Massage and Lower Back Pain: What to Know

Can massage help with lower back pain?

Back pain is one of the most common reasons people book a massage. Massage is non-invasive and, for most people, low risk. Many people find it a good way to relax, ease everyday muscle tension and feel more comfortable, alongside the advice and care they get from their GP or physiotherapist.

What a massage can offer

• Easing everyday muscle tension: tight muscles in the lower back, hips and shoulders are common, especially if you sit for long periods or use a wheelchair.
• Relaxation: time to slow down and relieve everyday stress.
• Rest: many people say they sleep well after a massage.

If your back pain is new, severe or getting worse, see your GP first. Your GP or physiotherapist can tell you whether massage is suitable for you alongside any other treatment.

Common types of back discomfort

Muscle strain. A lot of back pain comes from straining a muscle, for example lifting something heavy, a sudden movement or a fall. It can be very sore for a few days or weeks. Once your GP or physio is happy that massage is suitable, gentle work around the area may help you feel more comfortable and relaxed.

Arthritis of the spine. If you live with spinal arthritis, see a therapist experienced in working with arthritis, and expect pressure and positioning to be adapted around stiff or sore joints.

Fibromyalgia. Fibromyalgia affects people differently and often includes widespread pain, stiffness and fatigue. Many people prefer lighter pressure, and your therapist should check in throughout.

When to check first

Massage is generally safe, but check with your doctor before booking if you have had recent surgery, or have a skin infection, rash or unhealed wound, varicose veins, osteoporosis or a history of blood clots. Back pain with numbness, weakness or changes in bladder or bowel control needs urgent medical advice.