May 29, 2025
Ashiatsu massage, often referred to as “barefoot massage,” is known for its deep pressure and unique delivery: therapists use their feet—supported by overhead bars—to apply long, gliding strokes across the body. This makes it one of the most effective modalities for deep tissue work, especially for athletes or those with chronic tension.
But Ashiatsu isn’t always the right fit.
As powerful as this technique is, there are specific situations where Ashiatsu should be avoided. These contraindications exist not because the modality is unsafe, but because the depth and weight involved can worsen certain medical conditions or interfere with healing processes.
These are scenarios where receiving an Ashiatsu massage is not advised under any circumstance:
If you’ve had a recent operation or suffered a major injury (especially involving bones, joints, or soft tissue), Ashiatsu is too intense. The pressure may disrupt healing tissues or internal sutures, and can increase the risk of complications like internal bleeding.
Clients with clotting issues (like deep vein thrombosis) or who take anticoagulants (e.g., warfarin, Plavix) are at increased risk for internal bruising or dislodging clots—particularly dangerous when strong pressure is applied to the legs or lower back.
Ashiatsu can stimulate circulation and lower stress—but for those with uncontrolled hypertension, it can also spike blood pressure temporarily. Until blood pressure is well-managed, Ashiatsu should be avoided.
Although some massage techniques are safe during pregnancy, Ashiatsu is not among them—especially in the first trimester or if there are any pregnancy complications. Even in later trimesters, Ashiatsu is typically not recommended without express physician approval and highly specialized training.
Since Ashiatsu relies on body weight, individuals with fragile bones (such as those with osteoporosis or osteopenia) may face risk of fractures, particularly in the ribs, spine, or hips.
These situations don’t rule out massage completely—but they require therapist awareness and modification of technique:
For those with spinal injuries or implants, Ashiatsu’s deep strokes must be adjusted—or sometimes avoided—depending on the location and severity. Always disclose spinal issues during intake.
Conditions like open wounds, rashes, infections, or recent sunburns are incompatible with Ashiatsu. Even minor abrasions can worsen with pressure and friction.
While mild swelling may benefit from light massage, Ashiatsu’s deep pressure could aggravate varicose veins or lymphatic issues. Clients should be assessed on a case-by-case basis.
Fresh tattoos or body piercings can be damaged or irritated with the friction of Ashiatsu. Wait until fully healed before receiving any deep tissue massage in those areas.
Massage therapists aren’t doctors—but they’re trained to adapt based on your unique circumstances. The more open you are during your intake, the safer and more beneficial your session will be.
If you’re unsure whether Ashiatsu is right for you, don’t hesitate to ask. At Reflexology Plus, we’re happy to guide you toward a safer alternative—like Thai massage, deep tissue with hand techniques, or a customized reflexology session.
Ashiatsu is a powerful modality—but it’s not one-size-fits-all. Knowing when to skip it ensures you stay safe and get the results your body needs.
Always consult with your healthcare provider before starting any new bodywork regimen, especially if you have underlying health conditions.
