My Fibromyalgia Pain Got Worse After a Massage?! Here’s Why

Massage therapy is often praised as one of the most effective natural treatments for easing muscle tension, reducing stress, and promoting relaxation. For people living with fibromyalgia, the promise of relief through touch can sound incredibly appealing. After all, when you are constantly battling widespread pain, any chance to feel better is worth trying. But what happens when a massage, instead of providing comfort, makes the pain worse? This is a reality many fibromyalgia patients face, and it can be both confusing and disheartening. If you have ever left a massage session feeling more sore, fatigued, or tender than before, you are not alone. Let’s explore why this happens, what it means for your body, and how you can make massage work for you rather than against you.

Fibromyalgia is a complex condition that affects how your nervous system processes pain signals. Unlike typical muscle soreness, fibromyalgia pain stems from an amplified response in the brain and nerves to stimuli that might not bother others. This heightened sensitivity means that what would feel good to someone else—a firm massage, deep pressure, or muscle kneading—can actually trigger a flare-up in someone with fibromyalgia. Your body interprets the touch as a threat, setting off a cascade of pain signals that can linger for hours or even days after the session.

One key reason massage can make fibromyalgia pain worse is the type of massage performed. Deep tissue massage, sports massage, or any technique that applies strong, sustained pressure is generally too aggressive for sensitive fibromyalgia nerves. The pressure may cause microtrauma in muscle fibers, and while this might be beneficial in a healthy individual by encouraging healing and circulation, in someone with fibromyalgia it can overwhelm the nervous system and trigger an exaggerated pain response. The muscles may tense up further, and inflammation can develop, adding to the discomfort.

Another factor is the state of your body and mind at the time of the massage. Fibromyalgia flares often come with heightened nervous system activity. If you are already stressed, fatigued, or in the midst of a flare-up, your body is more reactive to any external input. Even gentle pressure could feel intense or painful. This is why timing matters. Scheduling a massage during a period when your pain is relatively stable may reduce the risk of aggravating your symptoms.

Your body’s response to massage can also depend on how your central nervous system has been conditioned over time. Many people with fibromyalgia have a history of chronic stress or trauma, which leaves the body in a persistent state of fight or flight. In this state, touch—even well-intentioned, therapeutic touch—can be perceived as invasive or threatening. Instead of calming the nervous system, the massage might activate it further, leaving you feeling more sore and tense.

Another important aspect to consider is the skill and experience of the massage therapist. Not all therapists are familiar with fibromyalgia or understand how to adjust their techniques for clients with chronic pain. A therapist trained in standard deep muscle work might not realize that their usual approach could be too intense for someone with fibromyalgia. Communication is key. If your therapist does not ask about your pain levels, triggers, and preferences, they may unknowingly apply techniques that cause harm rather than help.

Hydration and post-massage care are additional pieces of the puzzle. After a massage, especially one that is more intense than your body can comfortably handle, you may experience an increase in pain if your muscles and tissues are dehydrated. Toxins and metabolic waste products released during massage can contribute to soreness if not flushed out effectively. Drinking plenty of water before and after your session can help your body process these byproducts more efficiently. Gentle stretching and rest after a massage can also minimize the risk of pain escalation.

It is worth noting that not all massages are created equal when it comes to fibromyalgia. Some styles are far better suited to sensitive bodies. Techniques such as myofascial release, lymphatic drainage, craniosacral therapy, and light Swedish massage focus on gentle, sustained, and non-invasive touch that supports relaxation without triggering the nervous system’s alarm bells. These approaches can provide the benefits of massage—reduced tension, better circulation, and lower stress—without worsening fibromyalgia pain.

If you have experienced increased pain after massage, it does not mean massage therapy is off-limits for you forever. It means that finding the right approach and the right therapist is essential. Start small. A ten or fifteen minute session focusing on just one area of the body can be a way to test your response without overwhelming your system. Communicate clearly with your therapist about your condition, pain levels, and any concerns you have. Let them know that your body is sensitive and that you prefer a light, gentle touch.

It is also helpful to check in with yourself during the massage. If something feels uncomfortable or painful, speak up. Therapists who are experienced with fibromyalgia clients will appreciate the feedback and adjust their technique accordingly. Remember that you are the expert on your own body, and your comfort should always come first.

Massage is just one tool in a larger toolbox for managing fibromyalgia pain. When used wisely and tailored to your individual needs, it can be a supportive part of your care plan. But it is important to listen to your body and honor what it tells you. If massage consistently leaves you feeling worse, it might be time to explore other therapies. Gentle movement practices like yoga, tai chi, or aquatic exercise can offer similar benefits without the risk of triggering a flare. Mind-body therapies such as meditation, guided imagery, and biofeedback can also help reduce pain sensitivity and promote relaxation.

Ultimately, understanding why your fibromyalgia pain got worse after a massage is a step toward finding what works for you. There is no one-size-fits-all solution when it comes to chronic pain, and what helps one person may not help another. Your journey with fibromyalgia is unique, and so is your path to relief. By learning to read your body’s signals and working with practitioners who respect and understand your condition, you can create a healing plan that truly supports you.

Frequently Asked Questions

Why does massage hurt more if I have fibromyalgia?
Massage can hurt more because fibromyalgia makes your nervous system hypersensitive. Even gentle touch may be interpreted by your brain as painful or threatening, especially if deep or firm pressure is used.

Can I ever have a massage if I have fibromyalgia?
Yes, many people with fibromyalgia benefit from gentle, light-touch massage techniques. The key is to find a therapist who understands fibromyalgia and is willing to tailor the session to your needs.

How can I prevent pain after a massage?
Choose a gentle massage style, stay well-hydrated before and after the session, communicate with your therapist about your sensitivities, and give your body time to rest afterward. Starting with short sessions can also help.

Is deep tissue massage safe for fibromyalgia?
Generally, deep tissue massage is not recommended for fibromyalgia because it can trigger pain and flares. Lighter techniques are usually safer and more comfortable for sensitive bodies.

What alternatives to massage can help with fibromyalgia pain?
Gentle exercises like tai chi, yoga, or swimming, along with relaxation techniques such as meditation or deep breathing, can help manage fibromyalgia pain without the risks that sometimes come with massage.