Hot stone massage

Written by Katherine Nicholls
Katherine Nicholls
Therapy Directory Content Team

Last updated 17th September 2026 | Next update due September 2029

A hot stone massage is a type of massage where warm, smooth stones are used. The warmth of the stones can complement massage techniques and create a relaxing experience. Here, we explore what hot stone massage involves and what you can expect. 

What is a hot stone massage?

A hot stone massage uses classic massage techniques, but also incorporates hot stones. These are placed on certain points on the body to add pressure and warmth. The stones are usually a type of volcanic rock called basalt, which is used because it’s smooth, flat and retains heat well. Some massages will also use cold stones after the hot stones. 

The heat from the stones encourages your muscles to relax, which allows the massage therapist to use deeper strokes. The massage techniques are the same as those used in Swedish massage, including kneading, tapping and vibration, though the pressure may be deeper than a Swedish massage.

The use of heated stones in therapeutic practices has a long history, including in early Chinese medicine. Modern hot stone massage has developed from a range of practices and massage techniques.


Potential benefits of hot stone massage

Like other types of massages, hot stone massage is often used to support relaxation and ease muscle tension. 

Muscle tension and pain

The heat and pressure from the stones have a relaxing effect on the body. This means your muscles are more relaxed and therefore more flexible. The massage therapist can use a deeper pressure without it feeling uncomfortable. Being able to make these deeper strokes can have a greater impact on reducing muscle tension and pain. Cold stones can also help reduce inflammation and, depending on your symptoms, your therapist may alternate between hot and cold stones.

Relaxation and stress

Massage may help to encourage relaxation and ease stress; certain types are more serene than others. Hot stone massage, for example, is particularly soothing. The warmth from the stones makes it a cosy experience.

Chronic pain

If you live with chronic pain, you’ll likely know that a range of approaches are needed to ease symptoms. Some people living with chronic pain find massage helpful as part of their wider approach to managing their symptoms. If you have a condition such as fibromyalgia or arthritis, speak to your doctor or healthcare professional before trying hot stone massage to check whether it is suitable for you.

Sleep and relaxation

The relaxing nature of massage may help some people to unwind. If relaxation is your main reason for having a hot stone massage, you may prefer to schedule your treatment at a time when you don't need to rush afterwards.

Flexibility and movement 

The warmth of the stones may help your muscles relax, which some people find makes movement more comfortable. Let your massage therapist know about any particular areas of tension or discomfort you'd like them to be aware of.


Is a hot stone massage right for me?

If you're looking for a relaxing massage, hot stone massage may be an option to consider. If you have any medical conditions like a bleeding disorder, a history of blood clots, a fracture, severe osteoporosis or diabetes, talk to your doctor before having a hot stone massage. If you have any open wounds or have recently had surgery, you may also want to avoid the treatment. 

If you're pregnant, speak to your midwife or healthcare professional and let your massage therapist know before booking a treatment. A pregnancy massage may be another option. 


What to expect during a hot stone massage

Before your massage, you'll usually have a short consultation, either verbally or by filling out a form. This gives you an opportunity to explain any symptoms or concerns, discuss what you're hoping for from the massage and ask questions. Once you’re happy, the massage will start.

You will usually start lying face down, so the massage therapist can start on your back before moving to the front. The therapist may use some Swedish massage techniques to start with to prepare the body before placing the hot stones. 

Once the stones are in place, the massage will begin, often using oil to aid the process. The stones will then be added and removed throughout the session, depending on where the massage is taking place. This may include your spine, your feet and toes, your stomach, your chest, your palms and your face.

The stones should be warm, rather than hot, and if you’re feeling any discomfort, let your massage therapist know. Similarly, while the massage may be deeper than a Swedish massage, it shouldn’t be painful, so do speak up if it is, so your therapist can adjust their pressure. Many people choose hot stone massage as a relaxing and calming treatment.

If you’re ready to try hot stone massage, you can use our advanced search tool to find the right massage therapist for you. 


Disclaimer: At Therapy Directory, we verify that massage practitioners have qualifications and insurance, or membership of a professional body, associated with massage only. We encourage you to check that they have the specialised skills required to offer hot stone massage specifically.

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