In Japanese, shiatsu means "finger pressure." For shiatsu massage, the therapist uses varied, rhythmic pressure on certain precise points of the body. These points are called acupressure points, and they are believed to be important for the flow of the body's vital energy, called chi. Proponents say shiatsu massage can help relieve blockages at these acupressure points.
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Muscles are layered on top of each other and over lap. Some muscles are right on the surface like your rectus abdominis (six pack ab muscles), and some are much deeper in the body like your Psoas muscle (deep hip flexor). So a DTM implies that the therapist is not just working on the superficial musculature, but reaching layers of muscle and fascia (connective tissue) further below the surface.