In addition there are many professional bodies which have a required minimum standard of education and hold relevant insurance policies including: the Federation of Holistic Therapists (FHT),[112] the Complementary Therapists Association (CThA),[113] and the Complementary Health Professionals (CHP).[114] In contrast to the CNHC these bodies exist to support therapists rather than clients.

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Swedish massage therapy is the modality that comes to mind when most people think about massage. As the best-known type of bodywork performed today, one of the primary goals of the Swedish massage technique is to relax the entire body. This is accomplished by rubbing the muscles with long gliding strokes in the direction of blood returning to the heart. But Swedish massage therapy goes beyond relaxation. Swedish massage is exceptionally beneficial for increasing the level of oxygen in the blood, decreasing muscle toxins, improving circulation and flexibility while easing tension.

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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
Reflexology has been chosen by most people to treat their body health problems because it offers high level of safety and effectiveness. It also offers natural treatment without consuming drugs and it is easy to use.1 Learning reflexology and its application is quite easy, there is no limitation for people to apply it anytime and anywhere.1 Its effectiveness in treating the root of some diseases may lead to many benefits in health concern such as it helps in easing day-to-day stresses and alleviates the effects from injury and illness.1 However, it is not used in diagnosing processes.11
Manipulative approaches to naturally treating pain and other health problems have been utilized for over 3,000 years, dating back to Ancient Egyptian and Chinese civilizations. Pressure massages were used to improve “Qi” (life force or energy), detox the body and promote better liver function — which today can be explained through the process of activating the lymphatic system.
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.

Typically, sports massage therapists hold a certification and maintain licensure. A good option is to become board certified through the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) and have an active membership with an association, like AMTA, to keep up to date with industry trends. Exact requirements depend upon the state in which the sports massage therapist practices.
The Swedish body massage has become the most common massage practice in the West, and the one that’s associated with that quintessential massage blissfulness. That’s because of the soothing strokes and gentle kneading, which are meant to relax, not stimulate, the body. And yet studies have shown, Swedish massage reduces stress, promotes health, and prevents injuries. At most spas, Swedish massage is the most popular treatment, and it’s for good reason. It helps jangled nerves and release neck knots without being too demanding of the spa-goer.

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Deep tissue massages are usually “cross-grain,” moving against the muscles to relieve aches or pains rather than moving  with them. This can sometimes feel a bit more painful as a result compared to standard “relaxation massages.” However, the pressure involved in deep massages is actually a good thing. It provides many of the benefits that this type of therapeutic massage has to offer. Deep tissue massages also tend to be slower-paced and longer than many other massages, ideally about 1.5 hours long, which gives bodily tissue enough time to warm up and then relax.
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.)
The Swedish body massage has become the most common massage practice in the West, and the one that’s associated with that quintessential massage blissfulness. That’s because of the soothing strokes and gentle kneading, which are meant to relax, not stimulate, the body. And yet studies have shown, Swedish massage reduces stress, promotes health, and prevents injuries. At most spas, Swedish massage is the most popular treatment, and it’s for good reason. It helps jangled nerves and release neck knots without being too demanding of the spa-goer.

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Sports massage therapy can prevent or relieve delayed onset muscle soreness. According to the American College of Sports Medicine, delayed soreness typically begins to develop 12 to 24 hours after the exercise has been performed. DOMS may produce the greatest pain between 24 and 72 hours after the exercise has been performed. Sports massage therapy prevents delayed onset muscle soreness by encouraging blood and lymph flow throughout the body, preventing muscle fatigue.
Addressing anything from headaches to sinus problems to stomach issues, if sensitivity or tenderness is experienced when certain areas of the foot are stimulated, it usually indicates bodily weaknesses or imbalances within the corresponding organ. With repeated practice of applying pressure and manipulating nerve endings (traditionally in the foot), reflexology can help to clear any channels of blocked energy through moving the flow of blood, nutrients and nerve impulses to ultimately improve overall health and balance. In addition to manipulating the pressure points on the foot, reflexologists sometimes work on the hands or ears to trigger relaxation as well.
If you are dealing with a serious injury, and don’t have a diagnosis, definitely see a sports doctor. “Massage therapists do not diagnose,” says Denunzio. “It’s not part of our discipline.” And while a therapist can identify and attempt to alleviate any tightness and inflammation in the body, if a problem area doesn’t feel significantly better three days post-massage, you should likely consult a sports doctor then, as well. Once a diagnosis is given, your massage therapist can work with that information and use massage as a helpful tool in recovery.
Before you and your partner book your appointment, be sure to brush up on your spa etiquette. For many, a couples massage may be your significant other’s first visit to the spa. And while a trip to the spa should be a relaxing experience, if it’s your first spa-going encounter, it can be anything but if you don’t know what to expect. To calm those nerves, note the following spa protocol tips: For many, nudity may very well be the most nerve-wracking aspect of spa-going. Bear in mind, though, that maintaining guest modesty is a key priority for most therapists in the U.S. Male or female therapist? It’s your call. Spas make every effort to accommodate guest wishes in this regard, but it’s recommended to make advance reservations, particularly during peak hours. Speak up (if you wish). Couples can feel free to converse during their massage, or stay silent. It’s entirely your preference. For more on Couples Massage, see our guide.
Swedish massage is rooted in Western practices of anatomy and physiology. To perform this type of massage, licensed therapists apply an arsenal of pressure styles that include stroking, kneading, striking, rubbing, and vibrations. Using massage oil to help their strokes glide, they focus the pressure along the muscles that run the length of the body.
With possible benefits such as improved fitness endurance and performance, increased flexibility and recovery time, and injury prevention, sports massage is way more than just a massage for athletes! Traditionally, sports massage is a deep tissue massage that targets the deepest layers of muscle in order to stimulate blood flow. It is best done before or after the event as a means to later restore or rehabilitate. For more, see our Comprehensive Guide to Massage.

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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.
YP - The Real Yellow PagesSM - helps you find the right local businesses to meet your specific needs. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria. These factors are similar to those you might use to determine which business to select from a local Yellow Pages directory, including proximity to where you are searching, expertise in the specific services or products you need, and comprehensive business information to help evaluate a business's suitability for you. “Preferred” listings, or those with featured website buttons, indicate YP advertisers who directly provide information about their businesses to help consumers make more informed buying decisions. YP advertisers receive higher placement in the default ordering of search results and may appear in sponsored listings on the top, side, or bottom of the search results page.
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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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.
“Good pain” is at the heart of the pressure question: a strange, potent sensory paradox that many people actually seek out as the goal of therapy, consciously or unconciously. Either it isn’t literally painful (just intense), or it’s painful but desired anyway because of relief or belief: an actual biological relief or at least the belief that there is one. But it’s important to note that not all satisfying, relieving sensations are genuinely helpful (e.g. scratching a mosquito bite).

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Adequate recovery is also a major factor in avoiding the over-training syndrome. Over-training is characterized by irritability, apathy, altered appetite, increased frequency of injury, increased resting heart rate, and/or insomnia. It occurs when the body is not allowed to recover adequately between bouts of heavy exercise. Therapeutic massage helps you avoid over-training by facilitating recovery through general relaxation, and its other physiological effects. 
In India, massage therapy is licensed by The Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) under the Ministry of Health and Family Welfare (India) in March 1995. Massage therapy is based on Ayurveda, the ancient medicinal system that evolved around 600 BC. In ayurveda, massage is part of a set of holistic medicinal practices, contrary to the independent massage system popular in some other systems. In Siddha, Tamil traditional medicine from south India, massage is termed as "Thokkanam" and is classified in to nine types, each for specific variety of disease.
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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Massage therapy is also being investigated as an aide to patients with more neuromuscular disorders, such as multiple sclerosis (MS). A Iranian 2013 study published in Clinical Rehabilitation looked at 48 individuals with MS who participated in a five-week massage experiment. They were assigned to one of four groups: massage therapy, exercise therapy, combined massage-exercise therapy and control group.
It is also crucial that you continue the communication throughout the session, when and where appropriate. While you want to make this a relaxing session and not talk too much, it is also important that you get feedback from the client about how he or she is feeling. Is the pressure right?  Should you be focusing on a different body part? Do they feel comfortable with the room temperature? Are they happy with your selection of music? Essentially, the quality of your communication with your client could help transform his or her experience during the massage session.
According to Robert Noah Calvert, author of The History of Massage, what we now call Swedish massage was never part of Ling’s movement system. Swedish massage, as Calvert asserts, is defined by its system of stroking, kneading, and other bodily manipulations. These he credits to a Dutch practitioner, Johann Georg Mezger, who lived and worked in the late 19th century. As a result, what Americans know as Swedish massage is called “classic massage” throughout most of Europe.
Pre-event massage is given shortly before an athlete competes. It consists mainly of brisk effleurage to stimulate and warm the muscles and petrissage to help muscles move fluidly and to reduce muscle tension. Effleurage is generally a relaxing stroke , but when done briskly it is stimulating. As the massage progresses, the pressure increases as the massage therapist uses percussive strokes and cupping to stimulate the muscles to contract and flex. The part of the body being massaged varies from sport to sport, although leg and back muscles are common targets for this type of massage.

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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
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.

Keep in mind that reflexology is not a substitute for medical treatment, but is a supportive measure. There are two reflexology points on the feet that may help with knee pain: 1) Spine reflex point on the inside portion of the feet from the edge of the heel to the neck of the big toe. 2) Knee reflex point, one inch below the ankle bone in the small, soft triangular section.
Integrative Reflexology® is different than traditional reflexology, which is performed by a reflexologist, requires a separate training and discipline than massage therapy. Reflexology is an alternative medicine that involves an intricate and detailed application of pressure points to the feet, hands and ears with specific techniques using the thumb and fingers. Traditional reflexology is applied without lotion or oils. The specific techniques to certain pressure points are believed to effect a specific change to the body.
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]
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. 
Massage should not be done directly over bruises, inflamed or infected skin, skin rashes, unhealed or open wounds, tumors, abdominal hernia, fragile bones, or areas of recent fractures. Massage may cause bruising and rarely, hematoma (a localized collection of blood outside of blood cells), venous thromboembolism, and a condition known as spinal accessory neuropathy.
There are five main techniques in Swedish massage: effleurage, friction, petrissage, tapotement and vibration. Within each category there are various movements, all intended to ease muscle tension and pain. Each movement has a specific purpose for loosening, warming, soothing or stimulating your muscles during your massage. Here is a breakdown of each of the five Swedish massage techniques:

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