Rheumatoid Arthritis Massage

A Rheumatoid Arthritis (RA) Massage is a highly individualized, gentle manual therapy designed to reduce pain, stiffness, and swelling associated with RA. Its goals are to improve joint function, enhance circulation, and offer relaxation, always adapted to disease phase and joint status.​

Signs & Symptoms

• Joint pain, swelling, and warmth (especially in hands, wrists, knees, feet)

• Morning stiffness lasting longer than 30 minutes

• Fatigue, low-grade fever, and general malaise

• Decreased range of motion and joint deformities in chronic stages

• Symmetrical (bilateral) involvement and possible systemic signs (weight loss, anemia).​

Contraindications

• Avoid massage directly over or near acutely inflamed, swollen, or hot joints—flared joints require rest, not manual therapy​

• Caution with clients on high-dose corticosteroids, anticoagulants, or with osteoporosis and fragile skin

• Never apply deep tissue or aggressive techniques to arthritic joints—mild to moderate pressure only on surrounding tissues​

• Refrain from massage if there is active infection, open sores, or recent joint replacement surgery unless cleared medically.​

Assessment

• Review diagnosis, current medication, symptom patterns (flare/remission), and coexisting conditions

• Examine for active inflammation: redness, heat, pain, and loss of function

• Check for muscle spasm, atrophy, trigger points, and range-of-motion deficits near affected joints

• Clarify goals, massage preferences, and positioning needs to maximize comfort and safety

• Frequent feedback and adaptation—symptoms and sensitivity may vary daily.​

Treatment

• Gentle Swedish massage, myofascial release, and lymphatic drainage on surrounding muscles​

• Avoid direct pressure on inflamed joints, and use lighter strokes and slower pace

• Modified positions (side-lying, supported supine/prone) for comfort and to protect affected joints

• During periods of remission or minimal symptoms, moderate pressure and longer sessions may be tolerated, gradually increasing as comfort allows​

• Never force range of motion or stretch swollen, painful joints; gentle passive movement only in pain-free range​

• Incorporate modalities such as heat or cold packs according to client tolerance (never on hot/swollen joints).​

Self Care

• Apply gentle self-massage using hands or massage aids to non-inflamed areas to relieve tension​

• Use warm compresses or Epsom salt soaks for chronic stiffness (not during flares)

• Perform daily gentle range-of-motion and stretching exercises to maintain flexibility​

• Protect joints by using adaptive tools, ergonomic techniques, and pacing of activities

• Communicate regularly with healthcare team and massage therapist to adjust strategies as needed