In Germany massage is regulated by the government on a federal and national level. Only someone who has completed 3,200 hours of training (theoretical and practical) can use the professional title "Masseur und Medizinischer Bademeister" or Medical Masseur and Spa Therapist. This person can prolong his training depending on the length of professional experience to a Physiotherapist (1 year to 18 months additional training). The Masseur is trained in Classical Massage, Myofascial Massage, Exercise and Movement Therapy. During the training they will study: Anatomy, Physiology, Pathology, Gynecology, Podiatry, Psychiatry, Psychology, Surgery, and probably most importantly Dermiatry and Orthopedics. They are trained in Electrotherapy, and Hydrotherapy. Hydrotherapy includes: Kneipp, Wraps, underwater Massage, therapeutic washing, Sauna and Steambath. A small part of their training will include special forms of massage which are decided by the local college, for example: Foot reflex zone massage, Thai Massage etc. Finally a graduate is allowed to treat patients under the direction of a doctor. He is regulated by the professional body which regulates Physiotherapists. This includes the restriction on advertising and oath of confidentiality to clients.[citation needed]
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.
Massage used in the medical field includes decongestive therapy used for lymphedema[10] which can be used in conjunction with the treatment of breast cancer. Light massage is also used in pain management and palliative care. Carotid sinus massage is used to diagnose carotid sinus syncope and is sometimes useful for differentiating supraventricular tachycardia (SVT) from ventricular tachycardia. It, like the valsalva maneuver, is a therapy for SVT.[52] However, it is less effective than management of SVT with medications.[53]
The researchers also note there are psychological benefits for athletes receiving massages, which other research shows can include improved focus and confidence. Although more research is still needed on a long-term scale, both tissue healing and the psychological effects of massages are areas that seem promising for both professional and recreational athletes.
Swedish massage uses five basic movements to increase circulation and remove toxins from the muscles. Always working towards the heart, the massage therapist incorporates these techniques into a flowing massage session that leaves the patient physically and emotionally relaxed. The trademark move is Effleurage, long gliding strokes that can be firm or soft, depending on purpose and client. Many therapists start out a session with Effleurage to familiarize themselves with the patient, and then start to bring more pressure to bear for deeper work.
Each type of sports massage uses different massage techniques. Effleurage is a light stroking that can be performed with the palms or the thumbs. The pressure and speed is varied depending on the muscle and the desired result. Effleurage increases blood flow to the muscle. Petrissage is a form of two-handed kneading in which both hands pick up the muscle and compress it. This technique loosens tight bunches of muscles. Percussive strokes are blows or strikes on the muscle, often performed with the little fingers. They are used to tone the muscles. Cupping involves percussing or striking the muscles with cupped hands. It stimulates the skin and causes muscle contractions that help tone the muscles. There are variations on all these strokes, such as deep cross-fiber friction to separate muscle fibers and break down scar tissue, and jostling to relieve muscle tension. A good sports massage therapist will combine techniques to achieve the maximum desired result. Sports massage sessions generally last 30-60 minutes.

In Europe and North America, other people took time to introduce and spread this initial type of massage. Dr. Johann Georg Mezger (1834-1901) of Holland helped establish formal recognition with the founding of the Society of Trained Masseuses. This eventually led to the formation of other bodies in Canada, the United States and Europe. These include local, state and national bodies. Many, such as the Association of Physiotherapists and Massage Practitioners of British Columbia date from the early 1900s.
Pre-event and post-event massage therapies are tailored for distinct purposes. Pre-event treatment is used as a supplement to an athlete’s warm-up to enhance circulation and reduce excess muscle and mental tension prior to competition. It is tailored to the needs of the athlete and his/her event and can be relaxing or stimulating as appropriate. Post-event massage, on the other hand, is geared towards reducing the muscle spasms and metabolic build-up that occur with rigorous exercise. Various sports massage techniques enhance the body’s own recovery process improving the athlete’s ability to return to training and competition, and reducing the risk of injury.

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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.  
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.
Deep tissue massage relieves tension in the deeper layers of tissue in the body. This style of massage is a highly effective method for releasing chronic stress caused by misalignment, repetitive motions, and lingering injuries. Due to the nature of the deep tissue work, open communication during the session is crucial to make sure you don’t get too uncomfortable.

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Continuing education is important to stay abreast of the evolving field of sports medicine. In addition, sports massage therapists must have a strong understanding of the demands that sports put on the body, both physically and mentally. Because I also train and race, I feel better able to understand body mechanics—including common injuries and performance goals—which gives me the opportunity to communicate and share my experience as well as my skills to help athletes reach their

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A recent study published in The Journal of Alternative and Complementary Medicine examined the effects of one session of Swedish massage therapy on the body’s hormonal response and immune function. Researchers from Cedars-Sinai Medical Center and the David Geffen School of Medicine at the University of California, Los Angeles, randomly assigned fifty-three healthy adults to receive one session of either Swedish massage or light touch (in which the therapist used only a light touch with the back of the hand). Both groups had sessions lasting forty-five minutes and were performed by a licensed massage therapist. Blood samples taken before and after the sessions were used to determine blood levels of certain hormones and circulating lymphocytes (white blood cells). The researchers found that participants had shown that Swedish Massage Therapy or resting an hour weekly significantly reduced blood pressure levels.
Personal trainer/ Masseur, my technique is a blend of Sports Massage and Deep Tissue (Swedish) medium pressure with perfect intuition and soothing touch on a table or bed.  This relaxing therapy is using to support long-term health and rehabilitative care of individuals and athletes. Open-minded, welcome everyone including gay, straight, and bi men of all ages and body types. I tailor the message to meet your needs. the decision of oil or lotion will be up to you, although the choice is yours I prefer organic oils. My home studio includes complimentary and easy access parking. I am also available to travel to your preferred location. You ... View Profile
“I travel frequently for work and usually try to get a massage near where I’m staying. Tonight I decided I would treat myself to a massage after work. Treat Your Feet Buckhead was right next to my hotel so I decided to walk over and see if they had availability for a 1 hour massage. I walked in and was pleasantly greeted. The facility is very clean and well appointed. They had availability and I chose a 1 hour deep tissue massage and was escorted to a massage room. The room was clean, neat, good temperature and well decorated. I requested a male therapist which they accommodated. Albert, my massage therapist was amazing. Deep pressure just like I wanted. He was also very meticulous and thorough. I highly recommend him and this location.”
Massage has a multifaceted effect on the body and evokes complex reactions involving all the tissues, organs, and systems. It improves the movement of lymph and blood in the vessels and tones the vascular system, facilitating the work of the heart. The hemoglobin content of the blood and the erythrocyte and leukocyte counts are raised. Massage increases gas exchange and the excretion of mineral salts, urea, and uric acid. Changing the character, force, and duration of the massage can affect the functional state of the cerebral cortex by lowering or raising general excitability, intensifying attenuated reflexes and reviving lost ones, improving the function of conduction tracts, and reinforcing the reflex links of the cerebral cortex with the muscles, vessels, and internal organs. Massage can accelerate the regeneration of a nerve after injury and relieve or stop pain.

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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.
Medical Massage is a controversial term in the massage profession.[50] Many use it to describe a specific technique. Others use it to describe a general category of massage and many methods such as deep tissue massage, myofascial release and triggerpoint therapy as well as osteopathic techniques, cranial-sacral techniques and many more can be used to work with various medical conditions.[51]

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*Introductory offers valid for first time visit only. Not valid for gift cards. Sessions include time for consultation and dressing. Rates and services may vary by location. ***Enhancements are included within the one-hour service. Offers may not be combined. Independently Owned & Operated. Certain massages or enhancements are not recommended during pregnancy or for customers with some medical conditions. A doctor’s note may be required. In the absence of a state law holding otherwise, you must be over the age of 14 to receive a massage and over the age of 13 to receive a Teen facial. If under the age of 18 we do ask for a parent/guardian signature allowing minor to receive our services. Any minor between the ages of 14 – 15 requires that the parent remain in the treatment room while services are being performed. Any minor between the ages of 16 – 17 requires that the parent remain on the premises while services are being performed. All female minor appointments are to be booked with female therapist. See spa for details. Hand and Stone Franchise Corporation is committed to providing a website that is accessible to the widest possible audience, regardless of technology or ability. We are regularly working to increase the accessibility and usability of our website and in doing so adhere to many of the available standards and guidelines. To report any issues with this site please send an email to webmaster@handandstone.com
This type of bodywork uses deep, penetrating heat and/or cold from specialized stones. The physiological benefits of alternating hot and cold to the body have long been scientifically and medically proven. Hot stone therapy delivers a profound expansion and contraction inside your circulatory system, improving the function of your lymphatic and immune systems and enhancing your body’s self-healing mechanisms. This style of massage takes you into deep states of relaxation, releasing stress and anxiety, detoxifying the body, and balancing your nervous system.
Swedish massage is the therapeutic massage standard for much of the Western world. Developed in the 1800s by Pehr Henrik Ling, it incorporates a variety of specific massage techniques to treat sore muscles, tension, stress, and poor circulation. Most Western massage modalities have their origins in in this form, and the majority of massage therapists in the West are trained in it before they learn any other massage techniques. Swedish massage is so ubiquitous that in Europe that it is known as classic massage.

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Quick muscle knot orientation: Muscle knots — myofascial “trigger points” — are a factor in most of the world’s aches and pains. Their biology is still mostly mysterious: conventional wisdom says they are tiny spasms, but they might also be a more pure neurological problem. Regardless, they can cause strong pain that often spreads in confusing patterns, and they grow like weeds around other painful problems and injuries, making them quite interesting and tricky. Although they are well known to many specialists and researchers, most doctors and therapists know little about them, so misdiagnosis is epidemic. For more information about how trigger points might be involved in your own medical history, see PainScience.com’s best-selling tutorial:
Some massage therapists offer couples massage, where two people receive bodywork at the same time, generally side by side. People often opt for couples massage on special occasions such as birthdays or anniversaries. Typically two massage therapists work on the couple or two friends simultaneously; however, one therapist can provide the massages one after the other. Garry Commiato LMT charges $120 for a 60-minute couples massage.

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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. 
Acupressure [from Latin acus "needle" (see acuity) + pressure (n.)[31]] is a technique similar in principle to acupuncture. It is based on the concept of life energy which flows through "meridians" in the body. In treatment, physical pressure is applied to acupuncture points with the aim of clearing blockages in those meridians. Pressure may be applied by fingers, palm, elbow, toes or with various devices.

Acupressure [from Latin acus "needle" (see acuity) + pressure (n.)[31]] is a technique similar in principle to acupuncture. It is based on the concept of life energy which flows through "meridians" in the body. In treatment, physical pressure is applied to acupuncture points with the aim of clearing blockages in those meridians. Pressure may be applied by fingers, palm, elbow, toes or with various devices.
A recent study published in The Journal of Alternative and Complementary Medicine examined the effects of one session of Swedish massage therapy on the body’s hormonal response and immune function. Researchers from Cedars-Sinai Medical Center and the David Geffen School of Medicine at the University of California, Los Angeles, randomly assigned fifty-three healthy adults to receive one session of either Swedish massage or light touch (in which the therapist used only a light touch with the back of the hand). Both groups had sessions lasting forty-five minutes and were performed by a licensed massage therapist. Blood samples taken before and after the sessions were used to determine blood levels of certain hormones and circulating lymphocytes (white blood cells). The researchers found that participants had shown that Swedish Massage Therapy or resting an hour weekly significantly reduced blood pressure levels.
Swedish massages utilize variations of strokes, and the body responds to the pressure, duration, and speed of those strokes in different ways. Long, quick strokes stimulate blood flow to tissue. Gentle, slow, topical strokes promote general relaxation. The technique of delivering the massage largely depends on what the massage is intended to address. 
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.”
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)
Your massage or bodywork session will take place in a warm, comfortable, quiet room. Soft music may be played to help you relax. You will lie on a table especially designed for your comfort. Each guest will have their own Licensed Therapist, as well as individual massage therapy table. Your pain & area(s) of concern are individually treated while in the comfort of your loved one in the same therapy room.
Reflexology is one of the most used alternative therapies in Denmark. A national survey from 2005 showed that 21.4% of the Danish population had used reflexology at some point in life and 6.1% had used reflexology within the previous year.[14] A study from Norway showed that 5.6% of the Norwegian population in 2007 had used reflexology within the last 12 months.[15]
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. 

Headaches. Severe headaches and migraines are the second most common pain conditions in the U.S. (15 percent) according to the AAPM, and Everhart says that massage therapy can oftentimes help in these cases. The Migraine Relief Center (MRC) indicates that the reason this modality works is that it eases muscle spasms, improves blood flow and circulation, relieves tension, and increases relaxation. The MRC shares that it is also especially helpful when it comes to tension and vascular headaches.
Like having your feet worked on? The therapist uses finger pressure and techniques such as kneading and rubbing to promote relaxation and healing in the body. Reflexology is based on "reflex areas" on the hands and feet, whose energy is believed to be connected to organs and other body parts. By applying pressure to the reflex points, the reflexologist can balance your nervous system and stimulate endorphins, the body's natural pleasure response, which reduces stress and discomfort.

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Oils: The base oil should be a vegetable oil, cold pressed, unrefined, and free of additives. These oils contain such nutrients as vitamins and minerals in addition to fatty acids. They do not clog the pores as mineral oils often do. Essential (aromatic) oils may be added to provide additional relaxation or other therapeutic effects. Massage oil should be warmed in the therapist's hands before it is applied to the client's skin.

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The pressure from Swedish massage is ideal for relieving muscle tension, like the kind that builds up from hunching over a computer all day. This tension can sometimes result in knots: trigger points of extremely tense muscle fibers that form tiny nodules. Massage therapists are trained to feel for these knots, and Swedish-massage techniques are ideal for gently coaxing them away.

Over time, deep-tissue massage therapy can help break up and eventually erase scar tissue in the body. It does this by improving lymphatic circulation and drainage to improve flexibility and range of motion in the affected area. Scar tissue is often associated with ongoing pain and stiffness, so deep-tissue massage can improve these symptoms. Massage therapy is often recommended for people who are recovering from surgery.

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Maximization of comfort is kept as the primary goal by massage therapists; therefore, a profoundly peaceful environment is observed while most massage periods are extended till an hour at least to deliver optimal comfort efficiently. The combinations of soothing Effleurage, as well as Petrissage strokes, works when merged with a comforting homely environment helps with decreasing Cortisol; the stress hormone present within the anatomy of clients.

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There are several types of massage that focus on different parts of the body or healing approaches. Massage is the practice of rubbing and kneading the body using the hands. During a massage, a massage therapist will apply gentle or strong pressure to the muscles and joints of the body to ease pain and tension. A massage therapist is a person trained in giving massages.

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My unique style blends oriental modalities of Thai massage stretching and a western deep tissue sports massage. My training includes Shiatsu for Structural Dysfunction, Swe-Thai, Hydrotherapy, Acupressure, Ashiatsu (walking on the back), Osteopathic approach to soft tissue therapy, managing low back pain, tendonitis knee & ankle sprain therapy, Myofascial Release, Lymphatic Drainage and Aromatherapy. This results in a pain management approach blending stress reduction and energy relaxation. My 18 year certification as a Reike Master channels Intuitive Energy Therapy where the client can feel heat from my hands and often move into a deep t ... View Profile

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Shoulder pain. A 2017 study published in the Journal of Physical Therapy Science reports that shoulder pain is one of the most common musculoskeletal disorders, affecting as many as 66.7 percent of the population. The study goes on to say that massage therapy can often help reduce this type of pain, sometimes in a matter of days, though 36 sessions appeared to offer the greatest level of relief.
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.

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In this particular study, published in Studies in Health Technology and Informatics, therapeutic massage included techniques of tapping and friction, while DTM used “oblique pressure and a combination of lengthening and cross-fiber strokes.” All sessions were 30 minutes long and preformed daily, and all participants did not receive any other treatments during the course of the study. After 10 days, participants treated with DTM reported significant improvements in pain (lower back pain in this case) compared to those treated with therapeutic massage, based on scores using the Modified Oswestry Low Back Pain Disability Index, Quebec Back Pain Disability Scale and Visual Analog Scales. (4)
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)
A statistic has showed that there are more than 5000 registered reflexology centres in Malaysia. Currently, reflexology is a big industry in Malaysia with a huge unexploited potential for tourism and human capital, especially for disabled people. Owing to that, Ministry of Health has published the good practice guidelines for reflexology in 2011 to strengthen and govern its operations.2 Different use of reflexology and the effect of reflexology are listed below:
Therapists use a combination of kneading, rolling, vibrational, percussive, and tapping movements, with the application of oil, lotion, or cream, to reduce friction on the skin. The many benefits of Swedish massage may include generalized relaxation, dissolution of scar tissue adhesions, and improved circulation, which may speed healing and reduce swelling from injury.
During most full-body massages the expectation is you’ll be undressed. Your massage therapist will ask you to undress for your massage while they wait outside. It’s up to you whether or not to keep your underwear on. Your massage therapist will drape a sheet over your body, which they will pull back and adjust as they work their way around. You will be covered most of the time.

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Swedish massage uses five basic movements to increase circulation and remove toxins from the muscles. Always working towards the heart, the massage therapist incorporates these techniques into a flowing massage session that leaves the patient physically and emotionally relaxed. The trademark move is Effleurage, long gliding strokes that can be firm or soft, depending on purpose and client. Many therapists start out a session with Effleurage to familiarize themselves with the patient, and then start to bring more pressure to bear for deeper work.

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.
Harriet Hall, MD also known as The SkepDoc, is a retired family physician who writes about pseudoscience and questionable medical practices. She received her BA and MD from the University of Washington, did her internship in the Air Force (the second female ever to do so),  and was the first female graduate of the Air Force family practice residency at Eglin Air Force Base. During a long career as an Air Force physician, she held various positions from flight surgeon to DBMS (Director of Base Medical Services) and did everything from delivering babies to taking the controls of a B-52. She retired with the rank of Colonel.  In 2008 she published her memoirs, Women Aren't Supposed to Fly.

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