I have been a massage therapist for going on twelve years now, little did I know when I started this career deep tissue would become my favorite modality. But I have to admit over the years what I call deep tissue is not traditional deep tissue. I do use some of the actual deep tissue techniques and strokes but encompass them into a Swedish massage. Swedish massage is the most common form and basically any massage you get that has long connecting strokes is considered Swedish and it can be done light or deep. If the therapist uses continual strokes even if it is deep it is considered a deep Swedish massage.
So then comes the question what is Deep tissue? When I was still in massage school I heard it defined as a technique that structuraly realigns the muscles. I do like this explaination and use it myself when people ask me this question. But when I gave this answer to my apprentice in front of another massage therapist she argued with me on it and said;
“From my understanding it has very little to do with the muscles but is more about the top layer of fascia.”
Now I do know this woman knows and talks to several people who specialize in deep tissue so I only protested a little bit saying that is how I learned it in school. She said, “I know but it has very little to do with the muscles.”
I dropped the whole issue being my non-confrontational self but it really got me thinking and wanting to research this topic now. Honestly, I knew from the get go I didn’t believe what she was saying because you can’t go that deep without effecting the muscles. It might also do something to the fascia layer as well but I do know this modality has a profound effect on the muscles themselves. In school we did before and after pictures and thighs really did have a new midline to them and looked straighter all of a sudden and when we measured people’s height they were often two inches taller than when we started. That couldn’t possibly be just the fascia legnthening out.
Deep tissue is often done with the therapist on the table leaning over the client with all their body weight. We were taught to keep the heart of chest right over your hands and your body is fairly close to your hands too. Then you do stripping strokes starting in the middle of the thigh and going out to each side. To do deep tissue on a client’s back you have them kneal on the floor and lay their head on the massage table. The therapist is standing behing them and doing long stripping strokes down the erector muscles of the client’s back, again the therapist is leaning in with all of their body weight.
So one of the first site’s I visited was wikipedia and I actually found it to describe this modality pretty well. This is what it said, “Deep tissue massage is designed to relieve severe tension in the muscle and the connective tissue or fascia. This type of massage focuses on the muscles located below the surface of the top muscles. Deep tissue massage is often recommended for individuals who experience consistent pain, are involved in heavy physical activity (such as athletes), and patients who have sustained physical injury. It is not uncommon for receivers of deep tissue massage to have their pain replaced with a new muscle ache for a day or two.
Deep tissue massage is a separate category of massage therapy, used to treat particular muscular-skeletal disorders and complaints and employs a dedicated set of techniques and strokes to achieve a measure of relief. It is applied to both the superficial and deep layers of muscles, fascia, and other structures. The sessions are often quite intense as a result of the deliberate, focused work.”
Which brings me to my next question, why do people endure this modality since it hurts, in some cases leaves bruises and can cause additional aches that last for a day or two after. The answer is because it does bring relief to their chronic pain conditions. It just often hurts worse before it starts to feel better. But after people get that relief they become deep tissue junkies because so often nothing else has worked on their specific complaints.