Most Massage Therapists will experience some kind of injury or pain syndrome at some point in their careers.

So how do you protect yourself from injury?

Get in shape: plan on working out at least three times a week, including strengthening, stretching, and aerobics. Maintaining good circulation will help you heal any incipient injuries and keep them from developing into more serious ones.

• Develop proper body mechanics: using your body efficiently to produce the most effective movement with the least effort will reduce the strain of your massage work on your body.

• Avoid other hand-intensive activities: there is only so much hand-intensive work one body can take. Playing an instrument professionally, or working as a computer typist in addition to your massage work will likely cause injury.

• Take care of your hands every day: they are the tools of your trade; treat them well. Avoid opening stuck jars, playing sports with your hands, hammering nails – anything that can cause trauma or stress your hands.

• Work with your body characteristics, not against them: if you have hypermobile thumbs, do not use them extensively in your massages. If you have a pre-existing upper extremity, back or neck injury, think about doing types of massage that don’t require strength or pressure.

• Vary your massage technique: use different parts of your hand and arms to do massage, to avoid a repetitive motion to any one region. For example, use your elbow sometimes to create pressure rather than always using your thumbs.

• Don’t do massage techniques that cause you pain: stop doing any method that causes you pain or discomfort – you have your choice of thousands of techniques that you can do without pain.

• Monitor your work habits. Maintain a regular schedule of massages, so you don’t suddenly increase the number of massages you do or decrease the amount of time you have between massages.

Experiment with table height until you find what works best
for you; better yet, get an electric table that you can adjust as you work.

• Take time between massages. If you don’t have enough time between massages to relax, stretch, breathe AND change the sheets, you are putting yourself at risk of injury.

• Use other modalities in your massages. Hydrotherapy, aromatherapy, energy balancing, and spa treatments can attract new clients, and add to the value of your massages. This will also cut down on the amount of intensive hands-on work you do in each massage, which will allow your hands to rest.

• Develop a realistic attitude towards your work: there are limits to what you can do for your patients. You are only human, with your own strengths and limitations.
Respecting your own limits is healthy, and will help you keep your upper extremities healthy.

• Treat injuries immediately and effectively. At the first sign of pain or dysfunction, see a physician. If you are in pain, you are probably already injured. Letting it go on will only make it worse. Injury is a complex subject.

Common Injuries Sustained by Massage Therapists

Soft tissue injuries common to massage therapists fall into two categories:
Muscle/tendon injuries and
Nerve impingement injuries.

The primary cause of these disorders is thought to be overuse or using a part of the body beyond the point where it can function normally and remain healthy. These injuries are collectively referred to as repetitive strain or stress injuries (RSIs), cumulative trauma disorders (CTDs), or simply overuse syndromes.

Left untreated or allowed to become chronic, these injuries can lead to osteoarthritis, and temporary or even permanent disability and the loss of function of the hands and/or arms.

The most common muscle/tendon injury among massage therapists is RSI.

The most common injury sites are the thumb, the wrist, and the forearm. This chronic injury is characterized by a gradual onset.

The appearance of symptoms often occurs with a sudden and/or substantial increase in workload or a sudden decrease in time spent
between massages.

The primary symptom of overuse syndrome is diffuse achiness, tightness, and, or soreness in one part of the upper extremity rather than a sharp pain in one specific spot.

Other symptoms include loss of function and paraesthesia.