A lot of people who come into That's the Rub in Bloomington don't realize inflammation is part of what they're feeling. They describe stiffness that won't release, tension that returns no matter how much they stretch or rest, swelling or tenderness that hangs around longer than it should. They've been pushing through it for weeks or months, and the body has been adapting around it the whole time. By the time it ends up on our table, the original problem has usually grown a second one: the compensation patterns the body built to protect itself.
That's the part therapeutic massage can help with.
What inflammation does when it lingers
Inflammation is part of the body's natural healing response. It's how tissue calls in repair after overuse, strain, injury, surgery, or sudden stress. The problem isn't inflammation itself — it's inflammation that doesn't resolve.
When the response lingers, the body starts adapting around it. Movement changes, muscles compensate, posture shifts, connective tissue tightens. Areas become guarded, tight, sensitive, or exhausted from carrying stress they were never meant to hold long-term. You can function, and most people do, but the body stops feeling like itself.
How therapeutic massage helps
Therapeutic massage often gets grouped in with relaxation or self-care, but the work changes substantially when the goal is recovery. A results-oriented approach starts with what the tissue is responding to, where the body is compensating, what systems may be overloaded, and what kind of pressure and pacing will actually help the body let go rather than guard against the work.
Inflammation responds differently depending on how long it's been present, how reactive the tissue is, and what the body is trying to protect. Because of that, treatment is not one-size-fits-all. Sometimes deeper pressure helps, and sometimes the body needs gentler work first. The goal isn't to force change into the tissue, it's to help the body move toward better function, circulation, mobility, and recovery without overwhelming an already stressed system.
Here's something I see often in my chair: you want a deep tissue massage, but it doesn't feel deep enough. That's a conversation to have with your therapist. Is there a tissue reason they aren't going deeper? Often when the body is already under stress and you ask for deeper pressure, the muscle stiffens and won't let the therapist work deeper — it guards its tension because it's protecting something. That's a deeper conversation about what's going on with the tissues, and a change in the treatment plan before moving forward to deeper pressure. It helps with the client's expectations of deeper work and the therapist's read on working too deep for what the tissues actually need.
Have you ever been sore after a massage? It may have been too deep for what your body needed that day. My professional suggestion: ask your therapist. It's your massage. You're allowed to ask for things you like or don't like. But asking for deeper pressure when your therapist doesn't recommend it isn't the answer for getting better results, it's the answer for unnecessary pain or discomfort after your massage. Massage doesn't have to hurt to be functional.
Acute and chronic inflammation respond differently
New inflammation and long-standing inflammation behave differently, and they call for different work.
Acute inflammation is the early-stage response — swelling, warmth, tenderness, reduced range of motion, and pressure sensitivity after an overuse incident, a strain, an injury, surgery, or sudden physical stress. During this stage lighter techniques are usually more appropriate, and gentle therapeutic work along with lymphatic-focused techniques can encourage fluid movement and reduce the feeling of pressure and congestion without increasing irritation. A lot of the relief here comes simply from the body no longer feeling stuck holding excess fluid and guarding patterns.
Chronic inflammation is what shows up when the response never fully resolved. The body adapts around the discomfort: posture shifts, movement patterns compensate, connective tissue tightens, and certain muscles start overworking for others. This is when clients say some version of, "I always feel tight," or "I can function, but I don't feel normal." As the tissue becomes less reactive, deeper therapeutic techniques can gradually be introduced to address the tension patterns and restrictions that have built up over time.
The lymphatic piece most people miss
One of the biggest pieces people overlook with inflammation is the lymphatic system. When inflammation is present, fluid and inflammatory byproducts can accumulate in the tissues. That buildup contributes to swelling, heaviness, stiffness, pressure sensitivity, and the sluggish recovery that makes people feel like they can't shake what they're dealing with.
Lymphatic drainage massage is gentle, rhythmic work that follows the body's natural drainage pathways. It doesn't look or feel like deep work — many people are surprised by how light the pressure is — but it's often exactly what an overloaded system can receive most effectively. At That's the Rub, lymphatic drainage is available as a standalone service. It's also a common component of our Advanced Therapeutic Massage, where we combine lymphatic techniques with other modalities in a single session, tailored to the specific tissue and goals you bring in that day.
What to expect on your first visit
If you're coming in for inflammation-related symptoms, expect more conversation than you might at a routine appointment. Your therapist will ask how long symptoms have been present, what makes them better or worse, what activities or medical events preceded them, and what you're hoping to feel different. This is part of why sharing your health history with your therapist matters — without that context, the treatment plan is a guess.
From there, expect the first session to focus on what your tissue can receive today, not on how deep we can go. Progress comes from sessions that build on each other, not from one session that tries to do everything at once.
Why consistency matters more than intensity
One massage can absolutely help someone feel better. When inflammation or injury has been building for weeks, months, or years, though, consistency matters more than intensity. Early in a treatment plan, sessions are often scheduled closer together to break the cycle the body has been stuck in. As symptoms improve and the body holds the work between visits, sessions naturally space further apart.
We adjust treatment plans based on how your body responds, how quickly symptoms return, your activity levels, your stress load, your recovery patterns, and what we see in the tissue from one session to the next. That flexibility is part of a results-oriented approach. We set realistic goals for the treatment, talk through what we recommend you do between sessions, and adjust as your body tells us what it needs.
Our approach at That's the Rub
Effective massage therapy is not about using the deepest pressure possible. It's about understanding what the body needs in the moment and building treatment that supports real change — focused therapeutic work, lymphatic support, mobility work, nervous system downregulation, addressing compensatory patterns, helping the body recover from chronic overload, in whatever combination the day calls for.
The goal is always the same: helping you move better, recover better, and feel more at home in your body.
May this help you make the best choice for you when you book your next massage in Bloomington.
That's the Rub,
Lisa
This article is educational and reflects clinical observation, not medical advice. If you have persistent inflammation or a recent injury, please consult your physician.
Frequently Asked Questions
Can massage reduce inflammation?
Therapeutic massage can help the body process inflammation by supporting circulation, encouraging lymphatic flow, and reducing the protective tension patterns that build up around an inflamed area. It doesn't replace medical treatment for the underlying cause, but it can meaningfully change how the body feels and functions while it heals.
Is deep tissue massage good for chronic inflammation?
Not always, and not first. When tissue is reactive or guarded, asking for deeper pressure often makes the body protect more, not less. Most chronic inflammation cases respond better to a graduated approach — lighter, lymphatic-focused work first, then progressively deeper techniques as the tissue allows. Your therapist reads what's happening in the tissue and adjusts from there.
How often should I get a massage if I have chronic inflammation?
Early in a treatment plan, sessions scheduled closer together — often weekly or every other week — help break the body out of the same inflammatory cycle. As symptoms improve and the body holds the work between sessions, the spacing naturally extends. The right cadence is the one your body tells us it needs.
What's the difference between lymphatic drainage and regular massage?
Lymphatic drainage is gentle, rhythmic, and works with the body's natural fluid pathways rather than into the muscle. It doesn't feel like deep tissue work, and that surprises people — but for swelling, post-surgical recovery, sluggish recovery, or highly reactive tissue, it's often the most effective starting point. At That's the Rub, you can book it as a standalone session or as part of an Advanced Therapeutic Massage.
Unlike your doctor, your massage therapist spends a whole hour with you — massaging your tissues, moving fluids around, and helping the body get rid of things that have settled and been there for a long time. Sometimes too long. The body's job is to maintain homeostasis no matter what, and it will do that at the detriment of something it might feel isn't necessary for life. For instance, a leg.
That's the part most people don't realize: an hour of skilled hands on tissue is a clinical event, and it intersects with whatever else is happening in your body whether we know about it or not.
So here's the simple ask: tell us what's going on.
What we can't see
What I've seen recently is a big uptick in people not sharing their medical information, and with massage there are too many unknowns. We are massage practitioners, not MRI or X-Ray machines. We can't see inside the body. We take the medical information you tell us and build a massage plan that aligns with your goals for the treatment, while also making the changes needed to customize the work to your medical situation.
Sharing your information doesn't mean you won't get your massage. It just means we're not putting you at more risk than we do good once you're on the table relaxing.
What can go wrong when we don't know
Here's a real example. If you're prone to thrombosis — a clotting issue usually established in the legs — but you don't share that information with your massage therapist, they may work deeper on your legs than what would otherwise be advised. Their massage could inadvertently cause the body to release a blood clot into the bloodstream, leading to a possible heart attack or stroke.
That's the worst end of the risk spectrum, and most cases are nowhere near that severe. But the principle holds for almost every condition: information we don't have is information we can't account for. Disclosure of all medical conditions is what lets the therapist ensure client safety, enhance the outcomes of treatment, and ensure your comfort while on the table. Everything is customizable, including which strokes we use, where we use them, and how deeply.
What changes when we do know
Here at That's the Rub, we're looking to be your partner in health, not just a one-time relaxation massage. The information you share helps us shape recovery from surgery, recovery from a hard workout, and everything in between.
For instance, I have a regular client who gets bimonthly massage. When they had a knee replacement, we skipped a massage or two while they were in initial recovery. When they started back, we didn't pick up where we left off — we shifted techniques specifically to serve their post-surgical recovery. That helped them recover faster, sleep better, restore range of motion sooner, and have more energy than they would have without massage post-op.
Why does that work? Because we tailored the massage to what their body actually needed in that moment, changed our techniques for better recovery outcomes, AND we didn't put them at undue risk because we understood what was going on. Massage helps the body process the byproducts of anesthesia after surgery by increasing blood circulation. It also calms the nervous system after the stress and tension of any medical procedure, helping the body restabilize and return to homeostasis faster. That homeostatic environment is where the body lives its best life.
We'll dig deeper into how the body handles inflammation specifically in a companion piece coming this week.
What's actually worth sharing
The intake form covers the basics, but here's what clients most often forget to mention that we wish they would:
Current medications — especially blood thinners, NSAIDs, muscle relaxers, antidepressants, and anything new in the last 90 days
Recent diagnoses or imaging — even if you don't think it's relevant to massage, your therapist might
Recent surgeries or procedures — including dental work, cosmetic procedures, and anything outpatient
Family history of clotting disorders — particularly DVT, pulmonary embolism, or stroke before age 65
Autoimmune conditions — RA, lupus, MS, fibromyalgia, psoriasis, or anything that affects how your tissue responds
Pregnancy or trying to conceive — first-trimester clients especially
Skin sensitivities or allergies — including allergies to oils, lotions, scents, latex, or nuts (we use almond and other nut-based oils)
Areas of recent injury — even minor ones, even if they're feeling fine that day
High or fluctuating blood pressure — affects how we work the neck and how quickly we transition you from lying to sitting
If you're not sure whether something matters, mention it anyway. The two-minute conversation is always worth more than the wrong assumption.
Your information is confidential
The information you share with us is confidential, just like the information you share with your doctor. It lives on your intake file, gets reviewed by your therapist before each appointment, and isn't shared outside our team. We use it to make better clinical decisions for you, and for nothing else.
What the research shows
The case for sharing this information is more than just safety — when your therapist has the full picture, the work goes further.
The American Massage Therapy Association reports that massage therapy can reduce post-operative pain, stress, and even the need for pain medications. It also supports reducing scar tissue and improving range of motion. A comprehensive meta-analysis of 33 randomized controlled trials, published in Complementary Therapies in Medicine, found that massage therapy significantly reduces post-surgical pain, both short-term and long-term.
Those results require a therapist who knows what they're treating. The clinical work is built on the medical context. Without it, we're guessing.
Before your next appointment
When you choose That's the Rub, we consider the body in its entirety, not just relaxation in the moment. We want to get long-term results and help you with your health care for the long haul. That means sharing more information than you think you might need, so the proper massage techniques get used at the proper time to get you the best results for your goals.
Before your next session, take five minutes to update your intake form with anything new since your last visit. If you have a complex situation or have had a recent procedure, reach out to us first and we'll talk through it before you book.
That's the Rub,
Lisa
This article is educational and reflects clinical observation, not medical advice. If you have a specific medical condition or concern about whether massage is right for you, please consult your physician.
Frequently Asked Questions
Do I really need to tell my massage therapist about my medical conditions?
Yes. Even conditions that seem unrelated to massage can change what techniques are safe or effective for you. Sharing your medical history protects your safety on the table and makes the work more effective.
Is what I tell my massage therapist confidential?
Yes. Your intake information lives on your client file, is reviewed only by your therapist before sessions, and is not shared outside the practice.
Can I still get a massage if I have a serious medical condition?
In most cases, yes — but the type of massage, the depth of pressure, and the areas worked may change based on the condition. Some conditions require physician clearance first, and your therapist can tell you when that's the case.
What happens if I forgot to mention something at intake?
Tell your therapist as soon as you remember, even mid-session. We'd rather pause and adjust than continue treatment that isn't right for you.
Is post-surgery massage safe?
Post-surgical massage can be beneficial for recovery — reducing pain, swelling, scar tissue, and helping restore range of motion — but timing and technique matter. Most surgeons clear patients for massage at specific points in recovery. Always tell your therapist about recent surgery, and bring any physician clearance you've been given.
Lymphatic drainage is a specialized form of massage that can profoundly impact the lymphatic system, helping to encourage lymph flow and drainage throughout the body. This type of massage can be very helpful in treating conditions such as lymphedema, sinus problems, and headaches. It can also be used to relax the body and promote overall lymphatic health.
While lymphatic drainage massage requires special training and certification (as it should!), these courses are often five days to a week (or more) in length, require travel, and 80% of the time you’re using only 20% of the information for your investment of thousands of dollars. However, the Keplinger Institute’s KI RESULTS: Practical Approaches with Lymphatic Drainage in Everyday Massage Treatments is different, learn techniques you will use EVERY DAY in your treatments to improve your service, your client’s results, and your business’s bottom line. In this two-day (10-hour total) class, we will explore practical approaches to incorporating lymphatic drainage into your massage practice. We will cover topics such as the history and utilization of lymphatic techniques, how to assess lymphatic function, and specific lymphatic massage strokes and techniques.
At the end of this course, you will be able to:
– Assess lymphatic function in clients
– Incorporate lymphatic drainage techniques into your existing massage practice
– Use specific lymphatic massage strokes and techniques to promote lymph flow and drainage
Are you ready to upgrade your practice in a weekend? Looking for a way to integrate lymphatic drainage massage skills and knowledge into your daily services? SIGN UP for the KI RESULTS: Practical Approaches with Lymphatic Drainage in Everyday Massage Treatments course today (Click here to go to our booking page)! Signing up for DAY ONE automatically signs you up for DAY TWO, five hours each day. Please see the booking page for exact dates and times).
Here at That’s the Rub we are ALWAYS grateful to have you as our client, so it’s difficult to make it extra special because it’s a holiday and we’re supposed to be grateful, but here it goes.
On behalf of all of us at The Rub, to all of you who are reading this right now, please know how much we appreciate every moment we spend with you, each laugh, each stretch, and each massage. We know that you can choose to go anywhere and we’re so happy every day that you choose us as your body guides in this life. It truly is a win/win experience.
Make it a wonderful Thanksgiving, we look forward to seeing you again soon.
This story begins on a somber note: my father passed away recently -- and to be candid, some might say he died when he retired. He was a very passionate cook his entire life and it’s all he loved to do. Shortly after he retired he had a stroke and his health, slowly at times and quickly in others, declined, until he was no longer able to cook or taste things of which he was once a master. I learned a lot from my father; how to be passionate about the work I do, a good work ethic, and not living my life in fear of living. The last one by omission as my father never pursued what he really wanted: to own his own restaurant out of fear it would fail. From watching his trepidation growing up, I worked on building my resistance to fear and the skills for something I was passionate about.
Finding that passion took a lot of twists and turns, but eventually, I landed on the thing I knew I was meant to do. I have always (even as a child) been interested in the human body and anatomy, especially the way the body works.
As condensed as possible, my story:
While living in South Korea in the mid-1990s, I studied to become a group fitness instructor and entrepreneurially began a fitness program for the military children after school as a volunteer, while also teaching aerobics at Yongsan AIN, and conversational English at a nearby university – my education passion was sparked. After we moved (off to Germany that time) the volunteer position I’d created became a paid position, which proved there was demand in the market for what I wanted to teach. When we moved to Frankfort (Rhein-Main AFB), I added personal training to the mix and managed even more after-school programs for kids (this time a paid position, modeled on the one I created in Seoul), with, of course, a focus on physical fitness. More sparks.
The irony of that position was how excited I was to have my own office with a desk (not exactly physical fitness), which I didn’t use much as I was always playing with the kids. While in Germany a friend of mine, an occupational therapist, suggested she thought I would make a good massage therapist and the idea just stayed in the back of my head. Once I returned stateside -- we were living in Utah in a small town on the south side of the Great Salt Lake – an hour away, Salt Lake City (at the time) was the capital of massage training (I don’t know if it is any longer) and after a tour of the Utah College of Massage Therapy campus, I was so excited I signed up for the program on a Friday, paid for my parking pass, quit my job and started classes that next Monday. As anyone who has been through massage school can tell you, it’s rigorous training and it changes your life, from the inside out -- The very first day, I was hooked. I chose massage because it’s a vast field of change, opportunity, and many modalities to choose from so I knew I would never be bored with this job. That’s right! I’d found what I was passionate about.
I was also right that I would never be bored. My massage career in 21 years has had a lot of twists and turns, but I’m still doing bodywork and have really created my own style, which I introduced with That’s the Rub 12 years ago in our wonderful little burg of Bloomington. For the last five years, I’ve been teaching in the massage program I helped found at Ivy Tech some of my style and now I’m bringing it to our own school with the opening of Keplinger Institute of Massage and Wellness (website coming soon). Not only will be teaching massage professionals continuing education, we will be introducing wellness classes to the community while also working on our trade school curriculum to soon be able to train people for licensure.
Every day I choose to live through my passion for the anatomy of the human body that has followed me since my early childhood. Each time I strayed something brought me back to it. Anatomy, massage, fitness, nutrition, teaching, growing, and wellness, the options are endless, and I am most passionate about sharing them with YOU!
I invite you to join me for our FIST community offering: Ki for Stretch and Relax, and very soon for Guided Couples Massage, or any of the classes my passion leads us to. Sparks are flying, I’m excited about the adventure, I can’t wait to meet you!
