I tend to find that the pain and tenderness experienced following deep tissue work is more along the lines of 'sore to touch' rather than the tight pain associated with muscular tension.
So basically clients may feel a little 'bruised', but overall will feel much better, and with improved range of movement, because the deep work - if applied correctly - will have released the over-contracted muscles.
Not every case will be the same though. Some clients may feel no bruised effects at all after deep work - whereas other clients may feel bruised and tender after a normal swedish massage!
Along with the usual aftercare advice, I always warn my deep tissue clients to be aware that there may be some tenderness, but that it is nothing to be worried about.
With regards Fibromyalgia, each client would need to be assessed based on the severity of their symptoms. Some people with this condition cannot tolerate any kind of pressure, whereas others greatly benefit from deep work. You would really need to have a lot of communication with the client, before, during and after the treatment, to make sure you are achieving the right level of pressure for that particular client.
I have found myofascial release to be particularly useful for Fibromyalgia clients.
Kitten
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