It usually depends on the techniques used. Many massage therapists use a form of Swedish massage, which is often a baseline for practitioners. In a general Swedish massage, your session may start with broad, flowing strokes (effleurage) that will help calm your nervous system and relax exterior muscle tension. As your body becomes relaxed, pressure will gradually be increased to relax specific areas and relieve areas of muscular tension. Often, a light oil or lotion is used to allow your muscles to be massaged without causing excessive friction to the skin. Do not hesitate to ask questions or mention if you feel any discomfort so that the massage therapist can use another approach or technique.

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One theory is that muscle knots may be caused by something that goes wrong at the “motor end plate” — where a nerve ending attaches to a muscle cell.9 We don’t know why this happens, or what exactly goes wrong, but there is circumstantial evidence that motor end plates are the “point” in trigger point. That evidence is too complex and controversial to review properly here. It is explored in detail in my book. Some research has suggested that it may actually be possible to physically destroy the motor end plate with strong massage, thereby inactivating the trigger point.10 When it regrows — these are microscopic structures, it doesn’t take them long to heal — the trigger point may be gone.
Sports massage has antecedents in earlier periods of history. The ancient Greeks and Romans combined massage and exercise in their athletic training. Various Asian cultures also developed forms of massage for dancers and for students of martial arts . As a formal practice, however, sports massage began in the Soviet Union and Communist bloc countries in the 1960s. Soviet teams were the first to have a massage therapist travel with them and work on their athletes on a regular and ongoing basis. Through sports and cultural exchanges, the concept of sports massage moved to Europe and the United States in the 1970s. Over time the benefits of sports massage became accepted, and sports massage became a part of the training regimen, first of professional athletes, then of college and amateur athletes. Today sports massage is recognized as a specialty by the American Massage Therapy Association.

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Oils: The base oil should be a vegetable oil, cold pressed, unrefined, and free of additives. These oils contain such nutrients as vitamins and minerals in addition to fatty acids. They do not clog the pores as mineral oils often do. Essential (aromatic) oils may be added to provide additional relaxation or other therapeutic effects. Massage oil should be warmed in the therapist's hands before it is applied to the client's skin.

It seems like people who call to get a massage fall into 2 camps: those who want a deep tissue massage, and those that are afraid of it. I have heard a lot of interesting stories of people getting a massage on vacation and barely being able to move the next day. Or people who think they should be sore for a week after a massage “if it’s a good one”. Well I think it is time we went over what Deep Tissue Massage (DTM) is, and when it is indicated.
Massage has been practiced for thousands of years. Today, if you need or want a massage, you can choose from about 80 massage therapy styles with a wide variety of pressures, movements, and techniques. These all involve pressing, rubbing, or manipulating muscles and other soft tissues with hands and fingers. Sometimes, even forearms, elbows, or feet are used.
Plantar fasciitis. According to the JAMA Network, plantar fasciitis occurs when the fibrous band on the bottom of the foot becomes irritated and inflamed, causing pain in the heel and arch areas. The Pacific College of Oriental Medicine further indicates that deep tissue massage can be an effective treatment for this particular condition as it helps “release the muscle tension, break scar tissue, and lead to its elimination.”
While there are numerous benefits to this branch of massage, elementsmassage.com reminds you that it is important to keep your expectations for the treatment reasonable. While Deep Tissue massages use more pressure to reach deeper muscle tissues and often yield immediately noticeable results, asking your therapist to apply more pressure and gritting your way through pain will do more damage than good. If you are in pain, your muscles will begin to contract, making the therapist’s efforts moot. Applying more pressure will not speed up the process. Like any treatment, Deep Tissue massages need time to be effective. Keep in mind that the injury or muscle tension that you are hoping to get resolved has had a great deal of time to form; it will take time to undo the damage. Like any treatment, often the therapy will not be enough; including other changes to your life style, such as exercise, relaxation techniques or working on posture in addition to your massage appointments will help move the process along and help you see faster and longer lasting results.

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Reflexologists work from maps of predefined pressure points that are located on the hands and feet. These pressure points are reputed to connect directly through the nervous system and affect the bodily organs and glands. The reflexologist manipulates the pressure points according to specific techniques of reflexology therapy. By means of this touching therapy, any part of the body that is the source of pain, illness, or potential debility can be strengthened through the application of pressure at the respective foot or hand location.
Traditionally designed to apply pressure to layers of muscle, tendons and other tissues deep under the skin, deep tissue massage can be very effective in relieving problem areas and is highly therapeutic. Deep tissue massage is generally a modality to consider for athletes as well as the eight-to-five desk job. Muscles easily become tense and deep tissue massage can relieve some chronic patterns of pain and tension, specifically in the back, shoulder and neck areas.  
The Swedish massage is the foundation of the art of massage. It’s typically characterized by friction techniques, kneading, and long strokes, and can be performed using either gentle pressure or deeper pressure. The Swedish massage is the usual go-to if you’re dealing with a lot of stress from work, school, or just everyday life! It’s a soothing, relaxing massage that relaxes muscle tissue while increasing the body’s circulation, sending healthy, oxygen-rich blood to your muscles and tissues.
A form of alternative or complementary therapy based on the hypothesis that the body contains channels of ‘life force’ similar to the meridians of ACUPUNCTURE. These terminate in the feet and practitioners of the method claim to be able to detect blockage in the channels by feeling the feet and toes. Massage and manipulation of the feet is then performed to unblock the channels and, allegedly, cure disorders caused by the blocked channels.
The Emory University announcement reads: "Previous research… has already shown that massage therapy can boost the immune system and decrease anxiety for people who do not have cancer... We believe that there are many positive effects to be gained by therapeutic massage and we hope to prove that, among other biological advantages, massage may diminish the incapacitation that cancer-related fatigue can cause for our patients."

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Since reflexology is not recognized by law, no formal training is required to practice reflexology or call oneself a reflexologist. However, some nurses and massage therapists offer reflexology as part of their licensed practice. Some courses are accredited for continuing education for nurses and massage therapists. The most widely publicized training source is probably the International Institute of Reflexology, of St. Petersburg, Florida, which claims to have 25,000 members worldwide [9]. Its seminar on the "Original Ingham Method of Foot Reflexology" are taught by Ingham's nephew, Dwight Byers. Its "Certified Member" status requires 200 hours of instruction plus passage of written and practical tests. As far as I know, this certification process has neither legal nor medical recognition. The Institute's Web site states:

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Deep tissue massages are not for everyone, and it’s very important to find a well-trained therapist. If you’re actively healing from surgery, have nerve damage or an existing injury, you’re wearing a cast or brace, or you’re pregnant, then talk to your doctor before seeking a massage therapist. Although it’s rare, massages that are poorly performed can sometimes cause increased pain, inflammation and other complications in high-risk patients. (16)

But the relief model is certainly tempting. There are many painful-but-relieving analogies in medicine and biology.15 That’s similar to what good pain in massage feels like, but it’s not the same: no one thinks that lancing a boil or popping a shoulder joint back in is anything but painful while it’s happening.16 And we can’t necessarily take the good pain sensation at face value and assume it means there’s actually going to be a positive outcome. Brains are not all-knowing. Sometimes they see danger where there is none, and sometimes they see help where there is none.


Make yourself comfortable. If your therapist wants you to adjust your position, she or he will either move you or will ask you to move what is needed. Otherwise, change your position anytime to make yourself more comfortable. Many people close their eyes and relax completely during a session; others prefer to talk. It’s up to you. It is your massage, and whatever feels natural to you is the best way to relax. Do not hesitate to ask questions at any time.
A person receiving a deep tissue massage usually lays on the stomach or back in one position, while deep pressure is applied to targeted areas of the body by a trained massage therapist. The massage is beneficial mostly because it helps stimulate blood flow and relieve muscle tension, while at the same time lowering psychological stress and releasing “happy hormones” like serotonin and oxytocin.

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Muscles are layered on top of each other and over lap. Some muscles are right on the surface like your rectus abdominis (six pack ab muscles), and some are much deeper in the body like your Psoas muscle (deep hip flexor). So a DTM implies that the therapist is not just working on the superficial musculature, but reaching layers of muscle and fascia (connective tissue) further below the surface.

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