There are dozens of different techniques that are considered deep tissue massage, including myofascial release, Active Release Technique , neuromuscular therapy , and trigger point therapy. The massage therapist wants to work deeply into the tissue to find the areas that need attention.
Slow, focused strokes explore the muscle, tendons, and fascia, and allow the tissue to adapt to the pressure. If your therapist finds an area that needs work in the muscle or tendon itself, he or she will use petrissage or friction to open up the tissue, increase blood flow, and flush out waste products. The more honest you are with your feedback , the more effective the massage will be. Your therapist depends on your comments to adjust depth and pressure for the best result.
Too little pressure and the tissue may not respond; too much pressure and the muscle may contract against the pain and be more difficult for the therapist to engage. Smith four times over the next 72 hours to calm the muscles.
Up until then everything had been progressing so nicely with my treatment. The doctor wondered what I could possibly have done but I was scared to tell him what had happened. The visits to the clinic were an anguishing reminder of what had happened in the room down the hall. The thought of running into Brian was horrifying. However, I needed to continue my treatments with Dr. Smith, especially now at a time when I was experiencing a setback.
After the back spasms settled I was scheduled for one of my last sessions with Conrad before he moved. Why was I feeling so anxious? I trusted Conrad. The memory of Brian was so fresh in my mind that I found myself shaking as I settled onto the table. Conrad was unprepared for what he was about to see. He knew from my description on the phone, a number of days earlier, that there was bruising. So he expected some discolouration. But when he moved the draping back, he was shocked at the size and placement of the bruising.
He knew a massage should not be so deep as to cause such visible tissue damage. Conrad thought about my sessions with him over that past few months and recalled he regularly used deep pressure without ever causing me pain or bruising.
At that point he concluded the other RMT must have used extensive pressure. Conrad thought the bruising displayed something out of the ordinary. The massage with Conrad was difficult. I made small talk to block out the haunting thoughts of my previous session with Brian. Even though I knew I could trust Conrad, I trembled beneath his hands. After the session, Conrad spent time listening and discussing the situation with me. He made sure that I understood it was not my fault and advised me to talk to Dr.
He convinced me that I needed to let him know what had happened and encouraged me to show him the photos. I confided in Dr. Smith during my next adjustment and, reluctantly, I showed him one of the photos while I explained what had happened. Smith reassured me that this would not be taken lightly and he promised to meet with Brian. He was concerned with what had happened during the session as well as the lack of follow-up.
Smith sensed the trauma that I was feeling as I shared what had happened in the days following the bruising. The impact reached beyond just me, it also affected my family. One particularly sensitive situation I shared with Dr. Smith described the impact this had on my family. I explained to him how my daughter will often crawl into bed with me in the morning to cuddle. Her reaction was of a child feeling rejected.
Some people may have no visible reaction while others may have a bruise or swelling. A Swedish Massage or another lighter pressure massage would be the best choice for someone that knows they are sensitive and bruise easily, as opposed to a Deep Tissue massage which would be a very firm pressure and may cause abrasions on someone with sensitive tendencies.
Some people have thicker skin and rarely bruise. These people will most likely see no visible reaction but may be slightly sore from a firm pressure massage. Soreness from a massage generally should not last longer than 2 or 3 days. Bruises could potentially be a sign of poor technique, though The bruising we discuss above should disappear in less than a week—probably in about four to six days.
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