The reason the Pressure Question exists is that it’s hard for patients to tell the difference between nasty pain that might be a necessary part of therapy, and ugly pain that is just abusive. Not everything that hurts is therapeutic, but not every therapeutic procedure is painless! How can we tell if an intense massage technique is therapeutic or not?

Until recently, reflexology was mostly ignored by science and relied on anecdotal evidence to buoy its good name. Today, though, there are many associations and organizations promoting and supporting the work of reflexologists from around the world. There is even an International Council of Reflexologists which has produced a Research Analysis Document that contains over 300 reflexology research studies, mainly from such places as China, Denmark, and the United Kingdom. Even in North America, a study has been published in the American Journal of Obstetrics and Gynaecology. Some of this research studies examined the effects of reflexology upon certain health conditions such as: asthma, back pain, cancer, chest pain, childbirth, PMS, heart disease, constipation, gout, migraine, headaches, multiple sclerosis, and nervous exhaustion.


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Watsu, developed by Harold Dull at Harbin Hot Springs, California, is a type of aquatic bodywork performed in near-body-temperature water, and characterized by continuous support by the practitioner and gentle movement, including rocking, stretching of limbs, and massage. The technique combines hydrotherapy floating and immersion with shiatsu and other massage techniques. Watsu is used as a form of aquatic therapy for deep relaxation and other therapeutic intent. Related forms include WaterDance, Healing Dance, and Jahara technique.[73][74]
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.
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.
In Japanese, shiatsu means "finger pressure." For shiatsu massage, the therapist uses varied, rhythmic pressure on certain precise points of the body. These points are called acupressure points, and they are believed to be important for the flow of the body's vital energy, called chi. Proponents say shiatsu massage can help relieve blockages at these acupressure points.
It’s just a theory: no one knows if this is actually effective.11 However, it may explain why so many massage patients report a “gets a bit worse before it gets much better” response to quite painful treatments: motor end plates are (painfully) destroyed by strong pressures, and then that tissue is quite sensitive and a bit weak as it heals over a day or two … and then you finally feel much better after that! 

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Ayurvedic Massage is known as Abhyangam in Sanskrit. According to the Ayurvedic Classics Abhayngam is an important dincharya (Daily Regimen) that is needed for maintaining a healthy lifestyle. The massage technique used during Ayurvedic Massage aims to stimulate the lymphatic system. Practitioners claim that benefits of regular Ayurvedic Massage include pain relief, reduction of fatigue, improved immune system, and improved longevity.[36]
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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Experience the innate healing and nurturing properties of this Ayurvedic-inspired, nutrient-rich body wrap. Lymphatic stimulation through dry brushing will invigorate your immune system and prepare your skin to absorb the essential minerals. Essential oils and herbs soothe the mind and invigorate circulation.  This aromatic treatment will leave the skin soft, firm, and radiant.  After the wrap, you will rinse in one of our private showers and return to the treatment room for luxurious moisture application.
This program also enables the student to practice and hone their skills in real life situations through the college’s stress reduction and therapeutic clinics and at community service externships. Successful completion of Swedish’s Massage Therapy program provides the student with all of the education and practical skills needed to take their licensure exams.
Thank you so much for your article The Pressure Question in Massage Therapy. I just read it all. I went for a sports massage two weeks ago as I was recommended to have one as it was suggested it might help with tight calves, a side effect of some other injuries I have. I’ve been for sports massages many, many times before over the years. This one was one of the most painful experiences of my life — when I got home I was almost sick and felt in shock. My right achilles tendon was raging and it’s been bad ever since. It hurt so much when it was done (like someone was sticking knives in) and I kept asking if it was meant to hurt. I wish I’d just stopped the session or objected but I didn’t. It used to be a bad injury that affected me walking for about 6 months so I’m just devastated about this. I can hardly bear to put shoes on and its all this time on. I know there are good practitioners out there but experiences like this just make me want to stay away. I wish I’d gone to a “gentle” one.
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

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If you enjoy the therapeutic benefits of foot Reflexology massage, you should know that the benefits are compounded when utilized as a frequent therapy. The more you go, the healthier you feel. With a Massage Envy membership, you can enjoy these benefits as often as you'd like. Monthly dues include a one-hour massage session and unlimited additional one-hour sessions at the low membership rate­­. To make things even easier, there are hundreds of Massage Envy locations nationwide. So you can relax, rejuvenate, and continue to grow healthier wherever you go.
The proper design, control, and intervention protocols of research on reflexology remain debatable. The use of randomized controlled trials (RCTs) is the golden standard in assessing the efficacy of complementary therapies such as reflexology.34 Verhoef et al. have described the challenges when researching complementary therapies: standardization of regimented treatment that limit the individualization of treatment; client's focus on health with restricted roles for disease treatment; ethical issues involving the recruitment and randomization due to participants pre-conceived belief on reflexology; practicality of applying sham reflexology; interference of psychological influence on rapport between patient-provider.35
Sports massage is a form of massage involving the manipulation of soft tissue to benefit a person who is engaged in regular physical activity. When you exercise, their body is subjected to various types of physical loading, and following such activities with the right amount of rest, your body’s system will adapt in order to cope with the increased strain placed on them.

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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.
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.
This short course only takes about 60 min to learn the routine of classic Thai Foot Reflexology, which is originated from Chiang Mai, Thailand, together with an instructor who teaches body mechanics and proper techniques. A basic knowledge of Thai Medicine theory, ancestors, well-known influential figures in Thai healing, and the history of Thai foot reflexology are also taught.20
Please arrive on time in order to ensure a full massage session. You may cancel your appointment without charge up to 24 hours preceding your appointment. Same day cancellations will be charged a $25 cancellation fee to the card provided at the time of scheduling the appointment. In the event of a  “no-show” appointment, the rescheduling fee will be charged for the “missed” appointment.

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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.
Nothing says love like the gift of relaxation.  What better way to give that gift than share that gift in our inviting Couples Massage Rooms.  It’s what you’ve come to expect from Massage Heights but in a larger room, with 2 of our Signature Tables with 2 Therapists….one working on each of you.  Our Therapists will work on each individual person to accommodate their specific needs and will orchestrate your Couples experience to ensure you are both relaxed and rejuvenated.  It’s a beautiful way for the two of you to relax, escape, and revive…together.

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Medical Massage is a controversial term in the massage profession.[50] Many use it to describe a specific technique. Others use it to describe a general category of massage and many methods such as deep tissue massage, myofascial release and triggerpoint therapy as well as osteopathic techniques, cranial-sacral techniques and many more can be used to work with various medical conditions.[51]

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Angie Bolanos has over 13 years of experience in the practice of rehabilitative therapy. She graduated Cum Laude from Syracuse University with a degree in Occupational Therapy and a minor in Psychology. Upon concluding her undergraduate studies, Angie was immediately recruited as an occupational therapist by a large well-established rehabilitation organization in South Florida. Having the natural ability to consistently raise the benchmark, she quickly moved through the ranks holding various administrative rolls amongst various rehabilitation settings.  ... View Profile

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Swedish massage is very popular in Fort Lauderdale due to it’s relaxing therapeutic benefits. It’s a client favorite to relax and unwinds. Almost any massage that you receive is likely to contain at least some Swedish massage. This is true even if you are getting a deep tissue, trigger point or shiatsu massage with would generally be considered the opposite type of massage.

Contrary to its name, Swedish massage is neither originated in Sweden nor was it created by a Swede gymnast called Peter Henry Ling. There is much debate regarding the origin of the massage; therefore, it is highly common to mistake the origination between either Peter Henry Ling or the Dutch practitioner Johan Georg, who is with verified credibility considered as the man who systemized basic massage movements into what we know it as today; Swedish massage.
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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.
Thank you for explaining the difference between a deep tissue massage and a firm pressure massage. The place I go to offers different techniques and I have been wondering what the difference was between those two. Good to know that a deep tissue massage uses very little to no lubricant so the muscles can be hooked and grabbed. That one sounds like a really great option.
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.
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.

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. 

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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. 

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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Deep Tissue is a very specific massage treatment in which the therapist uses knuckles and elbow’s to “strip out” muscle tissue as far down to the bone as possible. Sound invasive? It is! It is definitely not for everyone. However there are millions of people out there that would never have their treatment any other way. This modality can be helpful to the following people: athletes who are considerably harder on their bodies than the average person, people who are undergoing physical therapy to aid in the breakdown process of scar tissue, (AFTER PROPER HEALING FROM THE INJURY HAS OCCURED), or anyone who has very dense tissue and thus responds better to the work.
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.
"Back before we started wearing shoes everywhere, we developed natural stimulus points from the ground [making direct contact] with our feet," Colin says. "By walking and getting that stimuli, we would relieve stress. We don't get that anymore. So the idea of reflexology is going back and mimicking that stimuli to specific points and feeling where that stress sits."

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Stroking in smooth movements, kneading to loosen muscles, rubbing or friction with the practitioner using both hands back and forth in opposite directions, and striking (tapping or chopping the body with fingers or hands) are all used in combination. These movements help relax the body, increase circulation, and improve drainage in the lymphatic system.
M&W Massage and Wellness Solutions provide a pathway to good mental and physical health through professional massage therapy services. My massage therapy services are tailored to the client’s needs at the time of the session. It is a very personalized treatment, where I also incorporate the concepts of visualization and stretching for maximum benefit.  I help my clients with pain management, stress reduction and relaxation utilizing the perfect bed, heating pad and top of the line lotions and oils.  ... View Profile
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.

I have been a licensed massage therapist for over 10 years with my ultimate goal being to help others mentally and physically. I am the daughter of a Physical Therapist after all! hehe  Extensive experience working on individuals struggling with depression and/or addiction and they hold a special place in my heart. I am very easy going and non-judgmental, my table is available to those who need to ease up and disconnect. Massages are incredibly beneficial as research proved it could significantly increase one's well-being over time.   Booking a session will come with complimentary aromatherapy to open your senses and promote relaxat ... View Profile

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There are many systems of reflexology, some with very different approaches and points. This is the system we use the most. The therapist will use many of the points below during your session. If you are interested in self care between visits, feel free to ask your therapist how to apply pressure to certain points at home, and how often you should do so.
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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The study involved 263 volunteers with an average age of 48.5. Overall muscle spasm/muscle strain was described as either moderate or severe for each patient prior to treatments, which consisted of a massage between 45–60 minutes in duration. Results demonstrated an average systolic pressure reduction of 10.4 mm/Hg, a diastolic pressure reduction of 5.3 mm/Hg, a mean arterial pressure reduction of 7.0 mm/Hg and an average heart rate reduction of 10.8 beats per minute following massage treatment. (6)

Facts get confused when we talk about deep pressure. “Deep pressure” is just what it sounds like: it is any type of massage therapy that is performed with more, or deeper, pressure. For example, I can perform a Swedish massage, (that is primarily used to relax the client) and use a heavier hand to take it from a light touch to a “medium” or “firm” touch. This fits most people but since every client is different and every therapist is different, it’s tough to really measure. Therefore, your therapist should manipulate your tissue and adjust their pressure until it is perfect for you. It is very important to ALWAYS speak up and let your therapist know if you need the pressure to be corrected, (i.e. if you need them to lighten up because it is too deep, or to apply more because it is not deep enough). Most everyone needs more pressure in some areas and less in others. This occurs because muscle tissue that contains Trigger Points is more sensitive to pressure and can be tender to the touch.

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