There are 58 training programs accredited by the Commission for Massage Therapy Accreditation/Approval in the United States. They provide a minimum of 500 hours of massage training. Certified therapists have graduated from these programs and passed the national certification examination for therapeutic massage. They are also required to participate in continuing education programs to keep their skills current.

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Sports massage can play an important part in the life of any sportsman or woman whether they are injured or not. Massage has a number of benefits both physical, physiological and psychological. It can help maintain the body in generally better condition, prevent injuries and loss of mobility, cure and restore mobility to injured muscle tissue, boost performance and extend the overall life of your sporting career.
Reflexology, also known as zone therapy, is an alternative medicine involving application of pressure to the feet and hands with specific thumb, finger, and hand techniques without the use of oil or lotion. It is based on a pseudoscientific[1] system of zones and reflex areas that purportedly reflect an image of the body on the feet and hands, with the premise that such work effects a physical change to the body.[2]
Reflex zone is the region in the zone therapy that illustrates its interconnection with the whole parts of the body. Pressure applied to this region will help specific organ or particular part to alleviate the pain and symptoms of a disease. According to the theory, there is an invisible pathway that runs along the body in a vertical form based on the lines instead of reflexology maps in which each point on the soles of hand and feet correspond to a specific organ. Reflex zone therapy (Fig. 9) represents five zones in both sides of the feet.12 This zone is running along the whole body parts from top of the head until the tips of the toes and fingers and the whole body is divided into ten reflex zones.12 Each zone interconnects with different parts of the body.10 Reflex zone therapy-specific organ relationship is presented in Table 1 and Table 2.
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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.

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This short course only takes about 60 min to learn the routine of classic Thai Foot Reflexology, which is originated from Chiang Mai, Thailand, together with an instructor who teaches body mechanics and proper techniques. A basic knowledge of Thai Medicine theory, ancestors, well-known influential figures in Thai healing, and the history of Thai foot reflexology are also taught.20
If you enjoy the therapeutic benefits of foot Reflexology massage, you should know that the benefits are compounded when utilized as a frequent therapy. The more you go, the healthier you feel. With a Massage Envy membership, you can enjoy these benefits as often as you'd like. Monthly dues include a one-hour massage session and unlimited additional one-hour sessions at the low membership rate­­. To make things even easier, there are hundreds of Massage Envy locations nationwide. So you can relax, rejuvenate, and continue to grow healthier wherever you go.
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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That is a question many people who live an active lifestyle have, whether they are simply someone who jogs two or three times per week or someone that is active in competitive sports. This question comes about due to the many different types of “massage” and massage practitioners who possess different skills and experience. A practitioner of sports massage is an ideal choice to treat injuries as well as a source of information about how to maintain the overall health of muscle and connective tissue. This preventive therapy addresses range of movement, muscle symmetry, muscle tone and balance of muscle.
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.

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What to do: The easiest way to do this is with a dryer, golf or any small, hard ball you have at home. Press down on the ball along the inner edge of the middle part of the foot. This relaxes stomach and improves circulation in this area. Stimulating the middle of the foot opens the energy pathways to the organs related to digestion, like the stomach, colon and intestines. This helps blood flow and circulation to these organs and can help alleviate digestive issues.

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Using a wide variety of tools including bands, combs, electricity, hooks, light energy, probes and stainless steel instruments to stimulate various pain-killing responses in the hands and feet, FitzGerald’s work was first brought to the public by Edwin Bowers in his 1915 article, “To stop that toothache, squeeze your toe,” which was published in Everybody’s Magazine. (15)
Shiatsu (literally, "finger pressure") is an ancient technique from Japan. It combines gentle stretches with finger pressure to work on different pressure points. The idea is to fix imbalances in the flow of energy in your body. Although there's no concrete evidence of Shiatsu's use as a healing method, people who have had this massage still report stress and pain relief. About.com's Alternative Medicine site says:

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Pre-event sports massage is done to help prevent serious athletic injury. It helps to warm up the muscles, stretching them and making them flexible for optimal athletic performance. A pre-event massage stimulates the flow of blood and nutrients to the muscles, reduces muscle tension, loosens the muscles, and produces a feeling of psychological readiness.

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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
Deep tissue massage is best for giving attention to certain painful, stiff "trouble spots" in your body. The massage therapist uses slow, deliberate strokes that focus pressure on layers of muscles, tendons, or other tissues deep under your skin. Though less rhythmic than other types of massage, deep tissue massage may be therapeutic -- relieving chronic patterns of tension and helping with muscle injuries, such as back sprain.
Finding time for each other, let alone massages, can be difficult for couples with busy schedules. By pairing massage sessions with quality bonding time, couples can accomplish two goals at once and emerge relaxed, refreshed and reconnected. A couple’s massage is a wonderfully relaxing, personal experience. Leave the ‘real world’ behind the walls of Le Reve Rittenhouse Spa.

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A high attention to detail is important to be successful in sports massage. I also feel my professional communication with clients and other practitioners assists with this process. It’s vital to get all the necessary facts about the client and follow up with them after each session. I also feel it’s important that I have experience in endurance training and racing to help with the rapport with my clients.

Swedish massage is the most popular type of massage in the United States. It involves the use of hands, forearms or elbows to manipulate the superficial layers of the muscles to improve mental and physical health. Active or passive movement of the joints may also be part of the massage. The benefits of Swedish massage include increased blood circulation, mental and physical relaxation , decreased stress and muscle tension, and improved range of motion.
When you get off the table, your calves may be screaming at you, but don’t get upset and run home to your foam roller, says Denunzio. Soreness is normal and can even help reveal areas of weakness that should receive future attention. Within 48 hours, the tightness should dissipate, and if the massage was administered correctly, you may even feel like you’re in a new body.
My massage therapist has been doing massages for 30 years. He is really aggressive. I thought that I was going to die. The pain was so intense that I honestly feel that it was worse than having children. When the massage was complete, I felt relaxed. When I got home I felt exhausted, like I had been in a major accident. Truthfully I feel like crap. I ache from head to toe, what the heck is this? I feel absolutely horrible. I had a bath before bed and it did help somewhat. But this morning I still feel like hell …

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

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A form of massage therapy based on the assertion that there are 7000 to 72,000 nerve endings in the feet for all organs and body regions, and stimulation of these endings can be used to treat a wide variety ailments or disorders. Reflexology consists of manual stimulation with the thumbs and fingers of cutaneo-organ reflex points on the feet, as well as on the ears and hands. Reflexologists believe that the body is divided into 10 distinct energy zones or channels that extend from the head to the feet, and that foot massage increases the flow of healing energy through any or all of these channels; this energy may be blocked by lumps of crystalline material which reflexologists claim to be able to identify during therapy.
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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Clients interested in experiencing Swedish massage should seek out a reputable massage therapist to explore it. Often it takes several visits to multiple therapists to find one who is a good match with the client. Like other massage modalities, this form is most effective when undertaken at least once a month, although once every two weeks is a more therapeutically useful interval. Clients should remember to communicate clearly with the therapist for a productive session.


A couple’s massage is a massage that you do with your partner, friend, or family member in the same room. It brings all the benefits of a regular massage and sometimes provides you with access to the spa’s hot tubs, saunas, and other facilities. Other treatments such as pedicures, facials, and body scrubs are sometimes offered as part of a package. 

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Avoid drinking alcohol before, during and after giving yourself a reflexology treatment, as you may discover the treatment itself increases the effect of alcohol. Additionally, using alcohol in conjunction with reflexology may create more stress on the body organs as the body tries to process the reflexology treatment and clear your body of the alcohol.
“Runners put so much effort into training, but very few athletes put effort into taking good care of body that helps them perform,” says Gammal, who recommends incorporating regular massage—even if it’s just a 30-minute session once a month—so as to prevent injuries and the overtraining of muscles.  Scheduling mid-training appointments can also reveal places that are tight and places that should be addressed in post-workout stretching. “Massage isn’t a luxury, Gammal says. “It’s an investment.”

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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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What to do: The easiest way to do this is with a dryer, golf or any small, hard ball you have at home. Press down on the ball along the inner edge of the middle part of the foot. This relaxes stomach and improves circulation in this area. Stimulating the middle of the foot opens the energy pathways to the organs related to digestion, like the stomach, colon and intestines. This helps blood flow and circulation to these organs and can help alleviate digestive issues.

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

Some sports massage therapists use myofascial techniques that focus on stretching the fascia, which are connective tissues surrounding muscles, tendons and ligaments in the body. This particular massage technique involves the therapist applying forces in opposing directions which relaxes the tissues. It can help ease pain and increase mobility in the tissues and surrounding muscles.


In Australia, Melbourne Polytechnic offers reflexology course for the students and accredited with Diploma of Reflexology. In this course, students will learn the skills to assess and treat the body, supporting its search for natural balance and well-being. It also includes how to develop specific skills in reflexology techniques, learn to provide clients with basic dietary guidance, and learn the necessary health terminology about chronic disease. The qualification from this institute is valid for the membership of national organization such as the Reflexology Association of Australia and also can be used for further studies in complementary medicine.
Pauline Wills, author of the Reflexology and Colour Therapy Workbook, teaches that colors can be applied to "areas where an abnormality has been diagnosed but which has produced no noticeable symptoms in the physical body." She states that the application can be done by imagining colors transmitted through the practitioner's hand or by Firstly, if the practitioner is sensitive to colour, they can visualize it being projected or by using "reflexology crystal torch." [8].
When you think of a massage, you probably think of soothing music, a gentle brush of hands softly kneading the stress from your shoulders, maybe even of a loved one offering to rub your back after a long day at work. While some massages can be soothing, and rely on gentle touches to work out a client’s stress or anxiety, there are other massages that have a little more grit to them. For example, the Deep Tissue massage, which is very similar in style to the Swedish massage, utilizes some of the same techniques as its much gentler cousin; Deep Tissue massages, however, are designed to focus on the deeper layers of muscle tissues and fascia, the protective layer that surrounds muscles and joints. Working out these harder to reach muscles will require more pressure, making the Deep Tissue massage slightly uncomfortable, gritty and highly effective.

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.
While this massage is designed to help ease pain, you might experience discomfort during your appointment, especially when your therapist is applying pressure to a problem area. It is best to speak up and let your therapist know if the discomfort becomes painful; even though the Deep Tissue massage is meant to apply more pressure, pain does not mean that the massage is working. You might also experience some soreness and stiffness; this is perfectly normal and should subside within 24 hours. ElementsMassage.com recommends that you drink a lot of water in order to flush out the lactic acid that will have accumulated in the tissues; this may ease some of the soreness. Bruising after your massage may also occur; keep in mind that your therapist was applying more pressure in order to reach your troubled areas, light bruising is normal. Cathy Wong also points out that “case reports have reported venous thromboembolism, spinal accessory neuropathy, hepatic hematoma, and posterior interosseous syndrome after deep tissue massage.”
The underlying theory behind reflexology is that there are certain points or "reflex areas" on the feet and hands that are connected energetically to specific organs and body parts through energy channels in the body. By applying pressure to reflex areas, a reflexologist is said to remove energy blockages and promote health in the related body area.

Although many assume Swedish massage comes from Sweden, Johan Georg Mezger (1838-1909), a Dutch man, is often credited with formalizing the system known as Swedish massage—sometimes referred to as “classic massage” in Europe. Mezger assigned French names— effleurage, petrissage, friction, and tapotement—to the specific strokes used in Swedish massage application. In English, these movements are known as stroking, kneading, rubbing (friction), and striking.

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This package is the ultimate in couple’s pampering. Beginning with the aromatic therapy as you enter Le Reve, you are transported to an environment of sensual relaxation. Our aphrodisiac oil will stimulate your feeling of togetherness that will enhance your spiritual connection. During this experience, the couple will be massaged, have their facials, body wraps and reflexology performed by their own personal massage therapists at the same time and in the same room.
“Runners put so much effort into training, but very few athletes put effort into taking good care of body that helps them perform,” says Gammal, who recommends incorporating regular massage—even if it’s just a 30-minute session once a month—so as to prevent injuries and the overtraining of muscles.  Scheduling mid-training appointments can also reveal places that are tight and places that should be addressed in post-workout stretching. “Massage isn’t a luxury, Gammal says. “It’s an investment.”
Studies have shown that reflexology can be very beneficial for pregnant women, particularly in terms of labor lengths and their need for analgesics during labor and postpartum recovery time. Beyond that, due to many of the health benefits already outlined above, it can reduce the chances of postpartum depression and can also help a woman’s body heal itself faster and get back to its normal metabolic activity quickly.

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Practices resembling reflexology may have existed in previous historical periods. Similar practices have been documented in the histories of China and Egypt.[9] Reflexology was introduced to the United States in 1913 by William H. Fitzgerald, M.D. (1872–1942), an ear, nose, and throat specialist, and Edwin F. Bowers. Fitzgerald claimed that applying pressure had an anesthetic effect on other areas of the body.[16][17] It was modified in the 1930s and 1940s by Eunice D. Ingham (1889–1974), a nurse and physiotherapist.[18][19] Ingham claimed that the feet and hands were especially sensitive, and mapped the entire body into "reflexes" on the feet, renaming "zone therapy" reflexology.[20] "Modern reflexologists use Ingham's methods, or similar techniques developed by the reflexologist Laura Norman."[9]

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Because each style has its own formatting nuances that evolve over time and not all information is available for every reference entry or article, Encyclopedia.com cannot guarantee each citation it generates. Therefore, it’s best to use Encyclopedia.com citations as a starting point before checking the style against your school or publication’s requirements and the most-recent information available at these sites:
Before we take the plunge towards the 4 types, we want you to know that there is a basic reflexology area on every individual’s foot. This chart actually describes all the body parts and major organs of the body having reflex points in the foot. After understanding this chart completely, you will be able to massage by focusing on the specific body part. The basic reflexology foot chart includes the whole body. In addition, you must also keep in mind that the right foot is connected to the right side of the body while the left one is linked to the left side.
DTM can be useful to those that are recovering from an injury (once the client/patient is out of the acute phase), for athletes, for people with postural strains, or people with chronic pain. Typically there is an area or a few areas where this type of work is needed. For example, a person who has chronic postural pain/tightness from sitting at a computer, might need DTM to their shoulders, chest, and upper back/neck. They likely, do not need DTM on their whole body. Some therapists might disagree with me here, but I rarely think a full-body, DTM, is needed. It can simply be too much. I would rather see a client more often, for less-intense sessions. It is simply more effective. It is the same as Physical Therapy- it is more effective to do it regularly.

Swedish massage is now gaining acceptance from the medical community as a complementary treatment. Studies have shown that massage can relax the body, decrease blood pressure and heart rate, and reduce stress and depression. It may also provide symptomatic relief for many chronic diseases. Many doctors now prescribe massage therapy as symptomatic treatment for headache , facial pain, carpal tunnel syndrome, arthritis, other chronic and acute conditions, stress, and athletic injuries. Many insurance companies now reimburse patients for prescribed massage therapy. As of 2000, however, Medicare and Medicaid do not pay for this form of alternative treatment.

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