What Is Asian Massage - Which Technique Helps Pain, Stress or Sleep?

Not sure which Asian massage to try? Compare Thai, Tuina, Shiatsu and more. Find the best style for pain, stress or sleep and what to expect in a session.

September 22, 2025

8 Minutes

herapist performing an Ayurvedic-style Abhyanga oil massage using a warm herbal compress on a client’s back in a calm treatment room.

Curious about Asian massage but not sure where to start? This guide is for you. It explains what Asian massage really means, how the techniques differ, what to expect, and how to choose safely. Whether you seek relaxation, pain relief, or travel recovery, you’ll find clear answers here.

What we will cover:

  • What is Asian massage and who it’s for
  • Which techniques work best for relaxation, pain, stretching, swelling, pregnancy, or travel
  • Safety and reasons to avoid massage
  • How techniques differ (Balinese, Thai, Tuina, Shiatsu, Ashiatsu, Abhyanga)
  • What to expect in a session and how to communicate
  • Etiquette for first-timers (privacy, undressing, tipping)
  • Aftercare and how often to go
  • How to pick a professional and avoid red flags
  • Travel tips and special cases (pregnancy, post-op, chronic conditions)
  • FAQs with quick answers

What Is Asian Massage?

Asian massage is a family of traditional hands-on therapies from Asia (Thailand, China, Japan, India, Bali). These techniques use pressure, stretching, oil, or even barefoot methods. They aim to ease tension, improve mobility, and support relaxation. Rooted in cultural traditions, they are now practiced worldwide for wellness, pain relief, and recovery.

To understand it better: Thai massage uses yoga-like stretches, Tuina follows Chinese medicine, Shiatsu focuses on energy points, Balinese combines oils and acupressure, Ashiatsu uses deep foot pressure, and Abhyanga applies warm herbal oils. Together, they show the variety behind the broad term “Asian massage.”

Quick Choose — Which Technique for Your Goal

Before you dive into the details, here’s a snapshot to match your need with the right approach. Think of it as a shortcut: instead of reading every technique, you can jump straight to the one that fits your current goal.

  • Relaxation / Stress → Balinese, Shiatsu, Abhyanga. Calming strokes, oil, or rhythmic touch to settle the nervous system.
  • Muscle pain / Back pain → Tuina, Thai, Ashiatsu. Stronger pressure or stretching for tight muscles and stubborn knots.
  • Flexibility & Stretching → Thai, Tuina. Assisted yoga-like stretches and joint mobilization to open stiff hips or shoulders.
  • Swelling / Lymph support → Abhyanga, gentle Tuina. Light oil work or lymph-focused techniques to support fluid movement.
  • Pregnancy-safe (gentle) → Prenatal-trained Abhyanga or Shiatsu. Avoid abdominal work; ask clinician for clearance.
  • Travel recovery → Thai, Balinese. Helpful after long flights for stiffness and jet lag.

Safety First - Contraindications

Massage is generally safe, but there are situations where caution or a doctor’s clearance is needed. Ignoring these could worsen your condition. Most people can enjoy Asian massage, but check with a clinician if you have:

  • Suspected or confirmed blood clots (deep vein thrombosis).
  • Uncontrolled heart conditions or high blood pressure.
  • Acute infection, fever, or open wounds.
  • Recent major surgery (incisions not healed).
  • Active cancer treatment or compromised immunity.
  • Pregnancy complications (e.g., preeclampsia, placenta issues).

If unsure, ask your clinician. This is general information, not medical advice.

How Asian Massage Techniques Differ

Balinese Massage

Balinese massage blends acupressure, long flowing strokes, and aromatherapy oils. It comes from Bali’s traditional healing practices, influenced by Indian and Chinese methods. A session feels spa-like and calming, with warm oil and rhythmic movements. It is best known for easing stress, improving circulation, and creating deep relaxation.

Thai Massage

Thai massage has roots in Thai medicine and Buddhist traditions. Performed on a mat, the therapist guides you through assisted yoga-like stretches while you remain clothed. Expect a dynamic, energizing feel, with pressure applied by hands, elbows, and feet. It is especially helpful for mobility, hip or back stiffness, and recovery after long sitting or travel.

Tuina

Tuina ("twee-nah") is a Chinese therapeutic massage grounded in traditional Chinese medicine. It uses kneading, rolling, and acupressure along energy channels. A Tuina session feels firm and structured, sometimes brisk, aiming to relieve pain, improve joint function, and balance the body’s energy. It is commonly used for musculoskeletal problems and chronic stiffness.

Shiatsu

Shiatsu, meaning “finger pressure,” developed in Japan in the early 20th century with influence from older healing arts. It is performed clothed, without oil, using thumb and palm pressure along meridians (energy pathways). The touch feels rhythmic and grounding, and many find it deeply calming. Shiatsu is often chosen for tension relief, gentle pain management, and emotional balance.

Many people choose shiatsu to ease anxiety and improve sleep - read more about Shiatsu for stress and sleep>>>

Ashiatsu

Ashiatsu, or “foot pressure,” involves the therapist using their feet to deliver broad, deep strokes while holding overhead bars for balance. Originating from Asian barefoot massage traditions, it provides strong, compressive pressure that covers wide areas of the body. The sensation is intense but even, making it popular with people who enjoy very deep work. It can be effective for chronic muscle tension and athletes.

Abhyanga

Abhyanga is part of Ayurveda, India’s traditional system of medicine. It uses warm herbal oils applied with rhythmic strokes over the whole body. The experience is nurturing and soothing, often accompanied by a sense of warmth and comfort. Abhyanga is said to support circulation, nourish the skin, calm the nervous system, and promote overall wellbeing.

What to Expect in a Session

  1. Booking: Share health history (pregnancy, surgery, clots). Ask what techniques will be used and if the therapist has specific training.
  2. Intake: Therapist reviews your form and explains the plan. This is the moment to set goals — pain relief, mobility, relaxation.
  3. During: Depending on technique, you may stay clothed (Thai, Shiatsu, Tuina) or undress with draping (Balinese, Abhyanga). Communicate clearly: “Less pressure, please” or “Focus on my neck.”
  4. Sensations: Expect relaxation, mild soreness, or stretching. Some discomfort may feel like “good pain,” but sharp pain is not normal.
  5. After: Rest, hydrate, and avoid heavy exertion for several hours. Notice how your body feels over the next day.

First-Timers - Etiquette & Worries

Feeling nervous is normal, especially if this is your first time. Many people are unsure what will happen or how to behave. Below are expanded points to help you feel prepared:

Undress

You only undress as much as you feel comfortable. For oil-based massages like Balinese or Abhyanga, draping keeps you covered except for the area being worked on. For clothed techniques like Thai or Shiatsu, you usually stay fully dressed in loose clothing.

Privacy

Professional boundaries are always respected. Therapists are trained to manage involuntary reactions or emotional responses discreetly. You should never feel exposed or unsafe, and you are always in control.

Discomfort

Massage should not cause sharp or lasting pain. Communicate during the session: “Can you go lighter?” or “This spot is sore.” Feedback is expected and helps the therapist adjust pressure, pace, and technique.

Etiquette and Booking

Tipping and customs vary, but the universal expectation is respect and professionalism. Book through reputable channels, confirm the therapist’s training, and don’t hesitate to ask questions in advance. Knowing these basics can reduce anxiety and let you focus on the experience.

Aftercare & Recovery

Taking care of yourself afterwards is just as important as the massage itself. Proper aftercare helps extend the benefits and prevents soreness or fatigue. Think of it as sealing the gains of the session.

  • Drink water within 1–3 hours.
  • Gentle movement or stretching to keep circulation flowing.
  • Avoid heavy exercise or alcohol the same day.
  • Rest if lightheaded or unusually tired.
  • Report persistent pain, swelling, or fever to a clinician.
  • Frequency: Relaxation = every 2–4 weeks. Therapy = 1–3 per week for a short course.

How to Pick a Professional - Trust & Red Flags

Choosing the right therapist is crucial for safety and comfort. A few clear signs can help you spot trained professionals and avoid risky situations. Your safety depends not only on technique but also on environment and conduct.

Trust signals:

  • Visible license or certification.
  • Intake form and health review.
  • Clear draping and hygiene.
  • Service menu and reviews.

Red flags:

  • No intake form.
  • Claims of “guaranteed cures.”
  • Push for cash only, no receipts.
  • Sexual offers or unsafe undressing - leave immediately.

Myth-bust: “Asian massage ≠ sexual services.” These are professional therapies with training and codes of ethics. For extra safety, women may prefer to request a female therapist or bring a trusted friend or partner along to appointments if that feels more comfortable. Always choose environments where you feel secure and respected.

Travel & Tourists

Travel often brings stiff muscles and jet lag. Massage can be a helpful reset if chosen wisely. It’s also one of the most common times people try Asian massage. If you’re on the move, here’s what to know:

  • Thai/Shiatsu are done clothed; Balinese/Abhyanga use oil.
  • After flights: Thai or Balinese can ease stiffness and jet lag.
  • Safety: Choose licensed places, not walk-ins without signage or intake forms.
  • Frequency: Daily sessions are common while travelling, but listen to your body.

Special Cases

Certain life stages or medical situations need more care. Massage may still be possible but with adaptations. Always ask a clinician first if you are unsure.

  • Pregnancy: Gentle Shiatsu or Abhyanga may be safe. Avoid belly work. Always check with clinician; positioning matters in later trimesters.
  • Post-op: Manual lymphatic drainage may help swelling. Only with surgeon’s clearance. Time frames vary from 2–6 weeks.
  • Chronic illness: Massage may ease tension but adapt to condition. Discuss limits and goals with your therapist and clinician.

FAQs

Here are the questions you may still have, with clear answers:

  • What is Asian massage and is it the same as Thai massage?

Asian massage is a broad family of techniques. Thai is just one technique.

  • Which Asian massage is best for back pain?

Thai or Tuina for stretching and targeted pressure; Ashiatsu for deep, broad strokes.

  • Is Asian massage safe during pregnancy?

Prenatal-trained Shiatsu or Abhyanga can be safe. Always check with your clinician.

  • Do Asian massages involve undressing?

Depends on the technique. Thai/Shiatsu = clothed. Balinese/Abhyanga = draped with oil.

  • How often should I get an Asian massage?

Relaxation: every few weeks. Therapy: more frequent short courses.

  • Does Asian massage help muscle soreness?

Yes, Thai and Tuina may ease soreness through stretches and acupressure.

  • How to find a licensed Asian massage therapist?

Look for license, hygiene, intake forms, and reviews.

  • What should I tell my therapist about injuries?

Be clear: “I had surgery last month” or “I have back pain.”

Asian massage covers diverse traditions - from Thai stretching to Balinese oil work. It may help with stress, pain, or mobility, but always with safety checks. If in doubt, ask your clinician before booking.

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Researched & Written by afinika

CEO @ Welleta.com

Fluffy leta

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