When Massages Can Do More Harm Than Good

November 13, 2025


Massages Feel Great But Are They Always Safe?

There’s no denying the bliss of a good massage. It melts away tension, improves blood flow, and gives your mind and body a much-needed reset. But according to Makati Medical Center’s Department of Physical Medicine and Rehabilitation, not all massages are created equal. When done incorrectly or too aggressively, a massage can cause more harm than healing.

While massages are generally safe, overly vigorous pressure or poor technique can lead to bruising, nerve damage, or even severe complications like rhabdomyolysis, a rare but serious condition where muscle breakdown releases substances that can harm the kidneys and heart.

What MakatiMed Experts Say About Massage Safety

Dr. Ma. Elena Lourdes R. Tan, from MakatiMed’s Department of Physical Medicine and Rehabilitation, emphasizes that safety depends on the therapist’s skill and the client’s awareness.

“Problems can arise during the application of excessive pressure in the wrong spots and for prolonged periods. This could reduce circulation or affect nerves, resulting in temporary or permanent damage,” Dr. Tan explains.

She also reminds clients that massages are not advisable when you’re sick or have certain health conditions. “If you have a fracture, skin infection, open wound, or are treating rashes, it’s best to postpone your massage until you’re cleared by a doctor,” she advises. “Pregnant women and individuals with underlying health issues should also consult their physician first.”

When a Massage Poses a Risk to Others

Massage sessions are not just about the client’s health, therapists are also at risk of infection if safety precautions aren’t followed.

“If you have a contagious illness such as the flu, tuberculosis, or COVID-19, you could easily transmit it to your therapist through close contact,” warns Dr. Tan.

This highlights the importance of honesty and responsibility don’t book a massage when you’re unwell.

How to Choose the Right Spa or Wellness Center

Not all spas uphold the same standards. Dr. Tan stresses that it’s vital to choose a reputable establishment that prioritizes cleanliness, professionalism, and client comfort.

“Ideally, get a massage in a place with properly trained therapists who follow professional standards. Make sure the environment is clean and well-maintained at all times,” she advises.

Before the session, disclose any medical conditions and communicate your preferences. Tell your therapist how much pressure feels right, where you’d like to focus, and what areas to avoid. Speak up if you feel pain or discomfort—it’s your body, after all.

When to Seek Professional Help Instead

If your pain is due to sports-related strain, poor posture, or injury, Dr. Tan recommends consulting a physiatrist or physiotherapist instead of heading to the spa.

“A healthcare professional with training in human anatomy is better equipped to manage pain through manual therapy and exercise,” she explains.

While massages can complement medical treatment, they’re not a substitute for proper therapy or diagnosis. Persistent or recurring pain should always be checked by a doctor.

MakatiMed’s Gentle Reminder: Listen to Your Body

Massages are meant to soothe, not strain. By being informed and selective, you can enjoy their benefits safely. Remember, when in doubt, consult your healthcare provider before booking that spa appointment.

For more information, contact MakatiMed On-Call at +632 8888 8999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter for more health insights.

Massages are wonderful for relaxation but they’re not one-size-fits-all. Before your next spa session, do a quick health check and choose a trusted establishment. Because true wellness isn’t just about feeling good, it’s about being safe while doing it. 


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