In the U.S. we often think that more = better. If something isn’t working, just try harder and do more. But the indiscriminate bludgeon approach is not always the best way. Massage is just one aspect of life where we see this mindset at play, with the common belief that the only way to relieve pain and tension is through a “deep tissue” massage. Of course most people want to release deep-seated tension, but pain and tension can be complex, stemming from ingrained habits and postures that may date back many years for an individual.

Part of the disconnect between what we think is effective and the treatment we might need is the language we use. There is often a lack of effective communication and nomenclature around different styles of massage therapy.

For example, “deep pressure” and “deep tissue” do not mean the same thing. Deep pressure is when the massage therapist applies a lot of pressure on the muscles. A deep tissue massage may use a variety of pressures along with a variety of different techniques done to manipulate the deep layers of muscle in the body. The amount of pressure needed to target those deep muscle layers will vary from person to person.

Muscle relaxation is largely not a result of massage pressure. Muscle relaxation occurs when the nervous system stops sending out the signal for the muscle to tighten. Changes in tension are due to a change in the nervous system, not necessarily a mechanical change in the soft-tissues of the body.

This isn’t to say that deep pressure can’t be effective, but releasing tension from inside out is more effective and longer-lasting than the therapist working from the outside in, trying to overcome tension with pressure. The truth is that the best therapy is individualized for the patient and that the best treatment plan often includes a variety of modalities, pressures and emphases. No matter your massage preferences, the best massage therapists will demonstrate more intelligence, more sensitivity, more anatomical clarity, and will know how and when to use the appropriate amount of pressure.

Many massage providers offer a “menu” of services to choose from, but effective massage therapy is not like ordering at a restaurant: selecting from a pre-set menu and receiving exactly that. The best massage therapy sessions are more like having a personal chef: a conversation between the patient and the therapist, combining the patient’s knowledge of their body and the massage therapist’s training, experience and knowledge.

That’s the experience we hope to provide you at Equilibrium: a collaboration with providers who listen to you, and have the expertise to offer effective treatments to improve your outcomes.