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Japanese shiatsu massage – what it is and how it is used in modern massagers?

Masaż japoński shiatsu – co to jest i jak wykorzystywany jest w nowoczesnych masażerach?

A stiff neck after a whole day of work, tense shoulders that don’t allow free movement, back pain that returns in the evenings... Your body signals overload, but a visit to the masseur is time you don’t have and a cost you can’t always afford.

Japanese shiatsu massage, used by modern home-use massagers, is a way to bring a proven therapeutic technique into your home. In this article, we will explain what shiatsu massage is and why devices based on this technique can support daily regeneration.

Shiatsu – what kind of massage is it?

Shiatsu massage is a Japanese therapeutic technique that involves applying rhythmic pressure to specific points on the body using fingers, palms, or special tools. Unlike classic relaxation massage, which uses rubbing and stroking with oils, shiatsu focuses on deep, point pressure – similar to acupressure. The name comes from the Japanese language: “shi” means finger, and “atsu” means pressure.

This technique developed in the 20th century, but its roots go back to traditional Chinese medicine and Japanese therapeutic practices. Shiatsu massage is based on the assumption that the body has networks of points whose stimulation can affect muscle tension, circulation, and the overall condition of the body [1].

Shiatsu massage – basics of the technique

The basis of shiatsu massage is pressure. The therapist (or device) applies pressure to selected areas of the body, holding it for several seconds before moving to the next point. The pressure is rhythmic and gradual, which allows reaching deeper layers of muscle tissue [2].

Japanese massage – philosophy and approach to the body

Japanese massage, including shiatsu, does not treat the body as separate parts – it works holistically. This means that tension in the neck can be considered in the context of the entire muscle chain, and the goal of the massage is not only relief but restoring balance to the whole body.

This philosophy emphasizes regularity. A single massage may bring temporary relief, but real effects – reduction of chronic tension, improvement of muscle elasticity – appear with systematic use. This approach is especially important in the context of modern lifestyle, where muscle overload does not result from a single event but from many hours of computer work or repetitive movement patterns [3].

What is shiatsu massage and how does it work on the body?

Shiatsu massage involves applying rhythmic, point pressure to selected areas of the body – most often the neck, shoulders, back, lower back, and thighs. During the session, the therapist (or massager) uses pressure with hands, fingers, or special heads. Shiatsu works statically but deeply. Therefore, it does not require oils or creams – pressure is applied through clothing or directly on the skin [4].

Shiatsu massage points – pressure and their significance

Points in shiatsu massage are specific areas on the body that, according to traditional technique, correspond to the relaxation of muscle tension and improvement of circulation. In practice, this means places where tension accumulates. Pressure applied to these points mechanically relaxes muscles and stimulates blood flow, which speeds up the delivery of oxygen and nutrients to tissues and the removal of metabolic waste products [5].

Shiatsu – mechanism of massage action

How exactly does shiatsu massage work on the body? Rhythmic pressure activates receptors in the skin and muscles that respond to pressure. When you stimulate them, they send signals to the brain that can "drown out" pain signals.

Additionally, the pressure mechanically relaxes tense muscle fibers. When a muscle is overloaded, its fibers remain in a state of partial contraction – they cannot fully relax. Rhythmic, deep pressure breaks this state, allowing the muscles to return to their natural resting tension.

Pressure applied to the muscle temporarily pushes blood out of it, and after the pressure is released, the blood returns with greater force – this is the so-called "pumping" effect, which accelerates the removal of lactates and other metabolic waste products from overloaded tissues [6].

Effects of shiatsu massage: relief, relaxation, regeneration

What effects does shiatsu massage provide? The most commonly reported are:

  • reduction of muscle stiffness – especially in the neck, shoulders, and back. The effect usually appears immediately after the session and can last for several hours,

  • a feeling of relief and relaxation – related to blocking pain signals. It is a subjective sensation, but confirmed by studies measuring cortisol levels (stress hormone) before and after the massage [7],

  • improvement of muscle flexibility – with regular use. A single massage will not permanently change muscle tension, but 10–15 minutes daily for several weeks can contribute to improved range of motion [8].

SEE ALSO: The impact of massage on stress reduction – scientific facts

Important: shiatsu massage does not cure diseases – it does not replace diagnosis or therapy conducted by a doctor or physiotherapist. If the pain is sharp, sudden, or accompanied by numbness, always consult a specialist.

Shiatsu massage and modern massage devices

Traditional shiatsu massage requires training – the therapist must know where and how hard to press for the treatment to be effective and safe. Modern shiatsu massagers mechanically replicate this technique, using rotating heads that apply rhythmic, controlled pressure to selected body parts.

Does it work the same as a therapist's hands? Not quite – the device cannot replace an individual assessment of muscle condition and the intuition of an experienced specialist. But it offers something else: availability, regularity, and comfort of use at home.

How does the shiatsu massager work?

The shiatsu massager uses rotating heads that mimic the therapist's hand movement – they apply rhythmic pressure in two directions (right-left), moving along the massaged area. Devices often have 2–4 heads working simultaneously, allowing coverage of a larger area – for example, both shoulders at once.

Key parameters are:

  • rotation direction – most massagers allow changing the direction of the heads' movement, which affects the massage sensation and allows customization to preferences,

  • pressure intensity – adjustable via speed levels. Lower speed = gentler massage, higher = deeper pressure,

  • heat function – some massagers, like ZENT® Handsense, additionally heating the heads to about 45°C. The heat relaxes muscles and enhances the relaxation effect [9].

User reviews of the shiatsu massager most often emphasize the convenience of use – the possibility of massage while watching a movie, reading a book, or working at a desk (thanks to the strap, the massager works hands-free).

Shiatsu massager vs manual massage – differences and similarities

Let's compare massage performed by a therapist with massage using a device.

Manual massage

Shiatsu massager

Individual assessment of muscle tension

Standard program, possibility to adjust intensity

Intuitive adjustment of pressure strength

Repetitive, controlled pressure

Requires appointment scheduling, costly with regular use

Available at home, one-time purchase cost

Session lasts 30–60 minutes

Session 10–15 minutes

Full control over the massage process

Self-use without the risk of technical error

The shiatsu neck massager does not replace a therapist but can be an effective support tool between visits – especially for people who already know where their tension is and need regular relaxation rather than a diagnosis.

Shiatsu neck massager – when is it worth using shiatsu massage?

Shiatsu massage is effective in situations where muscle tension is a consequence of repetitive movement patterns, prolonged work in one position, or psychophysical overload – not in cases of acute injuries, inflammations, or diseases requiring medical intervention.

SEE ALSO: Ergonomics of remote work – how to prevent back pain?

Shiatsu massage for muscle tension and stress

One of the most common uses of shiatsu massage is to relieve tension in the neck and shoulders that accumulates during stress. Why specifically there? When the body receives a threat signal (e.g., in the form of stress), the muscles of the neck, shoulders, and jaw automatically tense up – this is an evolutionary defense reaction [10].

The problem arises when stress is chronic – muscles remain partially tense even when there is no immediate threat. The neck massager can break this state by mechanically relaxing muscle fibers and sending a signal to the nervous system that it is time to relax.

Remember: shiatsu massage won’t remove the cause of stress but can reduce its physical symptoms – stiffness, tension, the feeling of a “hard neck.” 

Shiatsu massage after sitting work and training

Long hours in front of the computer cause a characteristic set of ailments: stiff neck, tense shoulders, lower back pain. Why? Sitting work forces a position where the head is pushed forward and the shoulders are raised – the neck and shoulder muscles have to constantly hold the head in this position, leading to their overload [11].

A back and neck massager used daily after work – even for 10–15 minutes – can help relax these areas. It doesn’t fix the cause (which is posture and workstation ergonomics) but provides relief.

After training, the situation is similar – muscles are overloaded, lactic acid accumulates in them, causing stiffness and discomfort. A muscle massager using shiatsu technique speeds up circulation and helps remove these products, which may shorten recovery time [12].

When to see a specialist? If the pain is sharp, appears suddenly, is accompanied by numbness, tingling, or limb weakness, do not try to solve it with massage – it’s a sign that it might be more than just regular tension. It’s always worth consulting a doctor or physiotherapist.

ZENT® Handsense™ Massager – shiatsu massage in a modern form

ZENT® Handsense™ is an example of a device that combines traditional shiatsu technique with technology adapted for home use. Instead of single heads, it uses an advanced 6D system – six pressure points that mimic the movements of a masseur’s hands and thumbs.

How does ZENT® Handsense use shiatsu technique?

The device works on the principle of rotary pressure – the heads move in two directions, applying rhythmic pressure on the muscles. In practice, it looks like this:

  • rotating heads – six pressure points simultaneously affect a wider area (for example, both shoulders, neck, back),

  • HeatTouch+ Technology™ – heating up to 45°C increases blood flow and enhances the relaxation effect,

  • two intensity levels – you can adjust the massage intensity to your comfort. Start at a lower level if your muscles are very tense, and gradually increase,

  • automatic shut-off after 10 minutes – protection against excessive use.

ZENT® Handsense Neck Massager works hands-free – thanks to the fastening strap, you can wear it on your neck, shoulders, or back and enjoy the massage with your hands free. This solution is especially useful for people working remotely – you can turn on the device during a work break, while watching a movie, or reading.

The removable cover ensures hygiene – it can be washed regularly, which is important for daily use.

Shiatsu massage as a daily regeneration ritual

Shiatsu massage does not have to be a long, time-consuming session. Even 10–15 minutes a day can bring measurable effects – reducing muscle tension, improving flexibility, and a subjective feeling of relief.

How to introduce massage into your daily routine?

  • In the morning, after waking up – a short massage of the neck and shoulders can help “loosen” muscles before starting the day.

  • After work – 10 minutes of massage at the end of the workday signals the body that it’s time to relax. A body massager combined with the heat function can help transition from “action” mode to “rest” mode.

  • Before sleep – an evening massage can help calm down and prepare the body for sleep. Heat and rhythmic pressure have a soothing effect and help relieve stress.

Changes such as reduced tension, increased flexibility, less frequent pain episodes – will appear with regular use over several weeks. Massage is a support tool, not a one-time solution.

Stiff neck, tense shoulders, back pain – these are signals that your body needs tension relief. Japanese shiatsu massage, using rhythmic pressure on specific body points, is a proven technique supporting muscle regeneration and improving circulation.

Modern massagers, such as ZENT® Handsense, bring this technique to your home – providing access to regular, effective massage without the need to schedule an appointment. However, massage is a support tool, not a substitute for diagnosis. If the pain is sharp or chronic, it is always worth consulting a doctor or physiotherapist. 

FAQ – most frequently asked questions about Japanese shiatsu massage and modern massagers

Can shiatsu massage be used daily?

Yes, shiatsu massage is safe for daily use. Regular, short sessions (10–15 minutes) work better than single, long massages once a week. Most devices have automatic shut-off to prevent overuse.

Shiatsu massager – is it suitable for elderly people?

Yes, the shiatsu neck massager is safe and gentle for joints and muscles. The heat function provides relief for muscle stiffness. It is advisable to start at a lower intensity level and gradually adjust the massage strength to comfort.

Can a back massager replace a visit to a physiotherapist?

No. A back massager is a support tool – it can relax tense muscles and bring relief from discomfort, but it does not replace diagnosis or therapy conducted by a specialist. If the pain is sharp, appears suddenly, or is accompanied by numbness, always consult a doctor or physiotherapist.

How often can a shiatsu massager be used during the day?

Most devices, including ZENT® Handsense, can be safely used 2–3 times a day – in the morning, after work, and in the evening. It is crucial not to exceed 15 minutes per session and to take breaks between them (at least 2–3 hours). Too frequent use may lead to muscle overstimulation.

When is shiatsu massage not recommended?

Shiatsu massage should not be used in cases of: acute injuries, inflammations, fever, skin damage at the massage site, thrombosis, pregnancy (without consulting a doctor), osteoporosis, or fresh scars. If you have doubts, consult a specialist before starting regular use.


REFERENCES

[1] Cardim, J. M., et al. (2023). "The Benefits of Shiatsu for a Holistic Approach to Health: A Systematic Review". Journal of Advances in Medicine and Medical Research.
[2] Cabo, F., MSc et al. (2018). "Shiatsu and Acupressure: Two Different and Distinct Techniques". International Journal of Therapeutic Massage & Bodywork.
[3] Piazza, M., et al. (2023). "The Benefits of Shiatsu for a Holistic Approach to Health: A Systematic Review". Journal of Advances in Medicine and Medical Research.
[4] Haralabidis, T. (2017). "Zen Shiatsu – the Japanese Way of Acupuncture without Needles". International Journal of Complementary and Alternative Medicine.
[5] Robinson, N., et al. (2011). "The evidence for Shiatsu: a systematic review of Shiatsu and acupressure". BMC Complementary and Alternative Medicine.
[6] Keter, D. L., et al. (2025). "The mechanisms of manual therapy: A living review of systematic, narrative, and scoping reviews". PLOS One.
[7] Norhapifah, H., et al. (2024). "The Impact of Shiatsu Massage on Labour Pain and Anxiety: A Randomized Controlled Trial". International Journal of Community Based Nursing and Midwifery.
[8] Kaur, K., et al. (2020). "Effectiveness of massage on flexibility of hamstring muscle and agility of female players: An experimental randomized controlled trial". Journal of bodywork and movement therapies.
[9] Dewantara, J., et al. (2024). "What is the effectiveness of the combination of massage therapy and heat therapy on joint range of motion? Experimental study in patients with shoulder pain". Retos.
[10] Lundberg, U., et al. (1994). "Psychophysiological stress and emg activity of the trapezius muscle". International Journal of Behavioral Medicine.
[11] Çalık, B. B., et al. (2020). "Effects of risk factors related to computer use on musculoskeletal pain in office workers". International Journal of Occupational Safety and Ergonomics.
[12] Paul, A., et al. (2021). "Health efficacy of electrically operated automated massage on muscle properties, peripheral circulation, and physio-psychological variables: a narrative review". EURASIP Journal on Advances in Signal Processing.

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