The Treatment Table Blog

Sports massage vs deep tissue massage: what is the difference?

Not sure whether to book a sports massage or a deep tissue massage? A Liverpool physio team explains what each one is, where they overlap, and what the research honestly says massage can and can't do.

By The Treatment Table physio team · 5 minute read · Seaforth & Speke, Liverpool

The main difference between sports massage and deep tissue massage is purpose rather than pressure. Sports massage is named after who it is for and why: people who train, play sport or have physical jobs, with the session planned around their training, recovery or a niggle. Deep tissue massage is named after a style of work aimed at deeper layers of muscle, and researchers have found there is no agreed definition of what it actually is (Koren and Kalichman, 2018).

In practice the two overlap a lot, and a good sports massage will often include deeper work where it is needed. This guide explains each one, what the evidence says massage helps with, and how to choose.

What is sports massage?

Sports massage is hands on soft tissue work for active people. Rather than one fixed routine, the therapist chooses techniques and pressure to suit what you are doing and how your body feels. A session might be:

  • A recovery massage a day or two after a hard session, race or match
  • Maintenance work during a heavy training block, focused on the areas that take the most load
  • A lighter, quicker session before an event
  • Part of a wider plan alongside exercise rehab once an injury has settled

A sports massage therapist will usually ask about your training, any injuries and what you want from the session before starting, and will focus on the areas that need it most. A full body sports massage is an option, but the shorter the session, the more thinly the time is spread, so many people get more from concentrating on two or three areas, such as calves, hamstrings and back for a runner.

What is deep tissue massage?

Deep tissue massage generally means slower, firmer pressure intended to reach the deeper layers of muscle and connective tissue. A 2018 review of the research found the term is used loosely, with most studies defining it by what the therapist intended rather than by a set method. The authors suggested separating "deep massage", meaning any massage aimed at deeper tissue, from "deep tissue massage" as a specific method (Koren and Kalichman, 2018).

That review found some favourable results in people with pain and in people with reduced range of movement, but the studies were too varied to draw firm conclusions (Koren and Kalichman, 2018). In other words, deep tissue massage is a style, not a separate treatment with its own proven benefits.

Sports massage vs deep tissue massage: the main differences

Because neither term has a strict definition, the comparison below describes how they are usually used rather than hard rules.

 Sports massageDeep tissue massage
Defined byIts purpose: training, recovery and activityIts style: firm pressure aimed at deeper layers
PressureVaries, from light to deep, depending on the goal and timingMostly slow and firm throughout
Who it suitsRunners, gym goers, team sport players and people with physical jobsAnyone who prefers firm pressure
TimingPlanned around training, events and recoveryUsually booked whenever suits you
Typical focusThe areas your sport or job loads mostAreas that feel tight or stiff

If you are searching for deep tissue massage in Liverpool because you like firm pressure, a sports massage can usually give you that. Tell the therapist how firm you want it, and say if you want it lighter or deeper at any point.

What does the research say about massage?

Massage is popular with athletes, so it is worth being clear about what it has and hasn't been shown to do.

Soreness and feeling recovered: some benefit

A large review of 99 studies compared recovery methods after exercise and found massage was the most effective technique for reducing delayed onset muscle soreness (DOMS) and perceived fatigue (Dupuy et al., 2018). Another review of 29 studies and 1,012 participants found small but real improvements in flexibility and DOMS after sports massage (Davis, Alabed and Chico, 2020).

Performance: little evidence

The same 2020 review found no evidence that massage improves strength, jumping, sprinting, endurance or fatigue measures (Davis, Alabed and Chico, 2020). An earlier analysis of 22 trials described the effects of massage on performance recovery as "rather small and partly unclear". The clearest benefit was for short term recovery after intense mixed exercise, and shorter sessions of 5 to 12 minutes did at least as well as longer ones (Poppendieck et al., 2016).

So the honest summary is that massage can help you feel less sore and more recovered, and may help flexibility a little, but it is unlikely on its own to make you faster or stronger. That still has value. Feeling better between sessions can make training more enjoyable and easier to keep up.

Does deeper mean better?

Not necessarily. The studies above don't show that firmer pressure gives better results, and the 2018 review noted that several rare but serious side effects had been linked to deep tissue massage, probably from very forceful technique (Koren and Kalichman, 2018). Some discomfort is normal, but you should be able to relax into it.

Timing matters too. After a fresh sprain or strain, the NHS advises avoiding massage for the first couple of days, as it can add to the swelling (NHS, 2024). If you have pulled a muscle, a physio check before any massage is sensible, and our muscle tears page explains how we treat strains.

Massage is not the answer for every sore leg. Pain and swelling in one leg, especially a calf, can be a sign of a blood clot (DVT) and needs an urgent GP appointment or NHS 111, or 999 if you also have chest pain or breathlessness (NHS, 2026).

Sports massage, physio or both?

People sometimes search for "sports therapy and massage" when they have an injury. A massage can make sore, tight muscles feel better, but it doesn't diagnose why something hurts. If you have pain that is getting worse, keeps coming back or stops you training, start with a physio assessment. All our physiotherapists are registered with the HCPC, and they can work out what is going on and set a rehab plan, which can include massage where it helps.

If you simply want to recover better from training, sports massage alongside a sensible plan is a reasonable choice. For runners, our strength for runners guide and our article on common running injuries are good companions to it.

Frequently asked questions

What is the difference between sports massage and deep tissue massage?

Sports massage is defined by its purpose. It is planned around training, recovery, sport or a physical job, and the pressure can range from light to deep. Deep tissue massage is defined by its style, using slow, firm pressure aimed at deeper layers of muscle. There is no agreed definition of deep tissue massage, and a sports massage often includes deeper work where it is needed.

Does sports massage improve performance?

There is little evidence that it does. A 2020 review of 29 studies found no evidence that massage improves strength, jumping, sprinting or endurance. It did find small improvements in flexibility and muscle soreness after exercise. Massage is best seen as a way to help you feel less sore and more recovered, rather than a way to get faster or stronger on its own.

Is sports massage supposed to hurt?

Some discomfort is normal, especially on tight or sore areas, but you should be able to relax and breathe normally. Firmer is not automatically better, and rare serious side effects have been linked to very forceful deep tissue technique. Tell your therapist how firm you want the pressure and ask them to ease off or go deeper at any point in the session.

Should I have a massage after pulling a muscle?

Not straight away. The NHS advises avoiding massage, heat and alcohol for the first couple of days after a sprain or strain, as they can increase swelling. In those first days, protect and rest the area, use ice and keep it raised. If you think you have torn a muscle, get it assessed by a physio before booking a massage so you know what you are dealing with.

How much is a sports massage in Liverpool?

At The Treatment Table, sports massage is from £35, at our clinics in Seaforth and Speke, and you don't need a GP referral. If your pain feels more like an injury than tightness, for example it is getting worse, keeps coming back or stops you training, a physio assessment is £45 and can work out what is going on first.

Sports massage at The Treatment Table

Sports massage at The Treatment Table is from £35. Tell us what you are training for, where you feel tight and how firm you like the pressure, and we will focus the session on what matters to you. If something feels like an injury rather than tightness, a physio assessment is £45.

We see patients at our clinics in Seaforth (Fitness Connection, 83 Seaforth Road, L21 3TY) and Speke (Business First Centre, Goodlass Road, L24 9HJ). You don't need a GP referral. Book a sports massage, call 0151 559 1107 or email info@thetreatmenttable.com.

Book an appointment Call 0151 559 1107

References

Davis, H.L., Alabed, S. and Chico, T.J.A. (2020) 'Effect of sports massage on performance and recovery: a systematic review and meta-analysis', BMJ Open Sport and Exercise Medicine, 6(1), e000614. doi:10.1136/bmjsem-2019-000614.

Dupuy, O. et al. (2018) 'An evidence-based approach for choosing post-exercise recovery techniques to reduce markers of muscle damage, soreness, fatigue, and inflammation: a systematic review with meta-analysis', Frontiers in Physiology, 9, 403. doi:10.3389/fphys.2018.00403.

Koren, Y. and Kalichman, L. (2018) 'Deep tissue massage: what are we talking about?', Journal of Bodywork and Movement Therapies, 22(2), pp. 247 to 251. doi:10.1016/j.jbmt.2017.05.006.

NHS (2024) Sprains and strains. Available at: https://www.nhs.uk/conditions/sprains-and-strains/ (Accessed: 6 November 2026).

NHS (2026) Deep vein thrombosis (DVT). Available at: https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/ (Accessed: 6 November 2026).

Poppendieck, W. et al. (2016) 'Massage and performance recovery: a meta-analytical review', Sports Medicine, 46(2), pp. 183 to 204. doi:10.1007/s40279-015-0420-x.

This article is general information and not a medical diagnosis. All our physiotherapists are registered with the Health and Care Professions Council (HCPC). If you are worried about your symptoms, please get them assessed.