What is the difference between Relaxation (Swedish) Massage and Neuromuscular Therapy (NMT)?

The difference between the two lies in the intention and design of each massage session. Swedish massage is oriented towards deep relaxation, and its techniques and rhythm are designed to relax the nervous system. It is the most suitable type of massage for many people who suffer from stress, anxiety, depression, a weakened immune system, circulatory problems, or simply enjoy massage.

On the other hand, Neuromuscular Therapy (NMT) is a type of therapeutic massage aimed at resolving musculoskeletal issues, identifying the causes that triggered them, and relieving chronic pain. For example, if a client has difficulty turning their head in one direction or experiences lower back pain when getting up from a seat, the neuromuscular therapist’s job is to identify which muscles are involved in the movement or condition and focus on resolving the issue with precision techniques and appropriate pressure. This allows the therapist to relax the muscles while also being sufficient and effective in addressing the problem. NMT uses deep but painless techniques, working at the threshold between “sweet” pain and pleasure. This type of massage requires a high level of anatomical and physiological knowledge, as well as skill and professional experience from the therapist.

Regarding the client's side, in Swedish massage, the client can remain silent, not speak at all during the session, completely relax, or even fall asleep. In Neuromuscular Therapy, however, the therapist usually asks the client from time to time if a particular area is sensitive or painful when specific techniques are applied. This therapist-client communication is part of the process for solving the problem and helps ensure the success of the therapy.

Personally, I love both types of massage, both as a recipient and as a practitioner. Typically, a Neuromuscular Therapy (NMT) session includes some relaxation massage for warming up the muscles, as well as a sense of overall body integration and general relaxation and well-being. The ratio is usually about 30% NMT and 70% relaxation massage, or 50-50%. This ratio depends on the client's general physical and mental state, as well as the therapist's evaluation at that moment. Neuromuscular massage is applied more to problem areas, with the aim of relieving chronic pain.