Normally, it is not a painful treatment but if you feel any sort of pain, you must inform your therapist and they will sort it out for you. The chances of pain can be because of your comfort zone; you may not be seated properly or the angle of your feet is not in its natural position. Additionally, therapist will always give more time to the parts that you have discussed about in the beginning. The painful parts are given more priority and pressure is given to the reflex points of those parts.
While this massage is designed to help ease pain, you might experience discomfort during your appointment, especially when your therapist is applying pressure to a problem area. It is best to speak up and let your therapist know if the discomfort becomes painful; even though the Deep Tissue massage is meant to apply more pressure, pain does not mean that the massage is working. You might also experience some soreness and stiffness; this is perfectly normal and should subside within 24 hours. ElementsMassage.com recommends that you drink a lot of water in order to flush out the lactic acid that will have accumulated in the tissues; this may ease some of the soreness. Bruising after your massage may also occur; keep in mind that your therapist was applying more pressure in order to reach your troubled areas, light bruising is normal. Cathy Wong also points out that “case reports have reported venous thromboembolism, spinal accessory neuropathy, hepatic hematoma, and posterior interosseous syndrome after deep tissue massage.”
Deep tissue massage is a therapeutic technique that relieves deep-seated muscle tension and soothes chronic tightness. During a deep tissue massage, a trained therapist delivers intense pressure through slow strokes and targeted fascial release. This technique is often used to treat repetitive-stress injuries, posture problems, and sports injuries.
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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Although many assume Swedish massage comes from Sweden, Johan Georg Mezger (1838-1909), a Dutch man, is often credited with formalizing the system known as Swedish massage—sometimes referred to as “classic massage” in Europe. Mezger assigned French names— effleurage, petrissage, friction, and tapotement—to the specific strokes used in Swedish massage application. In English, these movements are known as stroking, kneading, rubbing (friction), and striking.
Stress contributes up to 80% for the development of any illness. Other 20% of stress will influence other conditions.1 Reflexology offers common benefits and one of them is reducing stress by applying pressure to the specific area at feet and hands which may induce general relaxation while relaxing the targeted area concurrently.1 Reflexology is one of the ways to interrupt the pattern of repetitive stress that people usually have according to their lifestyle.1 They will operate more effective with a number of reflexology sessions because the first application will intervene the stress operation and further sessions will improve the body condition.1 Besides, reflexology also allows the body to get off from any stress in everyday life.1

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Swedish massage is the most common and best-known type of massage in the West. If it's your first time or you don't get massage often, Swedish massage is the best place to start.  The Swedish body massage is the combination of many different  techniques rolled into one session. During this therapy session the therapist will work with the soft tissues and muscles in the body to help restore balance and health.
That is, regardless of all other considerations, a massage therapist must talk to you about pressure, respect your preferences (they are more important than any treatment ideology), and be careful about stumbling into areas that need much less pressure (for comfort) or much more pressure (for satisfaction). Far too many therapists make the mistake of setting a “default” pressure for a client early on, and then using roughly that much pressure everywhere.

A study conducted by the National Center for Complementary and Alternative Medicine, and published in The New York Times, found that volunteers who received a 45-minute Swedish massage experienced significant decreases in levels of the stress hormone cortisol, as well as arginine vasopressin-a hormone that can lead to increases in cortisol. Volunteers also had increases in the number of lymphocytes, white blood cells that are part of the immune system, and a boost in the immune cells that may help fight colds and the flu.
Your massage therapist will require you to fill out a health history form. Afterwards the therapist will begin by asking you general questions to establish what areas you would like worked on, if there are any conditions needing to be addressed and to determine if massage is appropriate for you. Your massage therapist may perform certain assessments and testing to evaluate your condition, and to see if you have any presenting complaints.
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Before booking an appointment, ask questions about the therapist’s education and experience, like “What is your training?” “How many years have you been practicing?” and “Do you work frequently with runners?”, suggests Gammal. Seek referrals if possible, and ensure s/he is a licensed massage therapist. Rotenberger recommends a massage therapist specifically trained in orthopedic treatment and assessment, as s/he will know when to refer you to another healthcare professional, in the case that you’re experiencing chronic pain and discomfort not fixable via massage. You can find a reputable practitioner via www.orthomassage.net or www.NeuroMuscular-Reprogramming.com.

These improvements are achieved via a range of techniques. When analyzing and treating a person’s injury or symptoms, a Sport Massage Therapist studies root causes carefully as an injury to one part of the body may be connected to another. Some of these areas can seem strange to work on given the specific case scenario, however a Sport Massage Therapist will explain the reasons to you.

Pre-event sports massage is done to help prevent serious athletic injury. It helps to warm up the muscles, stretching them and making them flexible for optimal athletic performance. A pre-event massage stimulates the flow of blood and nutrients to the muscles, reduces muscle tension, loosens the muscles, and produces a feeling of psychological readiness.
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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A couple’s massage is a massage that you do with your partner, friend, or family member in the same room. It brings all the benefits of a regular massage and sometimes provides you with access to the spa’s hot tubs, saunas, and other facilities. Other treatments such as pedicures, facials, and body scrubs are sometimes offered as part of a package.

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An aromatherapy massage is a Swedish massage with scented plant oils (known as essential oils) added to the massage oil. Extracted from flowers and other plant parts, essential oils offer a pleasing scent and are believed to have healing properties. Lavender and rose, for instance, are known to promote relaxation. Although oils may be selected to address specific needs, the therapist typically uses pre-blended oils to relax, energize, or uplift. 

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Because reflexology is intended to normalize the body functions, the therapy does not cause a condition to worsen. Most patients find that pain diminishes over the course of the therapy. It has been noted, however, that some patients experience greater discomfort in the second session than in the first session, because a significant easing of pain and tension is generally associated with the initial therapy session. As a result, when pressure is reapplied to the tender points of the foot during the second session, the sensitivity has been heightened. This increase in sensitivity may cause minor additional discomfort for the patient.

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To put it bluntly, it’s not clear that massage has any musculoskeletal benefits at all. It probably does, but mostly quite temporary and highly unpredictable. There’s not nearly enough science, and therapists are hopelessly biased assessing their own efficacy. See Does Massage Therapy Work? A review of the science of massage therapy … such as it is. BACK TO TEXT

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Expect to work hard breaking into the sports environment. Get additional training and develop your expertise in orthopedic massage and functional assessment, clinical massage, myofascial work and stretching. Start by getting involved with your AMTA chapters’ Sports Massage Team; this provides excellent hands-on experience and each event looks great on a resume.

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Deep tissue massage is a therapeutic technique that relieves deep-seated muscle tension and soothes chronic tightness. During a deep tissue massage, a trained therapist delivers intense pressure through slow strokes and targeted fascial release. This technique is often used to treat repetitive-stress injuries, posture problems, and sports injuries.

Due to this techniques harsher pressure, there are certain individuals who should seek pain relief elsewhere. Deep Tissue massages can be dangerous for clients who have blood clots, as the pressure and movements might cause the clots to be dislodged. If you have had blood clots in the past, currently have blood clots or are at risk of forming blood clots, you should consult a doctor before pursuing a Deep Tissue massage. If you are currently recovering from recent surgery, chemotherapy, radiation or are suffering from osteoporosis you too should speak with a doctor before experimenting with Deep Tissue massages. As this is particularly high pressure massage, you should not allow rashes, wounds, tumors, hernias, etc. to be massaged directly. Expecting mothers should also avoid Deep Tissue massages; instead, ask your doctor about therapists that specialize in pregnancy massage techniques.

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The University of Maryland Medical Center reports that deep-tissue massage is more effective and affordable for relieving chronic pain than conventional medical remedies. Because deep-tissue massage increases the flow of blood through through the body, it helps reduce the inflammation that causes pain. Deep-tissue massage can also help alleviate muscle tension that is often a side effect of chronic pain by loosening the tight tissue clusters.
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In Malaysia, reflexology has been applied widely but without any certification and qualification from the Ministry of Health. Tighter control is needed to overcome this problem. Practitioners who conduct this therapy may not have the accurate knowledge about reflexology and may lead to any contraindication for certain conditions. The government should take serious enforcement about this practice among practitioners who are not certified. Each practitioner must have a proper training. The ministry of education could provide vocational training in the local community colleges throughout Malaysia to upgrade the skills and knowledge of reflexology practitioners.

Although there are many reflexology pressure points that can treat and alleviate common pregnancy ailments, there are some reflex points that, if pressed too hard, can induce labor. They are just inside your heel, the arch of your foot and between the big and second toes. These are all great reflex points to work on while in labor, but avoid them before your due date.

Headaches. Severe headaches and migraines are the second most common pain conditions in the U.S. (15 percent) according to the AAPM, and Everhart says that massage therapy can oftentimes help in these cases. The Migraine Relief Center (MRC) indicates that the reason this modality works is that it eases muscle spasms, improves blood flow and circulation, relieves tension, and increases relaxation. The MRC shares that it is also especially helpful when it comes to tension and vascular headaches.
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)
Although only one controlled trial of reflexology therapy, done in 1993, has been documented in medical journals, this therapy is practiced worldwide at different levels of medical care. In Russia, for example, only licensed physicians may legally perform reflexology treatment. In contrast, the practice is a commonplace homestyle remedy in the Netherlands. The Internet "Home of Reflexology" lists at least 66 professional organizations worldwide, including New Zealand and Malaysia. Associations include the following:
Reflexology is an alternative therapeutic treatment based on the idea that areas of the feet, hands, and ears are connected to other areas of the body. According to reflexology, pressure applied to the right reflex points can correct problems with correlating body parts, organs and ones. For instance, a point on the arch of the foot may correspond with liver function. When pressure is applied to the reflex point on the foot, it will improve the liver functioning.

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Reducing dislocated joints; stretching muscle cramps; warming up freezing hands and feet, or restoring circulation to a leg that has fallen asleep; and nearly anything that relieves awful pressure, like lancing boils and cysts or hematomas under toenails, or childbirth, or evacuation of impacted bowels — all very painful, but also very relieving. BACK TO TEXT

Studies have shown that reflexology can be very beneficial for pregnant women, particularly in terms of labor lengths and their need for analgesics during labor and postpartum recovery time. Beyond that, due to many of the health benefits already outlined above, it can reduce the chances of postpartum depression and can also help a woman’s body heal itself faster and get back to its normal metabolic activity quickly.

During most full-body massages the expectation is you’ll be undressed. Your massage therapist will ask you to undress for your massage while they wait outside. It’s up to you whether or not to keep your underwear on. Your massage therapist will drape a sheet over your body, which they will pull back and adjust as they work their way around. You will be covered most of the time.

Swedish massage uses five basic movements to increase circulation and remove toxins from the muscles. Always working towards the heart, the massage therapist incorporates these techniques into a flowing massage session that leaves the patient physically and emotionally relaxed. The trademark move is Effleurage, long gliding strokes that can be firm or soft, depending on purpose and client. Many therapists start out a session with Effleurage to familiarize themselves with the patient, and then start to bring more pressure to bear for deeper work.
We recently received an email from a representative of Modern Reflexology asking if they could advertise their website on ours and offering to pay. Of course, we don’t accept advertising. But I was puzzled as to why they approached us and what they thought was science-based about reflexology. I was intrigued enough to visit their website to learn what “modern” reflexology was all about. I learned about a lot of specific claims I hadn’t heard before, but I found no science whatsoever. By writing this article, I am in a sense giving them the advertising that they asked for; but it will be negative publicity, not positive. Old adage: Don’t wish too hard for what you want; you might get it.
Recovery. Therapeutic massage helps the body recover from the stresses of strenuous exercise, and facilitates the rebuilding phase of conditioning. The physiological benefits of massage include improved blood and lymph circulation, muscle relaxation, and general relaxation. These, in turn, lead to removal of waste products and better cell nutrition, normalization and greater elasticity of tissues, deactivation of trigger points, and faster healing of injuries. It all adds up to relief from soreness and stiffness, better flexibility, and less potential for future injury.
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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Just this past year, the journal Evidence-Based Complementary and Alternative Medicine showed that reflexology not only helped to reduce pain, improve nerve conductivity, and correct thermal and vibration sensitivity concerns, it improved glycemic control — this suggests that someday, perhaps soon, we may learn that this ancient healing art can help prevent or treat type 2 diabetes. (6)

The therapist might use Swedish massage to stimulate circulation of blood and lymph fluids, and trigger point therapy to break down adhesions (knots in the muscles), and stretching to increase the range of motion. Other techniques could include myofascial release, craniosacral therapy, lymphatic drainage and orthopedic assessment. The therapist should also have a good foundation in hydrotherapy modalities including cryotherapy and thermotherapy, which can help with recovery, repair and healing processes.

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Inter- and intra-event massage is given between events or in time-outs to help athletes recover from the preceding activity, and prepare for the activity coming up. It is also short, and focuses on the major muscles stressed in the activity. Inter- and intra-event massage is given between events or in time-outs to help athletes recover from the preceding activity, and prepare for the activity coming up. It is also short, and focuses on the major muscles stressed in the activity. 
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Flushing. If massage can “improve” any tissue — unknown — one way it might do it is through simple hydraulics: physically pumping tissue fluids around, and/or stimulating the circulation of blood and lymph. I won’t get into the evidence about it here. Suffice it to say that it might be true, and if it’s true then it may not much matter if the process is uncomfortable. While gentler massage may feel pleasant and satisfying, it is possible that more biological benefits can only be achieved hydraulically — whether it’s comfortable or not. This is even more plausible because of trigger points: it’s likely that the tissue fluids of a trigger point are quite polluted with waste metabolites, and the need for flushing is greater, but it’s especially uncomfortable to squish those polluted patches of tissue.


In broad terms, reflexology is intended to reduce generalized stress and help the body achieve a state of deep relaxation and homeostasis (that is, optimal balance of the body’s biochemical and other systems). Yet efficacy studies are few, and a 2009 systematic review of randomized controlled trials conducted by researchers at the Peninsula Medical School in Exeter, UK, concluded that “the best evidence available to date does not demonstrate convincingly that reflexology is an effective treatment for any medical condition.”
Your massage therapist will require you to fill out a health history form. Afterwards the therapist will begin by asking you general questions to establish what areas you would like worked on, if there are any conditions needing to be addressed and to determine if massage is appropriate for you. Your massage therapist may perform certain assessments and testing to evaluate your condition, and to see if you have any presenting complaints.
In 2015 the Australian Government's Department of Health published the results of a review of alternative therapies that sought to determine if any were suitable for being covered by health insurance; reflexology was one of 17 therapies evaluated for which no clear evidence of effectiveness was found.[5] Accordingly In 2017 the Australian government named reflexology as a practice that would not qualify for insurance subsidy, saying this step would "ensure taxpayer funds are expended appropriately and not directed to therapies lacking evidence".[6]

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Hepatic hematoma. Hepatic hematoma is a painful liver condition, which The New England Journal of Medicine says has been instigated by deep tissue massage. In this case, a 39-year-old woman received a deep tissue massage, which included the abdomen and right upper quadrant. Within 24 hours, she developed abdominal discomfort, nausea, and pain in her right shoulder. A large hematoma was found in her right hepactic lobe, causing the woman to feel nauseous and have a fever for the following six months.
Referred pain basically just makes trigger point stimulation feel bigger, more important. Press on a small spot … feel it down your entire arm. Wow! Impressive! Even though it’s just a thumb on a trigger point, it feels as though that “itch” is being scratched throughout an entire region. Referred pain amplifies the good pain effect — or the bad pain effect, if the pressure is too intense!

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Pregnant women should put their reflexology treatments on hold. "There are reflex points that can stimulate uterine contractions," says Colin. "You also don't want to do anything if the foot's already injured or unhappy," so recent foot surgery or plantar fasciitis flares are contraindications. He's also hesitant to work on anyone who isn't a candidate for traditional massage, such as those with blood-pressure issues.
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To understand this difference, it’s helpful to first think of the body’s fascia and muscles in layers. Notice in this image the many overlappinglayers of these tissues. Fascia is a connective tissue which permeates the entire body – literally holding the body together, wrapping around every muscle, nerve, organ, blood vessel, and bone. These wrappings are all interconnected in a three-dimensional maze. The muscle layers run superficial to deep in the body.

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Imagine there is a connection between zones of your feet and hands that represent certain areas of your body that can be adjusted or managed through these zones. A lot of the theory behind reflexology has to do with aligning your qi, but even for those who normally don’t invest much in this discipline, there are plenty of studies that have supported the claims of reflexologists.

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I am also a triathlon coach and personal trainer, so I mix and match my appointments every week in between massage sessions and coaching and training sessions with my clients. I typically have between five and eight massage sessions per day, four to five days per week. There are typically two sports massage sessions per day. Most massage sessions include corrective exercise review so the client knows what self-care they should perform.

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In Swedish massage, the person to be massaged lies on a massage table and is draped with a towel or sheet. It is a full-body massage treatment, except in areas that are contraindicated or where the client requests not to be touched. Aromatic or unscented oil or lotion is used to facilitate the massage movements. Each session usually lasts 30-60 minutes. Depending on the client's preferences, a massage session may involve the use of several or all of the following basic techniques: effleurage, petrissage, friction, vibration, and tapotement.

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Learn the fundamentals of reflexology. Reflexology is based on the premise that the nerves in your feet, hands and ears each correspond with other parts of your body. Applying pressure to certain reflex areas can relieve symptoms in other parts of the body.[1] Engaging a nerve in your big toe, for example, could reduce tension in your head and relieve a headache.[2] Applying pressure to your heel could aid in digestion. Reflexology has even been used to aid in treatment for serious conditions like cancer, diabetes and heart disease.[3] Research has shown that reflexology has four primary effects:

Reflexology (or foot reflexology) is a therapy based on the principle that there are small and specific areas of innervation in the hands and feet that correspond to specific muscle groups or organs of the body. In this system, the nerve endings in the extremities provide a “map” of the rest of the body. Examples are the base of the little toe representing the ear, or the ball of the foot representing the lung. Through the application of pressure on particular areas of the hands or feet, reflexology is said to promote benefits such as the relaxation of tension, improvement of circulation, and support of normalized function in the related area in the body.
John Staughton is a traveling writer, editor, and publisher who earned his English and Integrative Biology degrees from the University of Illinois in Champaign, Urbana (USA). He is the co-founder of a literary journal, Sheriff Nottingham, and calls the most beautiful places in the world his office. On a perpetual journey towards the idea of home, he uses words to educate, inspire, uplift and evolve.
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
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Swedish massage is focused primarily on the body and, therefore, is a more physical approach to relieving stress, aches, pains, and tension. One benefit of Swedish massage is its ability to relax the mind-brain connection—the mind being the energy and thoughts, and the brain being the physical matter. This is thought to contribute to a more balanced, stimulated, and integrated system. A healthy mind-brain connection may also help facilitate better physical health.

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