DOES DEEP CONNECTIVE TISSUE WORK NEED TO HURT TO BE EFFECTIVE?

Suzan D. Walker LMT 104331
Mar 25, 2013
2 min read

Updated: Sep 9

The answer to whether deep connective tissue massage should hurt will vary depending on the therapist you ask.

From my perspective, it depends on several factors: your touch sensitivity, the health and condition of your muscles, fascia (connective tissue), circulation, hydration, diet, and activity level. After nearly 20 years of practicing deep connective tissue massage, I’ve found that all of these elements play a major role in how the body responds to pressure and pain.

Healthy tissue should not be tender when pressed. Tenderness is often a sign of poor circulation, which can lead to stagnant blood cells and the formation of “knots.” These knots may create tension, tightness, or trigger points that cause discomfort.

A deep connective tissue massage does not have to “hurt” to be effective. However, you may feel a level of “good pain,” which indicates that the muscles and fascia are releasing properly. Every person has a unique pain threshold. What feels intense to one person may feel just right to another. Someone who receives massage regularly will often feel less soreness than someone experiencing deep connective tissue work for the first time. If you have adhesions, scar tissue, or overworked muscles, the technique may feel uncomfortable at times—but that is part of the therapeutic process.

How I Approach Deep Connective Tissue Massage

I begin by warming the fascia (connective tissue) to prepare the body for deeper work. Using slower, concentrated strokes I gradually work into the deeper muscle layers. Techniques such as stripping, cross-fiber friction, myofascial release, myoskeletal therapy, and sometimes hot stones are incorporated to loosen fascia and release adhesions.

When I encounter a trigger point or nerve entrapment, you may feel temporary discomfort, pressure, or tingling. I apply focused pressure until the sensation eases, helping to release the trigger point. During this process, I encourage deep breathing. Breathing not only promotes relaxation but also increases circulation and aids in tension release.

What to Expect

Deep connective tissue massage is not a relaxing spa-style massage—it is a clinical, therapeutic approach designed to break up adhesions, release trigger points, and correct negative muscle patterns. I use little or no massage lotion to allow for deeper contact with the connective tissues and muscles.

If you are new to this technique, you may experience temporary soreness, mild bruising, or slight swelling (known as DOMS—delayed onset muscle soreness). These symptoms usually subside within 24 to 48 hours.

The Importance of Communication

Communication is key during any deep connective tissue session. I will check in with you about pressure and comfort levels, and I encourage you to speak up if you feel referred pain or anything beyond tolerable discomfort. If you ever experience sharp or excruciating pain, it is vital to let me know immediately. I can always adjust or modify the technique to suit your needs.

Deep connective tissue massage is a powerful tool for releasing long-held tension and restoring balance to the body. When combined with open communication, proper breathing, and regular care, it can be highly effective in promoting long-term muscular and fascial health.