Over time, deep-tissue massage therapy can help break up and eventually erase scar tissue in the body. It does this by improving lymphatic circulation and drainage to improve flexibility and range of motion in the affected area. Scar tissue is often associated with ongoing pain and stiffness, so deep-tissue massage can improve these symptoms. Massage therapy is often recommended for people who are recovering from surgery.
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.
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.
Deep tissue massages are often utilized following injuries to help break up newly forming scar tissue that can make recovery more difficult and lead to stiffness. Massage has been shown to help reduce inflammation and muscle spasms by stimulating blood flow, loosening up muscles to allow for more oxygen and also helping reduce the nervous system’s automatic stress response.

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.


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.

Upon entering the suite, you are surrounded by aromatic therapy that will envelop you in a sense of relaxation. Our aphrodisiac oil will stimulate your sensuality and feeling of togetherness that will enhance your spiritual connection. A couple’s massage is a wonderfully relaxing, personal experience. During the session, two people receive massages at the same time and in the same room from two different therapists.

Massage therapy is also being investigated as an aide to patients with more neuromuscular disorders, such as multiple sclerosis (MS). A Iranian 2013 study published in Clinical Rehabilitation looked at 48 individuals with MS who participated in a five-week massage experiment. They were assigned to one of four groups: massage therapy, exercise therapy, combined massage-exercise therapy and control group.
PS Ingraham. Central Sensitization in Chronic Pain: Pain itself can change how pain works, resulting in more pain with less provocation. PainScience.com. 5428 words. Pain itself often modifies the way the central nervous system works, so that a patient actually becomes more sensitive and gets more pain with less provocation. This is called “central sensitization.” (And there’s peripheral sensitization too.) Sensitized patients are not only more sensitive to things that should hurt, but also to ordinary touch and pressure as well. Their pain also “echoes,” fading more slowly than in other people. BACK TO TEXT
Most sports massage therapists will wear a white coat or uniform. This projects a professional image. It will also prevent unsightly oil stains on clothes. When you are referred to a massage therapist by a doctor or other qualified person then you should expect their instructions to be carried out to the letter and not added to or altered by the massage therapist.

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Deep tissue and trigger point massages are very similar. The difference is that deep tissue massage uses various traditional massage techniques to work the tissue, whereas trigger point massage is literally looking to manipulate or press on that one point that relieves tension in an entire area (perhaps not even nearby). For both, consider this contraption, which is an invaluable tool for torturing soothing sore muscles all over your body. This is a great guide on doing trigger point therapy for yourself.

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The literature on reflexology is only beginning to emerge since early 1990. Several methodological shortcomings in the previous studies of reflexology safety and efficacy are worth mentioning. Firstly, the number and the methods of reflexology treatment given are not standardized. Furthermore, most studies have small sample size (around 20 participants).

Each type of sports massage uses different massage techniques. Effleurage is a light stroking that can be performed with the palms or the thumbs. The pressure and speed is varied depending on the muscle and the desired result. Effleurage increases blood flow to the muscle. Petrissage is a form of two-handed kneading in which both hands pick up the muscle and compress it. This technique loosens tight bunches of muscles. Percussive strokes are blows or strikes on the muscle, often performed with the little fingers. They are used to tone the muscles. Cupping involves percussing or striking the muscles with cupped hands. It stimulates the skin and causes muscle contractions that help tone the muscles. There are variations on all these strokes, such as deep cross-fiber friction to separate muscle fibers and break down scar tissue, and jostling to relieve muscle tension. A good sports massage therapist will combine techniques to achieve the maximum desired result. Sports massage sessions generally last 30-60 minutes.

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As a Reflexologist works each reflex, it triggers a release of stress and tension in the corresponding area or body zone, as well as an overall relaxation response. The release of tension unblocks nerve impulses and improves the blood supply to all parts of the body. Because reflexology works from the inside, it also has a balancing effect on each gland, organ and body region. . . ." [10]


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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Swedish and deep tissue massages are very similar. The primary difference is the level of pressure involved. If you’re looking for relaxation and relief from tense, tight muscles, Swedish massage is probably right for you. If you’re recovering from an injury, deep tissue massage can be a helpful part of your treatment plan. Feel free to ask questions before you book a massage and to communicate feedback to your therapist during a massage.

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The significant difference in the two approaches is their effect on these layers. A Swedish technique uses lubricant to glide over the layers – whether that be on a superficial layer (light pressure) or a deeper layer (firm pressure). There may also be kneading of the muscles, vibration or percussion to stimulate the muscles, and passive and/or active joint movements. All of these techniques serve to increase circulation of blood and lymph, soften and relax the tissues, reduce cortisol levels in the body (the stress hormone), and provide a generalized sense of relaxation for the client.
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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Chronic back pain. The American Academy of Pain Medicine (AAPM) reports that 100 million Americans suffer from chronic pain, with is more than those afflicted with diabetes, coronary heart disease, stroke, and cancer combined. Additionally, back pain is the most common type of pain reported, accounting for 27 percent of all chronic pain cases. It is also the leading cause of disability in Americans who are 45-years-old or younger. Research has found that deep tissue massage can potentially help ease this pain, offering these individuals a chance at a higher quality of life.
Stroking in smooth movements, kneading to loosen muscles, rubbing or friction with the practitioner using both hands back and forth in opposite directions, and striking (tapping or chopping the body with fingers or hands) are all used in combination. These movements help relax the body, increase circulation, and improve drainage in the lymphatic system.
Aspects of sports massage therapy are gaining popularity as useful components in a balanced training regimen. Sports massage therapy can be used as a means to enhance pre-event preparation and reduce recovery time for maximum performance during training or after an event. Athletes have discovered that specially designed sports massage promotes flexibility, reduces fatigue, improves endurance, helps prevent injuries and prepares their body and mind for optimal performance.
Reflexology is a therapeutic method of relieving pain by stimulating predefined pressure points on the feet and hands. This controlled pressure alleviates the source of the discomfort. In the absence of any particular malady or abnormality, reflexology may be as effective for promoting good health and for preventing illness as it may be for relieving symptoms of stress, injury, and illness.

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In this particular study, published in Studies in Health Technology and Informatics, therapeutic massage included techniques of tapping and friction, while DTM used “oblique pressure and a combination of lengthening and cross-fiber strokes.” All sessions were 30 minutes long and preformed daily, and all participants did not receive any other treatments during the course of the study. After 10 days, participants treated with DTM reported significant improvements in pain (lower back pain in this case) compared to those treated with therapeutic massage, based on scores using the Modified Oswestry Low Back Pain Disability Index, Quebec Back Pain Disability Scale and Visual Analog Scales. (4)

Some possible justifications for painfully intense massage (these aren’t endorsements) include the destruction of motor end plates to “de-activate” trigger points; somatoemotional release (pain often strongly “resonates” with strong emotions like grief); moving tissue fluids; or just creating a strong, novel sensory experiences (which may have many subtle benefits).
PS Ingraham. Central Sensitization in Chronic Pain: Pain itself can change how pain works, resulting in more pain with less provocation. PainScience.com. 5428 words. Pain itself often modifies the way the central nervous system works, so that a patient actually becomes more sensitive and gets more pain with less provocation. This is called “central sensitization.” (And there’s peripheral sensitization too.) Sensitized patients are not only more sensitive to things that should hurt, but also to ordinary touch and pressure as well. Their pain also “echoes,” fading more slowly than in other people. BACK TO TEXT
No one really knows how a painful massage can also feel so good at the same time. This is a sensory phenomenon mostly beyond the reach of science — not entirely14 — all we can do is speculate. A main question is whether good pain is good because we expect relief to follow pain, or because positive and negative qualities are being produced simultaneously. My bet is on the latter.
For the past hour, Dewa has been pinching me (hard!) between my toes, a reflexology thing, and kneading my flesh to coax the Kundalini energy up from the base of my spine through my chakras. — Alex Postman, Condé Nast Traveler, "Finding the Bali You Came For," 16 Nov. 2018 Services that will be offered are manicures, pedicures, chair massage, facials and reflexology. — Courant Community, "Community News For The Stafford Edition," 8 May 2018 The 90-minute Mindful Massage is designed to be clarifying and deeply relaxing, incorporating a scalp massage with warm rose quartz crystals, breathing and visualization techniques, foot reflexology, and, of course, a full body massage. — Natalie B. Compton, GQ, "Spring Clean Your Winter Bod at These Wellness-Focused Luxe Hotels," 29 Mar. 2018 This winter, neighbors are still fundraising to complete the park, which will include a reflexology path. — Beth Nordlund, Anchorage Daily News, "From off-leash dogs to reflexology paths, neighbors have plans for Anchorage parks," 31 Jan. 2018 Afterward, soothe aching muscles at Aura Spa on Main Street, which offers everything from balancing hot-stone massages to reflexology. — Christina Pérez, Vogue, "A Weekend in Park City, Utah: Where to Eat, Stay, and Play During Sundance," 18 Jan. 2018 The Exhale Spa offers reflexology and Thai stretching. — Condé Nast Traveler, "Gansevoort Turks + Caicos," 20 Oct. 2017 Her little baby… is just, like, sleeping while knitting… and her toddler is like giving her a reflexology massage. — Lisa Przystup, Harper's BAZAAR, "The Rise of Picture-Perfect Motherhood," 27 Sep. 2017 His offerings of Chinese herbs to build my immune system, a referral for reflexology for hormonal balance and relaxation, meditation, and dietary changes — all felt good. — Author: Mary Katzke, Alaska Dispatch News, "Cancer survivor testifies to the ways of healing," 23 Sep. 2017
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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“Resonate” in this context means that physical pain may transmogrify into emotional pain and vice versa. Emotional and physical pain readily create and reinforce each other. I assume that catharsis is inherently valuable, and I think that’s a fairly safe assumption. I discuss the relationship between pain and emotions in from many angles in several articles, like Pain is Weird, Pain Relief from Personal Growth, The Anatomy of Vitality, Why Do We Get Sick?, The Art of Bioenergetic Breathing, Insomnia Until it Hurts, and Anxiety & Chronic Pain. Whether catharsis is medically helpful for pain obviously depends on many factors, but it’s certainly possible — just as they can reinforce each other, relief from one may also be coupled to relief from the other. BACK TO TEXT
Reflexology is an ancient art. The precise date of origination is unknown, but there is evidence that it was a common healing treatment practiced 5,000 years ago in ancient Asian and Middle Eastern cultures. Reflexology is coming back in vogue and is the top alternative medical treatment in Denmark, where it is incorporated into employee health programs (see Reference section).
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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Deep-tissue massage can be an effective treatment for injured muscles. Because it facilitates the movement of toxins from the muscles and helps stretch tight or twisted muscle mass, deep-tissue massage can help promote healing. Because massage also helps relax muscles, it can reduce the pain caused by injuries, too. Deep-tissue massage is frequently used to rehabilitate sports injuries.
Swedish massage helps the body heal itself by physically manipulating and stimulating the body’s circulatory and lymphatic systems. This works to energize and help eliminate toxins in the body. Also, through Swedish massage, a high level of relaxation can often be achieved, and this relaxation can help prepare the body to act as an open, receptive vessel in which healing can more rapidly occur.
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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Reflexology is an alternative treatment for a variety of conditions and has been in use for thousands of years. The ancient Chinese and Egyptians have documented practices similar to reflexology as a treatment for certain afflictions. It involves the reflexologist applying pressure to specific areas in the hands, feet, and ears that affect certain reflex areas of the body.
Reflexology is a therapeutic method of relieving pain by stimulating predefined pressure points on the feet and hands. This controlled pressure alleviates the source of the discomfort. In the absence of any particular malady or abnormality, reflexology may be as effective for promoting good health and for preventing illness as it may be for relieving symptoms of stress, injury, and illness.

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Massage therapists who have received specialized training and are certified in prenatal massage know how to position and support the woman's body during the massage, modify techniques, and avoid certain areas and techniques during pregnancy. Most will have a special table that allows the woman to rest comfortably and safely during the massage. Ideally, you should seek out a practitioner who is experienced and licensed in prenatal massage.

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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The recently increased demand for evidence-based practice challenges the researchers to provide a relevant but holistic assessment of reflexology. Despite the recent vast use of reflexology, minimal attention has been given to the ethical issues related to the research on reflexology. In the view of public health and safety, we argue that the research on reflexology should adhere to the same ethical requirements for all clinical research.
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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This modality was first developed by a Swedish doctor, Dr. Per Henrik Ling, though it possesses more than just Swedish influence. With techniques borrowed from several countries, including China, Egypt, Greece and more, Swedish massage is worldly in nature and combines many practices to create a massage experience that has become popular for good reason. Swedish massage is very therapeutic and very relaxing.
Another theory that may also explain how reflexology can produce pain relief is the gate control theory, or, more recently, the neuromatrix theory of pain. This theory suggests that pain is a subjective experience created by your brain. The brain does this in response to the sensory experience of pain, but it can also work independently of sensory input and create pain in response to emotional or cognitive factors. Thus things that influence the brain, such as your mood or external factors like stress can also affect your experience of pain. According to this theory, reflexology may reduce pain by reducing stress and improving mood.

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Learn about qi and other conceptsAnother theory that may also explain how reflexology can produce pain relief is the gate control theory, or, more recently, the neuromatrix theory of pain. This theory suggests that pain is a subjective experience created by your brain. The brain does this in response to the sensory experience of pain, but it can also work independently of sensory input and create pain in response to emotional or cognitive factors. Thus things that influence the brain, such as your mood or external factors like stress can also affect your experience of pain. According to this theory, reflexology may reduce pain by reducing stress and improving mood.

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Most sports massage therapists will wear a white coat or uniform. This projects a professional image. It will also prevent unsightly oil stains on clothes. When you are referred to a massage therapist by a doctor or other qualified person then you should expect their instructions to be carried out to the letter and not added to or altered by the massage therapist.

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Typically, sports massage therapists hold a certification and maintain licensure. A good option is to become board certified through the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) and have an active membership with an association, like AMTA, to keep up to date with industry trends. Exact requirements depend upon the state in which the sports massage therapist practices.


Good pain. In massage, there is a curious phenomenon widely known as “good pain.” It arises from a sensory contradiction between the sensitivity to pressure and the “instinctive” sense that the pressure is also a source of relief. So pressure can be an intense sensation that just feels right somehow. It’s strong, but it’s welcome. Good pains are usually dull and aching, and are often described as a “sweet” aching. The best good pain may be such a relief that “pain” isn’t even really the right word.

The deepest work in Swedish massage is accomplished with friction, where the therapist works deep into the muscles with the fingers, elbow, or base of the palm. Using circular movements, the therapist works deeply into the muscle, especially in bony areas, to release adhesions that can restrict movement. Friction helps the client to be more flexible, and it also releases deep seated muscle tension.

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For me, the opportunity to work with individuals who have such an awareness of their bodies is exceptional. You and the athlete are a team. Locating an area of dysfunction, aiding in the relief or facilitating improvement in the area, then watching the athlete go out and perform well is uplifting. The environment is charged. What’s more, learning from health care professionals while teaching them how massage fits into overall health and wellness is just plain awesome! 
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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The information on this website has not been evaluated by the Food & Drug Administration or any other medical body. We do not aim to diagnose, treat, cure or prevent any illness or disease. Information is shared for educational purposes only. You must consult your doctor before acting on any content on this website, especially if you are pregnant, nursing, taking medication or have a medical condition.
When the Physiotherapist, Eunice Ingham first began mapping the entire bodily organs onto the feet, in the 1930's, little did she realise that it would be the beginning of such a revolution in healing therapy. From that time on, it has been confirmed that by using pressure on the various points on the feet, along with massage, an improvement in both illness and ailment could be witnessed.
There is no doubt that all of us get tired and exhausted after a long day at work. No matter what kind of job you do, you do get weary at the end of the day. How about getting a massage or a foot rub to help you relax? Sounds good, doesn’t it? After all, this can be one of the best activities to distress oneself. We often see people go for foot reflexology as it refreshes them and makes them energized as this is a very relaxing therapy for the feet.
When travelling with USA Swimming, a typical day for Olympic Trials, which is a 10-day trip, usually looks like the following: Arrive at pool by 9 a.m. to start 20-minute massage sessions for athletes. Break from 1:30 to 3 p.m. for lunch and return to pool by 4 p.m. for finals at 6 to 8:30 p.m. Massage athletes after finals at pool from 8:30 to 10 p.m.

Deep Tissue massage is much more muscle-tissue focused. Specifically for pain relief, deep tissue massages are characterized by much deeper pressure. They’re great for removing knots and breaking up scar tissue, making them a favorite of athletes, as well as those who do manual labor like heavy lifting, farming or repair work. Unlike the Swedish massage that just works on the top layer of muscle, a deep tissue massage works through to get to the deeper layers of muscle tissue.

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Deep-tissue massage helps ease stress and tension, which can have a beneficial effect on blood pressure. People who had a deep-tissue massage saw their systolic pressure drop by an average of 10.4 mm Hg and their diastolic pressure drop an average 5.3 mm Hg, according to a study cited by the University of Maryland Medical Center. Deep-tissue massage can help increase the body's production of serotonin, the hormone that promotes happiness and good feelings.
Like having your feet worked on? The therapist uses finger pressure and techniques such as kneading and rubbing to promote relaxation and healing in the body. Reflexology is based on "reflex areas" on the hands and feet, whose energy is believed to be connected to organs and other body parts. By applying pressure to the reflex points, the reflexologist can balance your nervous system and stimulate endorphins, the body's natural pleasure response, which reduces stress and discomfort.

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Swedish massage is rooted in Western practices of anatomy and physiology. To perform this type of massage, licensed therapists apply an arsenal of pressure styles that include stroking, kneading, striking, rubbing, and vibrations. Using massage oil to help their strokes glide, they focus the pressure along the muscles that run the length of the body.
As the name suggests, deep tissue massage applies deep pressure onto specific trouble points. It feels very much like someone is torturing you on purpose by pushing into your knotted muscle, and the massage can leave you feeling sore. It's not just more pressure all over your body, however (which would be true torture), it's very specific, methodical treatment. As Moyer Wellness explains:
Again, if somebody is you know, really anxious or feeling stressed out, that diaphragm line, the solar plexus point, which is right here, and the adrenal gland reflex are really powerful. And the last point is the press and slide with Dr. Manzanares. This is if you really want to get deep and you don't want to miss any points within there. So you're going to actually press down, you lean in, and you just slide a little bit and check in with your person, make sure you're not hurting them. You know, you want to kind of kick into it a place of parasympathetic, you know, relaxation. If you go beyond that, it's not serve going to them. So, again you press in and then you go up. Press in and slide and there will be continual pressure.

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You've probably seen these strange contraptions at conventions, the mall, nail parlors, and maybe even your office. Chair massages have you sitting face forward in a chair so the therapist can massage mostly your neck, shoulders, and back. The good thing is you don't have to take off your clothes or have oils slathered all over you. The bad thing is you don't get a thorough whole-body massage as you do with other methods, and, since this is often done in public places, it can be very distracting and not as relaxing. Depending on the massage therapist, however, a chair massage can really get the tension out of your upper body.
Certain massage therapists have specialized training in techniques that help treat people with injuries, inflammation, tears and limitations. Although more than one massage session is usually needed to provide relief and see improvements in pain, well-trained therapists can usually recommend practices or stretches for you to try at home that can further help improve healing.
Cancer. Used as a complement to traditional, Western medicine, massage can promote relaxation and reduce cancer symptoms or side effects of treatment. It may help reduce pain, swelling, fatigue, nausea, or depression, for example, or improve the function of your immune system. However, there are specific areas that a massage therapist should avoid in a cancer patient, as well as times when massage should be avoided altogether. Talk to your doctor before getting massage therapy if you have cancer.

Stroke is the condition where the blood supply to the brain is interrupted because of some reasons that may cause many health problems.27 It usually occurs due to blood vessels ruptures. Many patients have tried reflexology as the alternative therapy in order to recover from strokes. The practitioners believe that pressure that they exerted on a particular point on reflex areas may induce a positive outcome and physical changes to the body.28

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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.

Thank you so much for your article The Pressure Question in Massage Therapy. I just read it all. I went for a sports massage two weeks ago as I was recommended to have one as it was suggested it might help with tight calves, a side effect of some other injuries I have. I’ve been for sports massages many, many times before over the years. This one was one of the most painful experiences of my life — when I got home I was almost sick and felt in shock. My right achilles tendon was raging and it’s been bad ever since. It hurt so much when it was done (like someone was sticking knives in) and I kept asking if it was meant to hurt. I wish I’d just stopped the session or objected but I didn’t. It used to be a bad injury that affected me walking for about 6 months so I’m just devastated about this. I can hardly bear to put shoes on and its all this time on. I know there are good practitioners out there but experiences like this just make me want to stay away. I wish I’d gone to a “gentle” one.


In this particular study, published in Studies in Health Technology and Informatics, therapeutic massage included techniques of tapping and friction, while DTM used “oblique pressure and a combination of lengthening and cross-fiber strokes.” All sessions were 30 minutes long and preformed daily, and all participants did not receive any other treatments during the course of the study. After 10 days, participants treated with DTM reported significant improvements in pain (lower back pain in this case) compared to those treated with therapeutic massage, based on scores using the Modified Oswestry Low Back Pain Disability Index, Quebec Back Pain Disability Scale and Visual Analog Scales. (4)
Currently, the learning centre which provides training for reflexology is very limited. Normally anyone interested to learn reflexology will learn about reflexology through apprenticeship. Recently, Stella In, a local Malaysia training centre offers certification of training in reflexology. This institute was established by the Ministry of Tourism Malaysia as one of the centres of excellent which offers spa therapy training, specifically for Malaysian, with full job guarantee at any officially approved spa organizations. This institute offers certified qualification of national/international diploma in reflexology foot massage course. Learning about the body zones, feet reflexes, and reflexology techniques which can improve blood circulation, removal of toxins from body, and help to increase the energy level are offered in this course. The teaching techniques include theory and practical.14
Integrative Reflexology is defined as “massage therapy-based reflexology, practiced as both energy work and bodywork.” Integrative reflexology is an holistic discipline which uses the therapist’s hands to apply alternating and firm pressure to stimulate physiological changes in the body. The therapist activates the zone reflex points and meridian points to create beneficial responses in the nervous, electrical and chemical systems of the body. Integrative Reflexology allows the body to relax by releasing tension and improving blood flow. It helps the body to adjust to its own healthy balance.
Typically, sports massage therapists hold a certification and maintain licensure. A good option is to become board certified through the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) and have an active membership with an association, like AMTA, to keep up to date with industry trends. Exact requirements depend upon the state in which the sports massage therapist practices.

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Find the right massage therapist. Look for a therapist who specifically identifies the massage type you’re interested in as part of their practice and background. If necessary, look for someone trained to treat a particular condition, such as sports injuries, fibromyalgia, arthritis, or pregnancy. Also check if the therapist is licensed or certified according to state requirements.


Several mechanisms for deep massage’s natural stress-relieving effects include its ability to dilate blood vessels and also lower activity of the limbic system (including the hypothalamus), which is responsible for autonomic nervous system regulation and cortisol secretion. Massage has been shown to improve relaxation by boosting activity of the parasympathetic nervous system, as measured by heart rate, blood pressure and heart rate variability. (8, 9)
Phussapa Thai Massage School also offers reflexology training course. The educational systems available for this course are basically the theory, practice, and examination. This institution has the authorization from Thai Ministry of Education. The main curriculum included in this course is the general subject of reflexology such as the history of foot massage, basic knowledge of reflexology map, safe and proper foot massage, necessary equipment, and advice after session. For the practice session, a full session of one-hour foot massage and cool down massage is taught. The examination will be in written and practice format. After the completion of whole school course, the certificate will be issued.22

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The price of a couples massage depends on the spa, the amount of time, and the amenities. Generally, it is the cost of a regular massage, times two. Sometimes you can add on private time. For instance, Aspira the Spa at The Osthoff Resort in Wisconsin offers couples massage at $135 per person for 50-minutes. Couples can enjoy an additional hour of time alone together in the spacious suite, equipped with a master shower, whirlpool bath, stone fireplace, and sofa, for $50 per person. At some spas, the package might include private time and amenities like Champagne, which sends the price higher.
Like having your feet worked on? The therapist uses finger pressure and techniques such as kneading and rubbing to promote relaxation and healing in the body. Reflexology is based on "reflex areas" on the hands and feet, whose energy is believed to be connected to organs and other body parts. By applying pressure to the reflex points, the reflexologist can balance your nervous system and stimulate endorphins, the body's natural pleasure response, which reduces stress and discomfort.

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