Erin and Daniel met up to teach and learn from each other!

Erin purchased a “Massage Therapist’s Guide to Low Back and Pelvic Pain” course. They went over some of the material in chapter 4.

Daniel brought his Tension Release Exercise pamphlet.

We had a difficult time determining exactly which muscle fires first when a person abducts the leg (quadratus lumborum, gluteus medius, or tensor fascia latae). But we are one step closer to understanding the body. Thanks, Daniel!

Contraindication is a long word with a simple meaning: a reason you shouldn’t receive a particular treatment, such as a massage. There are local contraindications—things like a small wound—that shouldn’t be massaged directly, but that don’t mean you can’t still get a perfectly good massage on other parts of your body. Then there are general contraindications, or situations in which you shouldn’t get a massage at all. Contraindications can be an illness like the flu, a treatment or medication like a strong blood thinner, or even something environmental, like a bedbug infestation at home.

But there’s another kind of contraindication that also seems to make the rounds on a regular basis: the mythological kind. Despite all the scientific advancements we’ve made in studying massage therapy over the years, there are a few persistent misunderstandings that just won’t seem to die. And while tales of mermaids and unicorns can brighten an otherwise dull day, these massage myths unfortunately prevent too many people from getting the professional bodywork they deserve.

Myth #1: You can’t get a massage during the first trimester of pregnancy.

This myth is based around the idea that there is an acupressure point around the ankles that can induce premature labor. Since the first three months of pregnancy are also the time of the highest risk of miscarriage, the wisdom goes, it’s best not to get a massage at all during this time.

Of course, this doesn’t take into account the fact that pregnant women regularly do also sorts of things that put pressure on the ankles.

Like wear shoes.

And given that most people go at least a few weeks before they’re even aware that they’ve conceived, this is basically saying that anyone with the sort of working parts that could lead to pregnancy should stay away from the massage table, just in case.

Luckily, there’s no evidence for any of this. Still, it’s a good practice to give your massage therapist a heads up if you know that you’re pregnant so that they can be prepared to make adjustments for things like loosening ligaments or a sudden sensitivity to smells.

Myth #2: You can’t get a massage while taking painkillers.

You’re hurting, so you schedule a massage. But then you’re still hurting, so you take some ibuprofen … should that stop you?

This myth states that taking a painkiller leaves you unable to tell whether your massage is too deep, which can lead to a massage therapist injuring you accidentally. And this can be a realistic concern, especially if you’re taking strong narcotics for pain. Drug side effects like dizziness, easy bruising, and low blood pressure can also impact your massage session.

In most cases, though, this can be dealt with through open communication, rather than avoidance, especially if it’s a simple NSAID or other over-the-counter medication. When you let your massage therapist know what kinds of painkillers you’re taking, things like pressure, positioning, and duration can all be adjusted to make sure that your session is both satisfying and safe. There is no reason that painkillers and appropriate bodywork have to be mutually exclusive.

Myth #3: You can’t get a massage while breastfeeding.

This myth is so insidious, because nobody needs a massage more than postpartum parents. The idea behind this misunderstanding is the belief that massage somehow squeezes toxins out of a person’s tissues, which are then released into the bloodstream. Since the body is “toxic” after a massage, the story goes, so is any breast milk produced at this time. The choice is between “pumping and dumping” after receiving bodywork, or avoiding massage therapy altogether until the child is weaned.

Fortunately, this isn’t even one of those half-true-but-it’s-complicated situations; it’s 100% false, no question. Normal cell byproducts are filtered by the body and are not a danger to breastmilk, massage doesn’t release toxins, and massage can improve depression, body image, and (perhaps most importantly to new parents) SLEEP.

Myth #4: You can’t get a massage if you weigh too little or too much.

There are so many variations of this one. Skinny people don’t have enough “meat on their bones” to get a massage, they’ll just bruise. Overweight people can’t get a “real” massage because there’s too much fat between their skin and their muscles. People without perfect bodies shouldn’t show their skin to anyone. (And so on. Blah, blah, blah.)

Big people like massage. Small people like massage. In-between people like massage. And massage therapists love providing massage to all kinds of people. It’s a perfect combination! Are there different techniques better suited to bodies with specific needs? Of course. Is weight or size a prohibitive factor? Nope. Not by a long shot. The folks who make these kinds of arguments in the name of “health” are either misinformed or just being mean.

Massage myths aren’t usually malicious, but they can still hurt.

Who knows how many people avoid getting a massage due to some myth they heard from a source they trusted? If you’re one of them, why wait? Since you now know truth from tale, get that bodywork you’ve been dreaming and schedule your appointment today.

man lying on table with his head turned to talk

Sure, if you’d like to talk go ahead. The important thing to remember is that this treatment is all about you relaxing and enjoying the experience. Many therapists discourage talking in hopes that you will relax, let your mind float free and enter a state of massage bliss.

In many instances, people may feel more relaxed starting off talking, and as the massage progresses, enter quiet states of relaxation.

When I’m giving a massage, I enter a sort of meditative zone myself, and the verbal part of my brain shuts off. I’m thinking about techniques to do for your body and how to make you comfortable, but I’m not great at coming up with words in the moment. So you may feel talkative and find that I’m not great at responding – that’s why. I’m not trying to quiet you down 🙂

The important issue here is that there are times when you need to speak up. If I’m doing anything to make you uncomfortable, you should let me know immediately. Also, let me know if you get too warm or too cold, if the room is too bright, or if the pressure needs to be changed (lighter or deeper). If something is not working for you – speak up! It’s OK!

There are several medical conditions that make massage inappropriate. That’s why it is necessary that you fill out the health history form before you begin your session. The massage therapist will ask general health questions to rule out if you have any contraindications to massage. It is very important that you inform the practitioner of any health problems or medications you are taking.

If you are under a doctor’s care, it is strongly advised that you receive a written recommendation for massage. Your massage therapist may require approval from your doctor.