Can a Massage Cause a Fever? What You Need to Know

A massage session promotes relaxation and muscle relief, leading to a sense of well-being. While some individuals might experience sensations resembling illness afterward, massage itself does not directly cause a fever. These post-massage feelings are generally a normal physiological response to the bodywork or can sometimes be due to coincidental factors unrelated to the massage itself.

Understanding Post-Massage Sensations

The body undergoes various physiological changes during and after a massage, leading to a range of sensations. One common experience is delayed onset muscle soreness (DOMS), which can manifest as generalized aches and tenderness in the muscles, similar to what one might feel after physical exertion. This soreness typically appears 24 to 72 hours after the massage and is a normal response to the manipulation of muscle fibers.

Massage also temporarily increases circulation and lymphatic drainage throughout the body. This enhanced flow can sometimes result in sensations of warmth or a “cleansing” feeling. While some sources discuss the idea of “toxin release,” massage primarily aids the body’s natural systems in processing metabolic waste more efficiently rather than directly flushing out toxins in a way that causes fever. Post-massage fatigue is also common, as the body relaxes and processes the session, which some might mistake for the initial stages of an illness.

Potential Causes of Fever After Massage

If a fever develops after a massage, it’s usually coincidental or due to an existing condition. A person might already be incubating an infection, such as a cold, flu, or other viral illness, before their massage appointment. Symptoms, including fever, may simply manifest coincidentally after the session, as the massage cannot prevent the natural progression of an already present infection.

Dehydration is another factor that can contribute to feeling unwell post-massage. Insufficient fluid intake before or after a session can lead to symptoms like headaches, nausea, or general malaise, which might be confused with a low-grade fever. Massage can stimulate fluid movement in the body, making proper hydration even more important. Proper hydration supports metabolic processes and helps the body process waste.

In rare instances, an intense massage on an area with pre-existing inflammation or injury could temporarily heighten the body’s localized inflammatory response. This might lead to mild warmth in the specific area, though it typically does not cause a systemic fever. Infection transmission from unhygienic practices is extremely rare, minimized by proper hygiene in reputable establishments.

When to Consult a Healthcare Professional

While many post-massage sensations are benign, certain symptoms warrant medical attention. It is advisable to consult a healthcare professional if a fever persists or is high, generally over 101°F (38.3°C), or if it lasts for more than 24 to 48 hours. Worsening symptoms such as severe pain, chills, or the development of a rash are also red flags.

Seek medical advice if new or concerning symptoms emerge, such as difficulty breathing or signs of infection at a massage site, like redness, excessive swelling, or pus. Providing a complete medical history to the healthcare provider, including recent activities like receiving a massage, can help them accurately assess the situation and determine the appropriate course of action.