Extra! Extra! Here’s What’s Happening at That’s the Rub

Extra! Extra! Here’s What’s Happening at That’s the Rub

Extra! Extra! Read all about the happenings at that's the Rub!

There’s always something happening around here, and this fall we have a few things we’re pretty excited to share.

Facials Are Back!

Beginning September 1, facials are returning to the menu at That’s the Rub.

We now have two people in-house offering facial services, which means you can once again give your skin — and yourself — a little extra attention.

As we move toward fall and eventually into the colder, drier months, it’s a great time to check in with your skin and give it a little pick-me-up.

And while healthier looking, refreshed skin is certainly part of the appeal, there’s another reason we love a good facial around here:

It feels really good.

There is something wonderfully relaxing about lying down and letting someone massage your face and scalp while you do absolutely nothing for a while. You leave knowing you’ve taken time to care for yourself — and you’ve had another trained set of eyes looking at your skin and noticing anything you may want to pay a little more attention to.

Facials will be available beginning September 1.

Call us or book online to schedule yours.

Curious About Craniosacral Therapy? This Is a Great Time to Try It.

Some of our therapists are currently studying their Craniosacral Therapy skills, which means we have Craniosacral Practice Sessions available at reduced pricing while they continue their training.

Craniosacral Therapy is a gentle form of clothed bodywork. Rather than the pressure and movement you might associate with a traditional massage, sessions use gentle hands-on techniques and can be deeply relaxing.

People seek Craniosacral Therapy for many reasons, including stress reduction, chronic pain, headaches and migraines, TMJ-related discomfort, or simply because they want a quieter, gentler approach to bodywork and they can leave their cloths on. 

Research is also beginning to support what Craniosacral Therapy practitioners and clients have experienced in the treatment room. Studies have found benefits for people living with chronic pain, including improvements in pain and physical function. Research specifically involving people with migraine has reported reductions in pain, frequency of migraine episodes, disability and medication use following Craniosacral Therapy.¹ ²

Of course, everybody and every session is different. Craniosacral Therapy isn’t about forcing change. It’s gentle, clothed bodywork that gives the body an opportunity to settle, soften and respond in its own time.

In our practice, we also recognize that bodies sometimes hold the effects of difficult or traumatic experiences. Craniosacral work offers a quiet, supportive environment in which the body can soften and release tension when it is ready.

If you’ve been curious about Craniosacral Therapy but haven’t tried it, these lower-cost practice sessions are an easy opportunity to experience the work while supporting our therapists as they expand their skills.

Call That’s the Rub for availability and practice-session pricing. 812-333-3393

And One More Thing...

I’ve been spending some of my time away from the massage table with a paintbrush in my hand.

On Friday, September 4, I’ll be sharing my body of work for the first time, Articles of Connection: Between Shadow and Light, during Gallery Walk at Gather in downtown Bloomington.

This series has grown over time into a visual journey exploring connection, change and what happens in the space between shadow and light. I’ll also have pieces that I painted prior to this exhibit so you can see how far I’ve come.

If you’re downtown that evening, I’d love for you to stop in, see the work and say hello.

Gallery Walk — September 4, 5–8 PM
Gather, Downtown Bloomington

Facials. Craniosacral Therapy. Art. 

Like we said, there’s always something happening around here.

We look forward to seeing you soon.


Research & Further Reading

1. Haller H, Lauche R, Sundberg T, Dobos G, Cramer H. Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskeletal Disorders. 2020;21:1. The review included 10 randomized controlled trials involving 681 participants and found significant improvements in pain intensity and functional disability following Craniosacral Therapy.

2. Muñoz-Gómez E, et al. Effect of a Craniosacral Therapy Protocol in People with Migraine: A Randomized Controlled Trial. Journal of Clinical Medicine. 2022;11(3):759. Participants receiving Craniosacral Therapy showed improvements in pain, migraine frequency, disability and medication use compared with sham treatment.

What Does Your Body Need Today?

What Does Your Body Need Today?

Lisa Keplinger weighing YES and No

Once I could hear my body say no, I got curious about what else it had to say.

So, the conversations began.

I didn't start with the big stuff.

I started with eggs. How many eggs do I want for breakfast?

Do I even want eggs? Yes/No.

Pancakes? Yes/No.

Am I hungry yet? Yes/No.

It seems almost ridiculously simple, doesn't it?

I had spent a lot of my life listening to all the voices outside of me. The people who knew the best way to eat. The best time to exercise. The perfect morning routine. The habits successful people follow. The things I should be doing if I want to feel better, live better, be better.

You know the lists:

Get up early.

Meditate as soon as you wake up.

Get outside first thing in the morning.

Don't drink caffeine immediately.

Exercise this many times a week.

Eat this. Don't eat that.

And I'm not saying any of those things are bad advice. In fact, some of that has been wonderful advice for me.

It's great if it works for you.

But how do you know?

You can keep trying things until something sticks. That's certainly one way.

Is there another way to know? That question got interesting to me. So, I kept asking it.

What if, instead of trying to find the person with the perfect strategy for my life, I learned how to recognize what was right for me based on what they were showing? 

I started asking my body little questions.

What kind of movement do I want today?

Do I want to walk? Yes, perpetually.

Lift something heavy? Yes, most definitely. Or sometimes, no.

Stretch? Yoga or just on my own?

Rest? Meditation? Or just lie there and stare at the ceiling? Yes, I do this.

Do I want music? Quiet?

People? Space?

And then I did the part that was much harder in the beginning…

I listened.

I followed.

Over time, the conversation became easier. I began to recognize the way my body communicates with me.

A tightening.

An opening.

Energy.

Heaviness.

Curiosity.

Resistance.

My body's own language.

These days, it's simply part of my everyday life. I wake up and say hello to my body.

Then I bring it with me into today.

Considering I've spent 26 years working with bodies, you'd think it wouldn't have taken me so long to wake up to my own.

It turns out, knowing a lot about the body and being in conversation with your own body are not the same thing. Who knew? grin

The more I listened to my own body, the more I thought about the way we listen to yours at That's the Rub.

And then I realized I've been asking a version of the same question for years.

What does this body need today?

Not what the last person with shoulder pain needed.

Not even necessarily what worked beautifully during your last massage.

What does your body need today?

Thus, what is your goal?

It's one of the reasons Advanced Therapeutic Massage came to be.

And, by the way, if you ever see a service called Advanced Therapeutic Massage somewhere else, please let me know.

I invented it.

So, they were trained by me. grin

After this many years as a massage therapist, I've learned so many modalities that I've probably forgotten the names of half of them.

I'm serious.

I didn't want to create a massage where I had to decide ahead of time that I was doing this modality or that technique.

I wanted the whole therapist to be allowed in the room.

Their education.

Their experience.

Their hands.

Their ability to listen and adapt.

So, I changed the traditional massage intake process just a little.

When you come into That's the Rub for any massage service, your therapist talks with you about what you want to achieve from your session.

They talk to you about how they work.

They describe their approach and the techniques that may be helpful.

And then, together, you customize the massage.

And I don't just mean spending a little longer on your shoulders.

We're really taking the time to consider what may be contributing to the issue and how we can address it in a way that supports the goal you came in with.

We may also offer suggestions about things happening in your everyday life that you haven't noticed.

The way you use your mouse.

How you sit at your desk.

The way you stand.

The things you do every single day without thinking about them because, well, you do them every single day.

Because your body is not a fixed thing.

A lot has happened to your body from the moment you were born until now. We take that into consideration while still meeting you exactly where you are today.

The whole you.

Working. Sleeping. Driving. Lifting. Sitting. Traveling. Exercising. Resting.

Adapting to stress and joy and illness and vacations and Tuesdays.

Your body may arrive with a completely different story than it had three weeks ago.

Our job is to listen to the story you're bringing in today.

We get curious.

We adapt.

We ask better questions.

We keep learning how your body navigates this world and support it as it adapts to what life is asking of it.

Maybe, with a little more ease in its own skin.

That's a pretty good way to spend a career if you ask me.

Maybe that's why I've become so fascinated with learning my own body's language.

I've spent 26 years teaching massage therapists to pay attention to the body in front of them.

Apparently, it was only a matter of time before I started having those conversations with my own body.

If you're looking for a partner in your healthcare—someone willing to listen, adapt, and work with you toward what you want to achieve—Team Rub is here with you every step of the way.

Bring the body you have today.

We'll start there.

That's the Rub,

Lisa

P.S. Save the date! I'm making my art debut in Bloomington.

Gallery Walk. Friday, September 4th, 5–8 p.m. at Gather.

Come see what I've been working on in the studio, grab an original art business card, and say hello.

Heck, you're even invited to buy my art if it resonates with you. grin

Every piece is an original. Only one person gets to call it their own.

You can see what else I've been up to at www.lisakeplingerwellbeing.com.

 

Relaxation Massage vs. Therapeutic Massage: What’s the Difference?

Relaxation Massage vs. Therapeutic Massage: What’s the Difference?

What's the difference between therapeutic and relaxation massage?

One of the questions we hear most often at That's the Rub is:

"What's the difference between a relaxation massage and a therapeutic massage?"

It's a great question because the answer isn't about which massage is better. It's about what you're hoping to accomplish.

Some people come in because life has been busy, stressful, and demanding. They want an hour where they can finally exhale, quiet their mind, and let their body unwind.

Others come in because their neck won't turn, their shoulder has been bothering them for weeks, or they're tired of the same aches showing up day after day.

Both are good reasons to schedule a massage.

The difference isn't whether one massage is "real" massage and the other isn't. The difference is the goal.

At That's the Rub, we believe every massage should begin with understanding what you want to be different when you leave.

If your goal is to relax, we'll create a session that helps your nervous system settle and gives your body a chance to recharge.

If your goal is to improve movement, reduce discomfort, or address a specific concern, we'll tailor the session to focus on that.

Sometimes those goals even overlap.

The important part isn't choosing the "right" type of massage from a menu. It's having a conversation about what brought you in and what success looks like for you today.

That's why your therapist spends time talking with you before your session begins.

We're not just gathering information.

We're creating a plan.

Everybody is different. What worked for your friend may not be what your body needs today. The best session isn't determined by how much pressure was used or how sore you are afterward. It's determined by whether the session helped move you toward your goal.

Before your next appointment, take a moment to ask yourself one simple question:

"What do I want to be different when I leave?"

Maybe you'd like to turn your head without discomfort.

Maybe you'd like to sleep better.

Maybe you'd simply like to feel lighter than you do right now.

There isn't a wrong answer.

The more we understand what you're hoping to achieve, the better we can partner with you to get there.

Whether you're looking for an hour to unwind or help with something that's been getting in your way, we're here to meet you where you are.

We'll start with a conversation, create a session that's right for you, and work together toward what matters most to your body that day.

That’s the Rub,

Lisa

When Stretching Isn’t Enough

When Stretching Isn’t Enough

When stretching isn't enough it's time for bodywork

Have you ever noticed that the same spot keeps feeling tight, no matter how often
you stretch it?
That's worth paying attention to.
Because "tight" doesn't always mean your body is asking for more stretching.
Stretching is one of the best things you can do for your body. It can improve mobility,
reduce stiffness, and help you move with greater ease. But occasionally, I meet
someone who's doing all the "right" things and still feels tight.
That's when we must ask a different question.
Our bodies are incredibly good at adapting to whatever we ask them to do. Carry a
toddler on the same hip every day, spend hours leaning over a computer, always cross
the same leg, or sleep in the same position night after night, and your body quietly
begins adjusting so you can keep doing those things.
It doesn't ask your permission.
It simply figures out a way.
Those adjustments are what we call compensations. They're one of the ways your body
works to keep you moving and functioning from day to day.
Your body is constantly seeking balance, a state called homeostasis. Its primary job is
to keep you alive. If that means sacrificing a little movement in one joint, asking another
muscle to work harder, or changing the way you move to protect an injury, it will. In the
short term, those compensations are often exactly what your body needs. It's only when
they stick around long after the original reason is gone that they can begin creating new
aches, pains, or movement restrictions.
Over time, though, those same compensations can become the reason your body
keeps asking for attention.
Take the parent who always carries a child on the same hip. One side of the body
becomes responsible for supporting the extra weight while the other side works
differently to keep everything balanced. Day after day, your body becomes incredibly
efficient at that pattern.
Your body doesn't care if a movement is perfect. It cares that you can keep moving.

So, it adapts. It finds a way. And if one shoulder, one hip, or one group of muscles has
to work a little harder to make that happen, your body is willing to make that trade.
Some muscles end up doing more than their fair share while others gradually stop
contributing as much as they could. The muscles carrying the extra workload often feel
tight.
So naturally…You stretch them. They feel better for a little while. Then the tightness
comes right back. Why?
Because the muscle wasn't simply short.
It was busy.
It was working overtime because another part of your body wasn't doing its share.
Imagine one person at work constantly covering for everyone else. Giving them a coffee
break is wonderful, but if nobody else starts helping, they'll be exhausted again before
long.
Our muscles work much the same way.
If stretching hasn't helped, it doesn't necessarily mean you're doing it wrong. It may
simply mean you've been trying to solve the wrong problem.
Sometimes what your body needs isn't more length.
Sometimes it needs better support.
That may mean improving strength, helping certain muscles "wake up" and do their job
again, or learning a movement pattern that shares the workload more evenly.
Massage isn't just for relaxation or relieving headaches. It can help reduce muscle
guarding, improve how your body moves, and create space for healthier movement
patterns to emerge. When overworked muscles are constantly guarding, massage can
help them relax enough for your body to move more efficiently again. Once those
tissues stop doing all the work, it's often easier to strengthen the muscles that have
been sitting quietly on the sidelines.
One simple place to start?
Notice which side you use most often.
Do you always carry your purse on the same shoulder? Hold your child on the same
hip? Carry your groceries or a briefcase with the same hand? Even reach for your
coffee cup with the same arm every morning?

Try changing sides from time to time.
It will probably feel awkward. That's okay.
Changing sides isn't just about giving one shoulder a break. It's about giving your body
opportunities to solve familiar problems in new ways. The brain loves variety, and your
muscles often do, too.
That doesn't mean you'll suddenly become perfectly balanced. But it does give your
body the opportunity to share the workload instead of asking the same muscles to do
the same job every single day. Our bodies are remarkably adaptable.
The question isn't whether your body is adapting.
It's what it's adapting to.
So if you've been faithfully stretching and nothing seems to change, don't assume
you're failing.
Instead, get curious.
Ask yourself:
 Is this muscle working harder than it needs to?
 Is another part of my body avoiding its job?
 Am I repeating the same movement pattern all day, every day?
 What small change could I make today to give my body a different experience?
Sometimes the answer is more stretching.
Sometimes it's more strength.
Sometimes it's better movement.
Sometimes your body simply needs another set of skilled hands to help it let go of a
pattern it no longer needs to carry.
The important thing isn't guessing the answer.
It's noticing there's a question to ask in the first place.
That’s the Rub,
Lisa

How Therapeutic Massage Helps When Inflammation Builds in the Body

How Therapeutic Massage Helps When Inflammation Builds in the Body

 

Licensed massage therapist working with a client on inflammation-related tension at That's the Rub Massage Therapy Center in Bloomington, Indiana.

By Lisa Keplinger, LMT, NCBTMB

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.

Why Your Massage Therapist Needs to Know Your Medical History

Why Your Massage Therapist Needs to Know Your Medical History

Why your therapist needs your medical history:
Safety
Tailored Care
Informed Decisions
Partner in health
Supoorting your wellness

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.

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