Sandals, shoe inserts, foot-massage devices and a steering wheel cover based on reflexology theory are being marketed. As far as I know, no such product has a plausible rationale or been scientifically tested. Any medical claims made for such devices would make them "medical devices" under the law and therefore illegal to market without FDA approval.
Do not use massage therapy to replace conventional care or to postpone seeing a health care provider about a medical problem. If you have a medical condition and are unsure whether massage therapy would be right for you, discuss your concerns with your health care provider. Ask about the training, experience, and credentials of the massage therapist you are considering. Also ask about the number of treatments that might be needed, the cost, and insurance coverage. For more tips on finding a massage therapist, see the National Center for Complementary and Integrative Health’s (NCCIH) webpage (How to Find a Complementary Health Practitioner) or ask a friend or your physician for a referral.

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Earliest discovery of reflexology was found in Egypt based on the observation of daily life activities including the medical practices.1 Other studies have reported that reflexology emerges from China for the last 5000 years ago but there is no documentation found, so with the finding of hieroglyphic mural in the pyramid located in Saggara, reflexology is considered as a part of Egyptian culture from 2330 BC.3 At the late of 14th century, reflexology was already applied throughout the Europe with another name; zone therapy.9 Father of modern reflexology, Dr. William Fitzgerald (1872–1942) has discovered that zone therapy has been used by Aboriginal American.9 Jenny Wallace from North American Indians tribes used pressure at the feet as one of the sources of healing process.9 Fitzgerald study has brought reflexology practice to be widely used in the United States.3 The discovery of zone therapy was developed from the finding of pressure applied on many parts of body such as hands, nose, ears, and many more can relieve pain sensation.10 Dr. Joe Shelby Riley from Washington has conducted many studies of therapy including reflexology and has used this therapy for many years.9 Eunice Ingham (1879–1974) has worked together with Dr. Riley in 1930's as the therapist and work greatly to help people understand reflexology.8 She shared the technique of reflexology with others by writing many books such as “Stories the Feet Can Tell, Stories the Feet Have Told, and Stories the Feet Are Telling”.9 Reflexology has greater recognition after the emergence of another eminent woman in this therapy world with her book; “Helping Yourself with Foot Reflexology” which reached more than 500,000 copies sold.9

Although many assume Swedish massage comes from Sweden, Johan Georg Mezger (1838-1909), a Dutch man, is often credited with formalizing the system known as Swedish massage—sometimes referred to as “classic massage” in Europe. Mezger assigned French names— effleurage, petrissage, friction, and tapotement—to the specific strokes used in Swedish massage application. In English, these movements are known as stroking, kneading, rubbing (friction), and striking.


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).

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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.
This modality was first developed by a Swedish doctor, Dr. Per Henrik Ling, though it possesses more than just Swedish influence. With techniques borrowed from several countries, including China, Egypt, Greece and more, Swedish massage is worldly in nature and combines many practices to create a massage experience that has become popular for good reason. Swedish massage is very therapeutic and very relaxing.

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During the 1990s, I observed at least seven foot reflexologists at work during health expositions. In most cases, the process appeared to be an ordinary prolonged foot massage with little communication between the practitioners and their clients. But at one exhibit, the practitioners claimed that they could reduce stress, cleanse the body of toxins, increase circulation, assist in weight loss, and improve the health of organs throughout the body. On another occasion, I underwent a 15-minute session in which the practitioner felt my foot for diagnostic purposes and then massaged it for "therapeutic" purposes. During the previous year, I had had severe shoulder pain caused by an inflamed tendon that was rubbing against a bony surface inside my left shoulder joint. Thorough medical evaluation had determined that the appropriate treatment was arthroscopic surgery in which a drill is used to shave the bony area that was impinging on the tendon. The reflexologist claimed that he could detect the shoulder problem by feeling my left foot, that it was caused by stress, and that pressing on my foot—perhaps for a few sessions—could solve the problem. His "treatment," which lasted about 10 minutes, consisted of massaging the foot and from time to time, pressing hard on the ball of my foot, a procedure that was quite painful. The "treatment," of course, did absolutely nothing to help my shoulder. A few months later, I had the surgery, which cured the problem immediately and permanently.

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Another institute that offers a short course of reflexology is Karisma Institute which is a specialist training institute. This institute is registered with the Ministry of Human Resource and Ministry of Tourism Malaysia. This institute offers many courses that are geared towards meeting the market needs. For those who registered as participants at this institute, they are supplied with registration kits which consist of foot reflexology book, reflexology zone poster, massage cream, and towel. This institute offers 10% lecture class on theory and 90% practical session with demonstration. The overall contents of this short course are introduction to reflexology, human physiology, organs function, consultation, treatment, and entrepreneurship.16
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:

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Welcome, and thank you for your interest in Swedish Institute’s Massage Therapy Program. Our program is the oldest in the nation. Swedish has been providing massage therapy training for the last 100 years! We offer a program that is innovative, challenging, and fun as students embark on a journey toward a fulfilling career. The study of massage therapy is a path to a holistic-minded medical profession that offers the practitioner lots of variety, flexibility, and freedom in both their professional and private lives. Even more importantly, massage therapy provides you with the opportunity to have a positive impact in the lives of those you touch.
Another institute that offers a short course of reflexology is Karisma Institute which is a specialist training institute. This institute is registered with the Ministry of Human Resource and Ministry of Tourism Malaysia. This institute offers many courses that are geared towards meeting the market needs. For those who registered as participants at this institute, they are supplied with registration kits which consist of foot reflexology book, reflexology zone poster, massage cream, and towel. This institute offers 10% lecture class on theory and 90% practical session with demonstration. The overall contents of this short course are introduction to reflexology, human physiology, organs function, consultation, treatment, and entrepreneurship.16
One theory is that muscle knots may be caused by something that goes wrong at the “motor end plate” — where a nerve ending attaches to a muscle cell.9 We don’t know why this happens, or what exactly goes wrong, but there is circumstantial evidence that motor end plates are the “point” in trigger point. That evidence is too complex and controversial to review properly here. It is explored in detail in my book. Some research has suggested that it may actually be possible to physically destroy the motor end plate with strong massage, thereby inactivating the trigger point.10 When it regrows — these are microscopic structures, it doesn’t take them long to heal — the trigger point may be gone.
A study conducted by the National Center for Complementary and Alternative Medicine, and published in The New York Times, found that volunteers who received a 45-minute Swedish massage experienced significant decreases in levels of the stress hormone cortisol, as well as arginine vasopressin-a hormone that can lead to increases in cortisol. Volunteers also had increases in the number of lymphocytes, white blood cells that are part of the immune system, and a boost in the immune cells that may help fight colds and the flu.

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Take it slow. Remember, the inner and outer charts are for people experienced with foot reflexology. Wait until you feel comfortable with the basics before trying to fully understand how to work the inner and outer charts. You may want to meet with a foot reflexology specialist or consider taking classes if you're interested in the inner and outer charts.[11]
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.  
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.
Some massage therapists travel to their clients’ home, office, or hotel for Swedish massage services. In general, off-site massages cost more than those provided in a therapist’s studio to help cover the extra time, effort and transportation expenses in travelling to and from the client’s location with their massage table and other equipment. Garry Commiato LMT charges the following for off-site massage services:
In “bodywork,” as practiced at Haven, painful physical manipulations are just one part of a package of techniques explicitly designed to evoke and provoke emotional expression and vitality. While a participant lies on the ground breathing hard, two facilitators may be applying extremely painful pressures to key points in the body, deliberately pushing the participant well outside of his or her comfort zone. This may launch people out of emotional ruts (fairly dramatically), relieving intense emotional denial and suppression, and leading to vivid insights and profound new body awareness. BACK TO TEXT
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.
AD 1779: Frenchman Pierre-Martial Cibot publishes ‘Notice du Cong-fou des Bonzes Tao-see' also known as "The Cong-Fou of the Tao-Tse", a French language summary of medical techniques used by Taoist priests. According to Joseph Needhan, Cibot's work "was intended to present the physicists and physicians of Europe with a sketch of a system of medical gymnastics which they might like to adopt—or if they found it at fault they might be stimulated to invent something better. This work has long been regarded as of cardinal importance in the history of physiotherapy because it almost certainly influenced the Swedish founder of the modern phase of the art, Per Hendrik Ling. Cibot had studied at least one Chinese book, but also got much from a Christian neophyte who had become expert in the subject before his conversion."[14]
Patients were referred to a physiotherapist for the six months and the effect of the therapy was recorded by several methods such as qualitative interviews, headache diaries, and questionnaire. The results came out with 55% of them experienced relief, 23% expressed no further recurrence of symptoms, and the rest 11% stopped taking their medications.26

Trust and pain. Bear in mind that feeling safe is critical to the experience of good pain. Tiny differences in trust and comfort can make the difference between an intense pain being good or bad. Much of the “goodness” of good pain comes from mental context, from knowing that a pain is not dangerous or pointless, that it will not increase suddenly, or anything else yucky or shocking.

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Since reflexology is not recognized by law, no formal training is required to practice reflexology or call oneself a reflexologist. However, some nurses and massage therapists offer reflexology as part of their licensed practice. Some courses are accredited for continuing education for nurses and massage therapists. The most widely publicized training source is probably the International Institute of Reflexology, of St. Petersburg, Florida, which claims to have 25,000 members worldwide [9]. Its seminar on the "Original Ingham Method of Foot Reflexology" are taught by Ingham's nephew, Dwight Byers. Its "Certified Member" status requires 200 hours of instruction plus passage of written and practical tests. As far as I know, this certification process has neither legal nor medical recognition. The Institute's Web site states:
Our massage therapists will melt away stress and anxiety, speed up your recovery, or enhance your training, posture and balance. We are also experts in chronic pain, carpal tunnel, headaches and TMJ. Whether it’s professional therapeutic massage, hot stone massage, sports massage, relaxation, deep tissue massage therapy we are committed to your entire well-being.

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Even after the 30-day return window closes, you can exchange your voucher for anything else in our marketplace at any time. If you choose an experience that costs more, you'll simply have to pay the difference. If you choose an experience that costs less, you'll have a credit towards your next booking with Cloud 9 Living. And our vouchers never expire!
Our massage therapists will melt away stress and anxiety, speed up your recovery, or enhance your training, posture and balance. We are also experts in chronic pain, carpal tunnel, headaches and TMJ. Whether it’s professional therapeutic massage, hot stone massage, sports massage, relaxation, deep tissue massage therapy we are committed to your entire well-being.

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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.

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Your massage therapist will require you to fill out a health history form. Afterwards the therapist will begin by asking you general questions to establish what areas you would like worked on, if there are any conditions needing to be addressed and to determine if massage is appropriate for you. Your massage therapist may perform certain assessments and testing to evaluate your condition, and to see if you have any presenting complaints.


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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According to the American Massage Therapy Association, up to 25 percent of American adults had a massage at least once during 2016-2017. And, they have a wide range of reasons for doing so. More and more people -- especially baby boomers -- recognize the health benefits of massage. They choose from among many massage styles to get relief from symptoms or to heal injuries, to help with certain health conditions, and to promote overall wellness.

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Trust and pain. Bear in mind that feeling safe is critical to the experience of good pain. Tiny differences in trust and comfort can make the difference between an intense pain being good or bad. Much of the “goodness” of good pain comes from mental context, from knowing that a pain is not dangerous or pointless, that it will not increase suddenly, or anything else yucky or shocking.

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In South Africa, massage is regulated, but enforcement is poor. The minimum legal requirement to be able to practice as a professional massage therapist is a 2-year diploma in Therapeutic Massage and registration with The Allied Health Professions Council of SA (AHPCSA). The 2 year qualification includes 240 credits, about 80 case studies, and about 100 hours community service.
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The Couples Massage at Le Reve Rittenhouse Day Spa is Philadelphia’s romantic escape for couples wishing privacy to enjoy each other’s company while indulging in Gourmet Chocolates and sipping on sparkling Champagne in a calming, relaxing atmosphere. Le Reve Rittenhouse Day Spa offers luxurious couples massage packages. Some couples enjoy being together every minute of the day. Others prefer going their own way, then meeting for special experiences. Either way, a romantic couple’s massage makes a wonderful gift. The gift might be for a big event like a wedding or anniversary. It might be a reminder that, even with the arrival of a new baby or with the departure of a new graduate, time spent together is still important. Surprise your partner with a trip to the best spa in Philadelphia for a rejuvenating Couples Massage. To find the best spa for couples massage in Philadelphia, look no further, Le Reve Rittenhouse Day Spa is here to satisfy your wishes.
Changes should be implemented immediately instead of in stages, so that patients can go to any reflexology centre without any doubt. The entire centres, spas or even small booth that offer reflexology treatment must obtain a certificate from the Ministry of Health. It is suggested that each centre to have a medical form about patient's details, medical history, and screening form. It is already issued by the Ministry of Health but none of the centres has ever applied.
Contrary to its name, Swedish massage is neither originated in Sweden nor was it created by a Swede gymnast called Peter Henry Ling. There is much debate regarding the origin of the massage; therefore, it is highly common to mistake the origination between either Peter Henry Ling or the Dutch practitioner Johan Georg, who is with verified credibility considered as the man who systemized basic massage movements into what we know it as today; Swedish massage.
Deep tissue massage is a focused, therapeutic massage that targets muscle knots (also known as "adhesions") and specific problem areas in the deeper layers of muscle and connective tissue. Using deliberate, slow strokes or friction across the grain of the muscle, the therapist addresses chronic tight or painful muscles, repetitive strain, postural problems, or injuries.

Previous research has showed that reflexology can reduce the peripheral neuropathy of a patient who suffers from type 2 diabetes mellitus.31 76 patients ranged from 40–79 years old were listed from public health centres in Busan City. Tactile response to monofilament and intensity of the symptoms of peripheral neuropathy were used as the variable outcomes in this study. Tingling sensation and pain were reduced and tactile was more sensitive to 10 g force monofilament.32 The author added that the reflexology can be used as one of the interventions for encouraging foot care in patients who have diabetes mellitus.32 It also can be measured based on glycaemic control and nerve conductivity which show improvement with reflexology.31 

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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.
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Please arrive on time in order to ensure a full massage session. You may cancel your appointment without charge up to 24 hours preceding your appointment. Same day cancellations will be charged a $25 cancellation fee to the card provided at the time of scheduling the appointment. In the event of a  “no-show” appointment, the rescheduling fee will be charged for the “missed” appointment.
How It Works: Beginning by laying face down (or prone position), the massage therapist will begin long, firm strokes along the back, neck, shoulders, arms, and then down to lower back and legs. Halfway through the session the client will be asked to turn over, receiving the second half of the massage with the face up (or supine position) for the treatment of upper shoulders, chest, arms, and fronts of the legs.
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.

The first study I know of was supervised by William T. Jarvis, Ph.D., a professor who taught research methods to graduate students at Loma Linda University. Using questionnaires, 70 subjects were asked to state whether they had had health problems during the previous two years in any of 43 anatomical areas. These data were then compared with the findings of a reflexologist as recorded on a report form. The results did not differ from what would be expected by blind guessing. To prevent the reflexologist from asking questions or observing subtle clues, the experimental subjects were asked to remain silent and a curtain was placed so that their feet were the only part of their body visible to the reflexologist [12].

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In New Zealand, massage is unregulated. There are two levels of registration with Massage New Zealand, the professional body for massage therapists within New Zealand, although neither of these levels are government recognised. Registration at the Certified Massage Therapist level denotes competency in the practice of relaxation massage. Registration at the Remedial massage therapist denotes competency in the practice of remedial or orthopedic massage. Both levels of registration are defined by agreed minimum competencies and minimum hours.[105]
Due to this techniques harsher pressure, there are certain individuals who should seek pain relief elsewhere. Deep Tissue massages can be dangerous for clients who have blood clots, as the pressure and movements might cause the clots to be dislodged. If you have had blood clots in the past, currently have blood clots or are at risk of forming blood clots, you should consult a doctor before pursuing a Deep Tissue massage. If you are currently recovering from recent surgery, chemotherapy, radiation or are suffering from osteoporosis you too should speak with a doctor before experimenting with Deep Tissue massages. As this is particularly high pressure massage, you should not allow rashes, wounds, tumors, hernias, etc. to be massaged directly. Expecting mothers should also avoid Deep Tissue massages; instead, ask your doctor about therapists that specialize in pregnancy massage techniques.
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.

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