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.

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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. 

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“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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You can usually choose which type of massage you’d like to receive, and you and your partner can each get a different type of massage depending on your preference and the offerings at the spa. Your partner and you will be on tables side-by-side, and you’ll each have your own massage therapist working on your body. You can talk during the massage if you wish.

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Currently, the learning centre which provides training for reflexology is very limited. Normally anyone interested to learn reflexology will learn about reflexology through apprenticeship. Recently, Stella In, a local Malaysia training centre offers certification of training in reflexology. This institute was established by the Ministry of Tourism Malaysia as one of the centres of excellent which offers spa therapy training, specifically for Malaysian, with full job guarantee at any officially approved spa organizations. This institute offers certified qualification of national/international diploma in reflexology foot massage course. Learning about the body zones, feet reflexes, and reflexology techniques which can improve blood circulation, removal of toxins from body, and help to increase the energy level are offered in this course. The teaching techniques include theory and practical.14
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.
Ingham's method of compression massage Fringe medicine A massage therapy based on the belief that there are nerve endings–up to 72,000–for organs and body regions in the feet; 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 energy channels that extend from the head to the feet, and that foot massage ↑ 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. See Acupressure, Alternative medicine, Auricular reflexology, Bodywork, Hand massage, Vacuflex Reflexology System. Cf CranioSacral Therapy™, Integrative massage, Massage therapy.

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.
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.
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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Reflexology points: The inner and outer reflex areas on each side of your ankle. These are the reflex areas to the hot spots of the body (the uterus and vagina for women). Stimulating these areas can improve the circulation to the reproductive organs and help to regulate and balance you during that time of the month. It may be easier to take a warm spoon and press.
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.

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.
I am a science writer and a former Registered Massage Therapist with a decade of experience treating tough pain cases. I was the Assistant Editor of ScienceBasedMedicine.org for several years. I’ve written hundreds of articles and several books, and I’m known for readable but heavily referenced analysis, with a touch of sass. I am a runner and ultimate player. • more about me • more about PainScience.com
Just this past year, the journal Evidence-Based Complementary and Alternative Medicine showed that reflexology not only helped to reduce pain, improve nerve conductivity, and correct thermal and vibration sensitivity concerns, it improved glycemic control — this suggests that someday, perhaps soon, we may learn that this ancient healing art can help prevent or treat type 2 diabetes. (6)
Sports massage is a form of bodywork geared toward participants in athletics. It is used to help prevent injuries, to prepare the body for athletic activity and maintain it in optimal condition, and to help athletes recover from workouts and injuries. Sports massage has three basic forms: pre-event massage, post-event massage, and maintenance massage.
One of the many benefits of sports massage is the prevention of delayed onset muscle soreness or DOMS. According to a report by American College of Sports Medicine, this condition typically begins 12 to 24 hours after the strenuous exercise is finished. DOMS sufferers may experience the most pain between 24 and 72 hours after the physical activity is done. Sports massage therapy prevents DOMS by encouraging blood flow throughout the body, thus preventing muscle fatigue.

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Posterior interosseous syndrome. Physiopedia explains that posterior interosseous syndrome is a compression of the posterior interosseous nerve, which is located near the shaft of the humerus and the elbow, that may result in paresis or paralysis of the thumbs and fingers. Though cryotherapy, ultrasound, dry needling, and other modalities often help with this condition, so too does deep tissue work that is focused on the thoracic outlet, pectoralis minor, triceps, brachioradialis, and other surrounding areas.

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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.
Aspects of sports massage therapy are gaining popularity as useful components in a balanced training regimen. Sports massage therapy can be used as a means to enhance pre-event preparation and reduce recovery time for maximum performance during training or after an event. Athletes have discovered that specially designed sports massage promotes flexibility, reduces fatigue, improves endurance, helps prevent injuries and prepares their body and mind for optimal performance.
Reflexology applied properly can alleviate allergy symptoms, as well as stress, back pain, and chronic fatigue. The techniques of reflexology can be performed conveniently on the hand in situations where a session on the feet is not practical, although the effectiveness of limited hand therapy is less pronounced than with the foot pressure therapy.
People do have clear pressure preferences: they often fire massage therapists who give treatments that are too painful or too fluffy. Pressure that’s fine for you may cause severe pain, emotional distress, “sensory injury” (sensitization) in others, or even physical injury, so pressure should be customized but often isn’t. Brutal massages might be appreciated or even helpful, but most people can’t tell the difference between the kind of pain that might be a necessary part of therapy, and ugly pain that is just abusive and dangerous.

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Expect to work hard breaking into the sports environment. Get additional training and develop your expertise in orthopedic massage and functional assessment, clinical massage, myofascial work and stretching. Start by getting involved with your AMTA chapters’ Sports Massage Team; this provides excellent hands-on experience and each event looks great on a resume.

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During pregnancy, your body goes through major changes. Pregnancy massage can help with these changes by reducing stress, decreasing arm and leg swelling, and relieving muscle and joint pain. Massage may be particularly helpful during a time when medication and other medical options may be more limited. Using specially designed massage pillows, the massage therapist will help get you into a comfortable position for this type of massage.
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While a typical runner’s sports massage focuses primarily on the legs, Denunzio insists on incorporating upper body work as well. As she explains it, “nobody has perfect form, especially when they’re fatigued” and runners can unknowingly tense their upper bodies when working out, which in turn creates tightness in their arms, shoulders and back. Ideally, those areas should receive a little TLC as well.  

@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!

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