Thursday 13th October, 2022

Do massage guns help cellulite?

Using massage gun on thigh
Massage guns don't really help cellulite. We'll show you a better way you can do yourself.

Massage gun marketers make a lot of claims that their machines help reduce cellulite, but the reality is:

  • for all practical purposes massage guns do not help reduce cellulite,
  • many of their claims are bogus, and
  • if you follow their advice you risk hurting yourself.
The good news

The good news is that there is a much easier, safer and more effective self massage you can do yourself, and is proven in clinical trials to get great results. To help you safely get good results we will quickly show you why the massage gun claims are false, then show you what has actually been proven to work.

CONTENTS

Why massage guns do not help reduce cellulite
The safe and effective treatment

Why massage guns do not help reduce cellulite

In this section we will discuss:

  1. Massage guns are poor at vibration therapy
  2. The totally bogus claims

Massage guns are poor at delivering vibration therapy

As you will see in the next section vibration is very effective if used properly. However,

  • massage guns deliver less vibrations than proper vibration massagers
  • the vibrations are at the wrong frequency
  • the way advocates recommend to use them is ineffective.

Massage guns are deliver less vibrations vibrations

Professionals have been using therapeutic vibration massagers (discussed later) for decades. In comparison massage guns are extremely poor at delivering these therapeutic vibrations. This is because they are designed to punch their heads into the muscles rather than deliver therapeutic vibrations.

Massage guns vs vibration

The easiest way to understand this is to consider the two machines pictured.

  • The yellow machine is designed to send massive amounts of vibrations deep into the ground while barely scratching the surface. Therapeutic vibration massagers work like this.
  • The jackhammer still vibrates, but it uses those vibrations to drive it’s head into the ground. They smash the surface rather than vibrate the ground. Massage guns are like this.

The vibrations are at the wrong frequency

Because of this massage guns deliver far less vibrations. Also, in the section on effective therapy we discuss that the vibrations need to be at the right frequency. Because of the damage they can cause massage guns cannot safely be used at the effective vibration frequency. For more info please see: Are massage guns safe .

The way massage gun advocates recommend you use them is wrong.

  1. The way massage gun advocates typically recommend you use a massager is generally very ineffective. For more info please see Common massager usage mistakes .
  2. As we discuss in the next section massage gun advocate recommend cellulite treatment that is totally wrong and potentially very dangerous.

Bogus massage gun claims

We have seen massage gun advocates make false claims ranging from ineffective things through to those which can really hurt you.

In this section:

  1. Breaking up or dispersing fat cells
  2. Draining fluid
  3. Increasing circulation with vibration
Cellulite and normal skin
The fat cells are strongly encased in connective tissue pouches, so claims that they are spread, dispersed or smashed up are totally bogus

Breaking up and redistributing fat cells

It is common to read that massage guns re-distribute or break up fat cells. As this picture of cellulite tissues shows the fat cells are well encased in connective tissue pouches, so there is no way they are going to move around and get re-distributed.

Further, the fat cells would be a lot more sturdy than other tissues such as the fine blood vessels, so attempting to smash fat cells would cause massive trauma and internal bleeding. The concern here is that because of these claims people may damage themselves trying. In one case a person using a massage gun nearly died from the internal bleeding (10).

Helping drain excess fluids

Massage gun marketers sometimes claim their machines help the lymphatic system drain fluid. Because their primary action is “jackhammering” massage guns are poor at lymphatic draining, and fluids will seep back into the tissues so any improvements will be temporary.

Increasing circulation

As we will show you in the next section on effective cellulite treatment using vibration to increase circulation is an excellent idea. Massage gun marketers will advertise this, however, as discussed above massage guns are very poor at delivering effective vibrations and the way they recommend they be used reduces this effectiveness further.

The safe and effective treatment for cellulite

In this section:

Overview

Cellulite and normal 2
Cellulite: fat cells have absorbed excess fat and are stretching the tissues

What is cellulite

Looking at the diagram of cellulite tissue you can see that it has fat cells (yellow) surrounded by fluid and enclosed in sturdy connective tissue pouches. The problem is that the fat cells contain too much fat and are very large.

Most treatments are temporary

Put simply, most treatments for cellulite merely squeeze out some fluid or flatten the cells a bit. The fat cells are still oversized so improvement is only marginal. Eventually more fluid will seep back and the cells will spring back into shape, so these improvements will also only be temporary.

How to make long term changes

Scientists have found that the main cause of cellulite is a reduction of circulation in those tissues (1). Because of the poor circulation, when your body needs energy it uses fat from parts of your body with better circulation, and leaves the fat in the cellulite tissues. The way the clinical trials successfully reduced cellulite was by using massage to improve circulation, allowing the excess fat to be gradually be reabsorbed.

An example of their results

This table of results is from one of those trials. It shows the measurements of hips, buttocks and thighs before and after four weeks of regular massages. The third column of figures shows the reduction in size (cm). We also have a summary of all the clinical trials below.

Data from cellulite trial

How to do it yourself

In this section we will give an outline of how you can do it yourself. If you do use this we recommend you check out our more detailed guide The practical guide to massage for cellulite . Standard disclaimer: this is general information to be discussed with your health care professional, not specific advice.

In this section:

  • Overview of the process
  • How they did it in the clinical trials
  • Your optimum method
  • How this differs from “massage gun treatment”

Overview of the process

Circulation in the cellulite tissues needs to be maintained for a long period of time to allow the excess fat to be reabsorbed. However, massage only increases circulation for a limited time. To achieve the results in the clinical trials the scientists maintained circulation by using very regular massages over a long period of time.

Making treatment economical and convenient

If using the services of professional massage therapists this would be very inconvenient and prohibitively expensive. However, several of the studies used vibration massage which you can easily do on yourself. Vibration massage is highly effective at increasing circulation. For more info please see our guide The scientifically proven effects of vibration massage- with clinical applications .

The scientists used equipment that many people already have, so we will show you how to do that, then in the following section show you the best way possible.

How they did it in the clinical trials

In the trials the scientists used massage chairs and vibration plates to apply the vibration massage. These are not optimised for increasing circulation, but if you have one they are proven to be of some benefits. If you have one the links below take you to the actual trial reports so you can see what they did.

Your optimum method to reduce cellulite

  • Using the best equipment
  • How to use a vibration massager
  • What settings to use
  • Where, when and how long for
Using the best equipment
Genuine vibration massager
Genuine vibration massagers deliver far more effective therapeutic vibrations, without the negatives of a massage gun
Genuine vibration massagers

When professionals apply vibration massage they use a proper therapeutic vibration massager as shown in the example pictured. You can see that they have a vibration head/pad that sits on the surface and sends in vibrations. They are purpose built for this type of therapy so they:

  • cause large amounts of therapeutic vibrations to penetrate deeply into your muscles
  • the vibrations they send in are in the optimum therapeutic range (those from massage chairs and plates are not)
  • because they sit on the surface rather than drive their heads into your muscles like a massage gun they are very safe
Getting the appropriate massager

Most genuine vibration massagers are professional units that are expensive and designed for colleagues to use on patients rather than self use. As discussed in our guide Why most massagers are a waste of money , when we were looking for a personal use genuine vibration massager for our patients to use all we could find were massage guns and “consumer” massagers designed to look good on shop shelves rather than be serious therapeutic equipment. Because of this we built two excellent, very easy to use and effective personal use vibration massagers: our General Purpose Massager and our Quad Head Massager.

DrGraeme General Purpose Massager

We’ve had our General Purpose Massager for over a decade and it’s proved to be extremely effective, economical and reliable. The only shortfall is that you are limited to massaging the region under the single head. More information about the General Purpose Massager

The DrGraeme Ultimate Quad Head Massager

Our Quad Head Massager has the same ergonomic shape and effectiveness as the General Purpose Massager, but has four heads so it can massage a much larger area. More information about the Ultimate Quad Head Massager

How to use a vibration massager

We have an excellent guide with full precautions and optimisations, but basically you just sit the machine on where you need to massage and let the vibrations soak in. Please see our Vibration massage usage guide .

The best settings to use

The increase in circulation depends on the frequency of the vibrations. 50 Hz (cycles per second) gives an excellent increase in circulation with a residual increase lasting over 30 minutes. In contrast 30 Hz gives a smaller increase that does not last as long.

Your guide to 50 Hz
  • With our general purpose massager and quad head massager 50 Hz is approx. 85-90% of full speed.
  • The massage chairs and vibration platforms used in the clinical trial generally gave less than 30 Hz. Because of this they gave some improvements, but were far from optimal.
  • Because they drive their heads in like jackhammers massage guns with significant power cannot be comfortably or safely used at the optimum frequency.
Where, when and how long for
Where

Apply the vibration massage direct to the cellulite tissues

When and how long for

In the clinical trails using the chairs or vibration platforms the scientists used long applications (eg. 30-60 minutes), typically daily. As mentioned above, if you use a genuine vibration massager at 50 Hz an application of vibration will have a residual effect lasting over 30 minutes. Because of this you can use a shorter application of a few minutes and get 30+ minutes of increased circulation. Therefore the most efficient and effective therapy is using several applications of a few minutes each every day.

How this differs from “massage gun treatment”

While massage gun marketing usually mentions that vibrations are every effective for cellulite:

  • as we have seen massage guns are very poor at applying therapeutic vibrations
  • their marketing and advocates typically advise usage designed to give temporary improvements, or worse still those dangerous and bogus uses.
Dr Graeme's comments

Extra development

In an earlier article I commented that those conducting the trials had used the less effective equipment market for cellulite, and that far better results would be had choosing equipment base on on the science of therapeutic vibrations. One of the researchers actually contacted me, and they are now evaluating our machines for future research.

Try this therapy with a sample massager (professionals only)

Most of our massagers sell through colleagues using our machines and recommending the therapy to patients/clients, so we are very happy to send appropriately qualified professionals a complimentary sample machine to trial. For more info please see our Professional sample sample page .

Appendix: summary of clinical trials using massage or vibration massage to treat cellulite

NOTE: You may need to scroll the table below left/right for more information

Trial

What they did

Results

Notes

3

30 or 60 minutes vibration daily for three weeks

Reduced grading+ of cellulite

4

Used 17.5-46 Hz vibrations for 30 or 60 minutes a day for three weeks

Reduced grading+ of cellulite. Increased skin temperature

Sub optimal vibrations

1

15x 30 or 60 minutes locally applied 18-39 Hz

Reduced grading+ of cellulite, increased skin temperature

Sub optimal vibrations

5

24 weeks of using hand held vibration wand.

Visual improvement

Used a device marketed as a cellulite wand, but no where near a serious therapeutic device.

6

15 applications of 18-39 Hz vibration over three weeks.

Decreased symptoms. Increased skin hydration.

Sub optimal vibrations

7

4 weeks of 17.5-46.5 Hz vibrations

Decreased measurements for thighs, hips and waist

Vibrations only 0.5mm so extremely poor penetration

8

10 sessions of whole body vibration

Increased skin temperature

9

Tested three types of conventional massage++

All gave a reduction in sub-cutaneous fat

Professionals would likely combine all three for excellent results

NOTES:
+ Please see gradings below (reduced grading is better):
++ Types were i) Conventional massage, ii) manual lymphatic drainage, and iii) Connective tissue manipulations.

Grading cellulite

For research or description cellulite is graded as follows. Where the grades were reduced in the trials that means that the cellulite improved.

  • Grade 1 – you can’t see cellulite with the naked eye, but the changes on your skin are still going on microscopically.
  • Grade 2 – the skin shows paleness, lower temperature, and decreased elasticity after compression or muscular contraction. There is no visible “orange peel” roughness to the skin.
  • Grade 3 – this is when the lumps and bumps are starting to make themselves visible. Thin granulations in the deep levels of the skin can be detected by palpitation. All Grade 2 signs are present.
  • Grade 4 – more visible, palpable, and painful lumps are present, adhering to deep structures in the skin. The skin has a noticeable dimpled, wavy appearance. Additional microscopic changes are detected. Grade 4 signs are present, and cellulite is constantly visible to the patient.

References

  1. Piotrowska A, Czerwińska-Ledwig O, Stefańska M, Pałka T, Maciejczyk M, Bujas P, et al. Changes in Skin Microcirculation Resulting from Vibration Therapy in Women with Cellulite. Int J Environ Res Public Health. 2022;19(6).
  2. Maloney-Hinds C, Petrofsky JS, Zimmerman G. The effect of 30 Hz vs. 50 Hz passive vibration and duration of vibration on skin blood flow in the arm. Med Sci Monit. 2008;14(3):CR112-6.
  3. Piotrowska A, Czerwińska-Ledwig O. Effect of local vibrotherapy in sitting or lying position in two time protocols on the cellulite grade and change of body circumferences in women with cellulite. J Cosmet Dermatol. 2022;21(5):2130–9.
  4. Pilch W, Czerwińska-Ledwig O, Chitryniewicz-Rostek J, Nastałek M, Krȩzałek P, Jȩdrychowska D, et al. The Impact of Vibration Therapy Interventions on Skin Condition and Skin Temperature Changes in Young Women with Lipodystrophy: A Pilot Study. Evidence-based Complement Altern Med. 2019;2019.
  5. Sadowski T, Bielfeldt S, Wilhelm KP, Sukopp S, Gordon C. Objective and subjective reduction of cellulite volume using a localized vibrational massage device in a 24-week randomized intra-individual single-blind regression study. Int J Cosmet Sci. 2020;42(3):277–88.
  6. Piotrowska A, Czerwińska-Ledwig O. Effect of Three-Week Vibrotherapy on Selected Skin Parameters of Thighs and Buttocks in Women with Cellulite. Cosmetics. 2022;9(1).
  7. Pilch W, Nastałek M, Piotrowska A, Czerwińska-Ledwig O, Zuziak R, Maciorowska A, et al. The effects of a 4-week vibrotherapy programme on the reduction of adipose tissue in young women with cellulite – a pilot study. Rehabil Med. 2018;22(4):18–24.
  8. Cristovam DN, Botelho S, Andrade MF, Marques J, Sousa L. Whole-body vibration in the reduction of the cellulite. J Cosmet Laser Ther. 2019;21(5):278–85.
  9. Bayrakci Tunay V, Akbayrak T, Bakar Y, Kayihan H, Ergun N. Effects of mechanical massage, manual lymphatic drainage and connective tissue manipulation techniques on fat mass in women with cellulite. J Eur Acad Dermatology Venereol. 2010;24(2):138–42.
  10. Chen J, et. al. Rhabdomyolysis After the Use of Percussion
    Massage Gun: A Case Report
    . Physical Therapy, 2021;101:1–5

We are continually adding more information on research and uses. Subscribe below to have us email them to you "hot off the press".

Dr Graeme

About Dr Graeme

Several years ago Dr Graeme, a Chiropractor practicing in Victoria, Australia was looking for a serious hand held massager his patients could use at home to get the extra quality massage they needed. The ones he found in the shops and on-line for home use looked nice but were not serious, and... read more



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