Couples massage takes place in a room that is, at the very least, large enough for two massage tables, which is the typical set-up in a day spa. On the other hand, resort and hotel spas often create elaborate environments where couples can not only have side-by-side spa treatments, but also take a bath together, get pedicures, spend time in a steam shower, or lounge by a fire after the treatment. 
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)

Reflexology is taught by means of a series of seminars, classes, and training films. Certification is earned after a six month program that includes 200 hours of training. The certification training breaks down as follows: 28 hours of preliminary seminar training; 14 hours of advanced seminar training; 58 hours of self-directed study; and 100 hours of practical experience, including administering reflexology to a minimum of 15 people.
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.

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.
A skilled therapist will tailor your session exactly as you need it based on your needs. As in all bodywork, the key to a gratifying experience is largely a function of good communication and clarification of objectives. We promise, we WANT you to speak up if there is anything we can do to make your session more comfortable so that you have a positive experience.

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A statistic has showed that there are more than 5000 registered reflexology centres in Malaysia. Currently, reflexology is a big industry in Malaysia with a huge unexploited potential for tourism and human capital, especially for disabled people. Owing to that, Ministry of Health has published the good practice guidelines for reflexology in 2011 to strengthen and govern its operations.2 Different use of reflexology and the effect of reflexology are listed below:

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According to the National Center for Complementary and Integrative Health (NCCIH), this includes individuals with bleeding disorders, low blood platelet counts, or those who are taking blood thinning medications. When these types of conditions are present, the NCCIH indicates that a sports massage with deep tissue work is generally not recommended.

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The best we can say is that there is some reason to believe that painful pressures on muscles might be therapeutic for some people some of the time. Pretty decisive, eh? This is why it drives me nutters that so many therapists insist that strong pressures are “essential” to achieve “a complete release.” It really isn’t possible to know! It really does depend! Why would anyone pretend to “know”?
When you are looking for massage therapy, be sure to check which type of massage a practitioner can provide. Match that with the benefits you hope to get from the massage session. You may want to chat with several different practitioners to find the one who understands your needs and is used to working with people with similar goals. Be sure also to discuss any allergies, such as to scents or plant oils, so your massage will be relaxing and beneficial without that concern.
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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.
Sports massage can be an interesting career choice for therapists who want to do it full time. Professional sports teams often have massage therapists on staff to keep athletes' bodies working at their very best. It helps to have a keen interest in anatomy and physiology, advanced training and experience in sports massage, an interest in sports, and a desire to work with athletes.
Another alarmingly common example is the sensation of skin tearing. This has been inflicted on me personally on at least three occasions, and not by poorly trained therapists — quite the opposite, the perpetrators were all well-trained massage therapists doing a kind of “fascial release” therapy that they clearly thought of as an “advanced” technique.7
People do have clear pressure preferences: they often fire massage therapists who give treatments that are too painful or too fluffy. Pressure that’s fine for you may cause severe pain, emotional distress, “sensory injury” (sensitization) in others, or even physical injury, so pressure should be customized but often isn’t. Brutal massages might be appreciated or even helpful, but most people can’t tell the difference between the kind of pain that might be a necessary part of therapy, and ugly pain that is just abusive and dangerous.

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Another study compared the effects of foot reflexology, simple massage, and conversation on 130 patients who had undergone abdominal gynecologic surgery under full anesthesia. The patients were asked how they felt, and data were recorded on general condition, pain intensity, movement of the bowels, urination, and sleep, from the day before the operation until until the tenth day afterward. Simple massage turned out to be a relaxing, positive experience, whereas foot reflexology had various effects, some of which were negative. The researchers concluded that foot reflexology is not effective in acute, abdominal postsurgical situations in gynecology and can occasionally trigger abdominal pain [15].

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Connective tissue stimulation. A lot of therapists are keen on stretching connective tissues — tendons, ligaments, and layers of Saran wrap-like tissue called “fascia.” I’m not a huge fan of this style, but certainly it’s a way of generating many potent and novel sensations, which may be inherently valuable to us — another form of touch. Although “improving” the fascia itself is implausible and unproven, perhaps fascial manipulations affect bodies indirectly, just as a sailboat is affected by pulling on its rigging. People have written whole books full of speculation along these lines. So, as long as the sensations are not like skin tearing (that’s an ugly pain for sure), you might choose to tolerate this kind of massage if it seems to be helping you.

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Some reflexologists who deny that they diagnose or treat disease claim that the majority of health problems are stress-related and that they can help people by relieving the "stress" associated with various diseases or body organs [1]. This type of double-talk is similar to chiropractic claims that "subluxations" lower resistance to disease and that "adjusting" the spine to correct subluxations will improve health. All ten of the books I have inspected mention scores of health problems that reflexology has supposedly helped.
The whole Swedish experience is also a potential stress reliever, which is a benefit unto itself. Plus, it can improve blood flow, delivering more oxygen to cells. A lesser-known benefit—moisturized, glowing skin—results from the application of massage oils. Many therapists prefer to use sweet almond oil because it absorbs slowly into the skin, yet doesn’t leave clients feeling like they’re covered in grease. Other favorite oils include grapeseed (non-greasy, no smell) and jojoba oil (easily absorbed, mixes well with aromatherapy oils).
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Swedish massage was invented by a Swedish fencing instructor named Per Henrik Ling in the 1830s. When he was injured in the elbows, he reportedly cured himself using tapping (percussion) strokes around the affected area. He later developed the technique currently known as Swedish massage. This technique was brought to the United States from Sweden by two brothers, Dr. Charles and Dr. George Taylor in the 1850s. The specific techniques used in Swedish massage involve the application of long gliding strokes, friction, and kneading and tapping movements on the soft tissues of the body. Sometimes passive or active joint movements are also used.
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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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!
While a reflexologist can address specific conditions of the body, they cannot and should not attempt to diagnose disease. In fact, Bill Flocco, the Director of the American Academy of Reflexology, says it can be dangerous to use reflexology to diagnose a condition (see Reference section). This is because the reflex points on the body may already be strained or sore, and they, therefore, won't give a clear read of the body. This breakdown in response can be a result of regular wear rather than an issue with the body system that the point corresponds to.

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.

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Thank you for explaining the difference between a deep tissue massage and a firm pressure massage. The place I go to offers different techniques and I have been wondering what the difference was between those two. Good to know that a deep tissue massage uses very little to no lubricant so the muscles can be hooked and grabbed. That one sounds like a really great option.
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:
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 absolutely a time and a place for DTM, the problem is that everyone has a different idea of what this means. Some therapists go after deep fascial layers, some therapists think this means trigger point work, and some just increase pressure as much as they can. If the client and therapist don’t have an open dialogue with clear instructions of when ‘enough is enough’, the client can experience a lot of discomfort and we don’t want that.


Manipulative approaches to naturally treating pain and other health problems have been utilized for over 3,000 years, dating back to Ancient Egyptian and Chinese civilizations. Pressure massages were used to improve “Qi” (life force or energy), detox the body and promote better liver function — which today can be explained through the process of activating the lymphatic system.
Massage techniques also include Petrissage, or kneading, which is designed to release toxins from the muscles by lifting, separating, and rolling them. Gentle pressure is used to compress and relax the tissue and enhance circulation. Another technique, Tapotement, involves tapping the muscles with a percussive stroke. The side of the hand, fingers, or palm may be used to release tension and cramping. Many therapists also incorporate vibration, a later technique, which involves the therapist centering his or her hands on the back of a limb and shaking them briskly for several seconds to release tension, encourage circulation, and help muscles to contract.

Reflexology has been chosen by most people to treat their body health problems because it offers high level of safety and effectiveness. It also offers natural treatment without consuming drugs and it is easy to use.1 Learning reflexology and its application is quite easy, there is no limitation for people to apply it anytime and anywhere.1 Its effectiveness in treating the root of some diseases may lead to many benefits in health concern such as it helps in easing day-to-day stresses and alleviates the effects from injury and illness.1 However, it is not used in diagnosing processes.11
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.

Diabetes: 6 points specified. One of them: “Place your fingers 2 centimeters below the knee, as shown in the picture. Massage this area with a little pressure for 5 minutes every day. It balances the digestive system. Diabetes is said to begin with stomach fire and proper digestion can reduce this problem. You will immediately see the result. This method is also used to prevent aging, arthritis and other forms of weaknesses.”

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The process of foot reflexology is not like other treatments. It is really very relaxing and soothing; in fact, you will get a really good sleep after having the treatment. In a typical treatment, the patient and therapist discuss about the therapy as to how they will go about it, what kind of stress does the patient have and where do they normally feel pain. Depending upon that, the therapist determines where to apply the pressure. Before and during the treatment, you do not need to do anything; you just have to relax on the sofa.

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@Gayle- At Athletico we do not bill insurance directly for Massage Services, unless they are a part of your Physical Therapy/Occupational Therapy treatment plan. On its own, Massage is fee-for-service. We would be more than happy to provide you with a receipt that you could use to submit for reimbursement. We have a Massage Therapist in Glenview and in Buffalo Grove- they are both awesome!
You're going to with a foot, you're going to press down just a little and come up and press down and come up, press down and come up. Now sometimes just wave the foot a little bit towards me and that will allow you to go a little deeper. As similarly, you could do finger walking. With finger walking I generally use it on the top of the foot. We could also use it on the sides of the foot. But generally not on the bottom plantar aspect. So, with that, you're just going to be doing the same kind of thing where you come down and come back up and back down again.
Reflexology practitioners and the professional association have advocated that reflexology is effective for general well-being maintenance and treatment of chronic diseases such as strokes, musculoskeletal disorders, and stress. Due to its soothing massage and non-drug complementary nature, reflexology is widely accepted by general public. Yet, numerous systematic reviews confirmed that strong evidence of the positive effects of reflexology postintervention are lacking despite plenty reported small-scale trial and anecdotal evidence of reflexology for some common ailments. Adequate training of practitioners and reflexology programme accreditation are to ensure correct and consistent services are provided.

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It is important to note that the reflexology group only received two months of treatment, whereas the ibuprofen group had two months. In addition to being “associated with more reduction of intensity and duration of menstrual pain in comparison with ibuprofen therapy,” it appeared that reflexology actually promotes healing and not just pain management.
Deep tissue massage is a massage technique that’s mainly used to treat musculoskeletal issues, such as strains and sports injuries. It involves applying sustained pressure using slow, deep strokes to target the inner layers of your muscles and connective tissues. This helps to break up scar tissue that forms following an injury and reduce tension in muscle and tissue.

The therapist may utilize some Swedish techniques to warm up the tissues (kneading, friction, percussion), softening the superficial layers so that he or she can access the deeper ones more easily. Then, with little or no lotion, the therapist utilizes the hard surfaces of their hands and arms — surfaces such as fingers, knuckles, forearms, and elbows — and employs a very slow, sustained type of stroke.
Reflexologists posit that the blockage of an energy field, invisible life force, or Qi, can prevent healing. Another tenet of reflexology is the belief that practitioners can relieve stress and pain in other parts of the body through the manipulation of the feet. One claimed explanation is that the pressure received in the feet may send signals that 'balance' the nervous system or release chemicals such as endorphins that reduce stress and pain. These hypotheses are rejected by the medical community, who cite a lack of scientific evidence and the well-tested germ theory of disease.[9]
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.”
Reflexology has a number of benefits. At its most basic level, it is a soothing experience that is helpful for stress-relief. If the specific reflex points are targeted correctly by a reflexologists, the benefits can be remarkable, including relief from migraines, circulatory and digestive issues, sinus problems and more. In general, any organ of the body with a correlating reflex point can be improved through regular reflexology treatments.
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.

On the contrary, foot reflexology is a practice that primarily focuses on reflex maps highlighting the body parts in the feet. This practice is also done using hands with micro movement techniques. The common technique in this kind of treatment includes finger or thumb walking. This treatment can be very relaxing for the entire body and is termed as a better version of a massage.


Most people feel very relaxed. Some experience freedom from long-term aches and pains developed from tension or repetitive activity. After an initial period of feeling slowed down, people often experience increased energy, heightened awareness, and greater productivity which can last for days. Since toxins are released from your soft tissues during a massage, it is recommended you drink plenty of water following your massage. Massage therapists sometimes recommend a hot Epsom salt bath that encourages the release of toxins that may have been stirred up from the massage treatment.

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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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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.
Bad pain. Bad pain comes with no obvious, immediate benefits. If there is anything good about it, there is no way to tell from the sensation at the time. Bad pains are usually sharp, burning, or hot. Such pain is usually caused by excessive but harmless pressure. As bad as it feels, it probably won’t hurt you — maybe a little bruising — but there’s also a good chance that it won’t be therapeutic either. The big question about bad pain is whether or not it is ever justified.

The pressure from Swedish massage is ideal for relieving muscle tension, like the kind that builds up from hunching over a computer all day. This tension can sometimes result in knots: trigger points of extremely tense muscle fibers that form tiny nodules. Massage therapists are trained to feel for these knots, and Swedish-massage techniques are ideal for gently coaxing them away.

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