Therapeutic back massage: the technique of performance, indications and contraindications + video

Therapeutic back massage is widely used in the treatment of many diseases of the musculoskeletal system. This is the same obligatory element, as well as medical treatment, physiotherapy procedures and health gymnastics. But in order to massaging the back led to the desired result, certain rules must be observed. Otherwise, the massage will not benefit, but harm.

Indications and general rules

Therapeutic back massage is indicated for various inflammatory and degenerative diseases of the spinal column and the muscles, ligaments, and nerve fibers located here. Among these diseases:

  • osteochondrosis;
  • initial stages of disc hernias;
  • deforming spondylarthrosis;
  • sciatica, sciatica;
  • initial stages of lateral curvature of the spine - scoliosis;
  • myositis.

Massaging the muscles of the back and neck leads to the fact that:

  • decreases or disappears the pain;
  • relax tension muscles;
  • relaxation is combined with increased tone, strengthening of the muscular framework;
  • improves local blood circulation;
  • resolves inflammatory foci;
  • local metabolic processes are intensified.

And the smooth touch of the hands of the masseur provides general relaxation and causes positive emotions. Besides, massage is not only treatment, but also to some extent - diagnostics. During the massage the most painful places are identified. As a rule, these places correspond to the location of pathological foci.


Today, no one really knows exactly who and when the first time he developed a therapeutic massage. But, one way or another, the technique of massage procedures was developed over many years. But the basic principles of massage remained practically unchanged. All massage effects should be carried out gently, while the patient should not experience any pain or discomfort. The back massage is done in the supine position. Immediately before massaging, the masseur kneads hands to make them warm, flexible and sensitive. On the surface of the back, waist and neck, a special massage gel is applied to facilitate the sliding of the hands of the masseur on the surface of the skin.

The back massage begins with stroking, it also ends. Stroking involves soft circular movements along the spine in the direction upwards towards the neck. Movement can be not only circular, but also zigzag. In this case, one rule must be strictly observed. Although massage is performed for the treatment of diseases of the spine, massaging does not affect the line of the spinal column. This is one of the main differences between massage and manual therapy.

The next step is a deep stroking or massage with weights. Weighting involves strengthening the hand by placing a hand on it. It is the deep stroking that reveals the most painful places. After deep stroking, massage the massaged areas with the rib or the surface of the palm, with the pads of the fingers. Then kneading is carried out.

massage with fists

Some techniques involve massaging with fists. But massage with his fists requires a thorough knowledge of technique from the masseur. Weak efforts will not lead to the desired result. And the big impact will cause pain.

You can also read:
neck massage Massage for osteochondrosis of the cervical department of

This type of massage is somewhat like a kneading test - the skin is folded, and this fold moves along the line of the spine. It follows that in a simplified version, the back massage looks like this: stroking, rubbing, kneading and then stroking again. During the massage, other types of effects can be used - vibration, tapping, patting the palm of the hand, fingers, a hand, folded "boat".Each type of action takes about 2-3 minutes, and the total duration of the massage is no more than 15 minutes.

Special skill and experience requires massage with scoliosis. The essence of this pathology is that the muscles on the concave side of the curvature are pathologically tense, and with the convex side they are too relaxed. And so massaging on both sides pursues the opposite goal - to relax one group of muscles and strengthen the other. Massage with scoliosis should be performed only by a qualified specialist. Wrong technique will only exacerbate the degree of curvature. And with a maximum of 4 degrees of lateral curvature, the massage is generally counter-indicative.


Because of possible contraindications to carry out massage yourself at home, you should be very careful. In addition, it is technically difficult to massage your own back. Especially if you take into account the motor limitations, which in one way or another are accompanied by almost all diseases of the spine. However, recently, the recommendations on the self-massage with the help of phalanges of large fingers wound behind the back are widely distributed. But the effectiveness of such a massage does not go to any comparison with a classic massage. Therefore, it is better to entrust your back to a specialist. But what prevents to call a specialist at home? Moreover, such a service has recently been widely practiced among masseurs.

In any case, do not forget about contraindications. These include:

  • exacerbation of an existing spine disease, accompanied by severe pain, marked by sensitive and motor disorders;
  • exacerbation of any other disease;
  • any infectious diseases, including influenza, ARVI;
  • the heat of any reason;
  • severe chronic decompensated diseases of cardiovascular and respiratory system;
  • tuberculosis;
  • any malignant tumor;
  • skin diseases, wounds, abrasions, hematomas in the area of ​​massaged areas;
  • some types of blood clotting disorders;
  • pregnancy;
  • mental illness.

Therefore, before you start the massage, you should consult with the doctors( therapist, neuropathologist) and pass the recommended laboratory and instrumental studies.

back massage