Massage and the Therapeutic Edge
Massage used to be considered simply a relaxation technique in our western world, but every year it seems massage therapy makes more of an impact in helping people heal in one form or another. Therapeutic massage—as opposed to relaxation massage—is used to help with injuries and dysfunctions dealing with the soft tissue in our bodies.
When considering therapeutic massage, most people think of deep tissue massage, but “deep tissue” means different things to different people. To many clients, “deep tissue” means heavy pressure, when in reality, “deep tissue” refers to reaching those muscle tissues that are deeper in the body than the more superficial tissues. In order to reach those deeper tissues, therapists need to use constant pressure, or a compression hold, and wait for the superficial tissues to let them in naturally. If a client’s superficial tissues such as fascia or the superficial muscles are too tense and tender, the therapist won’t be able to go deep right away. Superficial tissues must be properly warmed up before going deeper, and this may look different for each client.
So if pressure in a deep tissue massage looks different for each client, how do we know it’s working?
Defining the Therapeutic Edge:
According to Anne Williams in an article titled, “What is Deep Tissue Massage?” put out by ABMP (Associated Bodywork & Massage Professionals), the therapeutic edge in massage can be defined as the point where the client experiences the "good hurt." It is a sensation where the client feels some discomfort or pain during the massage, but it feels right, appropriate, and ultimately beneficial. At this edge, the tissues within the body start releasing, and tension patterns begin to diminish, leading to a profound sense of relief and healing.
Exploring the “Good Hurt:”
The "good hurt" referenced by Anne Williams in her article is different from pain caused by excessive pressure or improper technique. It is a sensation that reflects the body's response to targeted pressure and manipulation, signifying a release of built-up tension and the restoration of balance. A skilled therapist therapist navigates this therapeutic edge, ensuring that the pressure is sufficient to stimulate positive change without causing undue discomfort or harm.
In massage school, we defined the therapeutic edge as roughly a seven (7) on a 1-10 pain scale where a one (1) is represented by the question, “are you even touching me?” and a ten (10) is represented by the client jumping off the table because they can’t stand the pain. A seven (7), by contrast, is where you feel that “good hurt.” You may feel discomfort, even define it as slightly painful, but you can stand it. In this zone, you can feel the tissues start to release because the pain or discomfort should begin to subside, lessen, or become more bearable after about 30 seconds of static pressue.
What to Look for in a Massage Therapist:
Understanding of the therapeutic edge. A good massage therapist will have an intimate understanding of this concept and will know how to communicate with you once it is reached in order to stay in the “good hurt” and guard against injury.
Communication and empathy. During a therapeutic massage, a good massage therapist will encourage feedback and be able to adjust their approach to your body’s needs.
Holistic Approach. Choose a massage therapist who embraces a holistic approach to massage therapy, focusing on the interconnectedness of the body, mind, and spirit. They should consider your overall well-being and tailor the session to your specific needs, incorporating relaxation techniques alongside targeted therapeutic work.
The therapeutic edge in massage represents the sweet spot where discomfort transforms into healing and relief. It is within this realm that skilled therapists work their magic, employing targeted pressure and manipulation to release tension, enhance circulation, restore range of motion, and alleviate pain. When choosing a massage therapist, especially for therapeutic massage, seek professionals who understand and embrace the therapeutic edge, communicate effectively, and approach their practice holistically.
