Every other day someone will find my website with the keywords scoliosis and Thai massage. I’ve been mulling this one over for a while now, because there are so many perspectives from which to write: as a receiver of Thai massage, as a giver of Thai massage, as a teacher, as a person with scoliosis, as a person having had spine surgery (the before- and after-persons), and as a person living with an artificial lumbar disc implant. I am all of these, and in relation to Thai massage there is something to share in regards to each.
Many of us live with back pain and adapt to it constantly, even unconsciously. Although back pain can come from all kinds of sources – muscular, articular, visceral, neurological, just to name a few – all these have one thing in common: muscles in the region feel pain, and relief is a blessing.
The Thai massage receiver
I was born with a mild thoracic scoliosis, an abnormal curvature of the spine at the level of the rib cage. As such, I’ve always had some kind of pain or another, and I remember going to a chiropractor as young as 16. Figure skating and swimming helped me to maintain good posture and muscle strength – because our muscles hold our bones up – so I was lucky never to need a back brace.
And so from a young age, two things became an important means of relief: stretching and massage. I didn’t discover Thai massage until 2007, and up until then, I was a devoted Swedish fan (I’ve never looked back). But, an incredible amount of pressure was needed for me to feel any prolonged sense of pain-free-ness. (And by prolonged I mean more than three or four hours after the session.)
About 6 months after an artificial disc replacement, I received my first Thai massage and it blew me away. I had never felt anything like it. There was no pain during the massage – other than the sweet pain of deep muscles releasing. I was moved and stretched in every direction, exploring range of motion that my body had forgotten was possible. Exquisite traction as the therapist pulled my legs, creating space all along my spine. Not once was I placed on my stomach (which was painful at the time) as my back was massaged in the seated and side-lying positions. My limitations were completely respected, because spinal torsion was forbidden in the first year following surgery. I did get emotional at one point: All the things I tried so hard not to think about (like, pain) rushed in to fill that quiet space created by this nurturing, dynamic experience. It was a release, finally: emotional, physical and I’d have to say, even spiritual.
I knew from that moment it was what I’d been looking for all my life. At 32 I’d finally found “what I want to do when I grow up”.
The Thai massage giver
Thai massage practitioners also practice yoga, to keep our tools of the trade limber and strong. It took me two years of yoga twice a week to finally be comfortable just sitting on the floor to meditate, and I am still working on the meditation & quiet part. (Wherever you’re at, in your practice, keep it up. It takes time and time is all it takes.)
One of the things I love about Thai massage is that it can be as good for the giver as it is for the receiver. The practitioner constantly assumes stable yoga stances for proper body alignment and optimal use of body mechanics, ultimately ensuring the longevity of one’s career. (“It can be” because if you’re doing it wrong, even something as simple as sitting can wreck you.)
Thai massage has taught me to be aware of my body, my breathing, how and where I move, touch, and treat others — both on and off the mat. It has reaffirmed that stretching feels good to me, and if my body is happy, my spirit follows shortly. I always feel better after giving a massage – especially my back.
Thai massage and scoliosis: a case study
Scoliosis is an abnormal curvature of the spine, at one or more levels. One of my long-time clients has a marked case of scoliosis. When I first met him, he was a jogger and it’s fair to say that he could not, mechanically speaking, hold his head high above his shoulders for an extended period.
He cut down jogging, practiced yoga and received Thai massage regularly for over a year, when his doctor told him that he had grown 2 inches.
Now, let’s analyze this for a minute, here, because two inches is a big deal.
The stretches and traction of Thai massage lengthens muscle fibers (like yoga) and creates space between the joints (the spine is a huge system of joints) improving articulation, and its passive mobilizations improve range of motion. Yoga strengthens muscles, which hold our bones up and in place. Basically, his muscles lengthened and strengthened, allowing them to do a better job all around of resisting gravity, basically compensating for the structural weakness of the curvature. Cutting out jogging also reduced the impact of gravity, which our spine is constantly fighting.
At one point, he came to my door (and his spine was) holding his head up so properly that you could hardly tell he had scoliosis at all.
As a teacher
Before a Thai massage, for the client who presents with scoliosis, as with anyone else with back pain:
- inquire as to any range of motion limitations
- find out if any movements hurt, to be avoided
- ask them what position(s) they are comfortable sleeping in
- and which ones they avoid
- find out how they spend their day (standing or sitting a lot) to determine what body parts need attention
- note: it is possible to have scoliosis without back pain, but in this line of work, pain is usually a factor
During a Thai massage:
- avoid major spinal twists, the spine is already curved and/or in a spiral. Limit torsions to gentle stretching.
- LOTS of traction, pull on their feet and limbs often, and long holds
- movements that make the entire body move, from head to toe, like the Foot & Ankle Rotation, Knee-to-shoulder, the Mini-AG, the Hip Swing
- hip opening postures: the Tree, Toes-to-nose, Yoga Mudra, the Tree Hug, Wishbone, and Leg Side-Kick.
- the rib cage may be rotated, so side postures are great for back massage
- don’t worry about working both sides identically: there is already an imbalance. If you work both sides exactly the same, they will leave just as imbalanced.
- people with scoliosis often feel tension and/or pain on the side to which the spine is deviated. For example and individual with thoracic scoliosis may feel “stuck” just beneath the rib cage, an impression of not having enough room at waist-level for their organs. An extended back and abdominal massage can help.
After the massage, if the client liked a particular stretch, show them a yoga posture or two to achieve the same effect. I like to assign lazy, relaxing postures, because a person is more likely to do it if it’s simple and it feels good. Hip opening postures are best, for example the prayer pose (like the child’s pose, but with knees open and hands reaching for the floor above the head).
In conclusion
If you’re living with back pain – with our without scoliosis – Thai massage is one of the best things you can do for it. It’s not a miracle (two inches is pretty amazing though), but the effects of Thai massage can be expected to last a week or more, and with regular treatments, even longer. Long term, it can reduce pain and help your posture overall, because a relaxed muscle works better, and if you can sleep without pain, your body can heal itself more efficiently.
Please visit the FAQ page or feel free to write with any questions. I’m always happy to talk Thai massage.
Metta y’all.




