In addition to my private practice, I work with patients at the Initiative for Women with Disabilities (IWD) at NYU Medical’s Hospital for Joint Diseases. Many of the patients I see are dealing with issues such as chronic pain, fibromyalgia, multiple sclerosis, cerebral palsy, and rheumatoid arthritis, and find reflexology a beneficial way to incorporate integrative therapies into their treatment.
A reflexology session involves pressure treatment that is most commonly administered in foot therapy sessions of approximately 40-45 minutes in duration. The foot therapy may be followed by a brief 15-minute hand therapy session. No artificial devices or special equipment are associated with this therapy. The human hand is the primary tool used in reflexology. The therapist applies controlled pressure with the thumb and forefinger, generally working toward the heel of the foot or the outer palm of the hand. Most reflexologists apply pressure with their thumbs bent; however, some also use simple implements, such as the eraser end of a pencil. Reflexology therapy is not massage, and it is not a substitute for medical treatment.

With thumb walking you're basically going to be using the little part of, just this joint. Right, so you'll just be doing that. A lot of times people will say to kind of come up and back down. I want to really stress that if you can come down and maintain pressure and just come up a little bit and then back down again. So, you are moving infinitesimal, you're barely moving. You can practice on your forearm here. You're going to be doing that. So you're just inching ahead and again you're not going to pop up. A lot of people when they are teaching that, they pop up, so just be sure not to do that.
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)
Sandals, shoe inserts, foot-massage devices and a steering wheel cover based on reflexology theory are being marketed. As far as I know, no such product has a plausible rationale or been scientifically tested. Any medical claims made for such devices would make them "medical devices" under the law and therefore illegal to market without FDA approval.
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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.
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20 asthmatic patients were chosen to be the subject for active treatment and another 20 patients were chosen to have reflexology session. According to a recent research conducted by the author, there are no significant differences between the groups having active session and placebo session of reflexology.33 However, when the analysis of the symptoms diaries was carried out, the results showed that there were significant differences between both groups especially when it was conducted together with subconscious unblinding pattern of study.33

Many proponents claim that foot reflexology can cleanse the body of toxins, increase circulation, assist in weight loss, and improve the health of organs throughout the body. Others have reported success in treating earaches, anemia, bedwetting, bronchitis, convulsions in an infant, hemorrhoids, hiccups, deafness, hair loss, emphysema, prostate trouble, heart disease, overactive thyroid gland, kidney stones, liver trouble, rectal prolapse, undescended testicles, intestinal paralysis, cataracts, and hydrocephalus (a condition in which an excess of fluid surrounding the brain can cause pressure that damages the brain). Some claim to "balance energy and enhance healing elsewhere in the body." [2] One practitioner has even claimed to have lengthened a leg that was an inch shorter than the other. There is no scientific support for these assertions.


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.

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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."
Swedish massage is focused primarily on the body and, therefore, is a more physical approach to relieving stress, aches, pains, and tension. One benefit of Swedish massage is its ability to relax the mind-brain connection—the mind being the energy and thoughts, and the brain being the physical matter. This is thought to contribute to a more balanced, stimulated, and integrated system. A healthy mind-brain connection may also help facilitate better physical health.
You may also have your own unique trouble spots, perhaps from past injuries. A massage therapist can pay special attention to these areas, monitor them for developing problems, and help keep them in good condition. An experienced massage therapist can also compliment treatment received from other health care professionals for various injuries. You may also have your own unique trouble spots, perhaps from past injuries. A massage therapist can pay special attention to these areas, monitor them for developing problems, and help keep them in good condition. An experienced massage therapist can also compliment treatment received from other health care professionals for various injuries. 

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RCTs have a vital role in the assessment of efficacy in reflexology. However, they only address the effect of reflexology in which other pertinent issues are unexplored such as the mechanism of reflexology, psyche, and the experience of participants receiving reflexology. Nursing research has long used qualitative research to explore various health care phenomena. Similarly, qualitative approach can provide further understanding about the patient's perception and belief towards reflexology.4, 36 Qualitative research also assists in understanding the impact of the context and the process of reflexology intervention. A greater understanding of reflexology intervention has the potential to enhance the delivery of health care. Thus, it is argued that qualitative explorative methods combined with RCTs could potentially reveal the contributing factors of reflexology effect.

Trigger point massage therapy is specifically designed to alleviate the source of the pain through cycles of isolated pressure and release. ... The results and benefits of trigger point massage are releasing constricted areas in the muscles thus alleviating pain. You can experience a significant decrease in pain after just one treatment. Receiving massage with trigger point therapy on a regular basis can help naturally manage pain and stress from chronic injuries.
Evaluating its effectiveness in treating anxiety based on the Women’s Health Questionnaire (WHQ), researchers discovered that while reflexology was not shown to be more effective than non-specific foot massage in the treatment of psychological symptoms occurring during the menopause, it nonetheless led to a 50% decrease in anxiety, which surpassed the control group two-fold. (4)
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]
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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Interestingly, many patients and therapists swear by massage as a way to reduce constipation or digestive upset, since the increased circulatory benefits and relaxation of the abdominal and lower back muscles can help relieve symptoms. In fact, a 2014 study from the British journal Nursing Standard highlights a number of the ways abdominal massage encouraging muscle contraction, nudging the gut to move things along.

There’s just no reason to push a client to that “cringe point.” It’s ham-handed, tends to indicate a simplistic “more is better” approach to the work, and simply isn’t needed — that’s not what defines “intensity” in a good massage. Very strong and sastisfying pressure can always be achieved without that edgy, nervous-system-almost-rebelling feeling.
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).

Ordinary massage is used in spas for relaxation.  LA Sports Massage is a Sports Massage facility for athletes, not a spa. Sports Massage is detailed, focused, anatomically specific massage that targets and corrects your unique physical issues. We use a synergistic mix of Swedish, Shiatsu, Deep Tissue, Sports Massage, and much more. Whether you are a professional athlete nursing a chronic injury, a weekend warrior sore from overdoing it, or a mom with back pain from toting a toddler, Sports Massage can help you.
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The literature on reflexology is only beginning to emerge since early 1990. Several methodological shortcomings in the previous studies of reflexology safety and efficacy are worth mentioning. Firstly, the number and the methods of reflexology treatment given are not standardized. Furthermore, most studies have small sample size (around 20 participants).
Modern reflexology technique has been used since 60 years ago and now more scientific and clinical research have been conducted because of their positive effects in reducing and alleviating the symptoms associated with certain diseases. Reflexology gives benefits to certain groups of people and generally does not cause any harmful effects as long as certain precautions are taken by the patients with certain medical circumstances. Each person has a different body system condition, so results from reflexology treatment could differ from one person to another.8 Based on latest research conducted, reflexology seems to be effective in helping the body systems to return to its natural state.1 One of the most significant current discussions in reflexology is its effectiveness in tackling several symptoms of diseases.1 The level of disease conditions and pain are reduced as the patients receive reflexology treatment. It has been suggested by a Swiss study that patients who have undergone reflexology sessions showed a significant decrease in the amount of medication needed.1 As a complementary therapy, reflexology seems to work better with conventional treatment to treat certain diseases.8 The most significant current discussions in reflexology practice are related to the aspect of health, safety, and hygiene. Other than that, the principles and practice of reflexology as a complementary therapy is important to make sure the application of this therapy is reliable.
In another study, 35 women with premenstrual syndrome (PMS) were randomly assigned to ear, hand, and foot reflexology or to placebo therapy done on sham reflex points. The women kept a daily record of 38 possible symptoms selected from previous PMS research questionnaires. The treatment group reported significantly fewer symptoms than the placebo group, and these improvement persisted for 2 months after treatment. Many women in this group fell asleep during the 30-minute sessions and reported feeling more energetic during the next day. The placebo group reported that they thought they were receiving genuine reflexology, The authors note, however, that it was very difficult to develop a credible placebo control group, which may have been the study's flaw. Normally, reflexology is soothing, but the placebo treatment was described as "either overly light or very rough." [13] Thus the differences could have been differences in the quality of the massage being administered. The study suggests that massage may relieve PMS symptoms, but it does not validate the alleged connection between reflex points and body organs
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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Normally, it is not a painful treatment but if you feel any sort of pain, you must inform your therapist and they will sort it out for you. The chances of pain can be because of your comfort zone; you may not be seated properly or the angle of your feet is not in its natural position. Additionally, therapist will always give more time to the parts that you have discussed about in the beginning. The painful parts are given more priority and pressure is given to the reflex points of those parts.
The massages are geared towards athletes and their sports. For instance, working on a runner will require doing a lot of leg work, but the upper body work will be minimal. Moreover, massages will target those areas that tend to become injured. For example, a massage session with a tennis player will involve a forearm massage that is preventive in the development of tennis elbow. If necessary, a whole session could be spent only on important areas, and skip completely muscles that are not overused in a particular sport.
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.”
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.

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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)

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.
Several mechanisms for deep massage’s natural stress-relieving effects include its ability to dilate blood vessels and also lower activity of the limbic system (including the hypothalamus), which is responsible for autonomic nervous system regulation and cortisol secretion. Massage has been shown to improve relaxation by boosting activity of the parasympathetic nervous system, as measured by heart rate, blood pressure and heart rate variability. (8, 9)

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"Back before we started wearing shoes everywhere, we developed natural stimulus points from the ground [making direct contact] with our feet," Colin says. "By walking and getting that stimuli, we would relieve stress. We don't get that anymore. So the idea of reflexology is going back and mimicking that stimuli to specific points and feeling where that stress sits."
  Consider the possibilities of reflexology: Connecting with others using reflexology as you help them be well; Taking control of your own well-being using reflexology; Helping your family members or friends through difficult times of health problems with reflexology; Developing a career of hands-on work with others in the field of reflexology. Fond family memories, […]

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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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