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Massage Therapy: What is It and What Happens During Session?

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Massage table setup.

Massage is more than just a luxurious treat you get at a spa. It  serves as an incredible integrative tool for enhancing your health, managing chronic pain, and achieving an overall sense of well-being. 


Whether you're dealing with chronic muscle tension, stress, or even emotional turmoil, massage therapy can provide a holistic approach to healing. There are several different types of massage, each with its unique benefits. For instance, deep tissue massage is wonderful for breaking down those tight knots in your muscles, while Swedish massage can be incredibly soothing for relaxation. 


Interestingly, studies have shown that regular massage can also help to lower levels of stress hormones in the body and increase serotonin and dopamine, our feel-good hormones. So it’s not just about the physical benefits; it’s about nurturing your mental and emotional health as well. 


This blog will explore the various types of massage and their specific benefits.


What is Massage Therapy?


Let's start with the basics: massage therapy should always be done by licensed professionals. A licensed massage therapist knows how to use different pressures, movements, and techniques to really focus on your muscles and fascia. 


The goal here is to help relax your nervous system, which can really make a difference when it comes to stress and tension. On top of that, it can relieve symptoms, help heal injuries, and improve your overall well-being.


Different Types of Massage Therapy


Massage therapy has a variety of options to choose from. Let’s take a look at some of the different types you might find on a massage menu.


Swedish massage


Regular massage example.

Swedish massage is one of the most popular massage techniques with some people referring to it as a classic massage. The main goal is to help you relax by easing muscle tension. 


If you’re looking for something basic with generally minimal pressure on the muscles, Swedish massage is definitely the way to go. It’s a bit gentler than deep tissue massage, making it a great choice for anyone wanting to relax and relieve stress. It can really help loosen up those tight muscles that come from sitting at a computer all day or hitting the gym. It's particularly effective for targeting tension in areas like your lower back, shoulders, and neck.


So, what should you expect during a Swedish massage? Your therapist will use various techniques like kneading, effleurage, deep circular movements, and passive joint manipulations. All of this is designed to help you unwind, stimulate nerve endings, and improve blood flow while promoting lymph drainage.


A typical Swedish massage covers your whole body. You’ll either start on your stomach or your back and then flip to the other side halfway through. If there’s a specific area that’s bothering you, like a tight neck, feel free to let your therapist know so they can spend a little extra time on it. Plus, you can choose whether you want light, medium, or firm pressure based on your comfort level.


Usually, for a full-body massage, you'll be asked to undress to your comfort level. Your therapist will step out while you get ready. They'll drape a sheet over you to keep things private, adjusting it as they work on different areas, so you’ll be covered most of the time.


To enhance the massage experience and promote relaxation, they might ask you if you’d like to pick a scent for some aromatherapy. Sounds great, right?


Deep Tissue Massage


Deep tissue massage is similar to a Swedish massage, but it digs deeper and is usually aimed at a different purpose altogether.


Deep tissue massage is perfect for folks such as:


  • Athletes


  • Runners


  • Anyone with injuries


It's also beneficial for those dealing with chronic pain conditions, such as:


  • Fibromyalgia


  • Lower back pain


What makes deep tissue massage unique is that it gets into the inner layers of your:


  • Muscles


  • Tendons


  • Fascia (connective tissue that surrounds and holds every organ, blood vessel, bone, nerve fiber and muscle in place)


While deep tissue massage uses many of the same moves as Swedish massage, this one is all about the pressure, and there’s definitely a lot more of it. 


To reach those deeper muscle layers, your therapist will work through the muscles one layer at a time, gradually increasing the pressure and using special techniques with their fingers, fists, and maybe even elbows to stretch out those tight spots.


This kind of massage can aid in healing by loosening up those tight muscles and tissues. It also helps boost blood flow and can reduce inflammation.


So, what can you expect during a deep tissue massage? 


First, you’ll chat with your therapist about any trouble spots you have. The massage can cover your whole body or focus strictly on one area. You’ll start by lying down—either on your back or stomach—under a sheet. You can decide how much you want to undress, no pressure.


The session typically kicks off as a more traditional relaxation massage to warm up your muscles. Once you're warmed up, your therapist will start working deeper into those problem areas.


In addition to their palms and fingers, your therapist might use their forearms or elbows for added pressure.


It’s super important to communicate with your therapist about how much pressure feels good for you and to let them know if anything feels uncomfortable. Everyone's tolerance can vary throughout the massage, so don't hesitate to speak up.


A lot of therapists believe that while some pressure is good, too much can be counterproductive, so make sure you're clear about what you're feeling.


After your deep tissue massage, some soreness is a normal occurrence in the days that follow. Your therapist might suggest using ice or heat, and stretching.


When looking for the right massage therapist, try to find someone who specializes in deep tissue massage and has experience with your specific needs, whether that's sports injuries, fibromyalgia, arthritis, or even pregnancy.


*Always ensure your massage therapist is licensed or certified.


Before your session, it’s helpful to:


  • Share any injuries you're dealing with and how long they’ve been a problem, along with your current pain level.


  • Be clear about your comfort zones—let them know if there are areas you'd rather not have touched. For example, some people may feel uneasy about having their glutes or feet massaged.


  • Discuss your goals—is it all about relaxation for you, or are you aiming for injury recovery?


  • Chat about pressure levels. Let your therapist know what works best for you.


  • Be open about any privacy concerns or sensitive areas.


And remember to warm up those muscles. A warm shower, a soak in a hot tub, or a quick stint in a sauna can help. And don't forget to hydrate—drink plenty of water before your massage.


Sports Massage


Sports Massage example.

Sports massage is designed for athletes of all levels—whether you're a pro, a college player, or even a high school athlete. It's also great for anyone who stays active and enjoys exercising regularly. Think of sports massage as a more targeted version of deep tissue massage. It zeroes in on specific areas of your body using a mix of deep and lighter techniques to help release muscle knots, boost blood circulation, and keep lactic acid at bay.


When you visit a licensed massage therapist, they'll assess your posture, the physical demands of your sport, and any previous injuries you might have had. From there, your therapist can focus on the parts of your body that are feeling strained from all the intense and repetitive movements you do.


Sports massage incorporates deep tissue work and stretching at the muscle-tendon junctions, which can really benefit your athletic performance in several ways, such as:


  • Warming up before games and cooling down afterward


  • Healing and preventing sports injuries


  • Improving flexibility


  • Helping you recover faster between games


It’s a fantastic way to keep your body in top shape.


Trigger Point Massage


Trigger points won’t just heal themselves, so if you're dealing with them, it's a good idea to see a massage therapist.


You might be wondering how a trigger point massage actually works, right? While there isn't a specific massage type called “trigger point massage,” therapists employ various techniques to work out those tight knots. They often use methods like myofascial release and deep tissue massage. The idea is that massage helps push fresh blood into the area, flushing out waste materials. This doesn’t just feel good; it helps relieve pain by increasing oxygen flow and prompting the muscles to relax.


There are also other approaches, like PNF stretching and Neural Reset Therapy, which can help 'trick' your muscles into letting go of those trigger points through movement and stretching. Even though these trigger points are small, they can cause a surprising amount of discomfort. 


The good news is, you can find lasting relief through trigger point massage.


If you've recently been in a car accident or suffered another type of injury, trigger point massage can complement any physical therapy you may be receiving, helping your entire body heal. 


Myofascial Release


Myofascial release therapy is a hands-on approach designed to ease myofascial pain. Here’s the breakdown: “Myo” refers to muscle, and “fascial” relates to the connective tissue that supports those muscles throughout your body. Instead of just focusing on your muscles, your therapist targets the tension in your fascia.


What exactly is fascia? Think of it like a delicate spider web. This stringy tissue connects all parts of your body—muscles, bones, nerves, and even organs. It's one continuous network, which means that if there's a tight spot somewhere, it can lead to pain elsewhere.


Fascia is usually flexible and strong, providing support and protection for your muscles. But when trauma occurs, it can become stiff and tight, leading to pain and restricted movement that may impact your day-to-day life.


Who might find myofascial release beneficial? This therapy can help anyone dealing with tight fascia, especially those who have experienced:


  • Physical trauma (like falls or car accidents)


  • Scarring from surgeries or injuries


  • Inflammation (conditions like bursitis or arthritis)


  • Compressed nerves (like in carpal tunnel syndrome)


  • Repetitive stress injuries from activities or posture


Myofascial release can address various conditions, including:


  • Myofascial pain syndrome


  • Carpal tunnel syndrome


  • Low back pain


  • Temporomandibular joint (TMJ) disorder


  • Fibromyalgia


  • Chronic migraines


During your session, you'll work with a trained healthcare provider—like a physical therapist or massage therapist. They’ll locate tight areas, known as trigger points or knots, and apply gentle pressure to help release that tension. The process involves kneading and stretching until they sense the tension easing.


Afterward, you might feel a little sore, but that should pass quickly and you'll likely feel much looser. For optimal results, you might need several sessions, typically lasting 15 to 50 minutes, spaced every one to three days, depending on your specific issues.


Lymphatic Massage


Lymphatic drainage massage is a gentle massage technique designed to reduce swelling caused by lymphedema, which is often a side effect of various health conditions, particularly after cancer surgeries like breast cancer where lymph nodes are removed. Your lymphatic system is supposed to move lymph fluid back to your heart through a network of vessels and nodes. When that process gets disrupted, you might notice swelling in your arms, legs, or ankles.


During this massage, a therapist uses specific techniques to help move lymph fluid from your tissues to your lymph nodes, alleviating the swelling.


While it’s most commonly used to treat lymphedema after breast cancer surgery, lymphatic drainage can also be beneficial for conditions like chronic venous insufficiency, fibromyalgia, injuries, lipedema, and rheumatoid arthritis. On the cosmetic side, facial lymphatic drainage can improve circulation and reduce puffiness, giving your skin a nice glow.


So, how do you know if you need it? 


If your lymphatic system isn’t functioning properly, you might experience symptoms like bloating, brain fog, chronic sinus infections, fatigue, headaches, puffy ankles or hands, skin issues, or swollen lymph nodes. 


During a lymphatic drainage massage, the provider uses light pressure and specific techniques to prepare your lymphatic system. The session starts with massaging areas like your neck and armpits to stimulate lymph nodes, then guiding excess lymph fluid from swollen areas toward those nodes for reabsorption.


Lymphatic massage includes several benefits such as: reduced swelling, immune support, relief from neuropathy, stress management, and even glowing skin if it’s done as a cosmetic treatment. However, it’s not for everyone; you should avoid it if you have blood clots, infections, or heart issues.


When it comes to lymphatic massage, results can vary. So if multiple sessions don’t help, talk to your healthcare provider about other options. 


* While it's possible to perform lymphatic drainage on yourself at home, it’s best to consult your healthcare provider on how to do it correctly. 


Lymphatic massage can be effective for lymphedema, but it shouldn’t be your only treatment. If you use compression garments, keep using those too. Results can vary, and if you don’t have lymphedema, you might not notice significant changes—though it’s generally safe for most people.


Prenatal Massage


Pregnant woman getting a prenatal massage.

Prenatal massage is similar to regular massage but is tailored specifically for pregnant women and their changing bodies. It helps relax tense muscles, relieve soreness, boost circulation, and just makes you feel great. Since pregnancy affects your center of gravity and increases stress on your back, neck, and shoulders, a trained prenatal massage therapist will know which areas to focus on and which to avoid for your safety and comfort.


If you're wondering whether to get a prenatal massage, the answer is yes—just make sure your healthcare provider gives you the green light. You can enjoy massage therapy at any stage of pregnancy with approval, although some therapists prefer to wait until the second trimester due to higher miscarriage risk early on. But don’t worry, research doesn’t suggest that first-trimester massages increase that risk.


As your body changes, your massage therapist will help you find comfortable positions. For example, lying facedown can become uncomfortable as your breasts swell and your belly grows.


The American College of Obstetricians and Gynecologists (ACOG) supports prenatal massage for relaxation and circulation improvement. While research on its benefits is still limited, some small studies indicate that prenatal massage may help:


  • Improve mood and reduce stress


  • Alleviate depression and anxiety related to pregnancy


  • Lower the risk of preterm birth and low birth weight in infants of moms with prenatal depression


  • Reduce leg swelling


Getting a massage can also help you feel more at ease during this time of change. Just be sure to inform your therapist that you're pregnant and communicate any discomfort during the session. 


To find a good prenatal massage therapist, seek recommendations from your doctor, hospital, or friends. You can also ask your current massage therapist if they specialize in prenatal work. Some will need clearance from your provider, so check on that beforehand.


Remember, there are some situations where prenatal massage may pose risks, such as if you have blood clots, certain skin conditions, or allergies to massage oils. Also, it's essential that your therapist doesn’t apply too much pressure to your belly and legs.


If you have any doubts about getting a prenatal massage, just reach out to your healthcare provider for guidance.


Want to Try Massage Therapy? 




What Are the Health Benefits of Massage Therapy?


Massage oil and sound bath.

Massage therapy can be a great option for just about anyone, but it's especially helpful for those dealing with conditions like cancer, heart disease, stomach issues, and fibromyalgia.


Before your first session, it’s important to chat with your therapist about any medical concerns you have. Here are some of the standout benefits you might get from massage therapy:


Reduces Stress and Anxiety


Ever felt that wave of calm washing over you after a massage? It turns out that this feeling can help ease stress and anxiety. Our bodies have two nervous systems: one that kicks in when we're stressed (the “fight or flight” mode) and another that helps us relax and take it easy. Massage is known to boost the calming side, which can really help with anxious feelings.


Improves Sleep


Regular massages can help lower cortisol levels (that pesky stress hormone) while boosting serotonin and dopamine—those happy brain chemicals that help keep your mood stable. Research has shown that massage can be especially beneficial for people struggling with insomnia, whether due to menopause or heart issues.


Lessens Pain and Muscle Tension


Many studies have looked into how massage might alleviate various aches, including back pain, neck pain, headaches, and knee pain. While the relief might not stick around forever, frequent 60-minute massages tend to offer better results compared to fewer or shorter sessions.


Boosts Immune Function


Can massage actually help your immune system? Yes it can. Some studies suggest that getting regular massages can increase your white blood cell count, which plays a key role in fighting off viruses.


Relieves Constipation


If you've had surgery and are struggling with constipation, abdominal massage might provide some relief, according to research.


Eases Fibromyalgia Symptoms


If you’re dealing with fibromyalgia, regular massage over a period of weeks may help improve various symptoms, including issues related to sleep, memory, and mood. 


Alleviates Cancer Pain


For those undergoing treatment for cancer, the physical and emotional challenges can be tough. Many people find that massage helps alleviate pain, promotes relaxation, and enhances their overall quality of life. Research has had mixed results—some studies suggest it doesn’t help much, while others reveal a positive impact.


So, if any of these benefits resonate with you, it might be worth considering massage therapy as part of your wellness routine.


Who Should Consider Trying Massage Therapy?


Anyone can enjoy the benefits of massage therapy. Regular massage can boost your overall wellness and help with pain relief, among a host of other benefits. If you have any health conditions, it’s always a good idea to chat with your doctor first, as well as with your massage therapist. And if you're pregnant, prenatal massage can be a lifesaver for easing discomfort and reducing swelling.


Wondering what type of massage would work best for you? Don’t stress about figuring out the perfect style before making an appointment. San Antonio Acupuncturist and Massage therapist, Dr. Turner-Parker will help you create a treatment plan tailored to your unique needs. 


Ready to try an integrative approach? Contact us today to begin your wellness journey. 


Want to Try Massage Therapy? 

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