Dec 18, 2014

FAQ: No Pain, No Gain?


“No pain, no gain” is the phrase most frequently heard from clients.  I also believed it, and I liked deep tissue massage before going to massage school.  The first challenging idea for me at school was “A massage doesn’t have to hurt.”  I also explained other changes while at school in the post “A Holistic Approach.”

I found many websites by massage therapists that “No pain, no gain” is a myth, and others express some pain is necessary.  I agree with the latter because it really depends on the condition and the goal of a massage.  If a massage is for a rehabilitation purpose, the pain is not required to get better.  However, if the pain is caused by trigger points, it is necessary to feel the pain especially in the beginning.  Even if treated on trigger points, the pain level shouldn’t exceed the client’s pain threshold.  Tracking the client’s non-verbal cues such as frowning, flickering, and clenching is very important for the therapist.  In addition, the therapist should respect the tissue and know how deep, how fast and how much pressure the tissue can withstand. 

Some of you have high tolerance for pain and also believe “No pain, no gain,” so even if it’s uncomfortably painful, you may not tell your therapist.  If you are not sure about how much pain is reasonable, check to see if you can keep breathing normally.  If your breathing stops frequently, I would guess you are enduring the pain too much.  If you can’t relax, your muscles keep contracted and tight, so a painful massage may not help the condition.  Another guideline can be a pain level of 7 or less on a scale of 1 (no pain) to 10 (unbearable).

Again, it really depends on your condition and the goal of your massage, so good communication between you and your therapist before and during the session is very important.  Don’t stick to “No pain, no gain”!