How Massage Works

How Massage Impacts Tissue

Massage therapy relaxes muscle tissue, which reduces painful contractions and spasms.  Massage can also reduce nerve compression. To understand this, consider that when muscles are contracted, they sometimes compress the nerves around them.  When these muscles are relaxed, the nerves are no longer compressed, and, in theory, can get proper nutrients and operate more efficiently.  The nerves can assume their normal work of transmitting messages to and from the brain, which improves functioning of the muscles and organs.

Touching the skin or applying pressure relaxes muscles, tendons, fascia, and ligaments.  In addition, while some of the deeper tissues of the body, such as deep spinal musculature, cannot be easily accessed by a massage therapist, the release of more superficial layers of muscles may also affect these deeper layers.  This can lead to both superficial and deep tissues finding a better alignment and balance.

Organs can also benefit from massage, as they share neurological pain pathways with muscles, bones, and nerves.   When muscles, bones, or nerves are distressed, organs can sometimes reflect distress and dysfunction.   For example, low back pain can intensify menstrual cramps and menstrual cramps can cause low back muscles to tense.   Massage can therefore improve symptoms associated with the functioning of both the organ and the muscles.

Physical Effects of Massage

Physical manipulation in massage has two major effects:
Increase in blood and lymph circulation, and normalization of the soft tissue (muscle, connective tissue, tendons, ligaments), which releases nerves and deeper connective tissues.  

Massage is believed to improve blood and lymph circulation.  This is probably due partly to the physical manipulation of soft tissue and partly to the chemicals released as part of the relaxation response.

Improved circulation can enhance the delivery of oxygen and nutrients to muscle cells.  As cellular health improves, tissues function more efficiently.  More efficient functioning leads to the removal of waste products and may increase the absorption of excess fluids and reduce swelling in soft tissues.

Relaxation Effects of Massage

In a massage, a caring, safe touch is an invitation to for the body and mind to relax.  This, together with pain relief, produces a "relaxation response."  The relaxation response is a state in which your heart and breathing rate slow, your blood pressure goes down, your production of stress hormones decreases, and your muscles relax.  The relaxation response also increases the available level of serotonin, which is a chemical in the body that positively affects emotions and thoughts. 

The relaxation response may decrease the physical effects of stress and reduce the risks associated with stress, such as hypertension, cardiac arrhythmias, anxiety, insomnia, persistent fatigue, sexual dysfunction, digestive disorders, and psychological issues--to name a few.

Sources: Beth Burgan, MA, MFA. How Does Massage Work?  https://www.takingcharge.csh.umn.edu.

Fritz, Sandra. (2008). Fundamentals of Therapeutic Massage.  St. Louis, MO: Mosby, Inc.

Yates, John. (2004). A Physician's Guide to Therapeutic Massage, Third Edition. Ontario, Canada: Curties-Overzet Publications, Inc.