Massages provide a range of benefits, from relaxation and improved circulation to muscle relief and enhanced skin tone, but experts warn that improper techniques or underlying health issues can turn a soothing session into a health risk.
“Massages are generally safe,” said Ma. Elena Lourdes R. Tan, MD, of the Department of Physical Medicine and Rehabilitation at Makati Medical Center. “Problems can arise when excessive pressure is applied to the wrong areas for prolonged periods. This can reduce circulation or affect nerves, resulting in temporary or permanent damage.”
Risks from vigorous or deep tissue massages, while rare, include bruising, loss of sensation in limbs, fractures, or rhabdomyolysis, a condition in which muscle breakdown releases proteins and electrolytes into the bloodstream, potentially affecting the heart and kidneys.
Clients can also pose risks to therapists. Dr. Tan noted that skin infections or contagious respiratory illnesses, such as colds, flu, tuberculosis, or COVID-19, can be transmitted through close contact.
Experts advise choosing reputable establishments with trained therapists and maintaining good hygiene standards. Disclosing health conditions such as pregnancy, fractures, open wounds, rashes, or other medical issues is essential. “If you feel unwell, it’s better to skip the session,” Dr. Tan said.
Communication during the massage is also crucial. Clients should indicate preferred pressure, areas to avoid, and report discomfort immediately. For pain related to sports injuries or chronic conditions, consulting a physiatrist or physiotherapist may be more effective than a conventional massage.
“Massages are a complementary treatment,” Dr. Tan said. “They do not cure diseases or injuries. Persistent pain should be evaluated by a physician.”
