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.
For starters, you bear in mind the things described above that tend to cause ugly pain, and you avoid that kind of therapy like the plague. Then you look for some clues that painful pressure is okay. Here are at least three reasons why unpleasantly intense pressure might be therapeutic — “bad pain,” but not ugly. In each of these situations, it might be acceptable to tolerate sensations so intense and painful that the only thing about them that is pleasant is the part where it stops.

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While the majority of people tend to get professional reflexology sessions for their feet, the hands can be just as effective. In the self-help reflexology segment I did on the show, I explained what to look for on your palms to get to know your own body better. Here’s a recap for you to try for yourself. Of course, this is not a substitute for medical care; always be sure to consult with the appropriate health practitioner in case of any medical condition.

Research published in the Journal of Sports Medicine and Physical Fitness reported findings of a positive trend for deep tissue massages in regard to improved athletic recovery and performance. The most beneficial type of deep tissue massage for athletes is considered to be “sports massage,” which is commonly performed prior to athletic events to help warm the body and prevent injuries or immediately after to improve recovery.

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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.
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In addition, while the research remains inconclusive, many massage therapists feel that their techniques can lead to the release of toxins into your bloodstream. Because of this, it's commonly recommended that people receiving a massage drink a lot of water for the remainder of the day to help their liver and pancreas process any excess toxins. Doing so may help you avoid feeling nauseous, fatigued or excessively sore afterward.
No, because most therapists will customize the pressure of their strokes to suit your requests. According to Shannon Merten, a licensed massage therapist we interviewed about massage etiquette, communication is key. “I would rather my clients leave happy and satisfied than not, so if [the therapist] is doing something that is not enjoyable, a good ‘that’s a little too much pressure’ or ‘that area is too sensitive to be worked on’ should get you satisfying results,” she says.

Deep tissue massage is best suited for people who engage in highly physical activities, such as running, or those who have an injury or chronic pain. If you have a low pain threshold or are looking for relief of tense muscles, Swedish massage is gentler and may be a better option. Speak to your doctor before trying deep tissue massage if you have an underlying medical condition.

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Research published in the Journal of Sports Medicine and Physical Fitness reported findings of a positive trend for deep tissue massages in regard to improved athletic recovery and performance. The most beneficial type of deep tissue massage for athletes is considered to be “sports massage,” which is commonly performed prior to athletic events to help warm the body and prevent injuries or immediately after to improve recovery.
The foundation course provides the student with comprehensive training to begin working as a Professional Reflexologist. Dedicated students wishing to extend their skills are recommended to continue their studies with our Advanced Reflexology course. The advanced course will expand your knowledge in the specialised areas of this truly effective therapy. 

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Previous research has showed that reflexology can reduce the peripheral neuropathy of a patient who suffers from type 2 diabetes mellitus.31 76 patients ranged from 40–79 years old were listed from public health centres in Busan City. Tactile response to monofilament and intensity of the symptoms of peripheral neuropathy were used as the variable outcomes in this study. Tingling sensation and pain were reduced and tactile was more sensitive to 10 g force monofilament.32 The author added that the reflexology can be used as one of the interventions for encouraging foot care in patients who have diabetes mellitus.32 It also can be measured based on glycaemic control and nerve conductivity which show improvement with reflexology.31
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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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Today’s world consisting of split second updates, hair pinned turning points and race for the deadline proposals is sure to raise the competitive spirit in us all. Being alert, focused, and ready at all times is the edge that each of us long to maintain. With societies increased demand on both time and efficiency, On-site Sports Massage is the edge you are looking for.

Consider making an appointment with a reflexologist. Meeting with a person who has been certified in the art of reflexology is a good way to introduce yourself to the practice. He or she will be able to show you the finger "walking" techniques used to apply pressure to specific points on the hands, feet and ears to relieve stress and pain in other parts of the body.[5]
Designed to relieve tension and stress put on a mother's body during pregnancy, the Mother-to-Be massage aids in diminished hip and back pain and improved circulation. Enjoy the ease of a side-lying position for the ultimate in comfort. Note: This massage cannot be performed during the first trimester or for those experiencing a high-risk pregnancy.
No, there are several medical conditions that would make massage inappropriate. That’s why it is necessary that you fill out the health history forms and before you begin your session. The massage therapist will ask general health questions to rule out if you have any contraindications to massage. It is very important that you inform the practitioner of any health problems or medications you are taking. If you are under a doctor’s care, it is strongly advised that you receive a written recommendation for massage prior to any session. Your massage therapist may require a recommendation or approval from your doctor.

Hydration is key to a good deep tissue massage. Drink plenty of water at least two hours before you arrive. You should also drink water after your massage to flush out the toxins from your body. The massage breaks up the toxins in your muscles, and now they’re ready to exit the body. If you don’t drink enough water, then the toxins will find a new home in another part of your body, and the effectiveness of the massage will be limited.

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So what should runners book instead? Anna Gammal, a massage therapist who works with elite runners at the Boston Marathon each year and also massaged athletes at the 2004 and 2012 Olympics, recommends either a sports massage (i.e. targeted therapeutic treatment for the unique physical and biomechanical needs of athletes) or a myofascial release massage (i.e. the application of gentle, sustained pressure on soft tissue restrictions). Both specifically target muscle release and will help improve flexibility, reduce pain and increase range of motion.

Post-event massage is usually given 1–2 hours after the competition is over in order to give dilated blood vessels a chance to return to their normal condition. Post-event massage is light and gentle in order not to damage already stressed muscles. The goal is to speed up removal of toxic waste products and reduce swelling. Very light effleurage will decrease swelling while light petrissage will help clear away toxins and relieve tense, stiff muscles. Post-event massage can be self-administered on some parts of the body, such as the legs.
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. 

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Hi, my name is Renee French and I'm here at Practical Massage Therapy in Nashville, Tennessee, and I'm going to be talking about massage therapy. Swedish massage is the most commonly offered technique of massage therapy, and it's usually the basis of most of the massages that you will receive in the United States. It involves the use of 5 strokes that include long gliding strokes, kneading, tapping, friction, and vibration. So Swedish massage is one of the basic techniques that most massage therapists will use to build other techniques on. There are lots of things, different combinations that you can use on the body. With the cross-fiber friction, you can get some nice warming of the muscles, and getting the connective tissue to start to release. With the long gliding strokes, you can apply the massage oil and the cream, and that's also really great for warming up the muscles. And kind of getting that person in a relaxed state to start receiving massage, and to get their breathing nice and even flowing. It's a nice technique for opening and closing the massage. You can the end the massage. And one of my favorite things to do is to end the massage with the tapping. And it's kind of like a percussion drumming on the belly of the muscle. Kind of the thicker part of the muscle. you want to make sure and stay away from the bones, as this could be really uncomfortable. But if you do some tapping on the muscles, it can just really get the muscles to release any tension that might still be kind of stuck in the muscle tissue.
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.
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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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.
The massage types above are some of the most popular massages you can get, but there are many others. Regardless of the type of massage you opt for, be sure to tell your therapist which areas you especially need work on, whether you have any health issues, and, during the massage, how the pressure feels. When you find a therapist you like, you might want to book a standing appointment with him or her for pain and stress relief all year long.
An author found that a patient who afflict multiple sclerosis and choose reflexology as the complementary treatment for a period of time had notable symptom relief. It is measured by considering urinary symptoms, parenthesis, spasticity, and muscle strength as the parameters. All parameters showed a remarkable improvement except for muscle strength.30
Sports massage is a good option if you have a repetitive use injury to a muscle, such as what you may get from playing a sport. It’s also a good option if you’re prone to injuries because it can be used to help prevent sports injuries. You may also use sports massage to increase flexibility and performance. Additionally, sports massage can be used to relieve pain, anxiety, and muscle tension.
This is a romantic escape for couples wishing privacy and to enjoy each other’s company in a seductive atmosphere. When you are in the couple’s suite, on side-by-side tables, two therapists will provide massages simultaneously in pure awareness of the energy surrounding you. Guests may use the session to communicate and chat or they may simply relax and enjoy their shared experience in comfortable silence.

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Thai massage works your entire body. It's one of the most invigorating types of massages, as the therapist rigorously manipulates your body, moving it into yoga-like stretches. (It's sometimes referred to as "Yoga for the lazy".) The therapist uses every part of his or her body—hands, knees, legs, and feet—to not only stretch you but also apply pressure on your muscles and loosen your joints. You might even get walked on! This type of massage is both energizing and, at times, relaxing.
Speaking of matching, our service path, The Elements Way®, means that Elements Massage™ studios will match each of you with the massage therapist that can best deliver a great massage based on the needs and requests you provide. During the session, each therapist will check in with each of you to make sure the massage session is exactly what you want.
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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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)

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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.
Deep Tissue is a very specific massage treatment in which the therapist uses knuckles and elbow's to "strip out" muscle tissue as far down to the bone as possible. Sound invasive? It is! It is definitely not for everyone. However there are millions of people out there that would never have their treatment any other way. This modality can be helpful to the following people: athletes who are considerably harder on their bodies than the average person, people who are undergoing physical therapy to aid in the breakdown process of scar tissue, (AFTER PROPER HEALING FROM THE INJURY HAS OCCURED), or anyone who has very dense tissue and thus responds better to the work.

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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.
Rotation on a point. You're going to also use that thumb walking and you're just going to rotate the foot. So, it's right under the metatarsal heads, you come down and you just rotate over. I am actually going to walk the, what is called the diaphragm line. So, you go in and you're just going to rotate there. You can go over the entire diaphragm line.
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.

@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!
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.

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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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.
One of the most well-known and verified benefits of reflexology is an improvement in circulation throughout the body, which means that blood and oxygen are being cycled through the body more effectively. This means more oxygen reaches vital organs, thereby optimizing their functioning and further increasing the metabolism. This also results in faster healing and re-growth of damaged cells.

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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].
Scheduling and Cancellation policy. Payment is due in full at the end of each appointment. A 50% deposit is required for scheduling any appointment with Le Reve Rittenhouse Day Spa. The deposit goes toward that appointment. Late cancellations or no shows are non-refundable. We have a 24-hour cancellation policy. Should you need to reschedule or cancel your appointment, please do so prior to 24 hours before your appointment.

Keep in mind that reflexology is not a substitute for medical treatment, but is a supportive measure. There are two reflexology points on the feet that may help with knee pain: 1) Spine reflex point on the inside portion of the feet from the edge of the heel to the neck of the big toe. 2) Knee reflex point, one inch below the ankle bone in the small, soft triangular section.

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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Massage may be an appropriate technique for helping certain sports injuries, especially muscle injuries, to heal. When treating an injury, however, it is best to seek advice from a qualified sports therapist or a specialist in sports medicine before performing any massage. Certain ligament and joint injuries that need immobilization and expert attention may be aggravated by 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.
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.

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Active Bodywork Injury & Sports Therapy offers a comprehensive range of services, all tailored to your unique needs. With our specialized therapy services, we improve physical performance of athletes by reducing inflammation, improving flexibility, and removing scar tissue. Our team of therapy specialists can help people recover from sports-related injuries, workplace injuries, poor posture, repetitive motion injuries, and many other injury types, no matter the cause. We are the premier provider of massage and neurokinetic therapy in the Sacramento area, and we stand ready to help you recover through the use of bodywork and treatment options. For people in Sacramento and surrounding communities, the experts at Active Bodywork can help you lead pain-free, active lives. Active Bodywork is proud to offer the following services:
Reduced stress. Swedish massages are meant to maximize relaxation—you’ll be on a massage table, in a peaceful environment, with a professional spending an extended time (between 60 – 120 minutes) giving you a massage. The combination of the hands-on attention and the environment should relax you, lowering the level of the stress hormone cortisol in your body. Lowering your stress level offers a surprising number of additional benefits, including reducing or eliminating tension headaches, giving you more energy, and allowing you to get a better night’s sleep.
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.

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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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Swedish massage is the therapeutic massage standard for much of the Western world. Developed in the 1800s by Pehr Henrik Ling, it incorporates a variety of specific massage techniques to treat sore muscles, tension, stress, and poor circulation. Most Western massage modalities have their origins in in this form, and the majority of massage therapists in the West are trained in it before they learn any other massage techniques. Swedish massage is so ubiquitous that in Europe that it is known as classic massage.

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There are maps for the feet, hands and the outer ears (see Reference section). For example, in the feet, the left foot corresponds to organs on the left side of the body, while the right side of the foot corresponds to the right side of the body. More specifically, the gallbladder is on the right side of the body, and therefore the reflex point is on the right side of the foot.

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The Swedish massage can also be used as therapy for people who suffer from any type of debilitating joint disorder that causes them pain. This benefit of the Swedish massage works to increase the elasticity in the tissues, flexibility, and to reduce the paint that they feel. After the Swedish massage many of these people will find that they are able to use their joints more than before and with little to no pain.
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.
You can expect reflexology salaries to correspond closely to massage therapist salaries in the area where you plan to practice. Of course, the field offers a lot of scheduling flexibility, and the number of hours you work per week will impact your income. Salaries will also vary based on your geographic location, employer type and experience level.

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Addressing anything from headaches to sinus problems to stomach issues, if sensitivity or tenderness is experienced when certain areas of the foot are stimulated, it usually indicates bodily weaknesses or imbalances within the corresponding organ. With repeated practice of applying pressure and manipulating nerve endings (traditionally in the foot), reflexology can help to clear any channels of blocked energy through moving the flow of blood, nutrients and nerve impulses to ultimately improve overall health and balance. In addition to manipulating the pressure points on the foot, reflexologists sometimes work on the hands or ears to trigger relaxation as well.

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It’s important to be open with your massage therapist about the level of pressure and discomfort you wish to endure. This may be different for certain areas and throughout the massage, feel free to communicate with your massage therapist before and during the massage. Some massage therapists find pain to be counterproductive to the process and expect you to speak up if the pain is too much.
Most deep tissue massages normally focus on major muscle groups — such as the neck or lower back — along with joints and tendons that are susceptible to straining or injuries. Certain areas of the body that tend to tense up in times of stress, including the shoulders, neck and hips, can often benefit the most from this type of deep manipulation. Many people consider “sports massages” to be a form of deep tissue massage, which involves physical treatment primarily to neuromusculoskeletal systems to treat pain and disability, improve muscle recovery and joint mobilization, and prevent injuries.
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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The researchers also note there are psychological benefits for athletes receiving massages, which other research shows can include improved focus and confidence. Although more research is still needed on a long-term scale, both tissue healing and the psychological effects of massages are areas that seem promising for both professional and recreational athletes.
To make sure all people are aware of this problems and benefits of reflexology, the Ministry of Health should organize awareness programs such as talks, offers class for reflexology practitioners with low fees, and campaign about the importance of having correct reflexology technique with recognized premises. A reflexology practitioner association is yet to be formed. Any case of problems happen related to reflexology in this country can be referred to this organization.

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