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Massage Gun Safety: Where Not to Use It and Who Should Ask

Massage gun safety from Therabody's contraindication list, Cleveland Clinic advice, and case reports: areas to avoid, conditions to check, and the risks.

Related guide

Massage Gun Benefits: What the Research Shows

By Recovery Equipment
On this page
  1. Where not to use it
  2. Who should check with a doctor first
  3. What the case reports describe
  4. Limitations
  5. Sources

A massage gun hits the same spot dozens of times a second. That’s the point of it, and it’s also why the warnings in the box matter more than most people assume.

This page collects what makers, clinicians, and case reports say about safe use. It is general information, not medical advice. For what the research says the device does, see the overview of massage gun benefits.

Short answer: Cleveland Clinic advises using it on muscle, not bone, for no more than a couple of minutes per muscle group. Therabody says not to apply it to the face, head, throat, or neck. Therabody lists deep vein thrombosis, bleeding disorders, blood thinners, and pacemakers among its contraindications. Published case reports describe rare serious harm after long or repeated use.

Where not to use it

Physical therapist Gary Calabrese told Cleveland Clinic in 2023: “Be sure to stick to muscles, not bones.” He also advised against pressing down, because added pressure “can cause damage rather than provide relief.”

Therabody’s contraindication list for its Theragun line covers these areas:

  • The face, head, throat, neck, or genitalia
  • Skin rashes, open wounds, blisters, bruises, or local inflammation
  • Direct pressure over a surgical site or hardware
  • Bone fractures

Who should check with a doctor first

Therabody lists these as contraindications, meaning it says not to use the device:

Contraindication (Therabody) Precaution (Therabody)
Deep vein thrombosis Pregnancy
Bleeding disorders Diabetes
Blood-thinning medication Osteoporosis or osteopenia
Uncontrolled high blood pressure Controlled high blood pressure
Acute or severe heart, liver, or kidney disease Varicose veins
Pacemaker, ICD, or history of embolism Numbness or altered sensation
Recent surgery or injury Scoliosis
Peripheral vascular disease Medications that alter sensation

Cleveland Clinic advises consulting your healthcare team if you have an underlying condition or are recovering from an injury.

What the case reports describe

Muscle breakdown. Chen (2020) reported a 25-year-old woman with mild anemia whose coach gave her about 10 minutes of percussion on both thighs after cycling. She developed pain, bruising, and dark urine and was treated in hospital for severe rhabdomyolysis. Her creatine kinase, a marker of muscle damage, was above 30,000 U/L and fell to 301 U/L over about 2 weeks. She recovered. The coach had taken no medical history.

Eye injury. Mu and Fan (2022) reported a 69-year-old man who used a massage gun near his right eye for about 1 minute a night for 2 months to ease headaches, with his hand between the gun and the eye. He developed a displaced lens and glaucoma and needed surgery. Three months later, his corrected vision in that eye was 4/20. The authors wrote:

“We recommend not using PMGs above the neck, which should be clearly indicated in instruction manuals.”

Mu J, Fan W, Medicine, 2022

PMGs are percussion massage guns.

Chest injury. The authors of a 2024 study in the Journal of Athletic Training cite a second published report: a man who developed bleeding into the chest cavity after regular use on his chest and back.

These are single cases. They don’t show how common harm is, and the authors inferred the cause.

Limitations

No large study has tracked side effects in home users. Li (2025) reported no device-related injuries in its 30 participants. Warning lists differ by brand and model, and other makers publish their own in each manual.

Here’s what the spec sheet won’t tell you. A high stall force only matters if you press hard, and Cleveland Clinic advises not pressing down at all.

My rule of thumb: read the warning sheet for your exact model before the first use, because the lists differ by brand.

Bottom line: the makers and clinicians quoted here agree on muscle only, short sessions, and no head or neck, and Therabody’s lists name who should ask a doctor first. For the broader evidence, see the massage gun benefits overview linked above.

Sources

  • Therabody, “Precautions” (Theragun contraindications and precautions), accessed October 23, 2026: therabody.com
  • Cleveland Clinic, “Try a Massage Gun for Relieving Aches and Pains,” February 14, 2023: health.clevelandclinic.org
  • Chen J, Zhang F, Chen H, Pan H, “Rhabdomyolysis After the Use of Percussion Massage Gun: A Case Report,” Physical Therapy, 2020: pmc.ncbi.nlm.nih.gov
  • Mu J, Fan W, “Lens subluxation after use of a percussion massage gun: A case report,” Medicine, December 2022: pmc.ncbi.nlm.nih.gov
  • Li H et al., “The effect of percussion massage therapy on the recovery of delayed onset muscle soreness in physically active young men: a randomized controlled trial,” Frontiers in Public Health, March 2025: frontiersin.org
  • [Leabeater et al., “Under the Gun: Percussive Massage Therapy and Physical and Perceptual Recovery in Active Adults,” Journal of Athletic Training, March 2024: pmc.ncbi.nlm.nih.gov

Not medical advice.This page is general product information. Heat and cold exposure aren't safe for everyone. Talk to a physician before starting a sauna or cold plunge routine, particularly if you are pregnant or have a heart, blood pressure, or circulation condition. See our Editorial Policy.

Frequently Asked Questions

Where should you not use a massage gun?

Cleveland Clinic advises sticking to muscle, not bone. Therabody lists direct use on the face, head, throat, neck, or genitalia as a contraindication, along with rashes, open wounds, bruises, and surgical sites.

Who should not use a massage gun?

Therabody's list includes people with deep vein thrombosis, bleeding disorders, blood-thinning medication, uncontrolled high blood pressure, severe heart, liver, or kidney disease, or a pacemaker or ICD.

Can a massage gun hurt you?

Case reports describe rare serious harm, including severe muscle breakdown after about 10 minutes on the thighs and a displaced eye lens after nightly use near the eye.

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