A man receiving a deep-pressure massage

Is Bruising After a Massage Normal? What You Can Do About It

 

Many people leave a massage feeling lighter and more relaxed. But sometimes, you might notice light bruises on your skin afterwards, especially after a deep-pressure or traditional Thai massage. If you’ve ever wondered whether bruising after a massage is normal, you’re not alone. 

 

This article explains what can cause bruising after a Thai massage, how to prevent it, and why visiting experienced therapists at Makkha Healthy & Spa can ensure a safe and effective treatment.

 

Why Do Bruises Occur After a Massage?

 

Deep tissue massage uses pressure, kneading, and stretching to boost blood flow and ease tension. It focuses on the deeper muscle and connective tissue, plus tendons and ligaments. Therapists frequently need to apply more pressure to access these areas. Though most sessions are calming, bruises can sometimes occur, potentially due to:

 

  • Deep tissue massage pressure: Firm techniques, especially in traditional Thai massage, can sometimes break tiny capillaries under the skin, causing light bruising or ecchymosis.
  • Sensitive skin or fragile capillaries: Some people naturally bruise more easily after a massage due to genetics, age, underlying health conditions, and certain medications like blood thinners, which can make blood vessels more susceptible to breakage.
  • Tight muscles or knots: When muscles are especially tense, applying pressure can temporarily stress the underlying tissue. Bruising is often a sign of the release of deep tension from the muscles and tissues and increased blood flow, which is essential for recovery.
  • Use of elbows and forearms: These common techniques in Thai massage can intensify pressure and may cause some bruising if not adjusted to your tolerance level.

 

Is Bruising After a Massage Normal?

 

Bruising, though possibly temporary, may occur sometimes. When high pressure bursts tiny blood vessels, blood leaks into nearby tissues. These marks typically disappear in a few days and aren’t harmful. These are comparable to small post-workout tears that help muscle fibers recover.

 

While light bruising after a massage is generally normal after deep or first-time massages, severe or persistent bruises are uncommon and may indicate overpressure or an underlying medical issue. Always tell your therapist if the pressure feels too intense; skilled professionals can adjust immediately. If you bruise easily or experience severe pain after a massage, it’s best to consult your healthcare provider.

 

Who Is More Prone to Bruising?

 

Some individuals are more likely to experience bruising after a massage, including older adults with thinner or more delicate skin and people taking blood-thinning medications. Those with sensitive skin or conditions that affect blood circulation, and with low iron or vitamin C levels that weaken blood vessel walls, can bruise more easily.

 

If you fall into one of these groups, mention it to your therapist before your session so they can adjust their technique accordingly.

 

How to Treat Post-Massage Bruising

 

If you notice a bruise after your massage session, don’t panic, as most are mild and resolve on their own. It’s important to stay hydrated before and after a massage to support the body’s natural healing process. To reduce swelling, applying a heat compress before your massage can help loosen tight muscles. Afterward, apply a cold compress to sore spots for 10 to 15 minutes. Rest the affected area and avoid strenuous activity for a day or two. If the bruising worsens or doesn’t improve within a week, consult your doctor.

 

A woman having a traditional Thai massage

 

How to Prevent Bruising After a Massage

 

You can take simple steps to reduce the likelihood of bruising: 

 

  • Communicate during the session: Let your therapist know your comfort level with pressure.
  • Stay hydrated: Drinking water and keeping muscles well hydrated allows for more effective massage benefits.
  • Avoid alcohol and anti-inflammatory medications: These factors can increase the risk of bruising.
  • Choose qualified massage therapists: Makkha Health & Spa’s trained professionals are experienced in various massage techniques and can adjust to your needs.

 

Where to See a Professional Massage Therapist

 

Makkha Health & Spa offers traditional Thai massage experiences in Bangkok, Chiang Mai, Pattaya, and Phuket. Our therapists use precise, controlled techniques to reduce the risk of bruising or post-massage soreness. They’ll adjust pressure levels based on your feedback in real time and focus on your pain points for an effective massage. 

 

We offer guests a peaceful, comfortable, and modern space, perfect for relaxation. The advantages of massage are combined with your personal comfort, thanks to our soothing atmosphere and friendly service. Whether you’re new to Thai massage or a regular guest, we’ll make sure you leave our spa feeling refreshed and rejuvenated. Book a session at any of our branches and feel the difference in our professional care.

 

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