Why are certain spots tender when massaged? What does this mean?
Have you ever been on the massage table, feeling relaxed, only to suddenly notice a sharp or tender spot when pressure is applied? It’s a common experience - and it can leave you wondering: Is there something wrong there?
The short answer is, not necessarily. A sore or tender area during massage usually means the tissue is sensitive, but that doesn't always indicate damage or a serious issue.
What Does “Sensitive” Really Mean?
When we say an area is "sensitive" in massage, we’re not saying there are more nerve endings there. Instead, we’re referring to how reactive your nervous system is in that specific area. Here’s why that might happen:
1. Nervous System Sensitisation
Your brain constantly monitors your body for anything that might be a threat. If a muscle has been tight, overused, or inflamed, your brain may amplify the sensation of pressure - making a spot feel more painful than it normally would. This is your body’s way of saying: "Pay attention here."
2. Trigger Points
Trigger points (often called “muscle knots”) are small, tight bands within muscles that can become sore and even refer pain to other parts of the body. These points are often sensitive to the touch and can create discomfort when pressure is applied - even though there’s no injury.
3. Stress and Tension
Emotional stress often shows up physically. We unknowingly clench, brace, or hold tension in areas like the shoulders, neck, or lower back - and over time, these areas become sore or sensitive.
4. Central Sensitisation (In Chronic Pain)
In people with ongoing or chronic pain, the brain may become more reactive overall, interpreting normal touch or pressure as painful. This can make many areas feel sensitive without any actual tissue damage.
When Should You Be Concerned?
While tender spots are usually nothing to worry about, it’s a good idea to investigate further if:
The pain is sharp, worsening, or persistent
You experience tingling, numbness, or weakness
There is noticeable swelling or inflammation
The tenderness doesn’t improve over time
The Good News? Massage Helps.
Skilled massage therapy works by:
Calming the nervous system
Improving blood flow to tight or stressed tissues
Helping the brain relearn that the area is safe and not in danger
That’s why many people feel looser, lighter, and less sore after a good session — even if the massage uncovered some tender spots.
Takeaway: Tenderness during massage doesn’t always mean there’s something “wrong.” Often, it's just your body's way of asking for attention, recovery, and care.
If you're noticing persistent soreness or just want to move and feel better, our team at Epoch Health is here to help. Book a massage or chiropractic session today and let’s work through those tight spots together.

