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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*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
There is no consensus among reflexologists on how reflexology is supposed to work; a unifying theme is the idea that areas on the foot correspond to areas of the body, and that by manipulating these one can improve health through one's qi.[8] Reflexologists divide the body into ten equal vertical zones, five on the right and five on the left.[9] Concerns have been raised by medical professionals that treating potentially serious illnesses with reflexology, which has no proven efficacy, could delay the seeking of appropriate medical treatment.[10]
Ugly pain in massage therapy is, by my definition, never okay. Ugly pain is often caused by things that are not going to offer even minimal, delayed benefits, and may even be dangerous. It’s important to be able to spot ugly pain for what it is and completely eliminate it from any therapy you’re receiving. What kinds of handling may cause “ugly” pain? 

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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.


In ashiatsu, the practitioner uses their feet to deliver treatment. The name comes from the Japanese, ashi for foot and atsu for pressure.[34] This technique typically uses the heel, sesamoid, arch and/or whole plantar surface of foot, and offers large compression, tension and shear forces with less pressure than an elbow, and is ideal for large muscles, such as in thigh, or for long-duration upper trapezius compressions.[35] Other manual therapy techniques using the feet to provide treatment include Keralite, Barefoot Lomi Lomi, Chavutti Thirumal.
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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Professional massagers use the Effleurage as the initial massage treatment, during a Classical massage primarily to locate, evaluate and assess all tension points present within the client's body. Another reason behind the Effleurage being the initial most massage stroke covering the entire body is to familiarize customers with pressurized massage strokes effectively.

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We recently received an email from a representative of Modern Reflexology asking if they could advertise their website on ours and offering to pay. Of course, we don’t accept advertising. But I was puzzled as to why they approached us and what they thought was science-based about reflexology. I was intrigued enough to visit their website to learn what “modern” reflexology was all about. I learned about a lot of specific claims I hadn’t heard before, but I found no science whatsoever. By writing this article, I am in a sense giving them the advertising that they asked for; but it will be negative publicity, not positive. Old adage: Don’t wish too hard for what you want; you might get it.

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RCTs have a vital role in the assessment of efficacy in reflexology. However, they only address the effect of reflexology in which other pertinent issues are unexplored such as the mechanism of reflexology, psyche, and the experience of participants receiving reflexology. Nursing research has long used qualitative research to explore various health care phenomena. Similarly, qualitative approach can provide further understanding about the patient's perception and belief towards reflexology.4, 36 Qualitative research also assists in understanding the impact of the context and the process of reflexology intervention. A greater understanding of reflexology intervention has the potential to enhance the delivery of health care. Thus, it is argued that qualitative explorative methods combined with RCTs could potentially reveal the contributing factors of reflexology effect.

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Deep tissue massages are not for everyone, and it’s very important to find a well-trained therapist. If you’re actively healing from surgery, have nerve damage or an existing injury, you’re wearing a cast or brace, or you’re pregnant, then talk to your doctor before seeking a massage therapist. Although it’s rare, massages that are poorly performed can sometimes cause increased pain, inflammation and other complications in high-risk patients. (16)


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.
(məsäzh`), treatment of superficial parts of the body by systematic rubbing, stroking, kneading, or slapping. Massages can be administered manually or with mechanical devices. They are sought most often to relieve muscle stiffness, spasms, or cramps and to relieve anxiety and tension. Gentle massage has a soothing action on the sensory nerves. More vigorous massage quickens the circulation and aids the muscles in disposing of accumulated waste products. Some methods of massage cause the muscles to contract and thus exercise them when movement of the entire body is not possible or desirable, as in illness or paralysis. However, there is no evidence that massage can reduce or alter fat or adipose tissue. Men and women who are trained in the art of massage are known as masseurs and masseuses, respectively.

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An aromatherapy massage is a Swedish massage with scented plant oils (known as essential oils) added to the massage oil. Extracted from flowers and other plant parts, essential oils offer a pleasing scent and are believed to have healing properties. Lavender and rose, for instance, are known to promote relaxation. Although oils may be selected to address specific needs, the therapist typically uses pre-blended oils to relax, energize, or uplift.
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.

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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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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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.
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)

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.


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]
AD 1776: Jean Joseph Marie Amiot, and Pierre-Martial Cibot, French missionaries in China translate summaries of Huangdi Neijing, including a list of medical plants, exercises and elaborate massage techniques, into the French language, thereby introducing Europe to the highly developed Chinese system of medicine, medical-gymnastics, and medical-massage.[8]
In massage therapy, so much can be achieved while inflicting only good pain on patients that bad pain must be justified by vivid, quick, and somewhat lasting benefits — which is a high bar to clear. All health care practices must be justified by benefits. As risk and pain and expense increase, the benefits must also. There is simply no point in tolerating — and paying for — painful treatment without an obvious return on the investment.
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.
Thai Yoga Massage School in Thailand also offers a foundation for the development of foot reflexologist. It has received authorization from Thai Ministry of Public Health. The course is taught by the vice president of Foundation for Development of Foot Reflexologist Thailand from the beginning until the end of the course. For those who have completed the course and pass the exam, they will be given a membership card of TYMS society which is authorized by Thai Government as the certification and qualification to become a practitioner in reflexology fields.21
Light relaxation massage is similar to deep tissue massage but the technique of massage applying is a bit gentler. This kind of massage can be performed on fully clothed person and is very suitable for first time client who tends to feel uncomfortable. Just like all other massage therapies this technique also acts as healing mechanism and helps in alleviating stress by promoting relaxation in the entire body.

Although a lot of Bastian 2014 is certainly relevant to the concept of “good pain,” strictly speaking I don’t think they are writing about the good pain paradox, which is defined by simultaneous pleasure and pain. They are writing about pleasure following pain (relief from pain). This is more comfortable scientific ground: it’s pretty straightforward that relief from pain might be “associated with positive consequences” or lead to “activation of the brain’s reward circuitry,” for instance. Lance a boil, then feel better, right? Of course. But that’s definitely not what we mean by “good pain” in massage. BACK TO TEXT
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.
According to Robert Noah Calvert, author of The History of Massage, what we now call Swedish massage was never part of Ling’s movement system. Swedish massage, as Calvert asserts, is defined by its system of stroking, kneading, and other bodily manipulations. These he credits to a Dutch practitioner, Johann Georg Mezger, who lived and worked in the late 19th century. As a result, what Americans know as Swedish massage is called “classic massage” throughout most of Europe.
Español: leer un gráfico de reflexología podal, Italiano: Leggere una Mappa di Riflessologia Plantare, Português: Ler um Diagrama de Reflexologia Podal, Deutsch: Eine Tafel der Fußreflexzonen lesen, Русский: читать диаграмму рефлексологии стопы, Français: lire une planche de réflexologie plantaire, Nederlands: Een voetreflexologie kaart leren lezen, العربية: قراءة خرائط تدليك القدم, Bahasa Indonesia: Membaca Tabel Pijat Refleksi Kaki
No two massages are created equally. That’s why there are so many approaches to solving the same problem. Different styles of massage will generate different outcomes, and many people prefer the outcome they receive from a Swedish massage. If you think a Swedish massage would do you well, make sure you understand what it’s designed to address and the way it works. Most people find that a Swedish massage at Greentoes in Tucson is exactly what they’re looking for. 
When you think of a massage, you probably think of soothing music, a gentle brush of hands softly kneading the stress from your shoulders, maybe even of a loved one offering to rub your back after a long day at work. While some massages can be soothing, and rely on gentle touches to work out a client’s stress or anxiety, there are other massages that have a little more grit to them. For example, the Deep Tissue massage, which is very similar in style to the Swedish massage, utilizes some of the same techniques as its much gentler cousin; Deep Tissue massages, however, are designed to focus on the deeper layers of muscle tissues and fascia, the protective layer that surrounds muscles and joints. Working out these harder to reach muscles will require more pressure, making the Deep Tissue massage slightly uncomfortable, gritty and highly effective.

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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.
Massage should not be done directly over bruises, inflamed or infected skin, skin rashes, unhealed or open wounds, tumors, abdominal hernia, fragile bones, or areas of recent fractures. Massage may cause bruising and rarely, hematoma (a localized collection of blood outside of blood cells), venous thromboembolism, and a condition known as spinal accessory neuropathy.

RCTs have a vital role in the assessment of efficacy in reflexology. However, they only address the effect of reflexology in which other pertinent issues are unexplored such as the mechanism of reflexology, psyche, and the experience of participants receiving reflexology. Nursing research has long used qualitative research to explore various health care phenomena. Similarly, qualitative approach can provide further understanding about the patient's perception and belief towards reflexology.4, 36 Qualitative research also assists in understanding the impact of the context and the process of reflexology intervention. A greater understanding of reflexology intervention has the potential to enhance the delivery of health care. Thus, it is argued that qualitative explorative methods combined with RCTs could potentially reveal the contributing factors of reflexology effect.

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Swedish massage is given to increase blood circulation, easing the tension in the body’s muscles and improving the muscles’ flexibility. It stimulates the skin as well as the nervous system to soothe the nerves, reducing both emotional and physical stress. In fact the massage is a staple in most stress management programs. A Swedish massage is given to help with increasing the flow of oxygen in the blood, releasing toxins from the body’s muscles flushing the lactic acids, uric acids, and other type of metabolic wastes out of the body tissues. It can really shorten the recovery time for a muscular strain!!
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. 

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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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.

The purpose of the practice of massage is to enhance the general health and well-being of the recipient. ‘Massage’ is used as a general term to describe manual manipulation of the muscles and joints to help relieve pain and stress in the body. This generalized term can be broken down into many subcategories such as: deep tissue, trigger point, prenatal/pregnancy massage, hot stone, sports massage, Thai massage, myofascial release, lymphatic drainage, crainiosacral, lomilomi, shiatsu, reflexology, Hellerwork, looyen work, polarity therapy, tui na, and connective tissue massage, just to name a few.
^ Miller BF, Hamilton KL, Majeed ZR, Abshire SM, Confides AL, Hayek AM, Hunt ER, Shipman P, Peelor FF, Butterfield TA, Dupont-Versteegden EE (January 2018). "Enhanced skeletal muscle regrowth and remodelling in massaged and contralateral non-massaged hindlimb". The Journal of Physiology. 596 (1): 83–103. doi:10.1113/JP275089. PMC 5746529. PMID 29090454.

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."
Thai Yoga Massage School in Thailand also offers a foundation for the development of foot reflexologist. It has received authorization from Thai Ministry of Public Health. The course is taught by the vice president of Foundation for Development of Foot Reflexologist Thailand from the beginning until the end of the course. For those who have completed the course and pass the exam, they will be given a membership card of TYMS society which is authorized by Thai Government as the certification and qualification to become a practitioner in reflexology fields.21

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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.
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.

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A person receiving a deep tissue massage usually lays on the stomach or back in one position, while deep pressure is applied to targeted areas of the body by a trained massage therapist. The massage is beneficial mostly because it helps stimulate blood flow and relieve muscle tension, while at the same time lowering psychological stress and releasing “happy hormones” like serotonin and oxytocin.

Hot stone massage is best for people who have muscle pain and tension or who simply want to relax. This type of therapeutic massage is similar to a Swedish massage, only the massage therapist uses heated stones in lieu of or in addition to their hands. It eases muscle tension, improves blood flow, and relieves pain by using heated stones. Hot stone massage may help:
Reduced stress. Swedish massages are meant to maximize relaxation—you’ll be on a massage table, in a peaceful environment, with a professional spending an extended time (between 60 – 120 minutes) giving you a massage. The combination of the hands-on attention and the environment should relax you, lowering the level of the stress hormone cortisol in your body. Lowering your stress level offers a surprising number of additional benefits, including reducing or eliminating tension headaches, giving you more energy, and allowing you to get a better night’s sleep.
In the US, licensure is the highest level of regulation and this restricts anyone without a license from practicing massage therapy or by calling themselves that protected title. Certification allows only those who meet certain educational criteria to use the protected title and registration only requires a listing of therapists who apply and meet an educational requirement.[123] It is important to note that a massage therapist may be certified, but not licensed. Licensing requirements vary per state, and often require additional criteria be met in addition to attending an accredited massage therapy school and passing a required state specified exam (basically the certification requirements in many states). In the US, most certifications are locally based. However, as of March 2014, some states still do not require a license or a certification.[citation needed] However, this is thought to change eventually as more regulatory bodies governing the profession of massage are established in each state. Furthermore, some states allow license reciprocity where massage therapists who relocate can relatively easily obtain a license in their new state. Not all states provide this option.[124]

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. 
We have been able to hone our skills in order to ensure that we are delivering only the highest possible standard of sports massage, anywhere in Norwich. Why not take a look at some of the other treatments that we offer to customers? We’re positive that something else will catch your eye! Alternatively, you can get in touch with us today and speak to one of our brilliantly knowledgeable team, who are always on hand to take your call and help in any way they can.

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