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
Good pain. In massage, there is a curious phenomenon widely known as “good pain.” It arises from a sensory contradiction between the sensitivity to pressure and the “instinctive” sense that the pressure is also a source of relief. So pressure can be an intense sensation that just feels right somehow. It’s strong, but it’s welcome. Good pains are usually dull and aching, and are often described as a “sweet” aching. The best good pain may be such a relief that “pain” isn’t even really the right word.
Friction strokes work on deeper muscles than the techniques previously described. The friction technique is a pressure stroke and is the deepest that is used in Swedish massage. The massage therapist applies pressure by placing the weight of his or her body on the flat of the hand and the pads of the thumbs, knuckles, fingers, or the back of the forearms, and then releases the pressure slowly and gently. This movement should be a continuous sliding motion or a group of alternating circular motions.

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But the relief model is certainly tempting. There are many painful-but-relieving analogies in medicine and biology.15 That’s similar to what good pain in massage feels like, but it’s not the same: no one thinks that lancing a boil or popping a shoulder joint back in is anything but painful while it’s happening.16 And we can’t necessarily take the good pain sensation at face value and assume it means there’s actually going to be a positive outcome. Brains are not all-knowing. Sometimes they see danger where there is none, and sometimes they see help where there is none.
Like the name suggests, deep tissue massage targets your body’s deepest layers of muscle and releases tension in overstressed areas. When your muscles are severely knotted, this therapeutic treatment is designed to break it up. Deep tissue massage is a mix of slow, short strokes and penetrating finger pressure focused on tight, contracted areas. The therapist employs her thumbs, forearms, and even elbows to work muscle tissue and relieve tension. For more on Deep Tissue massage, review our guide.
Couples massage is a good choice when lovers are in the throes of early romance, and can't bear to be apart. They want to share everything, even their massage. Many couples treatments are specifically designed with romance in mind, including time alone in a rose-petal-strewn tub, a bottle of Champagne with strawberries and chocolate, and lounging time by a fire after the treatment. Part of what you are paying for is a time in the room, which works best when it's a beautiful romantic setting. 
Practiced for centuries by Thai monks, and forming a central component of Thai medicine, Thai massage is believed to have originated over 2,500 years ago in India. Originally developed by Jivaka Kumar Bhaccha, the physician to Siddhartha Gautama - the Buddha - more than 2,500 years ago in India. The technique made its way to Thailand, where the original Ayurvedic techniques became combined with principles from traditional Chinese medicine. Read more about how having a Thai massage benefits you and your health.
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.
M&W Massage and Wellness Solutions provide a pathway to good mental and physical health through professional massage therapy services. My massage therapy services are tailored to the client’s needs at the time of the session. It is a very personalized treatment, where I also incorporate the concepts of visualization and stretching for maximum benefit.  I help my clients with pain management, stress reduction and relaxation utilizing the perfect bed, heating pad and top of the line lotions and oils.  ... View Profile
Did you know that the bottom of your feet could affect what's going on in other areas of your body? On each foot there are over 7,000 nerve endings called reflexes that correspond to every organ and system within your body. By pressing on these reflex points, you stimulate the nervous system and open energy pathways that may be blocked or congested.
Decision-making skills: Your clients might not exactly know what they want from a session. They may not know what technique they want to be performed or might not be aware of the location of their pain. Professional massage therapists should help their clients by helping determine what massage will help improve their physical condition. This is where your training comes in. Good decision-making skills can come in handy when determining the best type of therapy for a client.

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Reflexology in Thailand is abundantly offered even at spas, centres, markets, and chair beside the street because it is widely known as one of the most relaxing therapies. Colorado School of Thai Massage offers a short course of reflexology about the fundamental practice of Thai Foot Reflexology. For those who are interested, no bodywork experience required to join this course.
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.
Reflexology practice should be implemented as a complementary therapy in developed countries due to its functions which can give many benefits to body health condition. Recent lifestyles cause the body to adapt to so many stressful effects. With the basic of reflexology which can be done by ourselves, it helps to improve the performance in our life day by day.
Be warned, if it’s your first massage or you don’t get much exercise, steer clear of deep tissue — you could end up very sore the next day. A deep tissue massage can help heal injuries and release knots caused by stress. Deep tissue massage requires a solid understanding of anatomy, but top therapists don’t just have technical skill: They’re highly sensitive and aware of reactions taking place in the body during the work and know when to back off. For more on Deep Tissue massage, review our guide.
Deep tissue massage is a massage technique that’s mainly used to treat musculoskeletal issues, such as strains and sports injuries. It involves applying sustained pressure using slow, deep strokes to target the inner layers of your muscles and connective tissues. This helps to break up scar tissue that forms following an injury and reduce tension in muscle and tissue.
Referred pain spreads the goodness. Undoubtedly another reason that massage pain can feel good is the phenomenon of referred sensation. If you stimulate internal tissues anywhere in the body, muscle or otherwise, the brain really has trouble telling quite where the sensation is coming from. When you press hard enough on your muscles, particularly on sensitive trigger points, the pain is often experienced as though it originated from a much broader area.
There are articles on “Learn the Importance of Five Elements Theory in Acupressure – Dao, Yin Yang,” how acupuncture is effective for smoking cessation; why acupuncture is a form of preventive medicine; how acupuncture treats various skin conditions, seasonal allergies, emphysema, hemorrhoids, gallbladder disorders, and emotional syndromes; the healing effects of Qi in acupuncture; the Five Spirits that impact mental health (Hun, Shen, Yi, Zhi, and Po); and on and on.

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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.  
Before you can decide which massage style is best for you, you need to ask yourself a question. Do you simply want a massage for relaxation and stress control? Or do you need symptom relief or help with a certain health condition? Before booking a massage, let the therapist know what you're looking for and ask which style the therapist uses. Many use more than one style. Or the therapist may customize your massage, depending on your age, condition, or any special needs or goals you have.

There are many different styles and types of massage. Two of the most common methods of massage are Swedish massage and deep tissue massage. Before you meet with your massage therapist, it is helpful to know difference between the two. When you have a good understanding of both you can explain exactly what type of massage you want and what your goals are for your massage.

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Cathy Wong explains in her article “Deep Tissue Massage: Everything You Need to Know” on verywell.com that while Deep Tissue massages can be slightly uncomfortable, they have been known to reduce stress hormones and heart rate while releasing oxytocin and serotonin, which allow the client to experience a boost in mood and relaxation. Deep Tissue massages are often used to relieve chronic aches and pain, stiff necks, upper back, and lower back pain as well as muscle tightness. Therapists treat such issues by utilizing Deep Tissue massages to break up scar tissue and muscle knots and working out adhesions that might be hindering circulation and limiting movement.

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PS Ingraham. Central Sensitization in Chronic Pain: Pain itself can change how pain works, resulting in more pain with less provocation. PainScience.com. 5428 words. Pain itself often modifies the way the central nervous system works, so that a patient actually becomes more sensitive and gets more pain with less provocation. This is called “central sensitization.” (And there’s peripheral sensitization too.) Sensitized patients are not only more sensitive to things that should hurt, but also to ordinary touch and pressure as well. Their pain also “echoes,” fading more slowly than in other people. BACK TO TEXT

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Speaking of matching, our service path, The Elements Way®, means that Elements Massage™ studios will match each of you with the massage therapist that can best deliver a great massage based on the needs and requests you provide. During the session, each therapist will check in with each of you to make sure the massage session is exactly what you want.
Reflexology is an alternative medicine system that claims to treat internal organs by pressing on designated spots on the feet and hands; there is no anatomical connection between those organs and those spots. Systematic reviews in 2009 and 2011 found no convincing evidence that reflexology is an effective treatment for any medical condition. Quackwatch and the NCAHF agree that reflexology is a form of massage that may help patients relax and feel better temporarily, but that has no other health benefits. Our own Mark Crislip said, “The great majority of studies demonstrate reflexology had no effects that could not be replicated by picking fleas off your mate…And it has no anatomic or physiologic justification.”

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While many believe that Deep Tissue Massage simply means heavy pressure, this is a misconception.  Deep Tissue Massage includes many of the same techniques from its foundation in Swedish massage, but takes it in a different direction with a different purpose. Often times the pressure is deeper, but it doesn’t have to be.  Remember, deeper isn’t always better.  Deep Tissue Massage should be looked at as technique with a purpose, to provide structural and functional outcomes.
Please contact raizelah@osmosis.com for information on upcoming trainings in T’ui Na, Shiatsu, Thai Massage, Foot Reflexology, and Body Mechanics for Bodyworkers scheduled in Sebastopol, California.  Or book Raizelah for an on-site training in your massage school or spa in T’ui Na, Shiatsu, Thai Massage, Foot Reflexology or Body Mechanics for Bodyworkers.

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.

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According to the National Center for Complementary and Integrative Health (NCCIH), this includes individuals with bleeding disorders, low blood platelet counts, or those who are taking blood thinning medications. When these types of conditions are present, the NCCIH indicates that a sports massage with deep tissue work is generally not recommended.

PS Ingraham. Central Sensitization in Chronic Pain: Pain itself can change how pain works, resulting in more pain with less provocation. PainScience.com. 5428 words. Pain itself often modifies the way the central nervous system works, so that a patient actually becomes more sensitive and gets more pain with less provocation. This is called “central sensitization.” (And there’s peripheral sensitization too.) Sensitized patients are not only more sensitive to things that should hurt, but also to ordinary touch and pressure as well. Their pain also “echoes,” fading more slowly than in other people. BACK TO TEXT
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.
AD 1813 The Royal Gymnastic Central Institute for the training of gymnastic instructors was opened in Stockholm, Sweden, with Pehr Henrik Ling appointed as principal. Ling developed what he called the "Swedish Movement Cure." Ling died in 1839, having previously named his pupils as the repositories of his teaching. Ling and his assistants left little proper written account of their methods. [8][15][16]
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.

Empathy: Most people opt for massage therapy because they are in pain or because they are stressed out and need to calm down. As a massage therapist, it is imperative that you are empathetic to the needs of your clients, regardless of your day is going. If you appear or feel anxious or stressed, you are not going to be able to make your client feel calm and relaxed. Create trust with your patients by being personable and communicating effectively. Be receptive to their needs.

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A good massage therapist will never force pressure into the muscle. They will continue to apply pressure until the muscle pushes back against them. The muscle will then slowly begin to release and allow the therapist to move along it. The pressure used should not be painful, but should walk a fine line between pleasurable release of tension and a pain-blocking response from the body (tensing up). 

Alpharetta 30201 Georgia GA 34.1094 -84.2978


In addition, while the research remains inconclusive, many massage therapists feel that their techniques can lead to the release of toxins into your bloodstream. Because of this, it's commonly recommended that people receiving a massage drink a lot of water for the remainder of the day to help their liver and pancreas process any excess toxins. Doing so may help you avoid feeling nauseous, fatigued or excessively sore afterward.

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Rubbing deep muscles and relieving pressures has been shown to improve blood flow. New research further explains there is an improvement in circulation in both athletes and non-exercisers, suggesting the benefit beyond the realm of exercise and correlated muscle injury and soreness. Blood pressure and heart rate can also be lowered following deep tissue massage.

Because areas of the feet correlate with numerous parts of the body, your massage therapist can start working with your feet to release pain and tension before moving to the troublesome area to apply traditional massage techniques. A certified Integrative Reflexology® massage therapist can properly stimulate the proprioceptors on the bottom of the feet to help increase stimulation of nerve endings, helping to calm the body.

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Some research has shown that massage therapy can be effective during pregnancy due to its anxiety-lowering effects, and women who receive massages before and during labor tend to experience decreased depression, anxiety, and leg and back pain. Results from one study found that women who received massages prior to and during labor had significantly less pain, plus their labors were on average three hours shorter and required less need for medication.

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Although reflexology isn’t directly connected to curing cancer, it has been known to ease the side effects of cancer treatments, such as chemotherapy. It helps cancer patients get a sound sleep by reducing anxiety and also reduces the chances of vomiting or other commonly experienced indigestion issues. The more general effects of reflexology, such as clearing neural channels and increasing circulation help patients.
I am a science writer, former massage therapist, and I was the assistant editor at ScienceBasedMedicine.org for several years. I have had my share of injuries and pain challenges as a runner and ultimate player. My wife and I live in downtown Vancouver, Canada. See my full bio and qualifications, or my blog, Writerly. You might run into me on Facebook or Twitter.

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While this massage is designed to help ease the 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.”
Deep tissue massages are often utilized following injuries to help break up newly forming scar tissue that can make recovery more difficult and lead to stiffness. Massage has been shown to help reduce inflammation and muscle spasms by stimulating blood flow, loosening up muscles to allow for more oxygen and also helping reduce the nervous system’s automatic stress response.
Athletes tend to know their bodies fairly well, so information presented to the therapist seems to be better. Compared to the general client, the athlete is also in good shape and is concerned about getting back to the field of play as soon as possible. Some athletes have an obsessive compulsive behavior about their sport. This generally makes them very compliant with the therapists’ recommendations. 

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