Some possible justifications for painfully intense massage (these aren’t endorsements) include the destruction of motor end plates to “de-activate” trigger points somatoemotional release (pain often strongly “resonates” with strong emotions like grief) moving tissue fluids or just creating a strong, novel sensory experiences (which may have many subtle benefits). Brutal massages might be appreciated or even helpful, but most people can’t tell the difference between the kind of pain that might be a necessary part of therapy, and ugly pain that is just abusive and dangerous. Pressure that’s fine for you may cause severe pain, emotional distress, “sensory injury” (sensitization) in others, or even physical injury, so pressure should be customized but often isn’t. ![]() People do have clear pressure preferences: they often fire massage therapists who give treatments that are too painful or too fluffy. “Ugly pain” is dangerous both physically and neurologically, causing a “fight or flight” reaction - always avoid it. “Bad pain” is unpleasant but manageable and probably safe - tolerate it cautiously, to a point. But it’s important to note that not all satisfying, relieving sensations are genuinely helpful (e.g. Either it isn’t literally painful (just intense), or it’s painful but desired anyway because of relief or belief: an actual biological relief or at least the belief that there is one. “Good pain” is at the heart of the pressure question: a strange, potent sensory paradox that many people actually seek out as the goal of therapy, consciously or unconciously. ![]() There is no clear justification for painfully intense “deep tissue” massage, and it’s actually hazardous to many patients, but the pressure question is greatly complicated by the fascinating paradox of “good” pain, wildly varied patient pain tolerance and preferences (often timidly repressed), and popular faith in the “no pain, no gain” principle.
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