Shiatsu: what the research says

Sissoo Editorial
Sissoo Editorial
  • Updated

Very few studies of shiatsu exist. Small studies of acupressure, a similar method, give mixed results for pain and sleep.

What a session is

A Japanese style of bodywork. The practitioner applies steady pressure with fingers, palms, elbows or knees and adds gentle stretches while you lie clothed on a mat or couch; no oils are used.

What the research says

  • Back, neck and muscle tension: Almost no studies of shiatsu itself. Small studies of acupressure, a similar method, found mixed results for back and neck pain. Limited evidence · UETS Madrid (Spain), 2025
  • Sleep: Not studied for shiatsu itself. Small studies of acupressure found better sleep, including in older people, but more research is needed. Limited evidence · Cochrane, 2022
  • Worry, anxiety and stress: Not studied for shiatsu in the sources we use. Studies of massage in general suggest it may ease anxiety a little. No good evidence yet · NCCIH, 2024
  • Low mood, menopause and grief: Not studied in the sources we use. No good evidence yet

More on each need: A relaxed body · Sleep better · Feel calmer · Lift your mood

Is it safe?

Shiatsu appears low risk, but its safety has hardly been studied; a few people felt dizzy or sore where pressure was applied. If you have a health condition and are unsure, ask your doctor first. NCCIH, 2019

Sessions on Sissoo complement medical care and never replace it. Please don’t stop or change any treatment without talking to your doctor. If you feel very low or think about ending your life, call your local emergency number now.

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Checked 17 October 2026. Next check by April 2027. How we rate the evidence.

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