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.
If you feel that you would benefit from experiencing a Deep Tissue massage, do some research into local spas around you that offer the treatment. Make sure that your therapist is certified and has been trained in this technique. As always, check with your doctor before giving this massage a try. Be sure to share your concerns with your therapist, go into detail as to what has brought you in to seek the treatment and do not be afraid to speak up if the pressure becomes too uncomfortable. Remember, more pain does not mean the massage is working.

Palmetto Fulton 30268 Georgia GA 33.5242 -84.679


Watsu, developed by Harold Dull at Harbin Hot Springs, California, is a type of aquatic bodywork performed in near-body-temperature water, and characterized by continuous support by the practitioner and gentle movement, including rocking, stretching of limbs, and massage. The technique combines hydrotherapy floating and immersion with shiatsu and other massage techniques. Watsu is used as a form of aquatic therapy for deep relaxation and other therapeutic intent. Related forms include WaterDance, Healing Dance, and Jahara technique.[73][74]

Scottdale DeKalb 30079 Georgia GA 33.7934 -84.2585


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. 
This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.

People who suffer from the following conditions or disorders should consult a physician before participating in a sports massage: acute infectious disease; aneurysm; heavy bruising; cancer ; hernia; high blood pressure; inflammation due to tissue damage; osteoporosis ; phlebitis ; varicose veins ; and certain skin conditions. Individuals who are intoxicated are not good candidates for sports massage.

Buchanan Haralson 30113 Georgia GA 33.8283 -85.1506


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.

The light-touch, free massages often offered at finish line festivals can help calm the nervous system by allowing the body to commence its natural repair state quicker, explains Rosemarie Rotenberger, an orthopedic massage therapist in Mertztown, Pennsylvania. And  Denunzio says that racers can schedule a recovery-focused sports massage within several hours up to 48 hours after an event, although she recommends massage newbies wait three to four days, as they may be too sore within the first few days fully benefit from (and appreciate) the experience.

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A dry-water massage table uses jets of water to perform the massage of the client's muscles. These tables differ from a Vichy shower in that the client usually stays dry. Two common types are one in which the client lies on a waterbed-like mattress which contains warm water and jets of water and air bubbles and one in which the client lies on a foam pad and is covered by a plastic sheet and is then sprayed by jets of warm water, similar to a Vichy shower.[77] The first type is sometimes seen available for use in malls and shopping centers for a small fee.

Norcross Gwinnett 30093 Georgia GA 33.906 -84.184


Reflexology (or foot reflexology) is a therapy based on the principle that there are small and specific areas of innervation in the hands and feet that correspond to specific muscle groups or organs of the body. In this system, the nerve endings in the extremities provide a “map” of the rest of the body. Examples are the base of the little toe representing the ear, or the ball of the foot representing the lung. Through the application of pressure on particular areas of the hands or feet, reflexology is said to promote benefits such as the relaxation of tension, improvement of circulation, and support of normalized function in the related area in the body.
The Elements Promise™ is not transferable and may not be redeemed for cash, bartered or sold. Void where prohibited or otherwise restricted by law. Substitute massage session equal in value and duration to original massage session; gratuity not included. Substitute massage session cannot be combined with any other offer. Other restrictions may apply; see individual studios for details.

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Foot Reflexology massage can be a deeply relaxing and therapeutic modality for those suffering from plantar fasciitis, ankle injuries or even everyday work and play. At Massage Envy, your massage therapist will apply traditional Swedish and sports massage techniques to the foot, calf and upper leg. This will not only help relieve toe pain, ankle pain, plantar fasciitis and common forms of arthritis, but can also decrease stress and anxiety in the entire body. In addition, a variety of stretches can be beneficial. With pain and sensitivity in the foot, heel and calf areas, be sure to communicate your pain levels with your massage therapist during your treatment. It is also a good idea to rest after receiving the reflexology massage.


Quick muscle knot orientation: Muscle knots — myofascial “trigger points” — are a factor in most of the world’s aches and pains. Their biology is still mostly mysterious: conventional wisdom says they are tiny spasms, but they might also be a more pure neurological problem. Regardless, they can cause strong pain that often spreads in confusing patterns, and they grow like weeds around other painful problems and injuries, making them quite interesting and tricky. Although they are well known to many specialists and researchers, most doctors and therapists know little about them, so misdiagnosis is epidemic. For more information about how trigger points might be involved in your own medical history, see PainScience.com’s best-selling tutorial:

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Manual lymphatic drainage is a technique used to gently work and stimulate the lymphatic system, to assist in reduction of localized swelling. The lymphatic system is a network of slow moving vessels in the body that carries cellular waste toward the heart, to be filtered and removed. Lymph also carries lymphocytes, and other immune system agents. Manual lymphatic drainage claims to improve waste removal and immune function.[47][48][49] 

Lawrenceville Gwinnett 30042 Georgia GA 33.9295 -84.1032


At certain times during the massage, you may feel some discomfort or even some pain as the massage therapist works on areas where there are adhesions or scar tissue. Pain isn't necessarily good, and it's not a sign that the massage will be effective. In fact, your body may tense up in response to pain, making it harder for the therapist to reach deeper muscles.
According to practitioners, foot reflexology is a simple, non-invasive method to help balance the body. It has been described as a natural therapy that requires the application of a specific type of pressure on particular areas of the feet. It gets its school of thought from the principle that there are reflexes in the feet which correspond to every part of the body, so by understanding the “maps,” you can do anything from relaxation to improved circulation, and also add a general feeling of wellness. It’s like a massage for your feet…that affects your whole body!
Deep tissue massage involves manipulation of the deep layers of tissue in the body, including the fascia and other supportive tissue that make up the muscles and joints. Compared to other popular massage techniques — including Swedish massage or acupressure, which tend to be lighter in pressure and can involve moving the body into certain positions — deep tissue massage is usually slower and firmer. (2) 

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There are several types of massage that focus on different parts of the body or healing approaches. Massage is the practice of rubbing and kneading the body using the hands. During a massage, a massage therapist will apply gentle or strong pressure to the muscles and joints of the body to ease pain and tension. A massage therapist is a person trained in giving massages.
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.

Atlanta Fulton 30315 Georgia GA 33.7051 -84.3808


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]

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A dry-water massage table uses jets of water to perform the massage of the client's muscles. These tables differ from a Vichy shower in that the client usually stays dry. Two common types are one in which the client lies on a waterbed-like mattress which contains warm water and jets of water and air bubbles and one in which the client lies on a foam pad and is covered by a plastic sheet and is then sprayed by jets of warm water, similar to a Vichy shower.[77] The first type is sometimes seen available for use in malls and shopping centers for a small fee.
The physiological effects are a bit of a moot point: if the pressure doesn’t suit you, you’re not likely to continue with the therapy. The exception is the patient who is willing to put up with intense pain long enough to find out if there appears to be a therapeutic effect afterwards, which there may be. But that judgement call is often made without much knowledge of whether or not the pain is really justified. BACK TO TEXT

The recognition of reflexology as a specific type of treatment began with Zone Theory, in which the body is divided into 10 vertical zones. Each zone corresponds to fingers and toes all the way up to the top of the head. For example, if you are standing up with your hands on your thighs (palms facing down) the thumbs and great toe would be zone 1. On either side of the body, the index finger and second toe would be zone 2, etc.


There are several types of massage that focus on different parts of the body or healing approaches. Massage is the practice of rubbing and kneading the body using the hands. During a massage, a massage therapist will apply gentle or strong pressure to the muscles and joints of the body to ease pain and tension. A massage therapist is a person trained in giving massages.

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Myofascial trigger points — muscle knots — are a ubiquitous muscular dysfunction, causing most of the aches, pains and stiffness in the world, and complicating virtually every other injury and disease process. A lot of massage is focused on them, directly or indirectly. Massage may be helpful because it relieves the symptoms of muscle knots, or even unties them. (No, not literally.)
A couples massage allows partners to experience massage together in the same area as one therapist works on each person. Some spas turn this into a romantic event that can leave guests starry-eyed, setting the treatment in a special room or suite large enough for two, beachside underneath the stars, or in the couple’s guest room at a hotel or resort. For an extra-special touch, rooms reserved for side-by-side massage treatments may feature cozy spa fixtures such as fireplaces, shower facilities, Jacuzzis, and dual soaking tubs, and some spas offer irresistible amenities like champagne and strawberries as a sumptuous treat. Many spas offer treatments à deux so spa-goers can share a pampering experience with a significant other, but a couples massage isn’t just for romantics—mother-daughter duos and best friends may also enjoy side-by-side services. For couples, this form of massage can offer a double dose of benefits. The tandem treatment invites couples to get a bit closer and reconnect, and it can enhance intimacy and teach each partner how to take care of the other. Plus, select spas allow lovebirds to get in sync by offering sessions that teach massage techniques. Pampering and rejuvenating facials, massages, and other treatments in a half- or full-day increments can make up a whole spa package for couples. For more on Couples Massage, see our guide.
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.
In broad terms, reflexology is intended to reduce generalized stress and help the body achieve a state of deep relaxation and homeostasis (that is, optimal balance of the body’s biochemical and other systems). Yet efficacy studies are few, and a 2009 systematic review of randomized controlled trials conducted by researchers at the Peninsula Medical School in Exeter, UK, concluded that “the best evidence available to date does not demonstrate convincingly that reflexology is an effective treatment for any medical condition.”
Earliest discovery of reflexology was found in Egypt based on the observation of daily life activities including the medical practices.1 Other studies have reported that reflexology emerges from China for the last 5000 years ago but there is no documentation found, so with the finding of hieroglyphic mural in the pyramid located in Saggara, reflexology is considered as a part of Egyptian culture from 2330 BC.3 At the late of 14th century, reflexology was already applied throughout the Europe with another name; zone therapy.9 Father of modern reflexology, Dr. William Fitzgerald (1872–1942) has discovered that zone therapy has been used by Aboriginal American.9 Jenny Wallace from North American Indians tribes used pressure at the feet as one of the sources of healing process.9 Fitzgerald study has brought reflexology practice to be widely used in the United States.3 The discovery of zone therapy was developed from the finding of pressure applied on many parts of body such as hands, nose, ears, and many more can relieve pain sensation.10 Dr. Joe Shelby Riley from Washington has conducted many studies of therapy including reflexology and has used this therapy for many years.9 Eunice Ingham (1879–1974) has worked together with Dr. Riley in 1930's as the therapist and work greatly to help people understand reflexology.8 She shared the technique of reflexology with others by writing many books such as “Stories the Feet Can Tell, Stories the Feet Have Told, and Stories the Feet Are Telling”.9 Reflexology has greater recognition after the emergence of another eminent woman in this therapy world with her book; “Helping Yourself with Foot Reflexology” which reached more than 500,000 copies sold.9

Marietta Cobb 30008 Georgia GA 33.8972 -84.592

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