I've tore with all three of my babies. A little worse each time. :-( I've always done kegals since high school but I've never tried the message.
The handed of tearing aren't as bad with second baby's I'm pregnant with baby number 2 and tore pretty bad with my first and couldn't have stitches because I had an infection it all healed naturally I have same worries as you but I'm sure it's not as common to tear the second time xxx
Yes it is still possible. You should massage your perinium or have your partner do it and talk to your doc or midwife about your concerns. They should be able to help you push gentler this time so you don't tear as bad.
Kegel exercises, but really if ur going to tear then ur just going to tear.