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. 

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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.
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. 
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.
Trigger points or stress points may also cause muscle soreness and decreased flexibility. These points are specific spots in muscle and tendons which cause pain when pressed, and which may radiate pain to a larger area. They are not bruises, but are thought by some to be small areas of spasm. Trigger points may be caused by sudden trauma (like falling or being hit), or may develop over time from the stress and strain of heavy physical exertion or from repeated use of a particular muscle.
Massage has been shown to reduce neuromuscular excitability by measuring changes in the Hoffman's reflex (H-reflex) amplitude.[90] A decrease in peak-to-peak H-reflex amplitude suggests a decrease in motoneuron excitability.[91] Others explain, "H-reflex is considered to be the electrical analogue of the stretch reflex...and the reduction" is due to a decrease in spinal reflex excitability.[92] Field (2007) confirms that the inhibitory effects are due to deep tissue receptors and not superficial cutaneous receptors, as there was no decrease in H-reflex when looking at light fingertip pressure massage.[93] It has been noted that "the receptors activated during massage are specific to the muscle being massaged", as other muscles did not produce a decrease in H-reflex amplitude.[91]

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Following injury, and especially if it’s also a very stressful time, inflammation can prevent proper blood flow from reaching damaged tissue and can cut off vital nutrients and oxygen. This can cause toxins to accumulate around damaged tissue, which only increases swelling and pain. Some studies have found that even self-administered massage can help reduce pain associated with plantar fasciitis and other injuries. (10)

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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Massage of Chinese Medicine is known as An Mo (按摩, pressing and rubbing) or Qigong Massage, and is the foundation of Japan's Anma. Categories include Pu Tong An Mo (general massage), Tui Na An Mo (pushing and grasping massage), Dian Xue An Mo (cavity pressing massage), and Qi An Mo (energy massage). Tui na (推拿) focuses on pushing, stretching, and kneading muscles, and Zhi Ya (指壓) focuses on pinching and pressing at acupressure points. Technique such as friction and vibration are used as well.[70]

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.


In Mexico massage therapists, called "sobadores", combine massage using oil or lotion[102] with a form of acupuncture and faith.[103] Sobadores are used to relieve digestive system problems as well as knee and back pain.[102][103] Many of these therapists work out of the back of a truck, with just a curtain for privacy.[103] By learning additional holistic healer's skills in addition to massage, the practitioner may become a curandero.[104]

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.
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. 
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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Swedish massage is focused primarily on the body and, therefore, is a more physical approach to relieving stress, aches, pains, and tension. One benefit of Swedish massage is its ability to relax the mind-brain connection—the mind being the energy and thoughts, and the brain being the physical matter. This is thought to contribute to a more balanced, stimulated, and integrated system. A healthy mind-brain connection may also help facilitate better physical health.
Couples massage takes place in a room that is, at the very least, large enough for two massage tables, which is the typical set-up in a day spa. On the other hand, resort and hotel spas often create elaborate environments where couples can not only have side-by-side spa treatments, but also take a bath together, get pedicures, spend time in a steam shower, or lounge by a fire after the treatment. 

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While the majority of people tend to get professional reflexology sessions for their feet, the hands can be just as effective. In the self-help reflexology segment I did on the show, I explained what to look for on your palms to get to know your own body better. Here’s a recap for you to try for yourself. Of course, this is not a substitute for medical care; always be sure to consult with the appropriate health practitioner in case of any medical condition. 

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This is the one among Swedish massage techniques that helps to loosen up the muscles by using a back and forth action of the fingertips or the heel of the hand over the skin. The muscles of the body are literally shaken up to loosen and relax the muscles. The sides of the hand, and any part of the hand such as the tips or heel can be used by the masseuse to shake up the muscles of the person.
The prime purpose of sports massage therapy is to help alleviate the stress and tension which builds up in the body’s soft tissues during physical activity. Where minor injuries and lesions occur, due to overexertion and/or overuse, massage can break them down quickly and effectively. Above all, it can help prevent those niggling injuries that so often get in the way of performance and achievement, whether one is an athlete, ardent keep-fitter or a once a week jogger.
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.
“Resonate” in this context means that physical pain may transmogrify into emotional pain and vice versa. Emotional and physical pain readily create and reinforce each other. I assume that catharsis is inherently valuable, and I think that’s a fairly safe assumption. I discuss the relationship between pain and emotions in from many angles in several articles, like Pain is Weird, Pain Relief from Personal Growth, The Anatomy of Vitality, Why Do We Get Sick?, The Art of Bioenergetic Breathing, Insomnia Until it Hurts, and Anxiety & Chronic Pain. Whether catharsis is medically helpful for pain obviously depends on many factors, but it’s certainly possible — just as they can reinforce each other, relief from one may also be coupled to relief from the other. BACK TO TEXT

The  intensive application of pressure on your body (the therapist often uses her elbows, knuckles, forearms and hands to apply the right amount of pressure to touch the deeper muscle tissues) triggers circulation of blood and oxygen in your body, thereby, releasing toxins trapped underneath. Increased blood and oxygen circulation in the body promotes healing.


Reflexology, also known as zone therapy, is an alternative medicine involving application of pressure to the feet and hands with specific thumb, finger, and hand techniques without the use of oil or lotion. It is based on a pseudoscientific[1] system of zones and reflex areas that purportedly reflect an image of the body on the feet and hands, with the premise that such work effects a physical change to the body.[2]

Sports Massage can be characterized two ways: pre-activity and post-activity massage. Pre-activity uses dynamic stretching to allow the connective tissue to work through a full range of motion, thereby reducing possible injury. Post-activity massage focuses on recovering the muscle tissue that may have been impacted doing the particular sport. It involves long strokes to flush out the toxins that causes soreness in the muscles and joints. 

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In addition to my private practice, I work with patients at the Initiative for Women with Disabilities (IWD) at NYU Medical’s Hospital for Joint Diseases. Many of the patients I see are dealing with issues such as chronic pain, fibromyalgia, multiple sclerosis, cerebral palsy, and rheumatoid arthritis, and find reflexology a beneficial way to incorporate integrative therapies into their treatment.
Deep-tissue massage can be an effective treatment for injured muscles. Because it facilitates the movement of toxins from the muscles and helps stretch tight or twisted muscle mass, deep-tissue massage can help promote healing. Because massage also helps relax muscles, it can reduce the pain caused by injuries, too. Deep-tissue massage is frequently used to rehabilitate sports injuries.

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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]
A couple’s massage is a massage that you do with your partner, friend, or family member in the same room. It brings all the benefits of a regular massage and sometimes provides you with access to the spa’s hot tubs, saunas, and other facilities. Other treatments such as pedicures, facials, and body scrubs are sometimes offered as part of a package.

Each treatment is designed to provide restoration for your body and mind, and also make you look and feel the best you can. Massage can reduce stress and muscle tension, improve circulation, eliminate stiffness and soreness, boost the immune system, reduce pain and even help control one’s blood pressure. Couples who strive to practice a healthy lifestyle can enjoy these benefits and more together.


A sports massage is typically a combination of several massage techniques that are tailored to your affected muscle groups based on the activities that you do. A properly administered sports massage can help flush the lactic acid out of your body. There are two types of sports massages that can benefit triathletes depending on when you schedule your appointment and your race schedule.

The price of a couples massage depends on the spa, the amount of time, and the amenities. Generally, it is the cost of a regular massage, times two. Sometimes you can add on private time. For instance, Aspira the Spa at The Osthoff Resort in Wisconsin offers couples massage at $135 per person for 50-minutes. Couples can enjoy an additional hour of time alone together in the spacious suite, equipped with a master shower, whirlpool bath, stone fireplace, and sofa, for $50 per person. At some spas, the package might include private time and amenities like Champagne, which sends the price higher.

There is not necessarily a hard line between these two techniques, and many sessions often incorporate both depending on your needs. It is usually the case that not all the muscles in your body need deep tissue techniques applied. Rather than being overly concerned with choosing the “right” session, make sure you communicate to your therapist the goals for your session so that he or she can customize the right blend of techniques for you. One massage style is often the foundation of the session, with other techniques used as needed. Due to the slow pace of deep tissue massage it is necessary to schedule a 90-minute session if you would like your full body addressed. Use these guidelines for communication based on your primary goal for the session:
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.
At All is Well Massage and SPA, we look forward to helping all of our clients achieve health and tranquility. We are always happy when we can serve more people with a couple’s massage on their journey to a ‘all is well’ life. We invite you to discuss with our massage therapists any concerns or accommodations they may have regarding their couple’s massage.
You’d hope this sort of thing would be rare, but it’s not. Readers regularly tell me about massage therapists who do not ask them what they want, who dismiss their patients’ concerns about pressure, and who ignore signs that their clients are in pain. They display a “doctor knows best” arrogance — ironic for an alternative health care professional — imposing their own idea of the “right” intensity.
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.
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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Pamper yourself and your partner with a full body massage, facial, body treatments that will make you feel brand new. You will receive tender care from our therapists along with complimentary champagne or wine and gourmet chocolate. Le Reve Rittenhouse Day Spa welcomes their guests for a full body couples retreat including Massage, Reflexology, Facial, Body Scrub, and Manicure & Pedicure.
Tapotement strokes are usually used at the very end of a massaging session where the therapists deliver rhythmic movements via rapidly constant strikes from his/her wrists. Besides from relaxed wrists tapping upon the body in a repetitive pattern, the fingers, sides of the hands, as well as the fists, can be utilized to achieve the massage objective best.
Deep tissue massage is best suited for people who engage in highly physical activities, such as running, or those who have an injury or chronic pain. If you have a low pain threshold or are looking for relief of tense muscles, Swedish massage is gentler and may be a better option. Speak to your doctor before trying deep tissue massage if you have an underlying medical condition.

Like massages, chiropractic care can be beneficial for lowering pain and improving recovery. It’s also been shown to lower stress, headaches and more. One way that chiropractors help treat pain is by lowering mechanical compression and irritation of spinal joints, which can send nerve signals throughout the body that increase inflammation and irritation.

Certain massage therapists have specialized training in techniques that help treat people with injuries, inflammation, tears and limitations. Although more than one massage session is usually needed to provide relief and see improvements in pain, well-trained therapists can usually recommend practices or stretches for you to try at home that can further help improve healing.
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.

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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.”

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]

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An author found that a patient who afflict multiple sclerosis and choose reflexology as the complementary treatment for a period of time had notable symptom relief. It is measured by considering urinary symptoms, parenthesis, spasticity, and muscle strength as the parameters. All parameters showed a remarkable improvement except for muscle strength.30 

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One narrative review in Open Access Journal of Sports Medicine explains that the impact of using these two modalities combined are somewhat inconclusive, mainly due to research limitations; however, after looking at 21 randomized controlled trials, the author ultimately concluded that “the effects of cold and static compression are clearly better than no treatment.”

Swedish massage is focused primarily on the body and, therefore, is a more physical approach to relieving stress, aches, pains, and tension. One benefit of Swedish massage is its ability to relax the mind-brain connection—the mind being the energy and thoughts, and the brain being the physical matter. This is thought to contribute to a more balanced, stimulated, and integrated system. A healthy mind-brain connection may also help facilitate better physical health.

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At certain times during the massage, you may feel some discomfort or even some pain as the massage therapist works on areas where there are adhesions or scar tissue. Pain isn't necessarily good, and it's not a sign that the massage will be effective. In fact, your body may tense up in response to pain, making it harder for the therapist to reach deeper muscles.
According to the Mayo Clinic, studies by the National Cancer Institute and the National Institutes of Health suggest reflexology can reduce pain, anxiety, depression, stress, and insomnia. It also delivers many of the benefits of more traditional bodywork. "Reflexology can be like a deep-tissue massage," Colin explains. "You can hit all those reflex points and still make the treatment feel relaxing."
Swedish massage is focused primarily on the body and, therefore, is a more physical approach to relieving stress, aches, pains, and tension. One benefit of Swedish massage is its ability to relax the mind-brain connection—the mind being the energy and thoughts, and the brain being the physical matter. This is thought to contribute to a more balanced, stimulated, and integrated system. A healthy mind-brain connection may also help facilitate better physical health.

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“I have seen several massage therapists and an OT for ongoing neck and shoulder stiffness and pain. After my third visit with Layhoon yesterday, my neck pain is dramatically better and my tight shoulder is significantly looser! I can’t wait to get to my yoga mat to try out my much-improved freedom of movement. I look forward to working more with Layhoon.”
The Spa at Norwich Inn, named "Best Destination Spa in New England" in the 70th Anniversary issue of YANKEE Magazine, "Best Resort in Connecticut" by New England Travel & Life, and "Best Day Spa in Connecticut" for 10 consecutive years by readers of Connecticut Magazine, and rated "Best Day Spa for 2015" by readers of Hartford Magazine. The Spa at Norwich Inn is a member of the Historic Hotels of America, a program of the National Trust for Historic Preservation.
In Thailand, Thai massage is officially listed as one of the branches of traditional Thai medicine, recognized and regulated by the government. It is considered to be a medical discipline in its own right and is used for the treatment of a wide variety of ailments and conditions. Massage schools, centers, therapists, and practitioners are increasingly regulated by the Ministries of Education and Public Health in Thailand.[107][108]

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The Wellness Center, inside Whole Foods in Denver, Colorado, provides massage and wellness services that will dramatically change the way you feel and empower you to attain a new level of health and wellness. We are a locally owned and operated organization that has helped boost the community’s vitality for over 14 years. Whether you are looking to relieve pain, manage stress or alleviate illness – our expertly trained and experienced practitioners and staff will help guide you to better health and wellness. Allowing you to live your life. Fully.
Injury: in the case of an injury, the recovery treatment will adapt to the healing process of the injury. At the beginning of an injury, massages are more frequent, short and focused on the area. For example, a sprained ankle may need light but bi-weekly work after the acute phase is over. As the injury recovers, massages are more intense, and less frequent. The ankle will receive deeper massages and deeper stretches as it heals. Once the injury is recovered, only one or two check-up massage sessions will be required.

Six papers meet the inclusion criteria and were summarized and reviewed. Both Thai and  Swedish massages are reported to relieve chronic low back pain by enhancing physical functions;  providing pain relief, improving disability and range of motion, improving psychological functions;  reducing anxiety and improving mood. Although based on different theoretical frameworks, they appear to be equally effective in relieving chronic low back pain.
The swedish massage was created in the 18th century by Per Henrick Ling, who incorporated his knowledge of physiology and gymanstics, along with Chinese, Roman, Greek, and egyptian techniques. This massage is a full body treatment and includes long strokes, kneading motions, friction, as well as stretching.  Originally called the Swedish Movement Cure.

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Did you know that the bottom of your feet could affect what's going on in other areas of your body? On each foot there are over 7,000 nerve endings called reflexes that correspond to every organ and system within your body. By pressing on these reflex points, you stimulate the nervous system and open energy pathways that may be blocked or congested.
Reflex zone is the region in the zone therapy that illustrates its interconnection with the whole parts of the body. Pressure applied to this region will help specific organ or particular part to alleviate the pain and symptoms of a disease. According to the theory, there is an invisible pathway that runs along the body in a vertical form based on the lines instead of reflexology maps in which each point on the soles of hand and feet correspond to a specific organ. Reflex zone therapy (Fig. 9) represents five zones in both sides of the feet.12 This zone is running along the whole body parts from top of the head until the tips of the toes and fingers and the whole body is divided into ten reflex zones.12 Each zone interconnects with different parts of the body.10 Reflex zone therapy-specific organ relationship is presented in Table 1 and Table 2.
If you are a massage therapist, or sports physical therapist, it might be a good idea to explain what a this type of massage will accomplish and what to expect.  At first, a Deep Tissue massage might feel like your typical Swedish massage. First, your therapist will warm up and prepare your muscles by applying light pressure to the areas that require attention. Only after your muscles have been sufficiently prepared will your therapist begin applying specific techniques. The most commonly used strokes in Deep Tissue massages are stripping and friction. Stripping usually involves your therapist applying deep and gliding pressure to the length of your muscle fibers with an elbow, forearm, knuckles or thumbs. Friction, on the other hand, applies pressure across the grain of the muscle in order to relieve adhesions and realign the fibers of the tissue.

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“I have rarely been moved to offer a testimonial and compliments after the fact but, your staff’s helpfulness, friendliness, and excellent work yesterday merits that. I had a session with Dr. Price and he was knowledgeable, personable, and attentive to what was going on. Afterwards I felt so much better. I also had an appointment with Deb that was the finest massage and healing session I have had in the last 10 years and possibly in the years since 1990 when I started doing massage myself. In short, blessings to all of you for your wonderful facility and wonderful work.”

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