side effects listed for massage in general and every written style
- Muscle Ache (Myalgia)
- Side effects listed on 2 or more pages
- Blood Pressure Increase (Massage in general, Foam Rolling, Swedish (Classic) Massage) · Bruising (Ecchymosis) (Massage in general, Swedish (Classic) Massage, Thai Massage) · Physical Fatigue (Foam Rolling, Swedish (Classic) Massage) · Injury Risk Increase (Massage in general, Thai Massage) · Peripheral Nerve Damage (Massage in general, Foam Rolling) · Pain (Massage in general, Foam Rolling, Thai Massage)
Studied as a help on one page, listed as a precaution on another
- Cancer (General)
- Massage in general: studied as a help (Medium · 7 trials)
- Swedish (Classic) Massage: studied as a help (2 trials)
- Massage in general: listed as a precaution (Studies)
- Post-Surgery Recovery
- Massage in general: studied as a help (1 trial)
- Thai Massage: listed as a precaution (written by our reviewers)
Both sides are shown as they are listed. Talk to a clinician about your own case.
How people do it
A gentle start, then what the studies used.
- Start with
- 9 minutes (Percussion Massage Gun Therapy)A gentle start based on the easiest variation, not on a study.
- Build up to
- 18 minutes, 3 times a week (what the studies used)
- What the studies ran
- 4 weeks
- Longest session studied
- 20 minutes (Hand Massage for Pain and Anxiety)Not a target and not a safe limit: past it there is no evidence either way.
The expert view shows every study, dose protocol and source.
Effects
46 listedStart here
Most likely to help, from the evidence we have
- →Analgesic EffectCertaintyMediumSourceMeta-analysisModerate effect21 cited studies · 2 other sources
A pooled analysis whose designs were not recorded found that non-pharmacological nursing strategies, including massage, reduced cancer-related pain compared with usual care; 1,070 people were included in its pain analysis. Another pooled analysis of randomized trials found lower pain severity during the first 48 hours of ICU.
- →Antidepressant EffectCertaintyMediumSourceMeta-analysis5 cited studies
A pooled analysis of randomized trials reported improvement in depressive symptoms. Another pooled analysis whose designs were not recorded found lower BDI scores with manual therapy (MD = −12.51 (95% CI −15.69 to −9.33) P < 0.00001, I² = 71%).
- →Anxiety ReductionCertaintyMediumSourceMeta-analysisSmall effectconflicting findings10 cited studies · 2 other sources
A pooled analysis of randomized trials found that massage improved anxiety-related symptoms, and another pooled analysis reported lower STAI scores. Findings disagree: a pooled analysis whose designs were not recorded, including 161 people in its anxiety analysis, did not find a statistically significant result, so a definitive conclusion could not be drawn.
- →Chronic Pain ReductionCertaintyMediumSourceRCTLarge effect6 cited studies · 1 other source
A pooled analysis whose designs were not recorded found lower pain scores with manual therapy (SMD = −1.43; 95% CI = −2.45, −0.41; P = 0.006; I²=93%); 311 people were included in this outcome’s analysis. Another pooled analysis also reported a reduction in VAS scores, although results varied considerably across studies (I² = 97%).
- →Increased LactationCertaintyMediumSourceRCTModerate effect2 cited studies
A pooled analysis of randomized trials found that breast massage increased breast milk volume (standardized mean difference = 0.76; 95% CI = 0.47, 1.05); 1,099 people were included in this outcome’s analysis.
- →Constipation ReliefCertaintyMediumSourceRCT3 cited studies
A pooled analysis whose designs were not recorded found lower constipation-related quality-of-life scores with abdominal manual therapy (MD = −21.10 (95% CI −31.66 to −10.54) P < 0.0001, I² = 89%). A pooled analysis of randomized trials also found massage more effective than traditional therapy alone for constipation in children with CP; 728 people were included in that outcome’s analysis.
- →Inflammation ReductionCertaintyMediumSourceRCT3 cited studies
A pooled analysis whose designs were not recorded found that massage or Tuina massage combined with antipyretic drugs improved fever reduction in children (RR of 0.38 (95% CI: 0.20–0.71; P = 0.003; I2 = 47%)); 556 people were included in this outcome’s analysis.
Medium probability(9)
- →Vagal Tone ImprovementCertaintyMediumSourceRCT2 cited studies
A pooled analysis whose designs were not recorded found that moderate-pressure massage was associated with a relaxation profile, including decreased heart rate and EEG changes; 36 people were included in this outcome’s analysis. A review also discussed vagal activity, but the reported finding does not give a specific change.
- →Nausea Relief SupportCertaintyMediumSourceRCT2 cited studies
A pooled analysis whose designs were not recorded found lower nausea and vomiting symptom scores with combination therapy (MD = -0.90; 95% CI -1.53 to -0.27, I² = 95%, P = 0.005); 316 people were included in this outcome’s analysis.
- →Sleep Quality ImprovementCertaintyMediumSourceRCTLarge effectconflicting findings6 cited studies · 1 other source
A pooled analysis whose designs were not recorded found lower PSQI scores with manual therapy; another reported that effleurage ranked highest for reducing ISI scores, with 2,804 people in that outcome’s analysis. Findings disagree, as a pooled analysis of randomized trials did not find significant effects on sleep-related symptoms.
- →Stress Resilience ImprovementCertaintyMediumSourceRCT4 cited studies · 1 other source
A pooled analysis combining randomized and non-randomized human studies reported reductions in stress, anxiety, depression, and pain. A review also described decreased life event stress in a massage therapy group.
- →Joint Health ImprovementCertaintyMediumSourceClinical2 cited studies
A review reported improved range of motion in the affected arm after massage interventions, including shoulder range of motion in people with post-mastectomy adhesive capsulitis. The findings concern movement in a specific clinical group, rather than joint health generally.
- →Physical Strength IncreaseCertaintyMediumSourceClinical3 cited studies · 1 other source
A pooled analysis whose designs were not recorded found that pre-event massage improved kicking speed compared with control and static stretching groups; 45 people were included in this outcome’s analysis. Another trial reported the greatest performance improvement among team and strength athletes, compared with individual and endurance athletes.
- →Balance ImprovementCertaintyMediumSourceClinical2 cited studies
A pooled analysis whose designs were not recorded found improved dynamic balance, particularly on the right foot, among Taekwondo athletes receiving a 10MMP or 15MMP rather than NMP; 12 people were included in this outcome’s analysis. A separate trial found better YBT composite scores on the dominant limb.
- →Physical FunctionCertaintyMediumSourceClinicalconflicting findings5 cited studies · 1 other source
Some studies reported improved DASH scores, while another found no difference between groups; findings therefore vary. A review reported the most favourable return-to-sport outcomes when interventions were part of structured, individualized, exercise-based rehabilitation.
Low probability(29)
- →Fatigue ReductionCertaintyLowSourceMeta-analysis2 cited studies
A pooled analysis of randomized trials reported improvement in fatigue-related symptoms. A review also described reduced fatigue in intervention groups, including among people with cancer-related symptoms.
- →Mood ImprovementCertaintyLowSourceMeta-analysisLarge effectconflicting findings4 cited studies · 1 other source
A pooled analysis of randomized trials reported improvement in psychological and depressive symptoms, while another pooled analysis found a higher Mental Health domain score. Findings disagree: a pooled analysis whose designs were not recorded, including 161 people in its depression analysis, did not find a statistically significant reduction in depression and was based on only 2 studies.
- →Blood Pressure SupportCertaintyLowSourceRCT1 cited study
Pooled analyses whose designs were not recorded found systolic blood pressure was lower with manual therapy than in the control group (MD = −3.91 (95% CI −4.63 to −3.18)).
- →Blood Oxygen Saturation ImprovementCertaintyLowSourceRCTLarge effect1 cited study
A pooled analysis whose designs were not recorded found increased oxygen saturation (SMD = 2.00, 95% CI [1.17 to 2.83], P < 0.0001); 168 people were included in this outcome’s analysis.
- →Muscle RelaxationCertaintyLowSourceRCTModerate effect1 cited study · 2 other sources
A meta-analysis of randomized trials found reduced spasticity after manual massage compared with controls among 253 people with Stroke in its outcome analysis (SMD=0.59, 95% CI 0.31-0.87); lower Modified Ashworth Scale scores indicate improvement.
- →Resting Heart Rate ImprovementCertaintyLowSourceRCT1 cited study
Pooled analyses whose designs were not recorded found heart rate was lower in the manual therapy group than in controls (MD = −4.2 (95% CI −6.09 to −2.30)).
- →Appetite Increase (Desired)CertaintyLowSourceRCT1 cited study
In children with FD, a pooled analysis whose designs were not recorded found lower early-satiety scores with combination therapy than with conventional therapy (MD = -0.18; 95% CI -0.31 to -0.06, I² = 0%, P = 0.004); 442 people were included in the analysis. This finding concerns early satiety, rather than appetite measured directly.
- →Gut-Brain Axis SupportCertaintyLowSourceRCT1 cited study
A pooled analysis whose designs were not recorded found lower abdominal pain symptom scores with combination therapy (MD = -0.29; 95% CI -0.50 to -0.08, I² = 87%, P = 0.008); 442 people were included in this outcome’s analysis.
- →Respiratory Rate OptimizationCertaintyLowSourceRCT1 cited study
Pooled analyses whose designs were not recorded found respiratory rate was lower in the manual therapy group (MD = −0.85 (95% CI −1.34 to −0.35)).
- →Digestion ImprovementCertaintyLowSourceRCTLarge effect1 cited study
A meta-analysis pooling randomized and non-randomized human studies found a large improvement in BM/w among 1,407 people in its outcome analysis, but results were highly heterogeneous and showed evidence of small-study effects.
- →Flexibility ImprovementCertaintyLowSourceRCTTrivial effectconflicting findingsnot used for recommendations3 cited studies · 2 other sources
A pooled analysis whose designs were not recorded found better lumbar posterior extension motion with tuina combined with traction; the result was exploratory and based on two studies. Other findings varied: a trial reported increased flexibility with longer massage sessions, while a pooled analysis of randomized trials found no significant effect on overall muscle stiffness.
- →Increased Growth Hormone ReleaseCertaintyLowSourceRCT1 cited study
In children with FD, a pooled analysis whose designs were not recorded found higher GHRP levels when therapeutic massage was combined with conventional therapy (MD = 7.96; 95% CI 5.90 to 10.01, I² = 0%, P < 0.001); 522 people were included in this outcome’s analysis.
- →Lymphatic System SupportCertaintyLowSourceClinicallong-term1 cited study · 1 other source
A review reported that ten included studies found greater reductions in lymphatic volume and arm circumference with massage than with alternative interventions. One report described a significant volume reduction (p < 0.0005).
- →Posture ImprovementCertaintyLowSourceClinical1 cited study
A review reported reduced scapular protraction and anterior tilt during arm elevation after intervention, as well as improvements in posture and spinal curvatures. These findings were measured after specific interventions rather than establishing a general effect on posture.
- →Muscle Recovery AccelerationCertaintyLowSourceClinicalfrom a deep tissue massage study1 cited study · 2 other sources
A trial reported better recovery outcomes with bi-weekly massage sessions; muscle soreness was measured using the visual analog scale (VAS). The trial included 150 people.
- →Blood Flow ImprovementCertaintyLowSourceClinical1 cited study · 2 other sources
A review reported increased blood flow velocity with elevation in 16 people, with values returning to baseline after 30 min.
- →Brain Development SupportCertaintyLowSourceClinicallong-term1 cited study
Pooled analyses whose designs were not recorded report that twice-daily massage accelerated EEG maturation in preterm infants, with higher alpha/beta and lower delta activity and a more continuous EEG background; the changes followed a dose-responsive pattern.
- →Grip Strength ImprovementCertaintyLowSourceClinical1 cited study
In a trial of 30 people with Rheumatoid Arthritis, median handgrip strength in the intervention group increased from 55 (40-75) to 65 (45-80) kg at the end of treatment compared with baseline.
- →Neuroplasticity ImprovementCertaintyLowSourceClinicallong-term1 cited study
Pooled analyses whose designs were not recorded found that plasma BDNF increased over 4 wks in 25 people in its neuroplasticity analysis.
- →Emotional Regulation ImprovementCertaintyLowSourceReviewnot used for recommendations1 cited study · 1 other source
A review reports that dissociation scores on the DES decreased with both massage and body-oriented therapy; this finding is not based on human evidence.
- →Pain Tolerance ImprovementCertaintyLowSourceReviewnot used for recommendations1 cited study
A review describes improvements in nerve conduction velocity, wrist strength, range of motion, pain, and functional-status assessments with massage and an instrument-assisted technique; these findings are not based on human evidence.
- →Trauma Symptom ReductionCertaintyLowSourceReviewnot used for recommendations1 cited study
A
- →Mitochondrial Function SupportCertaintyLowSourceReviewnot used for recommendations1 cited study
A review reports 30–40% increases in mitochondrial biogenesis markers (nuclear PGC-1α, COX7B, ND1 mRNA); this finding is not based on human evidence.
- →Muscle PreservationCertaintyLowSourceReviewnot used for recommendations1 cited study
A review reports gastrocnemius mass recovered to ~74% of baseline with STM, compared with ~50% with re-ambulation alone, and contralateral muscles showed a similar benefit; this finding is not based on human evidence.
- →Muscle Soreness Reduction (DOMS)CertaintyLowSourceAnecdotalnot used for recommendations2 other sources
Expert summaries suggest massage after strenuous exercise can reduce delayed-onset muscle soreness at 24-72 h in healthy adults, with small to moderate effects.
- →Parasympathetic ActivationCertaintyLowSourceAnecdotalnot used for recommendations2 other sources
Small studies suggest relaxation-type massage, such as Swedish massage, shifts autonomic balance toward parasympathetic activity, with a short-lived effect around the session.
- →Migraine ReliefCertaintyLowSourceAnecdotalnot used for recommendations2 other sources
Massage therapy may reduce migraine frequency and intensity, particularly when attacks have tension-type components.
- →Sleep Onset ImprovementCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Massage before bedtime may shorten sleep onset latency by promoting relaxation and reducing arousal.
- →Muscle Cramp ReliefCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Massage may help alleviate acute muscle cramps by mechanically stretching muscle fibers and improving local circulation.
Very low probability(1)
- →Urinary Flow ImprovementCertaintyVery lowSourceMeta-analysisnot used for recommendations1 cited study
The studies did not support an improvement in urinary flow: a pooled analysis of randomized trials found no significant effects on urogenital symptoms.
1 more mentioned only by users
What to expect
Some effects, including pain relief and anxiety reduction, have been measured after a single session. Other benefits were assessed at the end of programmes lasting 0.4 to 8 weeks, depending on the outcome; these trial durations do not establish a guaranteed onset. Unwanted effects have also been reported after a single session and during programmes lasting several weeks. The available findings do not establish how long any benefit lasts after massage stops.
Conditions it's used for
Complaints and diagnoses people take it for27 listedMost likely to help, from the evidence we have
- →Cancer (General)CertaintyMediumSourceRCTLarge effect7 cited studies
A pooled analysis whose study designs were not recorded reported a reduction in cancer-related pain with non-pharmacological nursing strategies that included massage therapy (SMD −0.1, p<0.001, I²=0%); the reported effect was classified as trivial.
- →Breast CancerCertaintyMediumSourceRCTLarge effect5 cited studies
A subgroup analysis across 4 trials reported an improvement with massage (SMD = −1.01, 95% CI [−1.50, −0.51], P < .00001). A review also reported improvements in range of motion, lymphedema volume, quality of life, pain, fatigue, and psychological distress among people with breast cancer.
- →Chronic PainCertaintyMediumSourceRCT2 cited studies
A pooled analysis whose study designs were not recorded reported a reduction in pain scores (VAS reduction −16.01, 95% CI −19.35 to −12.68). A review also found that changes in brain activity tracked with pain relief and symptom improvement.
- →HIV/AIDSCertaintyMediumSourceRCT2 cited studies
Pooled randomized and non-randomized human studies in people living with HIV reported benefits for anxiety, depression, stress, pain, and quality of life, but no change in CD4+ T-cell count.
- →Back PainCertaintyMediumSourceClinical3 cited studies
Systematic reviews reported short-term improvements in pain with massage and myofascial release. The finding concerns short-term relief, rather than longer-term outcomes.
- →Anxiety Disorder (General)CertaintyMediumSourceClinical2 cited studies
A systematic review reported consistent increases in alpha activity, a shift in left-frontal asymmetry, and reduced anxiety and stress scores across EEG studies. A narrative review also reported reductions in state and trait anxiety, including outcomes assessed with STAI.
Low probability(20)
- →Peripheral NeuropathyCertaintyLowSourceRCT2 cited studies
A pooled analysis whose study designs were not recorded reported improvements in sensory symptoms (SMD=-0.62), motor symptoms (SMD=-0.42), overall symptoms (SMD=-1.67), pain (SMD=-1.43), sleep quality (SMD=-1.08), and quality of life (SMD=1.05); certainty was low to very low. A separate clinical trial report described improvements in nerve conduction velocity, wrist strength, range of motion, and pain that were sustained at 3-month follow-up.
- →AsthmaCertaintyLowSourceRCT1 cited study
A pooled analysis whose study designs were not recorded ranked massage highest for PEF, PAQLQ, and FeNO, but differences from conventional treatment were not statistically significant because the confidence intervals crossed zero.
- →Diabetes (General)CertaintyLowSourceRCT1 cited study
Pooled randomized and non-randomized human studies in people with diabetes and neuropathic pain reported reduced pain and improved quality of life with reflexology.
- →Multiple SclerosisCertaintyLowSourceRCT1 cited study
A pooled analysis whose study designs were not recorded ranked effleurage highest for ISI reduction (SUCRA 91.9%); reflexology also improved PSQI and ISI compared with control in people with Multiple Sclerosis.
- →Post-Surgery RecoveryCertaintyLowSourceRCT1 cited study
A pooled review whose study designs were not recorded included 14 studies involving surgical patients.
- →FibromyalgiaCertaintyLowSourceClinical1 cited study
A systematic review reported that myofascial release improved pain in people with fibromyalgia.
- →Herniated DiscCertaintyLowSourceClinical1 cited study
An RCT in 57 people with herniated discs found greater improvements in pain, kinesiophobia, and proprioception with CT+PMT than with CT alone.
- →Plantar FasciitisCertaintyLowSourceClinical1 cited study
A systematic review reported short-term pain relief with myofascial release for plantar fasciitis.
- →Rheumatoid ArthritisCertaintyLowSourceClinical1 cited study
In a small, open-label pilot trial, grip strength, DHI, and PGA improved over two weeks among people selected for low disease activity or remission. The changes were reported within the intervention group.
- →StrokeCertaintyLowSourceClinicalnot used for recommendations2 cited studies
A trial in 66 neurological ICU patients with acute stroke found that hand massage reduced pain and anxiety and increased comfort at 60 minutes after the intervention. However, pooled randomized trials found non-significant results in the adult-stroke subgroup, with substantial heterogeneity (I² 73%).
- →DepressionCertaintyLowSourceReviewnot used for recommendations1 cited study
A narrative review concluded that massage therapy’s effects on alleviating depression are well documented.
- →Down SyndromeCertaintyLowSourceReviewnot used for recommendations1 cited study
A review reported improvements with massage in global, motor, visual-motor, language, and social development in children with Down Syndrome.
- →Hypertension (High Blood Pressure)CertaintyLowSourceReviewnot used for recommendations1 cited study
A review suggested massage may lower blood pressure in people with hypertension, but described the evidence as heterogeneous and low quality, and insufficient for routine use.
- →Peripheral Artery DiseaseCertaintyLowSourceReviewnot used for recommendations1 cited study
A review described massage as a possible complementary treatment for populations with poor peripheral circulation, while characterizing the evidence as preliminary and inconsistent.
- →LymphedemaCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Manual lymphatic drainage is a specialized form of massage used as an adjunctive therapy for lymphedema, particularly after cancer treatment.
- →Neck PainCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Massage may provide short-term relief of pain and improve function in chronic neck pain; the supporting evidence is described as low quality overall.
- →OsteoarthritisCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Regular massage may reduce pain and stiffness in knee osteoarthritis; the supporting trials were small to moderate in size.
- →Post-Concussion SyndromeCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Gentle cranial and neck massage may help with tension headaches and neck stiffness in post-concussion syndrome when performed cautiously.
- →Tension HeadacheCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Massage is used to reduce the frequency and intensity of tension-type headaches by relieving muscle tension in the neck and shoulders.
- →TMJ DisorderCertaintyLowSourceTheoreticalnot used for recommendations1 other source
Intra-oral and external massage can alleviate pain and improve jaw function in temporomandibular joint disorders.
Very low probability(1)
- →OsteoporosisCertaintyVery lowSourceClinicalnot used for recommendations1 cited study
Studies did not support massage as a treatment for osteoporosis: a review found massage use among 2% of osteoporotic patients, though the survey may not have listed massage as an option.
Side effects
17 listedHighest probability
- →PainCertaintyMediumSourceClinical3 cited studies · 1 other source
Pooled analyses whose designs were not recorded reported mild discomfort. A separate review also described additional pain after massage therapy.
Low probability(16)
- →Muscle Ache (Myalgia)CertaintyLowSourceClinical1 cited study · 1 other source
Pooled analyses whose designs were not recorded reported increased back pain after massage.
- →Skin Rash / IrritationCertaintyLowSourceClinical2 cited studies
Pooled randomized and non-randomized human studies reported temporary skin erythema. A review also described skin rash from allergy to massage oils in a clinical-condition context.
- →Muscle StrainCertaintyLowSourceClinical2 cited studies
Pooled analyses whose designs were not recorded described serious complications when massage was performed incorrectly or by untrained individuals. A review also described injury from improper technique, including solid massage.
- →Anxiety IncreaseCertaintyLowSourceClinical2 cited studies · 1 other source
A review assessed anxiety at 90 and 60 minutes after massage plus analgesia. Another review described emotional distress or triggering of abuse memories during a massage session.
- →Fainting (Syncope)CertaintyLowSourceClinical1 cited study
Pooled randomized and non-randomized human studies reported presyncope among people with Cancer.
- →NauseaCertaintyLowSourceClinical1 cited study
Pooled analyses whose designs were not recorded reported nausea in a clinical-condition context.
- →DizzinessCertaintyLowSourceClinical1 cited study · 1 other source
Pooled analyses whose designs were not recorded reported dizziness in a clinical-condition context.
- →Bruising (Ecchymosis)CertaintyLowSourceClinical1 cited study · 1 other source
A trial involving 57 people reported petechiae, bruising, or mild pain in the treated area after IASTM; patients were informed before treatment.
- →DrowsinessCertaintyLowSourceClinical1 cited study
Pooled analyses whose designs were not recorded reported drowsiness in a clinical-condition context.
- →Allergic ReactionCertaintyLowSourceReference knowledge1 other source
Massage oils, lotions, or essential oils, including nut-derived oils, can cause contact dermatitis or allergic reactions in sensitized people.
- →Blood Pressure IncreaseCertaintyLowSourceReference knowledge1 other source
A pharmacology reference says painful deep-tissue or trigger-point pressure can briefly raise blood pressure through a stress response; gentle, relaxing massage usually lowers it.
- →Peripheral Nerve DamageCertaintyLowSourceReference knowledge1 other source
Rare cases of nerve compression injury or paresthesia have been reported after forceful deep pressure over superficial nerves.
- →Skin BurnCertaintyLowSourceReview1 cited study
A review described burns from applying too-hot oil in a clinical-condition context involving Down Syndrome and HIV/AIDS.
- →Temperature SensitivityCertaintyLowSourceReview1 cited study
A review involving Down Syndrome and HIV/AIDS noted exposure to cold.
- →Injury Risk IncreaseCertaintyLowSourceReview1 cited study · 1 other source
A review described safety concerns during massage sessions in a clinical-condition context.
- →Muscle Breakdown (Rhabdomyolysis)CertaintyLowSourceReview1 cited study
A review described muscle damage when high compressive force (~7.6 N) was applied to aged atrophic muscle.
Don't do it if
When to skip it or get medical advice first9 listedHighest probability
- →Cancer (General)CertaintyLowSourceRCT1 cited study
Two cohort studies associated massage directly over an osteosarcoma site with negative survival outcomes, but both had critical risk of bias, so the evidence is not definitive.
- →Bleeding DisordersCertaintyLowSourceReference knowledgeTheoretical
Impaired blood clotting can raise the risk of significant bruising or internal bleeding from massage pressure.
- →Contagious Skin InfectionCertaintyLowSourceReference knowledgeTheoretical
Massaging an active skin infection can spread it to other areas or to the therapist.
- →Deep Vein ThrombosisCertaintyLowSourceReference knowledgeTheoretical
Massage over an acute deep vein thrombosis may dislodge the clot, potentially causing a pulmonary embolism.
- →Thrombocytopenia (Low Platelets)CertaintyLowSourceReference knowledgeTheoretical
A low platelet count can increase the risk of bleeding and hematoma formation, even with moderate massage pressure.
- →Acute InjuryCertaintyLowSourceReference knowledgeTheoretical
Massage directly over an acute injury, such as a fresh sprain, strain, or fracture, can worsen inflammation, bleeding, and tissue damage.
- →Recent StrokeCertaintyLowSourceReference knowledgeTheoretical
During the acute phase of a stroke, neck manipulation or vigorous massage techniques may dislodge clots or alter cerebral perfusion.
Low probability(2)
- →Acute Febrile IllnessCertaintyLowSourceReference knowledgeTheoretical
During a fever or acute systemic infection, massage may increase circulation and metabolic load and could worsen illness or spread infection. The rationale advises waiting until recovery.
- →Bone FractureCertaintyLowSourceReference knowledgeTheoretical
Pressure over an unhealed fracture or acute injury can cause pain and disrupt healing; massage should avoid that area until it is cleared.
Who the trials left out
Some trials of this practice did not take people with these conditions, so the studies say less about them. This is not a warning and does not show harm. Ask a clinician first.7 listedPubMed links (4)
- Pregnancyleft out by 3 trials
PubMed links (3)
- Allergies (General)left out by 2 trials
PubMed links (2)
Left out by one trial each (4)
PubMed links (1)
- Herniated Discleft out by 1 trial
PubMed links (1)
- Spinal Stenosisleft out by 1 trial
PubMed links (1)
- Woundleft out by 1 trial
PubMed links (1)
Safety across the styles
Which pages list each warning. A warning on one style page may not fit the other styles.
- Listed for massage in general and every written style
- Acute Injury · Bleeding Disorders · Deep Vein Thrombosis · Bone Fracture
- Listed on some pages only
- Acute Febrile Illness (Massage in general, Swedish (Classic) Massage) · Contagious Skin Infection (Massage in general, Swedish (Classic) Massage, Thai Massage) · Osteoporosis (Foam Rolling, Swedish (Classic) Massage, Thai Massage) · Recent Stroke (Massage in general, Swedish (Classic) Massage, Thai Massage) · Thrombocytopenia (Low Platelets) (Massage in general, Thai Massage) · Heart Disease (General) (Thai Massage) · Hemophilia (Foam Rolling) · Post-Surgery Recovery (Thai Massage)
Some of these precautions were written by our reviewers. They are not trial results.
- Side effects listed for massage in general and every written style
- Muscle Ache (Myalgia)
- Side effects listed on 2 or more pages
- Blood Pressure Increase (Massage in general, Foam Rolling, Swedish (Classic) Massage) · Bruising (Ecchymosis) (Massage in general, Swedish (Classic) Massage, Thai Massage) · Physical Fatigue (Foam Rolling, Swedish (Classic) Massage) · Injury Risk Increase (Massage in general, Thai Massage) · Peripheral Nerve Damage (Massage in general, Foam Rolling) · Pain (Massage in general, Foam Rolling, Thai Massage)
Studied as a help on one page, listed as a precaution on another
- Cancer (General)
- Massage in general: studied as a help (Medium · 7 trials)
- Swedish (Classic) Massage: studied as a help (2 trials)
- Massage in general: listed as a precaution (Studies)
- Post-Surgery Recovery
- Massage in general: studied as a help (1 trial)
- Thai Massage: listed as a precaution (written by our reviewers)
Both sides are shown as they are listed. Talk to a clinician about your own case.
When you stop
Rebound and withdrawal after discontinuing2 listedHighest probability
- →PainCertaintyLowSourceTheoreticalloss of benefit1 other source
Massage-related pain relief tends to fade within weeks to months after sessions stop, so continued sessions may be needed to maintain the benefit.
- →Muscle TensionCertaintyLowSourceTheoreticalloss of benefit1 other source
Reductions in muscle tension tend to be short-lived and may fade after regular massage sessions stop.
Interactions
Dangerous combinations
Highest severity first
- →AnticoagulantsTheoreticalSerious
Massage, particularly deep or vigorous techniques, may increase bruising or hematoma risk for people taking anticoagulants such as warfarin. The concern is linked to increased tissue perfusion and mechanical disruption.
- →SupplementsGinkgo BilobaTheoreticalCaution
Ginkgo Biloba has blood-thinning properties and may increase the risk of bruising or bleeding during massage.
- →SupplementsOmega-3TheoreticalCaution
High-dose fish oil has antiplatelet effects and may increase bruising or bleeding risk during deep tissue massage.
- →SupplementsVitamin ETheoreticalCaution
High doses of Vitamin E can inhibit platelet aggregation and may increase the risk of bruising or hematoma from massage pressure.
- →Antiplatelet AgentsTheoreticalCaution
Massage may increase bleeding risk for people taking antiplatelet agents such as aspirin, particularly with deep tissue or myofascial techniques.
- →SupplementsGarlicTheoreticalCaution
Garlic supplements can inhibit platelet aggregation and may increase bruising risk when combined with massage.
Okay to combine with
Highest probability of useful synergy
- →PracticesLymphatic Drainage MassageCertaintyMediumSourceReference knowledgeComplementary
Manual lymphatic drainage may enhance general massage’s effects on lymphedema, particularly after breast cancer treatment.
- →SupplementsMagnesiumCertaintyMediumSourceReference knowledgePotentiating
Magnesium supplementation may enhance massage’s muscle-relaxing effects by supporting neuromuscular function and reducing muscle cramping.
- →PracticesStatic StretchingCertaintyMediumSourceTheoreticalComplementary
Static stretching after massage may build on reduced muscle tone to further improve flexibility and range of motion.
- →PracticesHot BathCertaintyMediumSourceTheoreticalComplementary
A warm bath before massage may pre-relax muscles and enhance the overall relaxation response.
- →PracticesFoam RollingCertaintyMediumSourceTheoreticalComplementary
Foam rolling between professional massage sessions may help maintain tissue pliability and reduce muscle soreness.
- →PracticesHeating Pads / Warm CompressesCertaintyMediumSourceTheoreticalComplementary
Applying superficial heat before massage may lower muscle tone, making tissues more tolerant of manual pressure.
- →PracticesYogaCertaintyMediumSourceTheoreticalComplementary
Gentle yoga after massage may prolong relaxation and help maintain improved flexibility.
Medium probability(2)(0)(2)
- →PracticesAromatherapyCertaintyMediumSourceTheoreticalAdditive
Aromatherapy massage, such as with lavender, may add anxiolytic effects; some trials report a modest additional benefit.
- →PracticesMeditationCertaintyMediumSourceTheoreticalComplementary
Mindful attention during massage, or meditation beforehand, may deepen relaxation and the stress-reducing response.
Weakens or is weakened by
Highest probability
- →PracticesIce Bath / Cold PlungeCertaintyMediumSourceTheoreticalCompetitive
Immediate cold water immersion after massage may constrict blood vessels, countering the increased circulation and tissue warming induced by massage.
- →SupplementsCaffeineCertaintyMediumSourceTheoreticalCompetitive
Caffeine’s stimulant effect on sympathetic arousal may work against massage’s relaxation and calming response, especially when taken shortly before a session.
- →PracticesHigh-Intensity Interval Training (HIIT)CertaintyMediumSourceTheoreticalCompetitive
High-Intensity Interval Training (HIIT) immediately after deep tissue massage may exacerbate muscle soreness and negate recovery benefits.
How it works
The mechanisms this practice works through25 listed · 0 established- Anxiety, depression, fatigue, pain sensitivity, nausea, muscular tensionPsychological / psychoneurologicalproposed
Massage interventions yield significant psychosocial benefits, alleviating anxiety, depression, fatigue, pain sensitivity, nausea, and muscular tension, and promoting relaxation and stress reduction.
- Breast blood circulationTCM Qi and Blood regulationproposed
Massage regulates and restores the dynamics of Qi and Blood by improving breast blood circulation and enhancing tissue perfusion, thereby supporting mammary epithelial activity and milk synthesis
- BronchodilationAirway smooth muscle β2-adrenergic receptor upregulationproposed
The paper notes long-term exercise upregulates β2-adrenergic receptor expression in airway smooth muscle, enhancing bronchodilatation — discussed for exercise, not specifically for massage.
- CRH, ACTH, cortisolHPA axis modulationproposed
Sustained gentle manual techniques may inhibit excessive HPA-axis activity by reducing corticotropin-releasing hormone (CRH) and adrenocorticotropic hormone (ACTH), lowering cortisol and regulating autonomic function and metabolic homeostasis.
- Capillary circulation and substance exchangeTissue pressure and vascular effectsproposed
Massage induces cyclic dynamic changes in tissue pressure, altering osmolality, osmotic factors, and apparent blood viscosity in capillaries, promoting better blood circulation and substance exchange.
- Colonic motility (proximal colon via vagal somato-autonomic pathways; distal colon via local ENS mechanisms)Enteric nervous system and somato-visceral reflex pathwaysproposed
The authors propose that abdominal massage acts through mechanical mobilization of feces, increased blood flow and secretion, and activation of somato-visceral reflexes; they describe this framework as hypothetical and requiring empirical verification.
- Fibroblast phenotype switching (pro- vs anti-inflammatory)Fibroblast mechanotransductionproposed
Fibroblasts transduce mechanical signals into biochemical cues that can either escalate inflammation and tissue disruption or promote resolution and repair, depending on the nature of mechanical loading; MFR-like stretch after injurious strain reduces IL-6 and IL-8 secretion
- GHRP, NPY, motilin, gastrin, 5-HTGastrointestinal hormone regulationproposed
Therapeutic massage increased growth hormone-releasing peptide, neuropeptide Y, motilin and gastrin levels and decreased 5-hydroxytryptophan levels, suggesting regulation of gastrointestinal motility, gastric emptying, and appetite signaling.
- Gastric secretion and gastrointestinal peristalsisVagal reflex and gastric secretionproposed
Abdominal massage reduces abdominal distension by directly affecting the skin, stimulating the skin reflex vagus nerve, promoting gastric secretion, and accelerating gastrointestinal peristalsis.
- Hypothalamic-pituitary-adrenal axis, adrenaline/cortisol levels, serotoninVagus nerve activation and neuroendocrine modulationproposed
Medium pressure massage may enhance vagus nerve activity and inhibit lower midbrain-pituitary-adrenal function, decreasing adrenaline and cortisol levels while increasing serum serotonin, thereby reducing heart rate and blood pressure and improving sleep; increased serotonin ameliorates depression and relieves pain, improving overall sleep quality
- Nerve repair and neurotoxic clearanceVascular / microcirculationproposed
Manual interventions increase blood flow to tissues through optimal microcirculation, speeding clearance of neurotoxic substances and providing nerves with nutrients and oxygen for repair, lessening ischemic hypoxic nerve injury.
- Nitric oxide production and vascular complianceMechanical shear stress on vessel wallsproposed
Authors hypothesize that massage-induced shear stress promotes nitric oxide production, improving vascular compliance. This is a proposed mechanism drawn from a cited pilot study, not an established finding.
- Nociceptive processing and inflammatory signalingPain modulationproposed
Tuina modulates pain-related inflammatory signaling and local tissue perfusion, attenuating secondary pain-associated inflammatory changes rather than directly reversing the primary mechanical lesion.
- Pain perception (VAS)Vibratory stimulation analgesiaproposed
Proposed mechanisms include increased afferent activity from muscle spindles, modulation of motoneuron excitability, and enhanced local circulation, contributing to the 53% pain reduction at 48h.
- Paraspinal muscles and fasciaMyofascial relaxationproposed
Tuina relaxes paraspinal muscles, reduces muscle spasm, stretches contracted fascia, and improves local microcirculation, reducing protective muscle guarding and altering neuromuscular reflex activity.
- Parasympathetic tone, heart rate and cortisolMechanoreceptor activation and autonomic (vagal) pathwaysproposed
Authors propose that pressure receptor stimulation enhances vagal activity and reduces HPA axis activation, shifting autonomic balance toward parasympathetic dominance. Presented as hypothesized mechanisms.
- Peristalsis and bowel movementGastrointestinal motilityproposed
Abdominal massage mechanically stimulates the intestines, alters intra-abdominal pressure towards the rectum, stimulates peristalsis, shortens gastrointestinal transit time, and accelerates bowel movement.
- Posterior insular cortex; parasympathetic toneAffective touch / C-tactile (CT) fiber activationproposed
Slow, gentle manual contact activates CT fibers that project to the posterior insular cortex, enhancing parasympathetic tone via insula–limbic pathways, which may reduce blood pressure, slow heart rate, and decrease cortisol.
- Prostaglandins, IL-1β, IL-2, IL-6Inflammatory mediator reductionproposed
Repeated manipulation and stretching of the musculoskeletal system may relieve tension in muscle fibers and connective tissues, improve blood circulation, and reduce inflammatory mediators, thereby alleviating pain.
- Rectus femoris cross-sectional areaFluid drainage / inflammatory edema modulationproposed
Percussive massage prevented the post-fatigue increase in rectus femoris CSA seen in controls, interpreted as enhanced fluid drainage and modulation of post-exercise swelling (extracellular edema), though biochemical confirmation is lacking.
- Spleen, liver, yin-yang balanceMeridian theory / TCM mechanismproposed
According to TCM, pediatric massage strengthens the spleen, softens the liver, and nourishes yin to calm wind, restoring yin-yang balance in children with hyperactive yang constitutions, addressing the pathogenesis of tic disorder.
- Th2-mediated airway inflammationAnti-inflammatory cytokine modulationproposed
The paper discusses (for exercise) that regular aerobic exercise upregulates anti-inflammatory cytokines (IL-10 and TGF-β), suppressing Th2-mediated inflammatory cascades, attenuating eosinophilic airway infiltration, and downregulating NF-κB signaling — mechanisms presented for non-pharmacological interventions generally, not specifically demonstrated for massage.
- Thoracolumbar fascia shear strain / interfascial slidingFascial mechanicsproposed
Massage therapy reduced cumulated and maximum absolute lateral shear strain of the thoracolumbar fascia, interpreted as reduced abnormal TLF tension and improved interfascial sliding; no HKD microstructural changes were detected over 3 weeks.
- parasympathetic activation, cortisol, serotonin, dopamineautonomic nervous system / stress hormonesproposed
Classical massage stimulates the parasympathetic system in the hypothalamic-pituitary axis, decreasing stress hormone (cortisol) levels and increasing serotonin and dopamine, improving anxiety.
- systemic venous and lymphatic blood flow, local micro-circulationCirculation and lymphatic drainageproposed
Massage stimulates vasoconstrictive nerves, improves systemic venous and lymphatic blood flow, increases local blood micro-circulation, promotes body relaxation, and improves sleep quality, reducing pain sensitivity.
How to start
Typical protocol
40 protocolsEstimatedAcross every study of this practice, whatever the variation.
18 min · 3×/week
- Course
- 4 weeks
- Rounds
- 1–2
- Intensity
- Mixed
- Format
- Individual
- Supervision
- Instructor-led
Courses and single sessions · 27 repeated-course and 9 single-session protocols
70% of the corpus contributed
Community experience
Based on 377 public posts from Reddit, Phoenix Rising, YouTube, Bluesky, and Hacker News.
What people report it did
24 outcomes mentioned across 377 public reports. A report often mentions several, so these counts do not add up to the total.
Reported benefits14
- Chronic Pain Reduction55 mentions
- Mood Improvement39 mentions
- Physical Function24 mentions
- Muscle Soreness Reduction (DOMS)17 mentions
- Muscle Recovery Acceleration15 mentions
- Emotional Regulation Improvement13 mentions
- Muscle Relaxation12 mentions
- Anxiety Reduction12 mentions
- Stress Resilience Improvement10 mentions
- Analgesic Effect8 mentions
- Sleep Quality Improvement8 mentions
- Lymphatic System Support6 mentions
- Flexibility Improvement5 mentions
- Present Moment Awareness5 mentionsnot studied
Reported side effects10
- Muscle Ache (Myalgia)23 mentions
- Physical Fatigue20 mentionsnot studied
- Pain16 mentions
- Mental Fatigue14 mentionsnot studied
- Anxiety Increase9 mentions
- Emotional Blunting7 mentionsnot studied
- Headachenot studied
- Joint Pain (Arthralgia)not studied
- Muscle Crampsnot studied
- Overtraining Syndromenot studied
What people report doing
Counted from public posts and videos, not from a survey. Each figure counts the posts that mentioned it — most reports say nothing about schedule.
How often6 mentions
Intensity8 mentions
Where8 mentions
Session lengthas written
How long they've practisedas written
References
122 screened · 56 analysed · 58 listed below
Studies and sources cited on this page. Evidence quality varies — check the grade on each.
- Short-term effectiveness of massage techniques on myotendinous structures' stiffness: a systematic review and meta-analysis.Res Sports Med2026Meta-analysisAn=617
- The Effects of Massage and Music Interventions on Postoperative Pain Severity Following Cardiac Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Pain Manag Nurs2026Meta-analysisA
- Can massage ameliorate menopausal and postmenopausal symptoms in women? A systematic review and meta-analysis.Complement Ther Med2026Meta-analysisA
- Assessment of non-pharmacological nursing strategies for pain management in tumor patients: a systematic review and meta-analysis.Front Pain Res (Lausanne)2025Meta-analysisAn=1070
- Effectiveness of non-pharmacological traditional Chinese medicine therapies in promoting human milk feeding outcomes: a systematic review and network meta-analysis.Int Breastfeed J2026Meta-analysisBn=5710
- Effectiveness of manual therapy on physical and mental health promotion in adults: a systematic review and meta-analysis.Front Psychol2026Meta-analysisBn=5524
- Effectiveness of manual interventions on overall symptoms, pain and quality of life in patients with chemotherapy-induced peripheral neuropathy: a systematic review and meta-analysis.Support Care Cancer2026Meta-analysisBn=646
- Efficacy and safety evaluation of massage combined with traction for lumbar disc herniation: a meta-analysis.Front Med (Lausanne)2026Meta-analysisBn=1329
- Efficacy of traditional Chinese massage therapy combined with Schroth therapy in patients with adolescent idiopathic scoliosis: a meta-analysis.Front Pediatr2026Meta-analysisBn=549
- The Effect of Abdominal Massage in Preventing Constipation After Orthopedic Surgery: A Systematic Review.J Perianesth Nurs2026Systematic reviewB