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Therapeutic massages

Stress, mental tiredness and lack of energyWhen your head won't switch off and your body no longer recharges as it used to

There are kinds of tiredness that sleep fixes and others that seem to stay stuck to the body: a head that is always switched on, a short temper, energy that only appears at night. A massage can offer a real pause from this state, but it does not replace rest, finding out what causes it or, when needed, a doctor. Here we explain what usually lies behind it, how to choose between Toque Relax, Aromá, Completo, Bem-Estar and Vitalé, at Luxmed, in Algés, and when it makes sense to talk to a doctor first.

Reviewed by Dr Michelle Campagnoli, clinical director

  • 5massages for this need
  • 1a conversation before starting
  • Directbooking, no prior consultation
Woman in a burgundy coat breathing deeply in a station, with people moving around

How to recognise it

Is it stress or simple tiredness?

Stress, mental tiredness and lack of energy blend into one another and feed each other. These signs help you see where you are, before choosing what to do.

Tick what you recognise0/7

Tick the signs you recognise in your case. This is not a diagnosis, it is only meant to give you an idea.

Persistent sadness, loss of interest, thoughts of harming yourself, anxiety attacks, palpitations, shortness of breath, chest pain or a tiredness that stops you from doing your routine should be seen by a doctor without delay. In an emergency, call 112 or SNS 24 (808 24 24 24).

Massage therapist in burgundy uniform with a clipboard, talking to a client in a bathrobe by the treatment bed
Photograph of a welcome session. The dots mark moments of the booking and the session; the image does not show any complaint.

Why it happens

What weighs on stress and lack of energy

It is rarely a single cause, and it has little to do with weakness. Choose a factor to see what makes it worse and what usually helps.

The body on alert

Faced with a demand, the body gets ready to act: the heart speeds up, breathing gets shorter and the muscles become more ready. This is useful for short periods. When the demands don't stop, the body stays in that state in which resting seems hard and tiredness builds up, because being on alert uses energy even when you are sitting down.

What makes it worse

Spending the day answering everything, without breaks, and going to bed still with your phone and work email.

What helps

Short breaks through the day and transition rituals between work and the rest of life, including moments when the body is cared for slowly.

Calm or energy

Tiredness that needs calm or that needs energy

Some people are on alert and need to stop, and others are run down and need to recharge. The five massages respond to different states, and this is the starting point for choosing.

  • How you feel. A racing mind, a tense body, difficulty falling asleep and feeling rested, even when you are still. The tiredness comes from excess.

  • What you are looking for. To slow down, to be looked after without having to decide anything, and to let your body release tension.

  • Massages that make sense. Toque Relax is the starting point, with soft to moderate pressure. Toque Aromá adds the aromas, and Toque Completo is the longest ritual in the range, from the scalp to the feet.

  • Pressure. Generally slower and more enveloping. You can ask for it to be softer if your body is sensitive or if you find it hard to switch off.

  • Tell us when you book. How you sleep, whether you have any health condition or allergy to oils, and what you find hardest these days.

Not sure which to choose? Tell the team how you feel and how you have been sleeping, and they will suggest the massage that makes sense for you, with no prior consultation and no commitment.

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Massages for this need

Three massages for stress and tiredness

The clinic has five massages for these states, given by massage therapists: Relax, Aromá, Completo, Bem-Estar and Vitalé. Here are the three that mark the extremes: the calmest, the most balanced and the most energising. Aromá and Completo are explained better on the page about the complete pause and sensory relaxation. None has a price here, and all can be adjusted to your pressure. Massage is a wellbeing treatment and does not treat disease or replace a medical assessment.

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Glass bowl with golden oil, a rolled wine-coloured towel, a lit candle and an orchid on a light marble counter

Calm

Toque Relax

A massage with soft to moderate pressure, designed to slow the pace, ease tension and restore a feeling of calm.

Suitable when

your head won't switch off and your body is on alert, and you are looking for a first moment of pause, without strong pressure.

Find out more
Cup of tea with lavender flowers on a golden tray, next to towels, a bottle of body oil and a lit candle

Balance

Toque Bem-Estar

A general wellbeing massage, the reset your body was asking for, balancing relaxing and recharging.

Suitable when

you are tired and scattered, neither too tense nor completely run down, and want an overall reset.

Find out more
Bottle of energising oil with cut oranges and lemons, and in the background a massage therapist massaging a client's back

Energy

Toque Vitalé

An energising massage, with more dynamic movements, that fights tiredness and gives vitality back to the body.

Suitable when

your body feels run down and without energy throughout the day, and you prefer a more dynamic massage.

Find out more

What if the tiredness isn't just stress? Massage does not run tests or make diagnoses. If the tiredness is new, strong or doesn't go away, the first step is to talk to your family doctor, and massage comes afterwards, as a complement. Drainage massages (Pernas Leves, Corpo Leve) are something else and are only done with a medical referral. Results vary from person to person, and the team explains what you can expect before starting.

What the journey looks like

From booking to a moment of pause

You don't need a prior consultation for these massages. This is how it usually goes, at Luxmed, in Algés.

  1. 01Before booking

    Working out whether now is the time

    If the tiredness is recent, strong or has lasted for weeks, it is worth talking to your family doctor first. If it is the result of a busy period, go ahead: you don't need a medical referral.

  2. 02When booking

    Saying how you feel

    Tell the team how you have been sleeping, whether you feel more tense or more run down and what you are looking for. Also tell us if you have any health condition, a recent injury, an allergy to oils or aromas, or if you are pregnant or may be.

  3. 03At the clinic

    A conversation before starting

    The massage therapist welcomes you, confirms what you told us and suggests the massage that makes sense for that day. You can ask for more or less pressure at any time.

  4. 04In the session

    Letting the body stop

    Come in comfortable clothes and without rushing. The aim is to have a time without decisions, when you have nothing to solve, and to let your body respond to the touch.

  5. 05Afterwards

    Giving the body time

    Drink water, avoid going straight back to a rushed pace, and notice how you sleep and feel over the following days. If the tiredness continues, that is useful information for your doctor.

Day to day

What helps at home

A massage is a moment. What weighs most on your energy for the rest of the week is your habits, and these are the ones the sources support most.

The golden rule

First sleep, then the rest

Regular sleep is the basis of energy and of the ability to cope with stress. The guidance from sleep societies is to sleep at least 7 hours a night, regularly. Without it, no energy trick, and not even the best massage, makes up for it for very long.

Keeping regular sleep hours

Going to bed and getting up at similar times helps the body regulate its internal clock.

In practice: choose a realistic bedtime, keep it at weekends as far as you can, and keep the bedroom dark and cool.

Moving the body, in moderation

Regular exercise improves the feeling of energy and reduces fatigue, on average.

In practice: a brisk walk, cycling or swimming, 30 minutes, a few times a week. Start gradually if you have been inactive for a long time.

Short breaks through the day

Stopping for a few minutes now and then helps interrupt the continuous state of alert.

In practice: get up, look out of the window, breathe slowly and drink water, away from the screen.

Eating on time and in a balanced way

Fruit, vegetables and protein give steadier energy than sugar.

In practice: don't skip meals, and have a simple snack in the afternoon instead of sweets or a third coffee.

Telling someone how you feel

Talking helps, and shows whether you need more than rest.

In practice: talk to someone you trust and, if the tiredness lasts, to your family doctor.

Dr Michelle Campagnoli, clinical director of Clínica Luxmed

Who will look after you

A massage given by massage therapists

At Luxmed, massages are given by massage therapists, in Algés. Before starting, the team finds out how you feel and what you are looking for, and suggests the massage that makes sense for you. Drainage massages are the exception, because they require a prior medical referral.

  • A conversation before startingUnderstanding how you have been sleeping, where you feel the tension, whether you have any health condition or allergy, and what you are looking for that day.
  • Pressure to your measureThe intensity is adjusted to your sensitivity, and you can ask for more or less pressure during the session.
  • No obligationThe price and duration are explained when you book.
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Choose how you prefer to get in touch. We will arrange the assessment consultation with Dr Michelle Campagnoli.

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What are the symptoms of mental tiredness?

Mental tiredness shows up as difficulty concentrating, forgetfulness, decisions that cost more effort, irritability, less patience and the feeling that your head is always switched on. It often comes with poorer sleep, tension in the body and tiredness on waking. It is not a diagnosis, but a set of signs. If it goes on for weeks, if it stops you from doing your routine or if it comes with persistent sadness, it is worth talking to a doctor.

How do I know if it is stress or already burnout?

Burnout is a precise term. The WHO describes it as a work-related phenomenon, resulting from chronic stress that has not been successfully managed, with three dimensions: a feeling of exhaustion, mental distance from work (or cynicism) and reduced professional efficacy. It is not the same as a passing period of stress, and the term does not apply to other areas of life. If you recognise yourself in all three, don't wait: talk to your doctor, because you may need more than rest and a massage.

Can stress cause physical symptoms?

It can. When the body is on alert for a long time, muscle tension, headaches, poorer sleep and tiredness are common. In people with burnout, studies link it with musculoskeletal pain, prolonged fatigue, headaches and insomnia. But many of these symptoms also have physical causes, and only a doctor can tell them apart safely. If they are new, strong or persist, a consultation is advisable, rather than always blaming stress.

Why am I always tired, even when I sleep?

The answer may be poor-quality sleep, too much load, little movement or stress. But it may also be anaemia, thyroid problems, a lack of vitamins, diabetes, sleep apnoea (you wake up tired, you snore), depression or heart problems. That is why persistent tiredness should be seen by a doctor, who takes your history and, if needed, requests blood tests. Only then does it make sense to turn to a massage as a way of pausing and feeling well.

Does relaxing massage really work for stress?

The evidence is modest and needs to be read with care. A meta-analysis of clinical trials concluded that a single massage reduced immediate anxiety, blood pressure and heart rate, but not cortisol, and that a series of sessions reduced longer-lasting anxiety. Another study with healthy people showed that rest also lowered stress, with a slightly bigger effect from massage. In other words: it helps you stop, but it is not a treatment.

Does massage help you sleep better?

We can't promise that. There are studies on sleep and massage, but mostly in patients (for example, in intensive care) and not in healthy people. What we see day to day is that a calm pause in the late afternoon helps some people unwind before bed, but sleep depends mostly on schedules, environment and habits. If you have slept badly for weeks, talk to your doctor: there may be apnoea or another cause to treat.

Does a massage fix constant tiredness?

No. A massage gives you a moment of pause, which can be valuable, but it does not treat the cause of the tiredness or replace rest, sleep, movement, treatment of any underlying condition or psychological support. If the tiredness is persistent, the first step is a consultation to understand where it comes from. Massage comes in as a complement, for those who want it and can have it safely, and the team always makes clear that massage does not treat disease or replace a medical assessment.

Which to choose: Relax, Aromá, Completo, Bem-Estar or Vitalé?

It depends on your state. If you are on alert and want to stop, Toque Relax (soft to moderate pressure) is a good starting point, and Aromá adds the aromas. Toque Completo is the longest ritual in the range, from the scalp to the feet. If you are tired and run down, Bem-Estar balances relaxing and recharging, and Vitalé is energising, with more dynamic movements. If in doubt, tell the team how you feel and they will suggest a massage.

What is the difference between Toque Bem-Estar and Toque Vitalé?

Toque Bem-Estar is a general wellbeing massage, halfway between relaxing and recharging. It suits people who are tired and scattered but don't want a purely restful session. Toque Vitalé is energising, with more dynamic movements, designed for people whose body feels run down. Neither treats the tiredness itself, and the pressure can be adjusted during the session. If you can't decide between the two, describe to the team how you feel throughout the day.

How can I regain energy without relying on coffee?

The sources agree on the essentials: sleep at least 7 hours regularly, eat on time and in a balanced way, and do moderate exercise, for example 30 minutes a few times a week. Avoid coffee and sweets as your main source of energy, because the effect is short-lived. Take short breaks through the day and get a little natural light. If the tiredness persists anyway, you need to find the cause with a doctor.

How many massages do I need and how often?

There is no right number, and promising one would be misleading. The frequency depends on what you are looking for and how you feel, and the team talks to you when you book. As a reference, in a trial with emergency workers, the sessions were twice a week for four weeks, in a research setting and not as a general recommendation. Many people use massage as an occasional pause. The price and duration are explained when you book.

When should I see a doctor first?

If the tiredness is new, strong, lasts for weeks despite sleeping and resting, or stops you from doing your routine, talk to your family doctor first. The same applies if you have persistent sadness, loss of interest, anxiety attacks, palpitations, shortness of breath or chest pain. The last two can be urgent: call 112 or SNS 24 (808 24 24 24). Massage can come afterwards, as a complement.

Do I need a medical referral to book? Do you offer massages in Algés and Oeiras?

For these five massages you don't need a prior consultation or a medical referral: you can book directly, and the team explains the price and duration when you book. Only the drainage massages (Pernas Leves and Corpo Leve) require a referral from the doctor. Clínica Luxmed is in Algés, in the municipality of Oeiras, and welcomes people from Lisbon, Oeiras, Cascais, Amadora and the surrounding area, from Monday to Saturday, with morning and afternoon hours.

How should I prepare for the massage?

Come in comfortable clothes and, if you can, without rushing, so you can enjoy the moment and not walk into the room still in a rush. Always tell the team if you have any health condition, a recent injury, an allergy to oils or aromas, if you are pregnant or may be, and if you have a fever or an infection. Also mention how you have been sleeping and how you feel. The pressure is adjusted to your sensitivity and you can ask for more or less at any time.

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Scientific references

This page is based on the sources below and was reviewed by Dr. Michelle Campagnoli. Last updated on .

  1. Moyer CA, Rounds J, Hannum JW. A meta-analysis of massage therapy research. Psychol Bull, 2004.
  2. Sripongngam T, Eungpinichpong W, Sirivongs D, Kanpittaya J, Tangvoraphonkchai K, Chanaboon S. Immediate Effects of Traditional Thai Massage on Psychological Stress as Indicated by Salivary Alpha-Amylase Levels in Healthy Persons. Med Sci Monit Basic Res, 2015.
  3. Mahdizadeh M, Jaberi AA, Bonabi TN. Massage Therapy in Management of Occupational Stress in Emergency Medical Services Staffs: a Randomized Controlled Trial. Int J Ther Massage Bodywork, 2019.
  4. Latimer KM, Gunther A, Kopec M. Fatigue in Adults: Evaluation and Management. Am Fam Physician, 2023.
  5. CUF. Fadiga: quando deve consultar o médico. CUF, Mais Saúde (publicado a 09/10/2015), 2015.
  6. Organização Mundial da Saúde. Burn-out an "occupational phenomenon": International Classification of Diseases. OMS, comunicado de 28 de maio de 2019, 2019.
  7. Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, Andrade SM. Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS One, 2017.
  8. Wender CLA, Manninen M, O'Connor PJ. The Effect of Chronic Exercise on Energy and Fatigue States: A Systematic Review and Meta-Analysis of Randomized Trials. Front Psychol, 2022.
  9. Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, et al. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep, 2015.
  10. Fang CS, Chang SL, Fang CJ, Chou FH. Effect of massage therapy on sleep quality in critically ill patients: A systematic review and meta-analysis. J Clin Nurs, 2023.
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