Who should avoid deep tissue massage?

Published: November 20, 2025
Updated: November 20, 2025

Deep tissue massage involves some conditions under which certain health problems should be avoided to prevent complications. A medical consultation is advisable before making appointments. Some patients are at serious risk from the deep pressure techniques employed. Knowledge of these restrictions will help protect you during treatments.

Blood Clotting Disorders

  • Includes hemophilia or thrombocytopenia
  • Pressure may dislodge clots causing embolism
  • Requires hematologist clearance before consideration

Recent Surgical Procedures

  • Avoid 6-12 weeks post-surgery depending on procedure
  • Risk of reopening incisions or disrupting healing
  • Includes implants like joint replacements initially

Advanced Osteoporosis

  • Fragile bones fracture easily under pressure
  • Particularly dangerous for spinal manipulation
  • Gentle modalities remain safer alternatives
Condition-Based Precautions Guide
Condition
Pregnancy (1st trimester)
Risk LevelAbsolute AvoidanceAlternative ApproachesPrenatal massage after 14 weeks
Condition
Rheumatoid Arthritis flare
Risk LevelHigh RiskAlternative ApproachesGentle myofascial release during remission
Condition
Controlled Hypertension
Risk LevelModerate CautionAlternative ApproachesAvoid neck pressure; monitor during session
Condition
Diabetes (neuropathy)
Risk LevelModerate CautionAlternative ApproachesExtra padding; avoid extremities with sensation loss
Always consult your physician before massage

Pregnancy restrictions address sensitivity in the first trimester. While deep pressure can be contraindicated due to uterine sensitivity early in pregnancy, after 14 weeks, certified prenatal therapists are trained to use unique positioning and lighter techniques altogether that avoid any abdominal pressure.

Inflammatory conditions, for example, active rheumatoid arthritis, are contraindications; even light pressure on inflamed joints results in greater inflammation and tissue damage. In the case of remission, gentle methods may result. Still, you will want your rheumatologist's approval and have a therapist who has experience with autoimmune conditions.

Individuals diagnosed with cancer should be treated with special care and consideration, especially with bone metastases. The application of deep pressure carries risks of a pathological fracture. Lymph node involvement in the cancer prohibits a local massage. The oncologist must grant permission, and the practitioner must be certified in oncology before any bodywork takes place.

Always provide a complete medical history, including all medications. Blood thinners significantly increase your chances of bruising. Recent injuries require an evaluation before therapy can begin. Your therapist should contact your physician and ensure they are developing a safe plan tailored for you.

Read the full article: Understanding Deep Tissue Massage Benefits

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