What Are the Disadvantages of Deep Tissue Massage? Honest Insights from The Mark of Massage

At The Mark of Massage in Castle Rock, Colorado, deep tissue massage has been a cornerstone of my therapeutic practice since 2004—helping clients with chronic tension, sports recovery, trigger point issues, and more through targeted, firm pressure on deeper muscle layers. While it’s incredibly effective for many (breaking down adhesions, improving mobility, and providing lasting relief), it’s not without potential downsides. Deep tissue isn’t the “relaxing spa rub” some expect—it’s more intense and solution-focused, which means it can come with some trade-offs.

Here are the main disadvantages and side effects to be aware of:

1. Post-Session Soreness (Like a Workout “Hangover”)

The most common downside is delayed onset muscle soreness (DOMS) or lingering tenderness for 1–3 days afterward. This happens because the firm pressure stimulates muscle fibers, releases built-up waste products (like lactic acid), and causes minor inflammation as tissues adapt. It often feels similar to soreness after an intense gym session—manageable with hydration, light movement, heat/cold packs, or rest—but it can catch first-timers off guard. In my experience, clients who communicate their pressure tolerance upfront usually experience milder effects.

2. Potential for Discomfort or Pain During the Session

Deep tissue uses slow, deliberate strokes with significant pressure (often elbows, forearms, or thumbs), so it can feel intense or even “good hurt” in problem areas. If pressure is too much or not adjusted properly, it might cause temporary discomfort, bruising, or increased tension (your body tenses in response to pain). The key is communication—tell your therapist to lighten up if needed!

3. Not Suitable for Everyone (Contraindications and Risks)

Deep tissue isn’t ideal or safe for certain conditions due to the firm pressure and increased circulation:

•  Blood clotting issues (e.g., history of clots, blood thinners, or disorders) — Risk of dislodging a clot, which could lead to serious complications like stroke or pulmonary embolism.

•  Osteoporosis or fragile bones — Firm pressure could cause fractures.

•  Cancer (especially metastatic or during treatment like chemo/radiation) — May stimulate circulation in affected areas or risk injury.

•  Recent injuries (acute strains, open wounds, fractures, or inflammation) — Could worsen damage or delay healing.

•  Pregnancy — Generally avoid deep abdominal/back work; gentler prenatal styles are safer.

•  Other conditions like uncontrolled high blood pressure, certain heart issues, or skin infections.

Rare but serious risks (reported in medical literature) include nerve injury, muscle tears, or blood clots if boundaries aren’t respected. Always consult your doctor first if you have any health concerns—transparency on your intake form is crucial!

4. Not the Best for Pure Relaxation

If you’re seeking a purely soothing, stress-melting experience, deep tissue might feel too vigorous. It prioritizes therapeutic results over immediate bliss, so some clients prefer blending it with lighter techniques (like Swedish or Esalen) for balance.

How We Handle This at The Mark of Massage

With my 20+ years of experience, I always start sessions gently to warm tissues, check in frequently on pressure, and adapt based on your feedback. Whether it’s an in-home mobile visit (within ~30 minutes of my home office at 216 Douglas Fir Ave, 80104) or a private session in my lower-level space (fully secluded, though you might hear occasional family sounds from upstairs outside the room), the goal is real relief without unnecessary discomfort. If deep tissue isn’t the best fit, we can pivot to gentler therapeutic options.

Bottom line: Deep tissue’s disadvantages are mostly short-term and manageable for most people, but it’s powerful medicine—best when used thoughtfully. If you’re dealing with chronic pain or tightness, the benefits often outweigh the temporary soreness for active Castle Rock folks like hikers, desk workers, or athletes.

Ready to try it safely? Book a session today—let’s discuss your needs and make it right for you!

Sources for Verification (based on 2025–2026 health and industry resources):

•  Healthline: Lingering soreness, not safe for everyone (e.g., blood clots, osteoporosis, cancer, pregnancy) (https://www.healthline.com/health/deep-tissue-massage)

•  WebMD: Soreness, cramping, lightheadedness; risks like muscle tears, fractures, or stroke in vulnerable people; not for osteoporosis, certain cancers, etc. (https://www.webmd.com/pain-management/is-deep-tissue-good-for-you)

•  Forbes Health & various therapeutic sites: Temporary soreness common; communicate pressure; avoid in acute injuries or certain medical conditions (https://www.forbes.com/health/wellness/deep-tissue-massage/)

•  Professional guidelines (e.g., AMTA, MBLEX): Contraindications for deep pressure in cases like DVT, fractures, infections

Your safety and results come first—hope this helps you decide! 😊