Herb & supplement monograph

Massage Drug Interactions, Uses, Effectiveness, Safety & More

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Interaction report

Drugs that interact with Massage

0 medications have a known interaction with Massage, graded by severity. Select any drug for the full evidence-based detail.

We don’t currently list any known drug interactions for Massage. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.

Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Massage combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Monograph

Massage: Uses, Safety & Side Effects

The bottom line

Massage is a hands-on therapy that uses pressure and movement on the soft tissues of the body. It is widely used to ease muscle tension, lower stress, and help with certain types of pain, and the evidence is moderate for short-term relief of pain and anxiety. It is generally safe for most people when done by a trained therapist, but those with certain medical conditions should check with a doctor first.

Part used
Not applicable (a hands-on therapy, not an herb or supplement)
Common forms
Swedish massage, deep tissue, sports massage, trigger point, shiatsu, Thai, reflexology, self-massage tools
People commonly use it for
  • Muscle tension and soreness
  • Stress and relaxation
  • Low back and neck pain
  • Anxiety and mood
  • Sleep quality
  • Recovery after exercise

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallLikely safe

Generally safe for most healthy people when performed by a trained therapist.

PregnancyLikely Safe

When most forms of massage are administered to enhance mood and physical well-being during pregnancy and labor. There is insufficient reliable informa...

Read the full pregnancy detail
BreastfeedingLikely Safe

When most forms of massage are administered to enhance mood and physical well-being during pregnancy and labor. There is insufficient reliable informa...

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Massage is not an herb or supplement — it is a hands-on therapy. A therapist (or you, using your own hands or a tool) presses, rubs, and moves the skin, muscles, and other soft tissues of the body.

Massage has been used in many cultures for thousands of years. There are many styles, including Swedish (gentle, relaxing strokes), deep tissue (firmer pressure), sports massage, Thai, shiatsu, and reflexology. People use it both to relax and to relieve specific aches and pains.

How it works

Massage is thought to work in several ways. Pressing and moving the muscles may improve local blood flow, reduce muscle tightness, and help relax tense areas.

Massage may also calm the nervous system. The gentle, steady touch can lower the body's stress response and may raise feelings of comfort and well-being. Some researchers think it changes how the brain and spinal cord process pain signals, which could explain short-term pain relief.

Many of these explanations come from small studies, and scientists do not fully understand all the ways massage affects the body.

Effectiveness

Does Massage work?

Evidence overview · 90 uses evaluated
2 Likely effective 10 Possibly effective 78 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.
Likely Effective Back pain
Rating & evidence shown verbatim from Natural Medicines

Various forms of massage seem to reduce back pain and disability temporarily. More information is needed to determine which forms of massage may be most beneficial.

Likely Effective Cancer-related pain
Rating & evidence shown verbatim from Natural Medicines

Massage seems to reduce cancer-related pain and associated symptoms. More information is needed to determine which forms of massage may be most beneficial.

Possibly Effective Burns
Rating & evidence shown verbatim from Natural Medicines

Massage seems to be beneficial for reducing pain and anticipatory anxiety in patients with burns.

Possibly Effective Cancer-related fatigue
Rating & evidence shown verbatim from Natural Medicines

Massage seems to be beneficial for reducing cancer-related fatigue.

Possibly Effective Constipation
Rating & evidence shown verbatim from Natural Medicines

Most clinical research shows that massage, particularly abdominal massage, improves bowel function and frequency in adults and children with constipation from various causes.

Possibly Effective Dementia
Rating & evidence shown verbatim from Natural Medicines

Massage seems to be beneficial for reducing pain and anxiety in patients with dementia.

Possibly Effective Fibromyalgia
Rating & evidence shown verbatim from Natural Medicines

Massage seems to be beneficial for reducing pain in patients with fibromyalgia.

Possibly Effective Multiple sclerosis (MS)
Rating & evidence shown verbatim from Natural Medicines

Massage seems to be beneficial for improving some symptoms of MS.

Possibly Effective Neonatal jaundice
Rating & evidence shown verbatim from Natural Medicines

When used along with phototherapy, massage seems to be beneficial for reducing bilirubin levels in neonates with jaundice.

Possibly Effective Postoperative pain
Rating & evidence shown verbatim from Natural Medicines

Massage seems to have a short-term beneficial effect on postoperative pain.

Possibly Effective Prematurity
Rating & evidence shown verbatim from Natural Medicines

Massage seems to increase body weight and improve feeding tolerance in preterm infants.

Possibly Effective Stress
Rating & evidence shown verbatim from Natural Medicines

Massage seems to reduce feelings of stress in various patients and circumstances.

Also studied for 78 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Alcohol use disorder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for reducing symptoms of alcohol withdrawal.

Insufficient Reliable Evidence To Rate Ankylosing spondylitis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for pain and function associated with ankylosing spondylitis.

Insufficient Reliable Evidence To Rate Aromatase inhibitor-induced arthralgia
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for joint pain associated with aromatase inhibitor treatment.

Insufficient Reliable Evidence To Rate Asthma
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving pulmonary function and reducing anxiety in children with asthma.

Insufficient Reliable Evidence To Rate Athletic performance
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving athletic performance.

Insufficient Reliable Evidence To Rate Atopic dermatitis (eczema)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving symptoms of eczema in children treated with standard topical care.

Insufficient Reliable Evidence To Rate Attention deficit-hyperactivity disorder (ADHD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving behavior in children and adolescents with ADHD.

Insufficient Reliable Evidence To Rate Autism spectrum disorder
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for autism spectrum disorder.

Insufficient Reliable Evidence To Rate Benign prostatic hyperplasia (BPH)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for BPH.

Insufficient Reliable Evidence To Rate Carpal tunnel syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for carpal tunnel syndrome.

Insufficient Reliable Evidence To Rate Cerebral palsy
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial in children with cerebral palsy.

Insufficient Reliable Evidence To Rate Chemotherapy-induced nausea and vomiting (CINV)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for the treatment or prevention of CINV; the available research is conflicting.

Insufficient Reliable Evidence To Rate Chemotherapy-induced peripheral neuropathy
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for reducing peripheral neuropathy associated with chemotherapy.

Insufficient Reliable Evidence To Rate Chemotherapy-related fatigue
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for preventing chemotherapy-related fatigue.

Insufficient Reliable Evidence To Rate Chronic fatigue syndrome (CFS)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for CFS, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Chronic prostatitis and chronic pelvic pain syndrome (CP/CPPS)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using prostatic massage for CP/CPPS, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Colic
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for colic in infants.

Insufficient Reliable Evidence To Rate Congestive heart failure (CHF)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial symptoms of CHF.

Insufficient Reliable Evidence To Rate Coronary heart disease (CHD)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for CHD, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Critical illness (trauma)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for patients in critical care.

Insufficient Reliable Evidence To Rate Cystic fibrosis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for cystic fibrosis.

Insufficient Reliable Evidence To Rate Delirium
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for reducing the occurrence of delirium in patients in intensive care.

Insufficient Reliable Evidence To Rate Depression
Rating & evidence shown verbatim from Natural Medicines

Some small clinical studies show that massage may be beneficial for self-reported symptoms of depression. More research is needed in patients diagnosed with clinical depression.

Insufficient Reliable Evidence To Rate Diabetes
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving glycemic control in adults and children with diabetes.

Insufficient Reliable Evidence To Rate Diabetic neuropathy
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for diabetic neuropathy, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Diarrhea
Rating & evidence shown verbatim from Natural Medicines

Massage seems to be more beneficial than clay for the treatment of diarrhea in children. It is unclear how massage compares to other treatments.

Insufficient Reliable Evidence To Rate Dysmenorrhea
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for dysmenorrhea.

Insufficient Reliable Evidence To Rate Endotracheal intubation-associated adverse effects
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for reducing pain associated with endotracheal intubation.

Insufficient Reliable Evidence To Rate Exercise-induced muscle soreness
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for reducing muscle soreness after exercise; the available research is conflicting.

Insufficient Reliable Evidence To Rate Gastritis
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for gastritis, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Gastroesophageal reflux disease (GERD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for reducing symptoms of GERD in infants.

Insufficient Reliable Evidence To Rate HIV/AIDS
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving immune function or quality of life in adults with HIV/AIDS.

Insufficient Reliable Evidence To Rate Hypertension
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for hypertension.

Insufficient Reliable Evidence To Rate Hypertrophic scars
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for hypertrophic scars.

Insufficient Reliable Evidence To Rate Infant development
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for neonatal sleep.

Insufficient Reliable Evidence To Rate Infertility
Rating & evidence shown verbatim from Natural Medicines

It is unclear if bedtime massage is beneficial for infertility.

Insufficient Reliable Evidence To Rate Inflammatory bowel disease (IBD)
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for IBD, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Irritable bowel syndrome (IBS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for diarrhea-predominant IBS (IBS-D).

Insufficient Reliable Evidence To Rate Juvenile idiopathic arthritis (JIA)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage improves symptoms in children with JIA.

Insufficient Reliable Evidence To Rate Kidney failure
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for fatigue associated with hemodialysis.

Insufficient Reliable Evidence To Rate Labor pain
Rating & evidence shown verbatim from Natural Medicines

Most small clinical studies suggest that massage might modestly reduce labor pain.

Insufficient Reliable Evidence To Rate Low birth weight
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for increasing weight in low birth weight infants.

Insufficient Reliable Evidence To Rate Menopausal symptoms
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for menopausal symptoms.

Insufficient Reliable Evidence To Rate Mental alertness
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for increasing mental alertness.

Insufficient Reliable Evidence To Rate Muscle strength
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for increasing muscle strength.

Insufficient Reliable Evidence To Rate Myofascial pain syndrome
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for myofascial pain syndrome.

Insufficient Reliable Evidence To Rate Neck pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for neck pain.

Insufficient Reliable Evidence To Rate Obesity
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for obesity, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Oral mucositis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for preventing radiotherapy-induced oral mucositis.

Insufficient Reliable Evidence To Rate Osteoarthritis
Rating & evidence shown verbatim from Natural Medicines

Low-quality clinical studies suggest that massage may modestly reduce pain and stiffness in patients with knee osteoarthritis.

Insufficient Reliable Evidence To Rate Pain (acute)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for acute pain.

Insufficient Reliable Evidence To Rate Parturition
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage prevents perineal tears or episiotomy or reduces the duration of childbirth.

Insufficient Reliable Evidence To Rate Pelvic pain
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for pelvic pain, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Physical performance
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving physical performance in older females.

Insufficient Reliable Evidence To Rate Plantar heel pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if calf massage is beneficial for reducing plantar heel pain.

Insufficient Reliable Evidence To Rate Postoperative ileus
Rating & evidence shown verbatim from Natural Medicines

It is unclear if abdominal massage is beneficial for preventing postoperative ileus after colorectal surgery.

Insufficient Reliable Evidence To Rate Postoperative recovery
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for postoperative recovery.

Insufficient Reliable Evidence To Rate Postpartum complications
Rating & evidence shown verbatim from Natural Medicines

Evidence from low-quality studies suggests that perineal massage modestly reduces the risk of perineal complications during delivery. Perineal massage does not seem to prevent postpartum incontinence.

Insufficient Reliable Evidence To Rate Postpartum depression
Rating & evidence shown verbatim from Natural Medicines

Evidence from low-quality studies suggests that receiving massage, or being involved in the massage of infants, reduces symptoms of postpartum depression.

Insufficient Reliable Evidence To Rate Pre-procedural anxiety
Rating & evidence shown verbatim from Natural Medicines

Evidence from most preliminary clinical research shows that massage reduces preoperative and pre-procedural anxiety.

Insufficient Reliable Evidence To Rate Premenstrual dysphoric disorder (PMDD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for PMDD.

Insufficient Reliable Evidence To Rate Pressure ulcers
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for preventing pressure ulcers.

Insufficient Reliable Evidence To Rate Preterm labor
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for prevention of preterm labor.

Insufficient Reliable Evidence To Rate Prostatitis
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using prostate massage for prostatitis, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Quality of life
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving quality of life in hospitalized patients receiving palliative care or nursing home residents.

Insufficient Reliable Evidence To Rate Radiation-induced fatigue
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for radiation-induced fatigue, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Respiratory tract infections
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for respiratory tract infections, there is insufficient reliable information about the clinical effects of massage for these conditions.

Insufficient Reliable Evidence To Rate Restless legs syndrome (RLS)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial in adults with RLS.

Insufficient Reliable Evidence To Rate Rheumatoid arthritis (RA)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial in adults with RA.

Insufficient Reliable Evidence To Rate Seizures
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for seizures, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Shoulder pain
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving shoulder pain and range of motion.

Insufficient Reliable Evidence To Rate Spinal cord injury
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving function in patients with a spinal cord injury.

Insufficient Reliable Evidence To Rate Sprains
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for sprains, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Stroke
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for improving motor function following a stroke.

Insufficient Reliable Evidence To Rate Temporomandibular disorders (TMD)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if massage is beneficial for TMD.

Insufficient Reliable Evidence To Rate Tendinopathy
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for tendinopathy, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Tobacco and Nicotine Dependence
Rating & evidence shown verbatim from Natural Medicines

Although there is interest in using massage for tobacco and nicotine dependence, there is insufficient reliable information about the clinical effects of massage for this condition.

Insufficient Reliable Evidence To Rate Ventilator-associated pneumonia (VAP)
Rating & evidence shown verbatim from Natural Medicines

It is unclear if abdominal massage is beneficial for the preventions of VAP.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

Massage is generally safe for healthy people when done by a trained, licensed therapist. Still, some people should be careful or check with a doctor first.

Use extra caution or get medical clearance if you have blood clots or clotting problems, are on blood thinners, have severe osteoporosis, recent surgery, broken or healing bones, open wounds, burns, skin infections, or cancer. Deep or firm pressure may not be safe over these areas.

During pregnancy, massage is commonly used and can be soothing, but it should be done by a therapist trained in prenatal massage, and you should get your doctor's okay first — especially in high-risk pregnancies. Breastfeeding is not affected by massage. Always tell your therapist about any health conditions before your session.

Side effects

Most people tolerate massage well. The most common side effects are temporary soreness, mild bruising, or tiredness for a day or two, especially after deeper pressure.

Serious harm is rare but can happen, particularly with very forceful techniques. Reported problems include nerve injury, blood clots being dislodged, and bone fractures in people with fragile bones. Stop and tell your therapist if you feel sharp pain, dizziness, or anything that feels wrong during a session.

Massage: Reported Adverse Effects

Documented safety reports on Massage from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

In general, massage is well tolerated, but it is important to choose a licensed massage practitioner.

Most Common Adverse Effects:

Soreness.

Serious Adverse Effects (Rare):

Bone fracture, hematoma, neuropathy, swelling, and venous thromboembolism.

Reports by condition
Bleeding Hematologic

There are case reports of hematomas associated with massage. In one , a 59-year-old male developed a large hematoma on the buttock caused by a 30-minute deep tissue massage involving the hand, wrist, and elbow. The area around the hematoma was protruding and swollen and resulted in numbness down the back of the thigh to the foot. The patient was prescribed bed rest with pressure on the buttocks; however, bleeding occurred the next day, requiring embolization of a small artery. In another case, a 31-year-old female developed a kidney laceration and large hematoma after receiving combination treatment with acupuncture and traditional Chinese massage. Researchers theorize that the acupuncture caused the initial kidney laceration which left her vulnerable to hematoma development due to massage.

  1. Sun F, Yuan QL, Zhang YG. Large buttocks hematoma caused by deep tissue massage therapy. Pain Med 2015;16(7):1445-7.
  2. Cheng TY, Chiu AW, Chen M. Kidney laceration after acupuncture and Tuina: A case report. Asian J Surg 2023;46(4):1667-1668.
Fractures Musculoskeletal

While rare, cases of bone fracture, as well as discomfort, soreness, bruising, and swelling of massaged tissues have been associated with massage. Approximately 10% of patients may experience minor musculoskeletal discomfort following massage. In one case report, a patient developed subcutaneous and paravertebral abscesses requiring drainage and intravenous antibiotics after massage, acupuncture, and cupping. However, it is unclear whether this adverse effect is due to massage, acupuncture, cupping, or the combination of complementary therapies.

  1. Cambron JA, Dexheimer J, Coe P, Swenson R. Side-effects of massage therapy: a cross-sectional study of 100 clients. J Altern Complement Med 2007;13(8):793-6.
  2. Nedelec B, Couture MA, Calva V, et al. Randomized controlled trial of the immediate and long-term effect of massage on adult postburn scar. Burns. 2019;45(1):128-139.
  3. Fogarty S, McInerney C, Stuart C, Hay P. The side effects and mother or child related physical harm from massage during pregnancy and the postpartum period: An observational study. Complement Ther Med. 2019;42:89-94.
  4. Yang G, Feng D, Li F, et al. A randomized, controlled phase II trial of maxillofacial and oral massage in attenuating severe radiotherapy-induced oral mucositis and lipid metabolite changes in nasopharyngeal carcinoma. Radiother Oncol 2021;163:76-82.
  5. Epstein AS, Liou KT, Romero SAD, et al. Acupuncture vs Massage for Pain in Patients Living With Advanced Cancer: The IMPACT Randomized Clinical Trial. JAMA Netw Open 2023;6(11):e2342482.
  6. Yang R, Hu Y, Liu S, Wang H. Subcutaneous and paravertebral abscess following massage and acupuncture with cupping: A case report and literature review. Asian J Surg. 2024 Jun;47(6):2632-2634. doi: 10.1016/j.asjsur.2023.08.210. Epub 2023 Sep 7.
Nausea and vomiting Hepatic

There is one case report of a hepatic hematoma developing in an otherwise healthy 39-year-old female following deep tissue massage of the upper abdomen. Nausea and low-grade fevers lasted approximately 6 months.

  1. Trotter JF. Hepatic hematoma after deep tissue massage. N Engl J Med 1999;341(26):2019-20.
Neuropathic pain Neurologic/CNS

There are multiple case reports of neuropathy, including radial neuropathy, spinal accessory neuropathy, and acute cervical radiculopathy, which were thought to be caused by deep tissue massage. There is also a case of posterior interosseous nerve compression syndrome after deep tissue massage administration. In another case, a 69-year-old male developed small watershed strokes after presenting with hemianopsia (i.e., loss of half the visual field), aphasia, and vertigo immediately following bilateral self-massage of his carotid arteries. The patient was successfully treated with thrombolysis and had no neurological sequalae.

  1. Hsu PC, Chiu JW, Chou CL, Wang JC. Acute radial neuropathy at the spiral groove following massage: A case presentation. PM R. 2017;9(10):1042-1046.
  2. Aksoy IA, Schrader SL, Ali MS, Borovansky JA, Ross MA. Spinal accessory neuropathy associated with deep tissue massage: a case report. Arch Phys Med Rehabil 2009;90(11):1969-72.
  3. Chung SJ, Soh Y. Acute cervical radiculopathy after anterior scalene muscle massage: A case report. Medicine (Baltimore) 2023;102(15):e33560.
  4. Giese S, Hentz VR. Posterior interosseous syndrome resulting from deep tissue massage. Plast Reconstr Surg. 1998;102(5):1778-9.
  5. Haber G, Loffeld M, Braumiller M, Lorenzl S. Left hemispheric cortical watershed infarcts triggered by carotid sinus self-massage. BMJ Case Rep 2021;14(12):e244926.
Venous thromboembolism (VTE) Cardiovascular

There are case reports of venous thromboembolism (VTE) thought to be caused by deep tissue massage. In one case report of a 67-year-old male, a deep muscle massage session was thought to be responsible for the development of a deep vein thrombosis in the calf, which eventually led to the development of pulmonary emboli. In a second case, a 53-year-old female underwent a ten-minute vigorous leg massage that was thought to be responsible for the development of pulmonary emboli. The patient later received a diagnosis of endometrial adenocarcinoma, which may have contributed to an increased risk of VTE.

  1. Crump C, Paluska SA. Venous thromboembolism following vigorous deep tissue massage. Phys Sportsmed 2010;38(4):136-9.
  2. Jabr FI. Massive pulmonary emboli after legs massage. Am J Phys Med Rehabil 2007;86(8):691.
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no standard "dose" for massage. Sessions usually last from about 30 to 90 minutes, and how often people go varies widely — from once in a while for relaxation to weekly during treatment for a specific problem.

The right amount depends on your goals, your body, and your budget. Talk with a licensed massage therapist about a plan that fits you, and check with your pharmacist or doctor if you have a health condition that could be affected by hands-on therapy.

Pregnancy & Breastfeeding
DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 2026 Therapeutic Research Center

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 19 references that drive our Massage monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Cambron JA, Dexheimer J, Coe P, Swenson R. Side-effects of massage therapy: a cross-sectional study of 100 clients. J Altern Complement Med 2007;13(8):793-6. PubMed
  2. Trotter JF. Hepatic hematoma after deep tissue massage. N Engl J Med 1999;341(26):2019-20. PubMed
  3. Jabr FI. Massive pulmonary emboli after legs massage. Am J Phys Med Rehabil 2007;86(8):691. PubMed
  4. Field T, Hernandez-Reif M, Hart S, et al. Pregnant women benefit from massage therapy. J Psychosom Obstet Gynaecol 1999;20(1):31-8. PubMed
  5. Chang MY, Wang SY, Chen CH. Effects of massage on pain and anxiety during labour: a randomized controlled trial in Taiwan. J Adv Nurs 2002;38(1):68-73. PubMed
  6. Field T, Hernandez-Reif M, Taylor S, et al. Labor pain is reduced by massage therapy. J Psychosom Obstet Gynaecol 1997;18(4):286-91. PubMed
  7. Hsu PC, Chiu JW, Chou CL, Wang JC. Acute radial neuropathy at the spiral groove following massage: A case presentation. PM R. 2017;9(10):1042-1046. PubMed
  8. Nedelec B, Couture MA, Calva V, et al. Randomized controlled trial of the immediate and long-term effect of massage on adult postburn scar. Burns. 2019;45(1):128-139. PubMed
  9. Fogarty S, McInerney C, Stuart C, Hay P. The side effects and mother or child related physical harm from massage during pregnancy and the postpartum period: An observational study. Complement Ther Med. 2019;42:89-94. PubMed
  10. Yang G, Feng D, Li F, et al. A randomized, controlled phase II trial of maxillofacial and oral massage in attenuating severe radiotherapy-induced oral mucositis and lipid metabolite changes in nasopharyngeal carcinoma. Radiother Oncol 2021;163:76-82. PubMed
  11. Sun F, Yuan QL, Zhang YG. Large buttocks hematoma caused by deep tissue massage therapy. Pain Med 2015;16(7):1445-7. PubMed
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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

Pharmacist Counseling Corner

Massage: Common Questions

What is Massage used for, and does it work?
People use Massage for many reasons, but the evidence varies by use. According to the Natural Medicines database, there is at least some clinical evidence supporting Massage for Back pain, Cancer-related pain, Burns and Cancer-related fatigue. For most other uses it has been studied for, the evidence is currently insufficient to rate. See the graded list on this page, and always confirm with your pharmacist or doctor.
Does Massage interact with prescription medications?
We do not currently list any known drug interactions for Massage. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Massage interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Massage with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Massage interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Massage used for?
People most commonly use Massage to relax, lower stress, and ease muscle tension and certain kinds of pain such as low back or neck pain. The benefits are usually felt in the short term.
Is Massage safe?
For most healthy people, Massage by a trained therapist is safe. People with blood clots, clotting disorders, fragile bones, recent surgery, or other medical conditions should check with a doctor first.
Is it normal to feel sore after a Massage?
Yes. Mild soreness, like after exercise, is common for a day or two, especially after deeper pressure. It usually goes away on its own.
Can I get a Massage while pregnant?
Many pregnant people enjoy Massage, but it should be done by a therapist trained in prenatal Massage and with your doctor's approval, especially if your pregnancy is high-risk.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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