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.
According to research done by the American Massage Therapy Association, as of 2012 in the United States there are between 280,000 and 320,000 massage therapists and massage school students.[115] As of 2011, there were more than 300 accredited massage schools and programs in the United States.[116] Most states have licensing requirements that must be met before a practitioner can use the title "massage therapist", and some states and municipalities require a license to practice any form of massage. If a state does not have any massage laws then a practitioner need not apply for a license with the state. However, the practitioner will need to check whether any local or county laws cover massage therapy. Training programs in the US are typically 500–1000 hours in length, and can award a certificate, diploma, or degree depending on the particular school.[117] There are around 1,300 programs training massage therapists in the country and study will often include anatomy and physiology, kinesiology, massage techniques, first aid and CPR, business, ethical and legal issues, and hands on practice along with continuing education requirements if regulated.[10] The Commission on Massage Therapy Accreditation (COMTA) is one of the organizations that works with massage schools in the U.S. and currently (Aug 2012) there are approximately 300 schools that are accredited through this agency.
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. 
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.
Swedish massage is the most common massage therapy technique in the United States. (In case you were wondering, Swedish massage is called “classic massage” in Sweden.)   A Swedish massage focuses on overall relaxation, circulation, and physical and mental wellness.  Swedish massage includes gliding, kneading, tapping, stretching, and cross-friction strokes.
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]
When the body is experiencing pain, it reacts with tension. During a deep tissue massage, discomfort is normal and will be felt if there are inconsistencies within the tissues. Discomfort is described as a "good hurt", the kind that feels good at the same time. On the other hand, pain can be described as being uncomfortable and not tolerated well by the body.

Duluth 30155 Georgia GA 34.0313 -84.1568


No one really knows how a painful massage can also feel so good at the same time. This is a sensory phenomenon mostly beyond the reach of science — not entirely14 — all we can do is speculate. A main question is whether good pain is good because we expect relief to follow pain, or because positive and negative qualities are being produced simultaneously. My bet is on the latter.

Marietta Cobb 30060 Georgia GA 33.9382 -84.5403


Foot Reflexology massage can be a deeply relaxing and therapeutic modality for those suffering from plantar fasciitis, ankle injuries or even everyday work and play. At Massage Envy, your massage therapist will apply traditional Swedish and sports massage techniques to the foot, calf and upper leg. This will not only help relieve toe pain, ankle pain, plantar fasciitis and common forms of arthritis, but can also decrease stress and anxiety in the entire body. In addition, a variety of stretches can be beneficial. With pain and sensitivity in the foot, heel and calf areas, be sure to communicate your pain levels with your massage therapist during your treatment. It is also a good idea to rest after receiving the reflexology massage.

Woodbury Meriwether 30293 Georgia GA 32.9813 -84.5986


Designed to relieve tension and stress put on a mother's body during pregnancy, the Mother-to-Be massage aids in diminished hip and back pain and improved circulation. Enjoy the ease of a side-lying position for the ultimate in comfort. Note: This massage cannot be performed during the first trimester or for those experiencing a high-risk pregnancy.
Reflexology is primarily used by many people as a method of eliminating pain. As an analgesic treatment, reflexology can reduce the severity of a migraine and headache, simply by relieving tension in the muscles that can often result in these conditions. A headache induced by stress can also be eliminated since stress and psychological factors often manifest in the physical symptoms of a migraine.

Duluth Gwinnett 30099 Georgia GA 33.9595 -84.105


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.
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.”
For starters, you bear in mind the things described above that tend to cause ugly pain, and you avoid that kind of therapy like the plague. Then you look for some clues that painful pressure is okay. Here are at least three reasons why unpleasantly intense pressure might be therapeutic — “bad pain,” but not ugly. In each of these situations, it might be acceptable to tolerate sensations so intense and painful that the only thing about them that is pleasant is the part where it stops.

Senoia Coweta 30276 Georgia GA 33.2845 -84.5918


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.
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
Proprioceptive studies are much more abundant than massage and proprioception combined, yet researchers are still trying to pinpoint the exact mechanisms and pathways involved to get a fuller understanding.[94] Proprioception may be very helpful in rehabilitation, though this is a fairly unknown characteristic of proprioception, and "current exercises aimed at 'improving proprioception' have not been demonstrated to achieve that goal".[95] Up until this point, very little has been studied looking into the effects of massage on proprioception. Some researchers believe "documenting what happens under the skin, bioelectrically and biochemically, will be enabled by newer, non-invasive technology such as functional magnetic resonance imaging and continuous plasma sampling".[93]

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.

Alpharetta 30239 Georgia GA 34.0703 -84.2887


Thai massage, also called Thai yoga massage, combines acupressure and assisted yoga postures. Thai massage is based on the flow of energy through the body and focuses on energy lines called “sen.” It doesn’t use oils or lotions and, instead of rubbing muscles, the massage therapist compresses, pulls, stretches and rocks the recipient’s body to promote the flow of energy through these sen. In this form of massage therapy, practitioners use their hands, knees, legs and feet to apply deep muscle compression and stretch the body. It’s often performed on a mat on the floor instead of on a massage table. Like most forms of massage, Thai massage is used to relieve stress, improve range of motion and enhance flexibility. Some people also use Thai massage to address a range of health issues, including:  

Before booking an appointment, ask questions about the therapist’s education and experience, like “What is your training?” “How many years have you been practicing?” and “Do you work frequently with runners?”, suggests Gammal. Seek referrals if possible, and ensure s/he is a licensed massage therapist. Rotenberger recommends a massage therapist specifically trained in orthopedic treatment and assessment, as s/he will know when to refer you to another healthcare professional, in the case that you’re experiencing chronic pain and discomfort not fixable via massage. You can find a reputable practitioner via www.orthomassage.net or www.NeuroMuscular-Reprogramming.com.


As mentioned above, reflexology has been known to open neural pathways, and this sort of free-flowing neural activity results in a more relaxed state in the body. For this reason, reflexology can flood your system with relaxation, inducing a state of calmness throughout your body and mind. In this same vein, reflexology is commonly used to cure sleep disorders. Insomnia can be a very troubling condition to suffer through, but reflexology helps your body relax and get back to its normal, healthy circadian rhythms.

Detoxification: 7 best acupressure points for complete detoxification of the body include the Great Rushing point on the webbing between the big and second toes, the Three Yin Crossing on the ankle, the Shu Mansion just below the collarbone, Union Valley on the hand, Inner Gate on the arm, Upper Sea of Qi on the sternum, and Lower Sea of Qi below the umbilicus. They claim that pressing on these points will flush out toxins, improve the immune system, reduce weight, prevent chronic diseases, and improve mental clarity.

Glenn Heard 30219 Georgia GA 33.1572 -85.1706


Many clients see the benefit of different modalities and choose to incorporate massage therapy into their health and wellness plans by enrolling in the Elements Wellness Program™. Members of the Elements Wellness Program™ receive discounted massage therapy on a regular basis from the nation’s highest-rated massage provider. Our studios offer the highest-rated massage because we make the massage about you, the client.
Until better evidence is published in peer reviewed journals, he remains skeptical of claims that by massaging or applying pressure to specific points on the hands or feet, a reflexologist can alleviate problems in corresponding organs or other systems throughout the body. He has seen no evidence showing that reflexology is effective for pain or any health problems unrelated to the feet and hands. He urges caution with regard to claims that reflexology can cleanse the body of toxins, increase circulation, promote weight loss, or successfully treat earaches, hemorrhoids, emphysema, heart disease, thyroid disorders or any other health condition.

Dallas Paulding 30157 Georgia GA 33.9045 -84.8621


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.
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.

Douglasville Douglas 30135 Georgia GA 33.6989 -84.7454


No one really knows how a painful massage can also feel so good at the same time. This is a sensory phenomenon mostly beyond the reach of science — not entirely14 — all we can do is speculate. A main question is whether good pain is good because we expect relief to follow pain, or because positive and negative qualities are being produced simultaneously. My bet is on the latter.

Swedish Massage was developed by Peter Henrik Ling (1776-1839), a  Swedish physician and athlete who combined Chinese medical massage techniques with sports medicine to create a technique for decreasing muscle soreness, increasing flexibility and promoting general health.  Strokes used in Swedish include long and gliding movements generally applied with an oil or cream as a lubricant, kneading, vibration, tapping and friction.  Massage therapists also incorporate stretching to elongate the musculature, and joint mobilization or open and soften the joints.

Esom Hill Polk 30138 Georgia GA 33.9999 -85.1723


People do have clear pressure preferences: they often fire massage therapists who give treatments that are too painful or too fluffy. Pressure that’s fine for you may cause severe pain, emotional distress, “sensory injury” (sensitization) in others, or even physical injury, so pressure should be customized but often isn’t. Brutal massages might be appreciated or even helpful, but most people can’t tell the difference between the kind of pain that might be a necessary part of therapy, and ugly pain that is just abusive and dangerous.

Designed to relieve tension and stress put on a mother's body during pregnancy, the Mother-to-Be massage aids in diminished hip and back pain and improved circulation. Enjoy the ease of a side-lying position for the ultimate in comfort. Note: This massage cannot be performed during the first trimester or for those experiencing a high-risk pregnancy.
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.
With a background in Martial Arts, Kristin started out working on teammates who recognized her talent and encouraged her to pursue a career in massage therapy.  In 2000, Kristin graduated from The Center for Massage & Natural Health in Asheville, NC and began working as a licensed massage and bodywork therapist since 2001.  Since then, Kristin has gained extensive hours in various massage modalities and techniques including; reflexology, ashiatsu, TMJD, ear candling, prenatal/postnatal massage, deep tissue, hot stone and more.  Kristin also offers spa bodywraps without the use of a wet room.
Thai massage – or Nuat Thai – combines both physical and energetic aspects. It is a deep, full-body massage progressing from the feet up, and focusing on sen or energy lines throughout the body, with the aim of clearing blockages in these lines, and thus stimulating the flow of blood and lymph throughout the body. It draws on yoga, acupressure and reflexology.
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. 
Raizelah Bayen is a California Certified Massage Therapist, currently employed as the Spa Services Manager at Osmosis Day Spa Sanctuary in Freestone, California.  She has been practicing massage for over 25 years, and teaching T’ui Na, Acupressure, Sports and Pregnancy Massage in massage certification programs for 15 years.  Raizelah is an approved CEU Instructor by the National Certification Board of Therapeutic Massage and Bodywork (NCBTMB), offering trainings in Freestone, California and on-site training at your massage school or spa.  For more information, connect with Raizelah Bayen on LinkedIn.
Sports massage is given within the four hours preceding an event to improve performance and help decrease injuries. It 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 normally shorter (10-15 minutes) than a regular conditioning massage, and focuses on warming up the major muscles to be used and getting the athlete in a good mental state for competition. It also improves tissue pliability, readying the athlete for top performance. Certain massage techniques can help calm a nervous athlete; others can be stimulating. Post-event sports massage is given after a competition and is mainly focused on recovery. It is geared toward reducing muscle spasms and metabolic build-up that occur with vigorous exercise. Recovery after competition involves not only tissue normalization and repair, but also general relaxation and mental calming. A recovery session can range from 15 minutes to 1.5 hours in length. For more, see our Comprehensive Guide to Massage.
When the body is experiencing pain, it reacts with tension. During a deep tissue massage, discomfort is normal and will be felt if there are inconsistencies within the tissues. Discomfort is described as a "good hurt", the kind that feels good at the same time. On the other hand, pain can be described as being uncomfortable and not tolerated well by the body.

Duluth 30155 Georgia GA 34.0313 -84.1568


International Institute of Reflexology has been conducting reflexology training and course. This institute has acceptable qualification and has been teaching for over 50 years to the highest professional standard. This institute teaches the original Ingham method and it is taught only by tutors who have approved licence from the IIR to ensure that authenticity is maintained. All the graduates have international and European recognition for their training by the addition of City and Guides Level 3.

Molena Pike 30258 Georgia GA 32.9978 -84.4558


Designed to relieve tension and stress put on a mother's body during pregnancy, the Mother-to-Be massage aids in diminished hip and back pain and improved circulation. Enjoy the ease of a side-lying position for the ultimate in comfort. Note: This massage cannot be performed during the first trimester or for those experiencing a high-risk pregnancy.

 Massage therapy catered specifically to you and what your body needs. Intuitively knowing which style of massage to use from from a wide array of options such as shiatsu, deep tissue, lomilomi, Swedish, prenatal, acupressure, reflexology  and many more I am Passionate about offering the service of massage creating an integrative, therapeutic, lasting experience.
Prenatal massage uses mild pressure similar to Swedish massage. The therapist will focus on areas such as your lower back, hips, and legs. You can be fully or partially undressed depending on your comfort level. During the massage, you’ll either lie on your side or on a specially designed table with a cutout for your belly. If you’ve had pain in your calves or other parts of your leg, see a doctor before you have a massage.

Covington 30209 Georgia GA 33.5746 -83.8854


If you feel that you would benefit from experiencing a Deep Tissue massage, do some research into local spas around you that offer the treatment. Make sure that your therapist is certified and has been trained in this technique. As always, check with your doctor before giving this massage a try. Be sure to share your concerns with your therapist, go into detail as to what has brought you in to seek the treatment and do not be afraid to speak up if the pressure becomes too uncomfortable. Remember, more pain does not mean the massage is working.

Duluth 30136 Georgia GA 33.985 -84.1569


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.

Ashiatsu Barefoot Massage From the Japanese words “ashi” (foot), and “atsu” (pressure), this ultimate deep-massage therapy is performed with bare feet. As the Practitioner uses overhead bars for balance, their feet apply soothing strokes and deep pressure to offer relief to chronic pain and stress. This massage induces relaxation, releases sore and tight muscles and stimulates the circulatory system. 60/90 Minutes     $118/$154  

Jenkinsburg Butts 30234 Georgia GA 33.3224 -84.0287


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.
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.
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.

Stone Mountain DeKalb 30083 Georgia GA 33.7942 -84.2018


"Currently Florida lacks explicit nondiscrimination protections prohibiting discrimination based on sexual orientation and/or gender identity in places of public accommodations," Naomi Goldberg, the policy and research director at Movement Advancement Project, an LGBTQ think tank, said in an email. "That said, many cities and counties in Florida have local ordinances that prohibit such discrimination. In fact, 59 percent of people in Florida live in jurisdictions with these protections. The city of Naples and the county of Collier do NOT have such protections."

Rydal Bartow 30171 Georgia GA 34.3379 -84.7376


In Australia, Melbourne Polytechnic offers reflexology course for the students and accredited with Diploma of Reflexology. In this course, students will learn the skills to assess and treat the body, supporting its search for natural balance and well-being. It also includes how to develop specific skills in reflexology techniques, learn to provide clients with basic dietary guidance, and learn the necessary health terminology about chronic disease. The qualification from this institute is valid for the membership of national organization such as the Reflexology Association of Australia and also can be used for further studies in complementary medicine.
Cancer. Used as a complement to traditional, Western medicine, massage can promote relaxation and reduce cancer symptoms or side effects of treatment. It may help reduce pain, swelling, fatigue, nausea, or depression, for example, or improve the function of your immune system. However, there are specific areas that a massage therapist should avoid in a cancer patient, as well as times when massage should be avoided altogether. Talk to your doctor before getting massage therapy if you have cancer.

I’ve worked in a variety of exciting environments, including the Salt Lake City Winter Olympics, the Greece Paralympic Summer Games and on the road with the U.S. National Powerlifting Team. Plus, I have worked with collegiate, ABL and WNBA athletes. Currently, I travel with the WTA (Women’s Tennis Association) as part of the sports science and medicine team. In my private clinic, I specialize in orthopedic massage.

Dacula Gwinnett 30019 Georgia GA 33.9883 -83.8795

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