earthward,
Before "Ouch" scares you out of this wonderful profession, I'd invite you to read a few other threads he/she has participated in
and the comments from other therapists.
I will suggest that if you decide to do extensive deep tissue work (I am in that category), that you consider working on a schedule that gives you two to three day rest periods in each week and try to max out at around 5 - 6 hours of massage per day.
I've had many a client come to me asking for deep work, getting the work they asked for, and then commenting that they've had what they
thought was deep work before, and it doesn't compare to what I am doing. So, "deep work" is relative. But, your practice doesn't have to be like this.
I also think that some body styles and the way some of us have our fingers attached just works better for what many people consider deep tissue and specific body work. Here's an example: my husband and I work together - I take most of the neck work, because my fingers are tiny, boney and pointy.... plus I have some sort of super duper finger strength going on (sort of abnormal, almost.... *winks*) --- hubby has big hands, so he takes on most of our lower back/hip clients, because he can get to where he needs to with deep work that is not "uncomfortable" (my LB work can be "
quite noticiable" much of the time). We both work deep, but in different ways. We both can work each area most competently, but we find for our body strengths and weaknesses, this idea of "matching client-need to therapist-strength when possible" works out much to our advantage.
And, just because many clients ask for deep work, does not mean you have to offer it in your practice. Find a therapist who can do what you don't (or who does what you won't) and then utilize that therapist in order to have a place to reciprocally refer clients. Let that therapist know you would like to send the more strenuous work to him/her and ask for referrals of your preferred clients. It can be a great match.
I think this sums it up nicely:
One of the beauties about massage is that there's generally more than one way to address an issue - you find what works for you and your body, your client and their body. If there can't be a match, then there's nothing wrong with referring the client to someone who will otherwise fit their needs.
As a side note, I did a lot to build up my wrist strength over the years. I highly suggest building wrist strength a priority, as this may be why I don't have too many problems with them. I'd say I have a wrist issue maybe once every 6+ years that will last for a week or so, and I am still able to work around it, as generally it is either something coming from the attachments of the muscles at the anterior forearm (rest, ice, muscle work) or one of the carpals has gotten mis-aligned and needs to be "adjusted" for a while.
Just keeping yourself taken care of can keep this to a minimum. But, again, it could be because I dedicated some
years to building up my wrist strength. Hard to say.