While some people use tuina massage to manage pain or treat illness, others simply use the therapy to maintain good health and well-being.

Some people who receive tuina say that it relaxes and energizes them. It may help reduce insomnia, headaches, and stress.

Anecdotal evidence suggests that its main benefit is providing relaxation and bringing an overall feeling of balance. In some cases, it can also reduce pain, which can be useful for people who wish to minimize their use of pain medications.

Tuina is similar to other Eastern types of massage that focus on balancing the flow of energy within the body.

However, it differs from Western massage therapies because practitioners can use it to treat a range of specific health conditions — not only those related to musculoskeletal health.

Other types of massage include:

  • Thai massage: As with tuina massage, Thai massage aims to remove blockages and correct imbalances in the body’s energy flow.
  • Shiatsu massage: Practitioners use this type of massage to treat a range of chronic health problems linked to stress and pain.
  • Sports massage: This aims to help manage musculoskeletal health issues.
  • Swedish massage: Similar to tuina, Swedish massage aims to improve relaxation and circulation, but it is a much gentler form of massage.

Although tuina massage is generally safe and tolerable for most people, it may cause some physical discomfort during a session. It likely will not feel like a gentle and relaxing massage.

A 2017 case study in the European Spine Journal acknowledged the safety and helpfulness of tuina for treating a wide range of health conditions. However, the researchers found a lack of evidence for using tuina for ankylosing spondylitis, an inflammatory spine disease.

Additionally, the person with ankylosing spondylitis in this case study experienced “catastrophic results” after receiving tuina massage during an acute flare-up. This emphasizes the need to consult a doctor before undergoing any form of massage, especially if a person has a specific health condition, is pregnant, or is taking medication.

Originating in China, tuina is possibly the oldest form of massage therapy in the world. Research suggests that it provides benefits for people with musculoskeletal and gastrointestinal health issues, and current trials are exploring whether it is effective in treating other conditions.

Tuina is generally safe for most people, but those with medical conditions should consult a doctor before trying it.