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Burmese massage is a full body massage technique that starts from head to toes, drawing on acupuncture, reflexology, and kneading. Signature massage strokes include acupressure using the elbows, quick gentle knocking of acupressure points, and slow kneading of tight muscles. The massage is aimed to improve blood circulation and quality of sleep, while at the same time help to promote better skin quality.

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Reflexology is basically a study of how one part of the human body relates to another part of the body. Reflexology practitioners rely on the reflexes map of the feet and hands to all the internal organs and other human body parts. They believe that by applying the appropriate pressure and massage certain spots on the feet and hands, all other body parts could be energized and rejuvenated. This review aimed to revisit the concept of reflexology and examine its effectiveness, practices, and the training for reflexology practitioners. PubMed, SCOPUS, Google Scholar, and SpringerLink databases were utilized to search the following medical subject headings or keywords: foot massage, reflexology, foot reflexotherapy, reflexological treatment, and zone therapy. The articles published for the last 10 years were included. Previous systematic reviews failed to show concrete evidence for any specific effect of reflexology in any conditions. Due to its non-invasive, non-pharmacological complementary nature, reflexology is widely accepted and anecdotal evidence of positive effect reflexology in a variety of health conditions are available. Adequate training for practitioners is necessary to ensure the consistency of service provided.
Addressing anything from headaches to sinus problems to stomach issues, if sensitivity or tenderness is experienced when certain areas of the foot are stimulated, it usually indicates bodily weaknesses or imbalances within the corresponding organ. With repeated practice of applying pressure and manipulating nerve endings (traditionally in the foot), reflexology can help to clear any channels of blocked energy through moving the flow of blood, nutrients and nerve impulses to ultimately improve overall health and balance. In addition to manipulating the pressure points on the foot, reflexologists sometimes work on the hands or ears to trigger relaxation as well.
One of the greatest Persian medics was Avicenna, also known as Ibn Sina, who lived from 980AD to 1037AD. His works included a comprehensive collection and systematisation of the fragmentary and unorganised Greco-Roman medical literature that had been translated Arabic by that time, augmented by notes from his own experiences. One of his books, Al-Qānūn fī aṭ-Ṭibb (The Canon of Medicine) has been called the most famous single book in the history of medicine in both East and West. Avicenna excelled in the logical assessment of conditions and comparison of symptoms and took special note of analgesics and their proper use as well as other methods of relieving pain, including massage.
Reflexology is basically a study of how one part of the human body relates to another part of the body. Reflexology practitioners rely on the reflexes map of the feet and hands to all the internal organs and other human body parts. They believe that by applying the appropriate pressure and massage certain spots on the feet and hands, all other body parts could be energized and rejuvenated. This review aimed to revisit the concept of reflexology and examine its effectiveness, practices, and the training for reflexology practitioners. PubMed, SCOPUS, Google Scholar, and SpringerLink databases were utilized to search the following medical subject headings or keywords: foot massage, reflexology, foot reflexotherapy, reflexological treatment, and zone therapy. The articles published for the last 10 years were included. Previous systematic reviews failed to show concrete evidence for any specific effect of reflexology in any conditions. Due to its non-invasive, non-pharmacological complementary nature, reflexology is widely accepted and anecdotal evidence of positive effect reflexology in a variety of health conditions are available. Adequate training for practitioners is necessary to ensure the consistency of service provided.

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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.
Research studies regarding perceived fatigue and recovery showed that subjects felt they were less fatigued and felt like they recovered faster after sports massage. Decreased anxiety, improved mood, better sleep, and enhanced feelings of well-being were also noted. Delayed onset muscle soreness (DOMS) is reduced by sports massage, according to a wide variety of studies.
Flushing. If massage can “improve” any tissue — unknown — one way it might do it is through simple hydraulics: physically pumping tissue fluids around, and/or stimulating the circulation of blood and lymph. I won’t get into the evidence about it here. Suffice it to say that it might be true, and if it’s true then it may not much matter if the process is uncomfortable. While gentler massage may feel pleasant and satisfying, it is possible that more biological benefits can only be achieved hydraulically — whether it’s comfortable or not. This is even more plausible because of trigger points: it’s likely that the tissue fluids of a trigger point are quite polluted with waste metabolites, and the need for flushing is greater, but it’s especially uncomfortable to squish those polluted patches of tissue.

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The first study I know of was supervised by William T. Jarvis, Ph.D., a professor who taught research methods to graduate students at Loma Linda University. Using questionnaires, 70 subjects were asked to state whether they had had health problems during the previous two years in any of 43 anatomical areas. These data were then compared with the findings of a reflexologist as recorded on a report form. The results did not differ from what would be expected by blind guessing. To prevent the reflexologist from asking questions or observing subtle clues, the experimental subjects were asked to remain silent and a curtain was placed so that their feet were the only part of their body visible to the reflexologist [12].
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.
The Emory University announcement reads: "Previous research… has already shown that massage therapy can boost the immune system and decrease anxiety for people who do not have cancer... We believe that there are many positive effects to be gained by therapeutic massage and we hope to prove that, among other biological advantages, massage may diminish the incapacitation that cancer-related fatigue can cause for our patients."
Do not use massage therapy to replace conventional care or to postpone seeing a health care provider about a medical problem. If you have a medical condition and are unsure whether massage therapy would be right for you, discuss your concerns with your health care provider. Ask about the training, experience, and credentials of the massage therapist you are considering. Also ask about the number of treatments that might be needed, the cost, and insurance coverage. For more tips on finding a massage therapist, see the National Center for Complementary and Integrative Health’s (NCCIH) webpage (How to Find a Complementary Health Practitioner) or ask a friend or your physician for a referral.

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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
Research published in the Journal of Sports Medicine and Physical Fitness reported findings of a positive trend for deep tissue massages in regard to improved athletic recovery and performance. The most beneficial type of deep tissue massage for athletes is considered to be “sports massage,” which is commonly performed prior to athletic events to help warm the body and prevent injuries or immediately after to improve recovery.
Any tender or sensitive areas of the body are dealt with extra caution and are more commonly massaged in a soft, relaxing manner; whereas, massage intensity is increased for tension-prone sectors such as the lower back or the shoulders. Customized lotions or essential oil mixtures are also created by the massage therapist after evaluating the skin-type and body assessment of each client.

The benefits of a sports massage are numerous: improved flexibility, reduced risk of injury, and a boosted circulatory system, just to name a few. But bodywork isn’t a one-size-fits all tool, and there are certain things to consider before booking an appointment. Here, three runner-trusted massage therapists impart important pre-massage knowledge.  

Each massage session at Elements Massage™ is meant to achieve the same objectives, be therapeutic and relaxing. When a client requests a Swedish massage at an Elements Massage studio, they also have the benefit of requesting aspects of other modalities as well, such as deep tissue massage or hot stone massage. Rather than keep each massage session limited to one particular modality, Elements Massage studios customize each massage to the client’s needs and blend modalities to ensure a truly personalized session.
Deep tissue massage is a type of massage that aims at affecting the deeper tissue structure of the muscles. It also affects the connective tissue, known as fascia. Deep tissue massage helps with both small muscle injuries as well as chronic problems. Deep tissue massage is an excellent way to deal with a whiplash or sports injury, postural misalignment, treating spasms as well as muscle tension. During a deep tissue massage the therapist concentrates on releasing specific chronic muscle tension as well as the muscular knots, or adhesions.

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Many training programs are now available throughout the world that require a minimum of 500 hours of basic massage therapy training, in addition to continuing education credits that can require up to another 400–500 hours. (19) Always make sure you’re “in good hands” by first checking that a therapist has proper qualifications and experience, specifically asking about training in NMT, trigger point therapy, sports massage, pain management, myofascial release and orthopedic massage.
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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Modern reflexology technique has been used since 60 years ago and now more scientific and clinical research have been conducted because of their positive effects in reducing and alleviating the symptoms associated with certain diseases. Reflexology gives benefits to certain groups of people and generally does not cause any harmful effects as long as certain precautions are taken by the patients with certain medical circumstances. Each person has a different body system condition, so results from reflexology treatment could differ from one person to another.8 Based on latest research conducted, reflexology seems to be effective in helping the body systems to return to its natural state.1 One of the most significant current discussions in reflexology is its effectiveness in tackling several symptoms of diseases.1 The level of disease conditions and pain are reduced as the patients receive reflexology treatment. It has been suggested by a Swiss study that patients who have undergone reflexology sessions showed a significant decrease in the amount of medication needed.1 As a complementary therapy, reflexology seems to work better with conventional treatment to treat certain diseases.8 The most significant current discussions in reflexology practice are related to the aspect of health, safety, and hygiene. Other than that, the principles and practice of reflexology as a complementary therapy is important to make sure the application of this therapy is reliable.

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Swedish massage also stimulates the skin and nervous system and soothes the nerves themselves at the same time. It reduces stress, both emotional and physical, and is suggested in a regular program for stress management. Swedish massage feels good, is relaxing and invigorating. It affects the nerves, muscles, glands, and circulation, while promoting health and well-being.

Deep tissue massage techniques are very similar to that of traditional Swedish massage with the primary difference being increased pressure application which aims at affecting the deeper tissue structure of the muscles. The massage therapist will choose between several strokes depending on the size of the muscle that is negatively affected. Our trained massage therapists do not force pressure into the muscle, but rather apply pressure until the muscle pushes back. The pressure applied should not be painful, but it is common to experience soreness after a deep tissue massage.
You can usually choose which type of massage you’d like to receive, and you and your partner can each get a different type of massage depending on your preference and the offerings at the spa. Your partner and you will be on tables side-by-side, and you’ll each have your own massage therapist working on your body. You can talk during the massage if you wish.

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Headaches. Severe headaches and migraines are the second most common pain conditions in the U.S. (15 percent) according to the AAPM, and Everhart says that massage therapy can oftentimes help in these cases. The Migraine Relief Center (MRC) indicates that the reason this modality works is that it eases muscle spasms, improves blood flow and circulation, relieves tension, and increases relaxation. The MRC shares that it is also especially helpful when it comes to tension and vascular headaches.
Pain is a stressor in the body system and any injury occurs to any part of the body will cause the whole system to be stressed.1 Endorphin is a body's natural pain-relieving chemical will be released as a response to reflexology. Endorphin teaches the body how to adapt any injuries. Those who practice reflexology in their life believe that healing from any injuries comes from the role of reflexology.3
Therapeutic massage is used in the treatment of diseases and injuries of the motor and support apparatus, metabolic disturbances (obesity, diabetes mellitus, and gout), and diseases of the cardiovascular, respiratory, and nervous systems. In reflex-segmental massage various organs and tissues are affected through the massage of certain areas of the skin, subcutaneous tissue, and muscles. Reflex-segmental massage is prescribed for therapeutic purposes, as is pneumomassage, or vacuum massage, in which waves of air are used to improve the peripheral blood circulation. Syncardial massage, which is also prescribed for therapeutic purposes, involves the rhythmic compression of the vessels of the extremities by means of a special apparatus called the Synkardon. Another form of therapeutic massage, underwater massage, is performed by a special apparatus that creates an underwater stream under as much as two to four atmospheres pressure.
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.
Most deep tissue massages normally focus on major muscle groups — such as the neck or lower back — along with joints and tendons that are susceptible to straining or injuries. Certain areas of the body that tend to tense up in times of stress, including the shoulders, neck and hips, can often benefit the most from this type of deep manipulation. Many people consider “sports massages” to be a form of deep tissue massage, which involves physical treatment primarily to neuromusculoskeletal systems to treat pain and disability, improve muscle recovery and joint mobilization, and prevent injuries. 

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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.

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Middle-Ages: Medical knowledge, including that of massage, made its way from Rome to Persia in the Middle Ages.[citation needed] Many of Galen's manuscripts, for instance, were collected and translated by Hunayn ibn Ishaq in the 9th century. Later in the 11th century copies were translated back into Latin, and again in the 15th and 16th centuries, when they helped enlighten European scholars as to the achievements of the Ancient Greeks. This renewal of the Galenic tradition during the Renaissance played a very important part in the rise of modern science.
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.

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Emmanuelle is a certified reflexologist, and a member of the Reflexology Association of America (RAA). She has practiced reflexology for five years, including three years in Paris.  She has studied anatomy, physiology and reflexology, and have been certified in two schools: Action Reflexo Formation (www.action-reflexo.com) with a Traditional Chinese Medicine approach focused on the systemic relation between organs, and is also certified in Reflex Therapy Total Faure Alderson, Ingham Method, focused on the cranial-sacral balance. She participates in post-graduate trainings to enhance her practice.  She practices reflexology with specific processes of manual pressure on feet areas. These areas include  7,200  nervous points located on your feet. The pressure points activate the general nervous network of your body connected through these points and areas. The process will stimulate healing and have a balancing effect on the systems, including the digestive system, hormonal system, cardio-vascular system, and lymphatic system.  Reflexology can address many imbalances, like sleeping problems, stress, puberty, menopause, weight and digestive problems, and recovery after surgery.  In addition to a deep functional relaxation and release of the tensions, the process will promote long-term health.
A study by an author found that patients who suffered from low back pain usually show good effect in terms of their pain management when they have reflexology as the complementary treatment.25 In this study, the author used VAS scores to indicate the level of pain of the patient. The author added that this complementary treatment can be used as one of the treatment to reduce low back pain but further study on it must be conducted.23

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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.
My massage therapist has been doing massages for 30 years. He is really aggressive. I thought that I was going to die. The pain was so intense that I honestly feel that it was worse than having children. When the massage was complete, I felt relaxed. When I got home I felt exhausted, like I had been in a major accident. Truthfully I feel like crap. I ache from head to toe, what the heck is this? I feel absolutely horrible. I had a bath before bed and it did help somewhat. But this morning I still feel like hell …

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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.

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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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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.

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]

Do not use massage therapy to replace conventional care or to postpone seeing a health care provider about a medical problem. If you have a medical condition and are unsure whether massage therapy would be right for you, discuss your concerns with your health care provider. Ask about the training, experience, and credentials of the massage therapist you are considering. Also ask about the number of treatments that might be needed, the cost, and insurance coverage. For more tips on finding a massage therapist, see the National Center for Complementary and Integrative Health’s (NCCIH) webpage (How to Find a Complementary Health Practitioner) or ask a friend or your physician for a referral.

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Alhough he was a Certified Strength and Conditioning Specialist (CSCS) through the National Strength and Conditioning Association at the time, Pietrunti says that he ultimately decided to pursue licensure in massage therapy as well. This provided that missing link while also being “a good way to ‘bridge the gap’ and provide a better service to my clients,” he says.
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Flushing. If massage can “improve” any tissue — unknown — one way it might do it is through simple hydraulics: physically pumping tissue fluids around, and/or stimulating the circulation of blood and lymph. I won’t get into the evidence about it here. Suffice it to say that it might be true, and if it’s true then it may not much matter if the process is uncomfortable. While gentler massage may feel pleasant and satisfying, it is possible that more biological benefits can only be achieved hydraulically — whether it’s comfortable or not. This is even more plausible because of trigger points: it’s likely that the tissue fluids of a trigger point are quite polluted with waste metabolites, and the need for flushing is greater, but it’s especially uncomfortable to squish those polluted patches of tissue.

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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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