Therapeutic Touch or Trouble? When Massages Might Do More Harm Than Good

Massages have long been associated with relaxation, recovery, and overall wellness. From easing muscle tension to improving blood circulation, a good massage can feel like a quick escape from the stresses of daily life. Whether you enjoy a luxurious session in a candle-lit spa or prefer the familiar hands of your trusted suking masahista at home, the benefits of massage therapy are often undeniable.

But here’s the truth not many talk about: massages are not always risk-free. In fact, when done incorrectly or in the wrong circumstances, they can lead to more harm than healing. According to the experts at Makati Medical Center (MakatiMed), understanding when a massage is helpful—and when it isn’t—can save you from unnecessary injuries or complications.

The Hidden Risks Behind Intense Massages

While massages are “generally safe,” as emphasized by Ma. Elena Lourdes R. Tan, MD from MakatiMed’s Department of Physical Medicine and Rehabilitation, complications can arise more easily than people think.

A massage that is too vigorous or applies excessive pressure can cause:

Bruising and soreness in previously pain-free areas


Nerve compression, leading to temporary or long-term numbness in the arms or legs


Fractures in individuals with fragile bones


Rhabdomyolysis, a rare but serious condition where extreme muscle pressure causes muscle breakdown, releasing toxins that can damage the kidneys and heart

“These issues often happen when pressure is applied to the wrong areas or sustained for too long,” explains Dr. Tan. “Poor technique can compromise nerves or circulation, which may lead to lasting damage.”
When the Client Becomes a Risk to the Therapist

Massages don’t just pose potential risks to clients—they can also impact the therapist’s health. Dr. Tan stresses that individuals with contagious respiratory illnesses or skin infections should refrain from getting massages. Close contact makes it easy to transmit colds, flu, tuberculosis, COVID-19, and fungal or bacterial skin infections.

“If you are sick or have an active infection, it’s best to stay home,” she advises.
Massage Safety Tips From MakatiMed Experts

To enjoy a safe and effective massage, MakatiMed highlights these essential reminders:
1. Choose a reputable and hygienic establishment.

Dr. Tan recommends selecting spas or wellness centers with licensed, well-trained therapists. Look for places that uphold professional standards, maintain strict cleanliness, and prioritize client safety and comfort.
2. Disclose your health conditions honestly.

Before your session, inform your therapist if you have:

A suspected or confirmed fracture


Open wounds or rashes


Chronic illnesses


Recent surgeries


Pregnancy

“If you have an underlying medical condition, it’s best to consult your doctor before getting a massage,” says Dr. Tan.
3. Communicate what you feel.

A good massage is a partnership. Be clear about your preferred pressure and areas of discomfort. Speak up if something feels painful or wrong. Your therapist cannot adjust if you stay silent.
4. Seek medical guidance for sports injuries or chronic pain.

If your pain stems from athletics or trauma, Dr. Tan advises consulting a physiatrist first, followed by a physiotherapistif needed. These professionals are trained in anatomy, rehabilitation, and evidence-based treatment—not just relaxation techniques. Physiotherapists can help improve mobility, strengthen muscles, and manage pain safely.
Massages: Complementary, Not Curative

As relaxing as massages are, they are not a substitute for medical treatment. “A massage doesn’t cure diseases or injuries,” Dr. Tan emphasizes. If pain persists, intensifies, or returns shortly after your massage, it’s time to see a doctor.

Bottom line: Massages can be wonderful—but only when done at the right time, by the right hands, and with the right precautions. By following expert advice and listening to your body, you can enjoy the benefits of therapeutic touch while staying safe and healthy.