What Are the Possible Side Effects of a Deep Tissue Massage?

So a few questions? have you ever gotten a deep tissue massage? If so, you may have experienced some of the common side effects that can occur afterward. These can include soreness, tenderness, or even mild bruising in the areas that were worked on, as the massage targets deeper layers of muscle and fascia. I know how easy it is, in particular when you’re suffering from stiff muscles or chronic pain. Deep tissue massage is widely known as the best therapeutic treatment for releasing tension and promoting healing. But it’s not all sunshine and rainbows; some potential side effects you’ll want to consider before scheduling your next appointment.

I’m not trying to scare you from massages, but I think it’s good to go in prepared. That way you can enjoy the benefits without the surprises.

But before we get into potential side effects, let’s discuss what actually happens during a deep tissue massage. Unlike a mellow Swedish massage, or sort of a gentle rubdown, deep tissue massage targets the deeper layers of your muscles and connective tissues. Therapists use their hands, elbows, or even tools to apply firm pressure. It works to break up knots, promote circulation, and release tension.

However, because this is much more vigorous than a traditional soothing massage, your body reacts differently. This is entirely normal, though understanding these responses can help you determine whether it’s right for you.

Now, I would like to share some risk with you.

1. Post-Massage Soreness

One of the most likely side effects is being sore afterward. Imagine this: your therapist spends an hour paying attention to tight muscles or adhesions. Sometimes, these knots have reared up over the course of weeks, even months. The deep pressure used to knead them out can leave you feeling tender, as if you’d had an intense workout.

I’ve experienced that soreness, too, and while it isn’t particularly enjoyable, it indicates your body is reacting. To alleviate this discomfort, I advise keeping themselves well-hydrated and applying a hot compression on the aching parts.

2. Bruising

Deep tissue massage, especially if very firm pressure was used, can result in bruising, he notes. This occurs since the massage is focusing on the deeper layers of muscle and connective tissue, which can break blood vessels. I understand finding a bruise on your body after a massage may come as a shock, but it’s not as unusual as you might think.

And in order to avoid that, you need to speak up on the call. Be sure to let your therapist know if something feels overly intense or painful. Keep in mind that this process should make you feel better, not worse.

3. Fatigue or Sleepiness

Ever had a massage and then felt spaced out? I know I have. Deep tissue massages can stimulate your parasympathetic nervous system, also called your body’s “rest and digest” mode. While this can feel relaxing, you may end up feeling more tired or sleepy than refreshed.

Don’t worry, though. This type of fatigue is transient, and most people regain their energy after a night’s sleep. If you have something essential to do afterward, you might want to schedule some downtime instead.

4. Emotional Release

This one is a surprise, but deep tissue massages can sometimes bring up emotions. Our bodies store up stress and even emotional memories. So when these tensions release during a massage, it’s not uncommon to experience an influx of emotion, such as sadness or relief.

I’ve had friends tell me that they had this happen to them—that while they were blindsided, it was a good call. So, if you do find yourself unsure of what to do next, just feel those emotions. It is part of the healing process.

5. Headaches or Dizziness

Others say they develop headaches or mild dizziness after a session. There is a reason for this: massages improve circulation, which affects the flow of blood and oxygen. If you didn’t eat or hydrate adequately beforehand, then those side effects are more likely.

To help avoid this, try eating a light snack and drinking plenty of water both before and after you hit your session. And be sure to rise slowly off the massage table to minimize the possibility of getting lightheaded.

6. Nerve Pain or Tingling

Though uncommon, some individuals will have nerve-related discomfort after receiving a deep tissue massage. If the pressure gets too deep or is in the wrong spot, it can leave behind tingles, numbness, or even a pinching sensation.

If you’re experiencing any of these symptoms, it’s important to let your therapist know immediately. A trained therapist should understand enough to adjust their technique to avoid hitting sensitive nerves.

Sometimes, deep tissue massage feels a bit like taking two steps forward and one step back. It can leave you feeling sore, tired, or even uncomfortable in the short term. But for many people, these initial side effects are worth the long-term benefits.

I’ve found that listening to your body is key. If the pain or discomfort lasts longer than a few days, there could be something else going on that needs attention. Always consult a doctor if you’re unsure.

If you’re like me, you don’t want your massage to be more painful than soothing. “The good news is: There are ways to decrease the chances of side effects occurring.”

• Talk to Your Therapist

Keep it real about your pain tolerance level, areas of concern, and previous injuries. A good therapist will modify the pressure level to what you can tolerate.

• Stay Hydrated

Massages release toxins, and drinking water helps flush them out. This can help ease soreness and avoid headaches.

• Stretch or Move Gently

Light stretching (or gentle yoga) will help keep your muscles flexible and minimize any stiffness from the massage.

• Apply Heat or Ice

Using a warm compress can help soothe sore areas, while an ice pack can alleviate any swelling or bruising.

• Take Rest Seriously

Give your body time to recover from the massage. A little self-care goes a long way.

For some, deep tissue massage isn’t the best option. If you have conditions like osteoporosis, open wounds, or severe heart issues, it’s safer to avoid this type of therapy. Also, if you’re pregnant, always check with your doctor first. There are specific types of massage that are safer for expecting mothers.

Sometimes, what your body needs is a gentler approach. Listen to how you feel and don’t ignore red flags.

Despite the side effects, I believe deep tissue massage can be very much helpful for many individuals. It can relieve chronic pain and stiffness and even encourage better posture. But like anything else, it’s not a one-size-fits-all solution.

Like you, I’ve used it when savoring back pain, but I’ve also gained wisdom from making my body my own—if something isn’t fun, you walk away. Everyone is unique, and what works for me may not work for you.

Deep tissue massage can be a rollercoaster ride of sensations. From one in general soreness to possible bruises, it isn’t always smooth sailing. But with careful, even preparation, the trade-offs are usually worth it. Just ensure to talk to your therapist and keep having self-care.