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What a deep tissue massage is, and who books one

Deep tissue massage uses slow, firm pressure to reach the deeper layers of muscle and the connective tissue around it. The aim is to release tension that has built up over weeks or months, break down knots and tight bands, and get muscle moving properly again. It can be a full body treatment or focused on one area, most often the back, neck and shoulders.

Most people who book a deep tissue massage at our Bromley clinic are not athletes. They are office workers whose shoulders have crept up towards their ears, parents carrying children on one hip, tradespeople whose lower backs have been complaining for months, and gym goers who have added load faster than their tissue has adapted. The common thread is not sport. It is accumulated tension that has stopped resolving on its own.

Every appointment starts with a few questions and a look at how you move, because pressure applied to the wrong place is discomfort with no purpose. If what you describe sounds like something other than muscular tension, we will say so rather than work through it.

Deep tissue or sports massage: which do you need?

The two overlap, and the names matter less than the goal.

Deep tissue massage works broadly. It is the right choice when the whole back, neck and shoulders feel tight, when stress has left you permanently braced, or when you simply want the tension taken out of you.

Sports massage is targeted. It is the right choice when you have a specific problem: a calf that keeps going, a shoulder that will not lift, a knee that hurts at mile four.

If you are not sure which you want, book either and say so at the start. We will adjust. If both sound like more than you want, Swedish massage is the lighter option: full body, steady pressure, and nothing you have to brace against.

What deep tissue massage helps with

These are the things people most often come in with. Each links to how we treat it.

  • Lower back pain, especially the kind that comes from sitting or lifting
  • Neck pain and tension headaches from desk work and driving
  • Shoulder pain and the stiffness that goes with it
  • Hip pain and tight glutes, often from long periods in a car
  • General stiffness, poor sleep caused by muscular tension, and recovery between training sessions

If your problem is a specific injury, something that happened on a particular day, the conditions we treat page is a better place to start.

What happens in a session

You will be asked what is bothering you, how long it has been going on, and what makes it better or worse. We watch how you move. Then you lie on the couch, usually face down to start, covered with a towel apart from the area being worked on.

The pressure builds gradually. We use long strokes to warm the tissue, deeper kneading to work into the muscle, and sustained pressure on the points that are holding tension. You should feel it, and some of it will be uncomfortable, but you should never be holding your breath or clenching. If you are, say so. Pressure the muscle guards against does nothing useful and you leave tighter than you arrived.

Depending on what we find, a session might also include cupping or medical acupuncture if muscle is holding on in a way that hands alone will not shift. We will tell you before doing either. You leave with a clear idea of what we found and what to do between appointments.

Prices

  • 30 minutes, £45
  • 45 minutes, £55
  • 60 minutes, £65
  • 90 minutes, £105

Times include consultation and changing. Combined with spinal manipulation, acupuncture or cupping, sessions start at £55. Everything is on the prices page.

Who you will see

All three of our therapists deliver deep tissue massage. Dharam Vyas is the clinic director and has run SMSM Therapy since 2017. Atlanta Robinson and Dwaine Henderson have both been with the clinic for several years, and many of the reviews below mention them by name. You can ask for a particular therapist when you book.

What patients say about deep tissue massage here

★★★★★Headaches explained

Cannot thank Dharam enough! Booked a last minute deep tissue massage and I felt some tension in my left shoulder and was getting headaches. He explained everything in detail as he worked through the muscle and gave me suggestions of remedies between massages.

Rosie, 2024, via Treatwell

★★★★★Old shoulder injury improved

Dwaine always professional and friendly. The deep tissue massage has made a massive improvement in my physical health. My movement has greatly improved especially a very old shoulder injury. I can now lift more weight at the gym ‍

Janet, 2025, via Treatwell

★★★★★Looser and more mobile

Had a deep tissue massage for hip pain caused by lots of driving. The therapist took the time to understand the problem and focused properly on my hips, glutes and lower back. I left feeling much looser and more mobile.

Tochi, 2026, via Google

★★★★★Relief in two sessions

I attended for a deep tissue massage. Shoulder pain was relieved after only two sessions. Very happy with the service.

Almir, 2026, via Google

These are four of the 157 reviews on our patient reviews page, grouped by what people came in with.

Questions people ask before booking

How sore will I be afterwards?
It is the question we are asked most. Expect to feel worked on for twenty-four to forty-eight hours, a bit like the day after an unfamiliar gym session. That is normal and it settles. What should not happen is sharp pain during the treatment, bruising, or soreness that is still there after three days. Deep does not mean brutal. Drink water, move gently, and avoid a heavy training session the same day.
How often should you have one?
It depends what you are asking of your body. If you are in pain now, weekly for two to four weeks, then spreading out. If you sit at a desk all week, monthly tends to keep ahead of it. If nothing hurts and you want to stay that way, every four to six weeks is plenty. If you find you need deep tissue work every week indefinitely, the massage is managing a symptom of something else, a movement pattern, a strength gap, a workstation. That is a conversation worth having. Posture analysis and an exercise programme exist for exactly that reason.
How long should I book?
Thirty minutes covers one area properly, usually the back or the neck and shoulders. Sixty minutes is the most common booking and covers the back, neck and shoulders with time to work into anything stubborn. Ninety minutes is a full body treatment. If you are not sure, book sixty and we will use the time where it is needed.
Can I have a deep tissue massage while pregnant?
Massage can still be appropriate in pregnancy, but the approach changes: lighter pressure, different positioning, and certain areas avoided. Tell us when you book. We offer pregnancy massage as its own treatment for this reason.
When deep tissue massage is not the answer
Being straight about this matters more than filling the diary. In the first few days after a strain or tear, deep pressure over the site is the wrong thing. Infection, fever, or skin that is broken or inflamed over the area means waiting. Blood thinning medication, clotting disorders or a suspected DVT need a GP first. And some symptoms need a doctor rather than a therapist: numbness in the groin or inner thighs, loss of bladder or bowel control, progressive weakness in a limb, unexplained weight loss, or pain that is markedly worse at night. Those warrant a GP or A&E the same day, not a massage.

Book a deep tissue massage in Bromley

SMSM Therapy is a sports injury clinic at Carlton Chambers, 5 Station Road, Bromley BR2 0EY. Use the red side gate to the right of the building. It is a three-minute walk from Shortlands station. We see clients from across Bromley, Beckenham, Shortlands, Hayes, West Wickham, Chislehurst, Petts Wood and Orpington.

Not sure this is the right treatment? Our guide to massage in Bromley compares all five and helps you pick.