The American Commission for Accreditation of Reflexology Education and Training (ACARET) sets the standards for education required for the reflexology profession. It also credentials those involved with educating students of reflexology. The American Reflexology Certification Board (ARCB) has a three-part examination process to ensure the practitioner has met the standards set by the board. In order to be certified through ARCB, a minimum of 110 hands-on training hours must be completed.
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)

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Using this chart, you can perform something like pain relief for the shoulders. The proper technique here would be to find on the foot the part of the spine that is level with the shoulders (from bottom of big toe to where the ball of the foot finishes), locate the part of the spine that is level with the shoulder area (from the base of big toe to where ball of foot finishes), thumb walk this part on the spine area up and down for several minutes, and then thumb walk the entire shoulder area.
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:  

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Hair loss: Massaging several acupressure points will “stimulate and energize the nerves that are causing the problem.” The Paihui is important. “The Paihui is located right in the middle of your scalp. Most of the pressure points related to the hair re-growth are present near this area. Take ten toothpicks and wrap them in a rubber band. Use them to gently poke the paihui, be very careful not to hurt yourself. This action improves the blood circulation in the scalp, which reduces hair fall.”
Deal with general aches and pains. An overall reflexology session can relieve general aches and pains. Most reflex points should be pressed for about 10 seconds at a time. Take your time and press all the reflex points on each one of your feet. Use light pressure and pay attention to any spot that feels sore or painful. When you experience discomfort in a reflex point, the corresponding organ or limb is out of balance.

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A high attention to detail is important to be successful in sports massage. I also feel my professional communication with clients and other practitioners assists with this process. It’s vital to get all the necessary facts about the client and follow up with them after each session. I also feel it’s important that I have experience in endurance training and racing to help with the rapport with my clients.
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:
Due to the harsher pressure of this technique, 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.

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.

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]


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. 
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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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)

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Stroke is the condition where the blood supply to the brain is interrupted because of some reasons that may cause many health problems.27 It usually occurs due to blood vessels ruptures. Many patients have tried reflexology as the alternative therapy in order to recover from strokes. The practitioners believe that pressure that they exerted on a particular point on reflex areas may induce a positive outcome and physical changes to the body.28
You may also have your own unique trouble spots, perhaps from past injuries. A massage therapist can pay special attention to these areas, monitor them for developing problems, and help keep them in good condition. An experienced massage therapist can also compliment treatment received from other health care professionals for various injuries. You may also have your own unique trouble spots, perhaps from past injuries. A massage therapist can pay special attention to these areas, monitor them for developing problems, and help keep them in good condition. An experienced massage therapist can also compliment treatment received from other health care professionals for various injuries. 

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.


The findings by a recent study have confirmed the efficacy of reflexology by recording 31% of pain reduction among the patients with back pain. Quinn et al. reported that the pain intensity score decreased to an average extent in the experimental group.23 Poole et al. demonstrated that there was a significant difference between the control and experimental groups before and after the reflexology treatment.24
Swedish massage therapy can be helpful with a number of other physical challenges, such as reduction in scar tissue by physically manipulating the fibers of the tissue, allowing the scar tissue to be successfully reabsorbed into the skin. Additionally, it can aid with lymphatic drainage, where the long strokes of the therapist help move fluids successfully out of clogged areas.

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