DEEP TISSUE OR FIRM PRESSURE?

Clients tend to be confused about the term "deep tissue" when booking a massage, thinking that it means very firm all over pressure throughout the entire massage. Firm pressure and deep tissue are two very different things. For starters, deep tissue is not a pressure preference, it is a technique used for a specific purpose. Filling out an intake form, the client is asked what type of pressure they prefer, light, medium, or firm. Deep tissue is often listed as a choice, and this is where things get confusing.

During a firm Swedish style massage, oil or cream is used to glide over the layers of fascia and muscle layers. Long gliding strokes, kneading, rolling, vibration or percussive techniques are used to stimulate the muscles, increase circulation of blood and lymph, soften and relax the muscles, reduce cortisol levels, thus creating a sense of relaxation throughout the body.

Deep tissue on the other hand is meant to be used on specific targeted areas of immobility or pain caused by muscle adhesions (knots), overly tight muscles, or stuck muscle groups. Little to no lubricant is used so that the muscle tissues can be hooked, grabbed and stretched in order to lengthen and separate them. The strokes are slower, shorter, and sustained as the therapist waits for a release of tension. Therefore some areas may be skipped so more time can be focused on the areas in need. This type of massage is less about general relaxation and more about creating change in the muscles.

Some people believe that deep tissue means that the therapist pushes as hard as possible, thinking the more it hurts, the more effective it is. This is not accurate and can be potentially harmful, because this approach can cause bruising and a defensive reaction in the body that can actually worsen pain cycles. Deep tissue is not forcing the body into submission.

How do you choose? Usually not all muscles in your body need deep tissue work. Most massage sessions incorporate a combination of styles depending on the clients needs. If your goal is to relax, reduce stress, and you prefer firm pressure all over, choose a firm massage. If there are some areas that need extra attention, and also like a firm all over massage, then a mixture of both techniques is an excellent option. Finally, if you have areas of acute or chronic pain, areas of limited mobility that require longer focused work, then deep tissue is the right choice.

Understanding the difference between deep tissue and a firm full body massage will help you get the most benefit from your time on the massage table.