A deep tissue massage (DTM) is a therapeutic technique that uses sustained pressure to manipulate deeper layers of muscle and connective tissue. This modality addresses chronic pain and muscle knots below the superficial layers. Because the work is intense and targets specific areas, preparation is important for maximizing the session’s benefits. Knowing what to wear improves comfort and effectiveness during the appointment.
Clothing for Arrival and Departure
Choose clothes that are loose-fitting and simple to remove and put back on. Garments like sweatpants, athletic shorts, or yoga pants paired with a basic T-shirt are ideal choices. This simple approach minimizes time spent dressing and requires less effort when muscles are relaxed.
Avoid tight or restrictive clothing, such as jeans, belts, or form-fitting waistbands. Deep tissue work releases built-up tension, which can temporarily lead to mild muscle soreness. Putting on restrictive clothing immediately afterward can counteract the circulatory benefits achieved during the massage.
Upon completion, the body may be coated with a thin layer of massage oil or lotion. Clothing that is easy to pull over the skin without dragging or sticking is preferable for a smooth departure. Consider wearing a zip-up hoodie or a loose jacket rather than a pullover. This avoids pulling fabric over newly relaxed neck and shoulder muscles.
The primary aim of deep tissue manipulation is to increase blood flow and flush metabolic waste products. Maintaining this improved circulation during the journey home is beneficial for recovery. Loose apparel supports this process by not constricting major vascular pathways.
Modesty and the Draping Protocol
Deep tissue massage requires the therapist to apply specific, sustained pressure directly to the skin and underlying fascia. This direct contact is necessary to properly manipulate muscle fibers and assess tissue changes. Clients often undress to the level of their personal comfort, usually down to their underwear, to allow the therapist full access to the areas being treated.
Professional massage therapy uses a strict protocol known as draping to ensure client modesty and comfort. Large sheets and blankets completely cover any part of the body not being actively worked on. Only the specific area of focus, such as the back or a single leg, is uncovered at any given time.
The therapist always leaves the room before the session starts, allowing the client privacy to undress and get comfortable under the sheet. They also step out before the client redresses at the end of the appointment. Clients have the choice to wear underwear during the session, and many feel more secure doing so.
If wearing underwear, loose-fitting cotton briefs or similar non-restrictive styles are recommended. Highly constrictive shapewear or tight elastic can interfere with the therapist’s ability to access targeted areas like the upper gluteal or hip flexor attachments. The draping ensures that all private areas remain covered regardless of the client’s choice.
The therapist’s professional focus remains entirely on the anatomical structure and the therapeutic goal of the massage. The draping protocol is rigidly enforced to maintain a professional environment and ensure the client feels safe and respected.
Items to Leave at Home
Accessories
Accessories that can obstruct the therapist’s movements or damage equipment should be removed before arrival.
- Heavy necklaces, dangling earrings, or thick bracelets are prone to catching on the sheet or scratching the equipment.
- Watches should be left off, as they interfere with forearm strokes used in deep tissue work on the arms and shoulders.
- Complicated hairstyles involving large clips, barrettes, or bobby pins should be simplified, as they press uncomfortably into the skull when lying face down.
Scents and Cosmetics
Strong perfumes, colognes, or heavily scented body lotions should be avoided before the appointment. Many therapeutic environments aim for a scent-neutral space, and strong external odors can be distracting or cause sensitivity for the therapist or the next client.
Heavy makeup may become smeared or uncomfortable while the face is resting in the cradle for an extended period. The pressure of the face cradle can also push product into the skin, causing minor irritation. It is advisable to arrive with minimal facial products to ensure maximum comfort during the prone portion of the session.