While professional training is essential for therapeutic massage to treat back pain, you can still help someone relax by stimulating their tissues through massage, even without formal training in this field. Learn some basic massage techniques and how to apply them so you can effectively start massaging at home. One of the most important things to remember is that without professional training, you should only apply the techniques you learn with gentle pressure.
Steps
Prepare the Space for Massage

Choose a comfortable location. Using a massage table makes it easiest to massage the back, and it also ensures comfort as the spine of the person being massaged remains straight and parallel to the table's surface, while their face rests on a cushion. However, if a massage table is unavailable, there are several alternatives you can consider.
- If a massage table is not available, you can use the floor, an armchair, a bed, or even a dining table if it is sturdy enough for someone to lie on. Of course, each option has its drawbacks regarding the comfort of the person being massaged and the height issue, which may make the masseuse uncomfortable when leaning over. Therefore, a massage table is the ideal choice.
- If a bed is available, ensure it is a suitable option that won’t cause inconvenience. Consider your relationship with the person being massaged, and inform them in advance that the massage will take place on the bed.

Use a soft cushion. If a massage table is unavailable, choose an alternative location with a firm surface and place a soft cushion on it. Opt for a cushion that is at least 5 cm thick to ensure maximum comfort for the person receiving the massage.

Lay a cloth over the table or cushion. During a massage, the recipient often removes their clothing, so a clean and hygienic cloth will make them feel more comfortable. It can also absorb excess oil during the massage.

Set up the room. Ensure the room is warm but not too hot. This creates an ideal environment for the recipient to relax their muscles.
- Play soothing music. Modern, ambient, or classical music, or a blend of sounds, can help maximize relaxation. Avoid upbeat music, as it won’t have the same calming effect. Keep the volume low.
- Dim the lights to avoid harsh brightness.
- Light scented candles if desired. Inform the recipient beforehand, as some people may be sensitive to fragrances.

Ask the recipient to undress to their comfort level. Massaging is most effective when the area being worked on is free from clothing, especially when using oils or lotions. Encourage them to expose as much skin as they are comfortable with.
- Always keep a soft towel or cloth over the recipient, in addition to the one on the table. This allows them to cover areas not being massaged, creating a warm and relaxing environment.
- If privacy is a concern, step out of the room while they undress and wrap themselves in a towel or cloth. Knock before re-entering to ensure they are ready.
- If the recipient is wearing pants or underwear, roll a towel or cloth up to their waist to prevent oil from staining their clothing.

Ask the recipient to lie face down. If you have a proper massage table, they can relax comfortably with the help of a specialized massage pillow.
- For added comfort, place a pillow or folded towel under their ankles. This helps lower their back and improves relaxation.

Expose the area of the back to be massaged. If the recipient is wrapped in a towel or covered with a soft cloth, roll it up to reveal only the part of the back that needs to be massaged.
Perform the Back Massage

Inform the recipient when you are about to begin. Ask them to let you know if any of your movements cause discomfort or pain. If they feel at ease, it means they trust you. Avoid making jokes or discussing sensitive topics during this time.
- Regularly remind the recipient to take deep, slow breaths. This helps enhance relaxation.
Apply massage oil to your palms. Use about 1/4 teaspoon of oil. Rub your hands together to warm the oil before evenly spreading it on the area to be massaged.
- Some oils you can use include organic coconut oil, grapeseed oil, jojoba oil, or almond oil. There are also many premium massage oils with unique fragrances available on the market for you to choose from.
Spread the oil evenly across the back. The primary technique for applying oil is the “effleurage” method, where you gently glide your warmed hands over the recipient’s back in long, smooth strokes.
- Use both hands, starting at the lower back and moving upward. Always move toward the recipient’s heart (the direction of blood flow) when applying pressure. Then, gently glide your hands down the outer sides of the back. Maintain the motion without applying pressure as you move downward.
- Repeat this technique for 3 to 5 minutes, gradually increasing the pressure from light to moderate to warm up the back muscles.
- Don’t forget to include the shoulders and neck area.
Use circular motions with gentle pressure, applying more force than the light effleurage technique. Imagine this technique as circular kneading and pressing motions that enhance blood circulation.
- This method can be performed using your palms, fingers, or even your knuckles with short, circular movements.
- Start the circular motions from the lower back, which is the central area, rather than the shoulders. This approach helps reduce fatigue.
- Massage the entire back for 2 to 5 minutes. You can alternate between the light effleurage technique and circular kneading to diversify the techniques.
- Since you are not professionally trained, apply only light to moderate pressure during the circular kneading and pressing motions.
Use the tapping technique (also known as percussive strokes), which involves short, repeated impacts using different parts of your hands. You can cup your hands, use your fingertips, or even the flat part of your knuckles to perform these tapping motions. These movements stimulate and compress the muscle tissues.
- Keep your wrists soft and flexible while performing the tapping technique with quick movements. Ensure you do not use excessive force.
- Apply this technique for 2 to 3 minutes across the entire back.
Use the muscle-lifting technique. To perform this, curl your fingers and form a loose fist with your thumb extended (like a lobster claw). Apply pressure with twisting and lifting motions. Alternate between hands using a “windshield wiper” movement.
- Move up and down along the back 2-3 times.
Use the fanning technique. Stand at one end of the massage table. Place your thumbs at the top of the recipient’s shoulders, just below the neck and on either side of the spine. Perform fanning motions with your thumbs extended, gently pushing downward toward the lower back, ensuring the pressure angle is directed toward the recipient’s toes rather than straight down. Alternate pressure between your thumbs as you move from the upper back toward the hips.
- Ensure you are massaging the muscles on both sides of the spine, not directly on the spine itself. Massaging the spine can cause discomfort or even harm if you are not professionally trained.
Use the wringing technique. Return to the side of the recipient. Place one hand on the far hip and the other on the near hip. With the help of the oil, pull one hand toward you and the other away; at the midpoint, the muscles slide in opposite directions. Repeat this motion as you move up the back until you reach the shoulders, then work your way back down. Repeat this 3 times.
Tips
- Advise the recipient to sit up slowly. After a massage, people often feel disoriented or dizzy and may even fall if they stand up too quickly.
- Everyone has a different tolerance for pressure, so always ask for feedback before applying stronger techniques. Only use the necessary amount of force. A sign that you’re applying too much pressure is if the muscles tense up. If the recipient says it doesn’t hurt, encourage them to relax to avoid muscle strain. Never push beyond the body’s limits.
- Use lighter pressure when moving toward the head and firmer pressure when moving toward the hips.
- Keep your hands in constant motion on the recipient’s body to maintain a sense of continuity and to evenly distribute the massage oil. Let your hands glide smoothly with the oil without interruption.
- Apply light to moderate pressure if you haven’t received formal massage training. If you’re passionate about massage and want to learn more, consider enrolling in a reputable massage course near you. Many centers offer weekend workshops to teach basic techniques safely.
- After the massage, drape a towel over the recipient’s back and arms, gently patting to absorb excess oil. This prevents the oil from staining their clothes.
- If time is limited, keep a clock nearby to stay on schedule.
- Body lotion can work just as well as massage oil.
Warnings
- Avoid applying pressure directly on the spine.
- Be extra gentle on the lower back, as there are no ribs to protect internal organs in this area.
- Avoid open wounds, swollen areas, or areas prone to infection.
- Apply only light pressure to the neck and head. Deep or intense pressure in these areas should only be performed by trained professionals due to risks involving arteries and certain health conditions.
- In some cases, massage can worsen a person’s condition. Consult a doctor before massaging if the recipient has:- Blood clots (thrombosis, often in the legs)
- Spinal injuries, such as herniated discs
- Bleeding disorders or is on blood-thinning medication like Warfarin
- Damaged blood vessels
- Weak bones due to osteoporosis, recent fractures, or cancer
- Fever
- Open or healing wounds, tumors, nerve damage, infectious inflammation, acute inflammation, or inflammation from radiation treatment
- Pregnancy
- Cancer
- Thin skin due to diabetes or healing scars
- Heart conditions
 
What You’ll Need
- A massage table, mat, or cushion
- A soft cloth
- Massage oil or baby oil
- 3 towels
- A pillow or cushion



