To be effective, a reflexology practitioner must be certified and understand the meridians related to each pressure point. Most spas offer reflexology, and the treatment typically lasts approximately 30 minutes. It’s important to have a conversation with your reflexologist beforehand to discuss your “issues,” whether it is constipation, a tension headache or trouble sleeping.

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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.
Although only one controlled trial of reflexology therapy, done in 1993, has been documented in medical journals, this therapy is practiced worldwide at different levels of medical care. In Russia, for example, only licensed physicians may legally perform reflexology treatment. In contrast, the practice is a commonplace homestyle remedy in the Netherlands. The Internet "Home of Reflexology" lists at least 66 professional organizations worldwide, including New Zealand and Malaysia. Associations include the following:

Many people confuse reflexology with massage, Reiki, or acupuncture, but there are essential differences between these therapies.  Massage therapists manipulate larger areas of soft tissue in the body while reflexologists apply pressure to specific points on the feet, hands, and ears.  Unlike either massage or reflexology, Reiki does not involve any physical manipulation or pressure, but instead uses light touch to work with the subtle vibrational field thought to surround the body. Finally, while acupuncture and acupressure, like reflexology, use reflex points on the body to influence other parts of the body, the points are not the same and acupuncture uses points over the entire body.
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.
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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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.
As we age, our nerve endings become less sensitive in many parts of our body, particularly in our extremities. That being said, reflexology has been connected with stimulating more than 7,000 different nerve endings in a single session, thereby increasing their function and reactivity. Opening and cleaning out neural pathways can help improve functionality and flexibility in many areas around the body. Neural pathways are like muscles, so it is good to work them once in a while to keep them sharp!
Recovery. Therapeutic massage helps the body recover from the stresses of strenuous exercise, and facilitates the rebuilding phase of conditioning. The physiological benefits of massage include improved blood and lymph circulation, muscle relaxation, and general relaxation. These, in turn, lead to removal of waste products and better cell nutrition, normalization and greater elasticity of tissues, deactivation of trigger points, and faster healing of injuries. It all adds up to relief from soreness and stiffness, better flexibility, and less potential for future injury.

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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.

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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.
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.
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.
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:
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).
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.

Ugly pain in massage therapy is, by my definition, never okay. Ugly pain is often caused by things that are not going to offer even minimal, delayed benefits, and may even be dangerous. It’s important to be able to spot ugly pain for what it is and completely eliminate it from any therapy you’re receiving. What kinds of handling may cause “ugly” pain?


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.
According to the Mayo Clinic, studies by the National Cancer Institute and the National Institutes of Health suggest reflexology can reduce pain, anxiety, depression, stress, and insomnia. It also delivers many of the benefits of more traditional bodywork. "Reflexology can be like a deep-tissue massage," Colin explains. "You can hit all those reflex points and still make the treatment feel relaxing."

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While a foot massage may feel the same as a reflexology treatment, a reflexologist will work on areas to promote a healing response in the corresponding organs. A massage therapist giving a foot massage will manipulate muscles and other soft tissues to improve circulation, relieve pain, and heal injuries in the area or to induce overall relaxation.

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