Forty-three states, the District of Columbia and five Canadian provinces currently offer some type of credential to professionals in the massage and bodywork field—usually licensure, certification or registration.[79][118] Thirty-eight states and the District of Columbia require some type of licensing for massage therapists.[119] In the US, 39 states use the National Certification Board for Therapeutic Massage and Bodywork's certification program as a basis for granting licenses either by rule or statute.[120] The National Board grants the designation Nationally Certified in Therapeutic Massage and Bodywork (NCTMB). There are two tests available and one can become certified through a portfolio process with equivalent training and experience.[121] Between 10% and 20% of towns or counties regulate the profession.[97] The National Certification offered by the NCBTMB does not mean that someone can practice massage in any state.[122] These local regulations can range from prohibition on opposite sex massage, fingerprinting and venereal checks from a doctor, to prohibition on house calls because of concern regarding sale of sexual services.[97][123] 

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Continuing education is important to stay abreast of the evolving field of sports medicine. In addition, sports massage therapists must have a strong understanding of the demands that sports put on the body, both physically and mentally. Because I also train and race, I feel better able to understand body mechanics—including common injuries and performance goals—which gives me the opportunity to communicate and share my experience as well as my skills to help athletes reach their
During a hot stone massage the therapist heats as many as 50 basalt stones of varying sizes to 120–140º F, rubs them over your oiled body, and rests them on top of and beneath you—on your stomach, in your palms, on your back. The stones’ warmth enhances the relaxing effects of the pressure. Some people believe the stones have healing, grounding qua Show more

A traditional Swedish massage involves the whole body. You will begin on either your back or your stomach and flip over at the halfway point. If you have an area of particular concern, such as a tight neck, you can ask your therapist to spend more time in this area. Depending on your preferences, you can ask your massage therapist to use light, medium, or firm pressure.


Sheets and wrappings of connective tissue called fascia are considered an exciting frontier in massage therapy. Supposedly fascia can get tight and needs to be “released.” However, key examples of research either fail to support fascial therapy or actually undermine it — for instance, fascia is too tough to actually change. Fascia enthusiasm seems to be a fad. For more information, see Does Fascia Matter? A detailed critical analysis of the clinical relevance of fascia science and fascia properties. BACK TO TEXT

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Beyond the feel-good effects of the treatment, the practice and purpose go deeper than the skin and muscles by taking specific reflex points on the foot to induce a healing response in corresponding organs and areas of the body, as seen in the chart to the left. Kneading the soft fleshy ball of the foot, pulling on the toes, tracing around the heel and pushing deep into the arch are just a few of the many small, intense movements you’ll experience during a reflexology treatment.
While a foot massage may feel the same as a reflexology treatment, a reflexologist will work on areas to promote a healing response in the corresponding organs. A massage therapist giving a foot massage will manipulate muscles and other soft tissues to improve circulation, relieve pain, and heal injuries in the area or to induce overall relaxation.
Friction strokes work on deeper muscles than the techniques previously described. The friction technique is a pressure stroke and is the deepest that is used in Swedish massage. The massage therapist applies pressure by placing the weight of his or her body on the flat of the hand and the pads of the thumbs, knuckles, fingers, or the back of the forearms, and then releases the pressure slowly and gently. This movement should be a continuous sliding motion or a group of alternating circular motions.

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In 2015 the Australian Government's Department of Health published the results of a review of alternative therapies that sought to determine if any were suitable for being covered by health insurance; reflexology was one of 17 therapies evaluated for which no clear evidence of effectiveness was found.[5] Accordingly In 2017 the Australian government named reflexology as a practice that would not qualify for insurance subsidy, saying this step would "ensure taxpayer funds are expended appropriately and not directed to therapies lacking evidence".[6]
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
Pre-event. Pre-event sports massage is given within the four hours preceding an event to improve performance and help decrease injuries. It is used as a supplement to an athlete's warm-up to enhance circulation and reduce excess muscle and mental tension prior to competition. It is normally shorter (10-15 minutes) than a regular conditioning massage, and focuses on warming-up the major muscles to be used, and getting the athlete in a good mental state for competition. It also improves tissue pliability, readying the athlete for top performance. Certain massage techniques can help calm a nervous athlete, and others can be stimulating. Pre-event. Pre-event sports massage is given within the four hours preceding an event to improve performance and help decrease injuries. It is used as a supplement to an athlete's warm-up to enhance circulation and reduce excess muscle and mental tension prior to competition. It is normally shorter (10-15 minutes) than a regular conditioning massage, and focuses on warming-up the major muscles to be used, and getting the athlete in a good mental state for competition. It also improves tissue pliability, readying the athlete for top performance. Certain massage techniques can help calm a nervous athlete, and others can be stimulating.
Massage therapy is also being investigated as an aide to patients with more neuromuscular disorders, such as multiple sclerosis (MS). A Iranian 2013 study published in Clinical Rehabilitation looked at 48 individuals with MS who participated in a five-week massage experiment. They were assigned to one of four groups: massage therapy, exercise therapy, combined massage-exercise therapy and control group.
BC 722-481: Huangdi Neijing is composed during the Chinese Spring and Autumn period. The Nei-jing is a compilation of medical knowledge known up to that date, and is the foundation of Traditional Chinese Medicine. Massage is referred to in 30 different chapters of the Nei Jing. It specifies the use of different massage techniques and how they should be used in the treatment of specific ailments, and injuries. Also known as "The Yellow Emperor's Inner Canon", the text refers to previous medical knowledge from the time of the Yellow Emperor (approx 2700 BC), misleading some into believing the text itself was written during the time of the Yellow Emperor (which would predate written history).[7][8]
Proprioceptive studies are much more abundant than massage and proprioception combined, yet researchers are still trying to pinpoint the exact mechanisms and pathways involved to get a fuller understanding.[94] Proprioception may be very helpful in rehabilitation, though this is a fairly unknown characteristic of proprioception, and "current exercises aimed at 'improving proprioception' have not been demonstrated to achieve that goal".[95] Up until this point, very little has been studied looking into the effects of massage on proprioception. Some researchers believe "documenting what happens under the skin, bioelectrically and biochemically, will be enabled by newer, non-invasive technology such as functional magnetic resonance imaging and continuous plasma sampling".[93]
An effective maintenance program is based on the massage therapist's understanding of anatomy and kinesiology, combined with an expert knowledge of which muscles are used in a given sport and which are likely candidates for trouble. By zeroing in on particular muscle groups and working specific tissues, the sports massage therapist can help the athlete maintain or improve range of motion and muscle flexibility. The overall objective of a maintenance program is to help the athlete reach optimal performance through injury-free training.

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While a foot massage may feel the same as a reflexology treatment, a reflexologist will work on areas to promote a healing response in the corresponding organs. A massage therapist giving a foot massage will manipulate muscles and other soft tissues to improve circulation, relieve pain, and heal injuries in the area or to induce overall relaxation.


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.
Lava Shell Massage is a deeply comforting and relaxing full body massage which uses naturally self heating Tiger Clam shells from the sun kissed shores of the Philippines. These marine polished sea shells glide smoothly over the body and are used as massage tools to release muscle tension and blocked energy flow to provide a sense of balance to the entire body and mind.

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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.”
Swedish massage was invented by a Swedish fencing instructor named Per Henrik Ling in the 1830s. When he was injured in the elbows, he reportedly cured himself using tapping (percussion) strokes around the affected area. He later developed the technique currently known as Swedish massage. This technique was brought to the United States from Sweden by two brothers, Dr. Charles and Dr. George Taylor in the 1850s. The specific techniques used in Swedish massage involve the application of long gliding strokes, friction, and kneading and tapping movements on the soft tissues of the body. Sometimes passive or active joint movements are also used.
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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Those Scandinavians knew what they were doing. If you’ve never been to a classic Nordic Spa we are happy to lead you to bliss. Spafinder Wellness 365 has curated the best of the best in Canada so you can indulge from Montreal to Whistler. It’s all based on a circuit of thermal baths that take your body through a complete cleansing and physical cond Show more

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.

Aquatic bodywork comprises a diverse set of massage and bodywork forms performed in water. This includes land-based forms performed in water (e.g., Aquatic Craniosacral Therapy, Aquatic Myofascial Release Therapy, etc.), as well as forms specific to warm water pools (e.g., Aquatic Integration, Dolphin Dance, Healing Dance, Jahara technique, WaterDance, Watsu).[33]
Integrative Reflexology is defined as “massage therapy-based reflexology, practiced as both energy work and bodywork.” Integrative reflexology is an holistic discipline which uses the therapist’s hands to apply alternating and firm pressure to stimulate physiological changes in the body. The therapist activates the zone reflex points and meridian points to create beneficial responses in the nervous, electrical and chemical systems of the body. Integrative Reflexology allows the body to relax by releasing tension and improving blood flow. It helps the body to adjust to its own healthy balance.
The underlying theory behind reflexology is that there are certain points or "reflex areas" on the feet and hands that are connected energetically to specific organs and body parts through energy channels in the body. By applying pressure to reflex areas, a reflexologist is said to remove energy blockages and promote health in the related body area.

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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.

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Specialized massage tables and chairs are used to position recipients during massages. A typical commercial massage table has an easily cleaned, heavily padded surface, and a horseshoe-shaped head support that allows the client to breathe easily while lying face down and can be stationary or portable, while home versions are often lighter weight or designed to fold away easily. An orthopedic pillow or bolster can be used to correct body positioning.

I am a science writer, former massage therapist, and I was the assistant editor at ScienceBasedMedicine.org for several years. I have had my share of injuries and pain challenges as a runner and ultimate player. My wife and I live in downtown Vancouver, Canada. See my full bio and qualifications, or my blog, Writerly. You might run into me on Facebook or Twitter.


But the relief model is certainly tempting. There are many painful-but-relieving analogies in medicine and biology.15 That’s similar to what good pain in massage feels like, but it’s not the same: no one thinks that lancing a boil or popping a shoulder joint back in is anything but painful while it’s happening.16 And we can’t necessarily take the good pain sensation at face value and assume it means there’s actually going to be a positive outcome. Brains are not all-knowing. Sometimes they see danger where there is none, and sometimes they see help where there is none.

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Deep tissue technique uses very little to no lubricant so that the muscles can be hooked or grabbed, thereby stretching and lengthening them, and to separate adhered muscle compartments. Strokes will be considerably slower and possibly shorter as the therapist waits for a slow release of tension. Some areas may be skipped so more time can be spent on specific areas of need. Doing this provides better alignment of the muscles and less restriction in the joints, thereby improving their movement and function. It is a massage in which the primary goal is less about general relaxation and more about promoting change in the actual structure of the body.
A sports massage from The Norfolk Clinic can help you to relax and enjoy your day. This is because muscles relax through heat generated, stretching and circulation. ‘Mechanoreceptors’ which sense touch, pressure and warmth are stimulated when receiving a sports massage, which causes reflex relaxation. This helps you to relax and soothes your body and stress levels.

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