My experience was that massage caused PEM symptoms for me. The more massage the more PEM. A course of massage equaled more PEM and like exercise it got worse over time. Tried different types of message including lymph drainage which was the same.
Drank water and tried all the obvious things.
If I was releasing toxins they weren't going anywhere useful
It was after a road traffic accident that things really flared up into lot of pain during massage and after. Even trigger point release massage was too painful with the accident trigger points becoming unbearable painful. Then again, so was osteopathy etc.
So 2 different reactions pre and post accident.
Drank water and tried all the obvious things.
If I was releasing toxins they weren't going anywhere useful
It was after a road traffic accident that things really flared up into lot of pain during massage and after. Even trigger point release massage was too painful with the accident trigger points becoming unbearable painful. Then again, so was osteopathy etc.
So 2 different reactions pre and post accident.