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.
In a poll of 25–35-year-olds, 79% said they would like their health insurance plan to cover massage.[28] In 2006 Duke University Health System opened up a center to integrate medical disciplines with CAM disciplines such as massage therapy and acupuncture.[126] There were 15,500 spas in the United States in 2007, with about two-thirds of the visitors being women.[119]
Deep tissue massages are often utilized following injuries to help break up newly forming scar tissue that can make recovery more difficult and lead to stiffness. Massage has been shown to help reduce inflammation and muscle spasms by stimulating blood flow, loosening up muscles to allow for more oxygen and also helping reduce the nervous system’s automatic stress response.
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.
Trigger points or stress points may also cause muscle soreness and decreased flexibility. These points are specific spots in muscle and tendons which cause pain when pressed, and which may radiate pain to a larger area. They are not bruises, but are thought by some to be small areas of spasm. Trigger points may be caused by sudden trauma (like falling or being hit), or may develop over time from the stress and strain of heavy physical exertion or from repeated use of a particular muscle.
Sports massage has become an integral part of the new athletic regimen from sports medicine clinics, to college training rooms, to professional locker rooms to Olympic training. Growing number of trainers believe that massage can provide an extra edge to the athletes who participate in high performance sports. Massage has become a necessary ingredient for a complete workout. More and more people are realizing that a complete workout routine includes not only the exercise itself, but also caring for the wear-and-tear and minor injuries that naturally occur with strenuous movement. The physiological and psychological benefits of massage make it an ideal complement to a total conditioning program.
Following injury, and especially if it’s also a very stressful time, inflammation can prevent proper blood flow from reaching damaged tissue and can cut off vital nutrients and oxygen. This can cause toxins to accumulate around damaged tissue, which only increases swelling and pain. Some studies have found that even self-administered massage can help reduce pain associated with plantar fasciitis and other injuries. (10)

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A career in sports massage requires training in a broad range of massage therapy modalities, in-depth knowledge of injuries and rehabilitative treatments, and, in many cases, a willingness to stand ready and waiting on the sidelines of sporting events to treat participants in urgent situations. Additionally, you’ll need strong communication and business skills to help you build a sports massage practice.

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]

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PS Ingraham. Central Sensitization in Chronic Pain: Pain itself can change how pain works, resulting in more pain with less provocation. PainScience.com. 5428 words. Pain itself often modifies the way the central nervous system works, so that a patient actually becomes more sensitive and gets more pain with less provocation. This is called “central sensitization.” (And there’s peripheral sensitization too.) Sensitized patients are not only more sensitive to things that should hurt, but also to ordinary touch and pressure as well. Their pain also “echoes,” fading more slowly than in other people. BACK TO TEXT

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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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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]
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]

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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]

Finally, sports massage is designed specifically for the very physically active (whether you're a professional athlete or not). It combines Swedish, Shiatsu, and other techniques to concentrate on the areas that are related to your sport. Athletes often get sports massages to prepare for peak performance, prevent injury, and also treat injury. Sports Injury Clinic, which offers several demonstration videos, says:

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The University of Maryland Medical Center reports that deep-tissue massage is more effective and affordable for relieving chronic pain than conventional medical remedies. Because deep-tissue massage increases the flow of blood through through the body, it helps reduce the inflammation that causes pain. Deep-tissue massage can also help alleviate muscle tension that is often a side effect of chronic pain by loosening the tight tissue clusters.

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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]
Sports massage therapists deliver treatments before professional competitions to help improve an athlete’s flexibility and after competitions to alleviate injuries or keep muscles from tightening. They might also work in private practice, health care or athletic facilities where they provide sports massage therapy to everyday clients seeking some of the many benefits of sports massage, such as these:

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.
Not everyone should receive a deep tissue massage. Some people simply enjoy the sensation of deeper pressure to their muscles and others prefer a more gentle touch. Someone who has never experienced a massage before may not want to request a deep tissue massage. It is the responsibility of the massage therapist to determine if a deep tissue massage is necessary by way of a thorough health history and evaluation. A massage is only effective when the person on the table is comfortable and relaxed.
Sports massage can be an interesting career choice for therapists who want to do it full time. Professional sports teams often have massage therapists on staff to keep athletes' bodies working at their very best. It helps to have a keen interest in anatomy and physiology, advanced training and experience in sports massage, an interest in sports, and a desire to work with athletes.
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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Changes should be implemented immediately instead of in stages, so that patients can go to any reflexology centre without any doubt. The entire centres, spas or even small booth that offer reflexology treatment must obtain a certificate from the Ministry of Health. It is suggested that each centre to have a medical form about patient's details, medical history, and screening form. It is already issued by the Ministry of Health but none of the centres has ever applied.

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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.

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 …


The most commonly offered and best known type of massage. Devised at the University of Stockholm in 1812 by Henri Peter Ling, this technique employs five different movements (long strokes; kneading of individual muscles; percussive, tapping movement; rolling of the fingers; and vibration) and oils beneficial to the skin. Used to improve the circulation, ease muscle aches and tension, improve flexibility and create relaxation.
One theory is that muscle knots may be caused by something that goes wrong at the “motor end plate” — where a nerve ending attaches to a muscle cell.9 We don’t know why this happens, or what exactly goes wrong, but there is circumstantial evidence that motor end plates are the “point” in trigger point. That evidence is too complex and controversial to review properly here. It is explored in detail in my book. Some research has suggested that it may actually be possible to physically destroy the motor end plate with strong massage, thereby inactivating the trigger point.10 When it regrows — these are microscopic structures, it doesn’t take them long to heal — the trigger point may be gone.

^ 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.


“The Wellness Center is a rare gem in the sea of health !! The staff is amazing and the services are stellar. I’ve been with the center for 11 years and have never been disappointed. Each practitioner is professional and truly has your best interest at heart. Kudos to Dr Shwu, Dr Binder, Dr Tim and all the awesome massage therapists. Truly holistic disease prevention care to those seeking total wellness of mind, body and soul.”

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A 2004 systematic review found single applications of massage therapy "reduced state anxiety, blood pressure, and heart rate but not negative mood, immediate assessment of pain, and cortisol level", while "multiple applications reduced delayed assessment of pain", and found improvements in anxiety and depression similar to effects of psychotherapy.[54] A subsequent systematic review published in 2008 found that there is little evidence supporting the use of massage therapy for depression in high quality studies from randomized controlled trials.[55] 

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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.

Deep tissue massages are usually “cross-grain,” moving against the muscles to relieve aches or pains rather than moving  with them. This can sometimes feel a bit more painful as a result compared to standard “relaxation massages.” However, the pressure involved in deep massages is actually a good thing. It provides many of the benefits that this type of therapeutic massage has to offer. Deep tissue massages also tend to be slower-paced and longer than many other massages, ideally about 1.5 hours long, which gives bodily tissue enough time to warm up and then relax.
Recovery. Therapeutic massage helps the body recover from the stresses of strenuous exercise, and facilitates the rebuilding phase of conditioning. The physiological benefits of massage include improved blood and lymph circulation, muscle relaxation, and general relaxation. These, in turn, lead to removal of waste products and better cell nutrition, normalization and greater elasticity of tissues, deactivation of trigger points, and faster healing of injuries. It all adds up to relief from soreness and stiffness, better flexibility, and less potential for future injury.

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Certain massage therapists have specialized training in techniques that help treat people with injuries, inflammation, tears and limitations. Although more than one massage session is usually needed to provide relief and see improvements in pain, well-trained therapists can usually recommend practices or stretches for you to try at home that can further help improve healing.

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Yes, it has a seriously unglamorous name, but lymphatic drainage massage has a long list of benefits. Apart from being blissfully relaxing, manual lymph drainage (usually referred to as MLD) decreases facial puffiness, boosts the immune system, smoothes cellulite and soothes sore muscles. After spa-goers have had a lymphatic drainage massage, they Show more

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How are NMT and Sports Massage treatments different from a basic massage Treatment? While each system uses a hands-on approach to soft tissue manipulation, NMT and Sports Massage are extremely specific. Like massage therapy, NMT and Sports Massage address the muscle bellies, but they also go to work with the entire length of the muscle from origin to insertion. Instead of a general approach, Sports Massage identifies postural and biomechanical distortions that are involved with pain patterns. These systems also go on to strategically manipulate specific soft tissue components to facilitate structural change and balance.
The Swedish massage can also be used as therapy for people who suffer from any type of debilitating joint disorder that causes them pain. This benefit of the Swedish massage works to increase the elasticity in the tissues, flexibility, and to reduce the paint that they feel. After the Swedish massage many of these people will find that they are able to use their joints more than before and with little to no pain.

Deep Tissue massages are among the most effective forms of massage therapy available to clients. If you are interested in furthering your massage therapy education or pursuing a career in wellness, it is important to have this technique firmly under your belt. Fremont College offers an extensive program in massage therapy, sports therapy education and physical therapy education. Take a look at our programs page for a more detailed description of the courses and degrees we offer!

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“Seeing a naturopathic doctor changed my life. She gave me a food sensitivity test and following those recommendations has almost completely eliminated my symptoms and allowed me to even lose weight. No other doctors I had been to had ever thought about a holistic approach and I don't know what I would not have healed without going to the Wellness Center.”

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Attention moms-to-be, we have good news! Prenatal massage can help to relieve back pain, improve sleep, and boost mood, as well as decrease stress and reduce labor complications. Prenatal massage is best given while you lie on your side propped up by pillows. Neck and shoulder massage is a safe sitting-up option, as well. Be sure to always check wi Show more
A career in sports massage requires training in a broad range of massage therapy modalities, in-depth knowledge of injuries and rehabilitative treatments, and, in many cases, a willingness to stand ready and waiting on the sidelines of sporting events to treat participants in urgent situations. Additionally, you’ll need strong communication and business skills to help you build a sports massage practice.
Referred pain basically just makes trigger point stimulation feel bigger, more important. Press on a small spot … feel it down your entire arm. Wow! Impressive! Even though it’s just a thumb on a trigger point, it feels as though that “itch” is being scratched throughout an entire region. Referred pain amplifies the good pain effect — or the bad pain effect, if the pressure is too intense!
“I received a gift package of 3 massages, and have had two different therapists, both were fantastic. I have had injuries where I have had massages, deep tissue and sport and medical at different facilities throughout Denver. This tops all! Therapists are knowledgeable, intuitive and willing to concentrate on areas that need extra attention. Scheduling appointments has been a breeze. the overall experience is easy, seamless and straight forward. The facility is clean, not overly spa -ish and soothing. Big winner in my book!”
Deep tissue massage is best suited for people who engage in highly physical activities, such as running, or those who have an injury or chronic pain. If you have a low pain threshold or are looking for relief of tense muscles, Swedish massage is gentler and may be a better option. Speak to your doctor before trying deep tissue massage if you have an underlying medical condition.
Massage of Chinese Medicine is known as An Mo (按摩, pressing and rubbing) or Qigong Massage, and is the foundation of Japan's Anma. Categories include Pu Tong An Mo (general massage), Tui Na An Mo (pushing and grasping massage), Dian Xue An Mo (cavity pressing massage), and Qi An Mo (energy massage). Tui na (推拿) focuses on pushing, stretching, and kneading muscles, and Zhi Ya (指壓) focuses on pinching and pressing at acupressure points. Technique such as friction and vibration are used as well.[70]

Sometimes you're not intimate partners, just traveling with someone you don't get to see often enough — a sister, mom or best friend — and you want to spend as much time together as possible. All of these scenarios are fine, really, because you make the rules up. If you want to talk to each other during the massage, you can. If you want to quietly commune, that's good, too. The therapists will follow your lead.
Swedish massage helps the body heal itself by physically manipulating and stimulating the body’s circulatory and lymphatic systems. This works to energize and help eliminate toxins in the body. Also, through Swedish massage, a high level of relaxation can often be achieved, and this relaxation can help prepare the body to act as an open, receptive vessel in which healing can more rapidly occur.
Elementary Reflexology™ is a form of reflexology incorporating energy balancing with point specific work. Integrating the ancient art of Ayurvedic reflexology with the modern energetic principles of Polarity, and is based on the concept of the inter-relationship of the five elements: Ether, Air, Fire, Water, and Earth. What sets Elemental Reflexology™ apart is its foundation in the assessment and balancing of these five elements. Elemental Reflexology™ is focused exclusively on the feet, because in polarity, they are the most negative pole in the body-the place where energy is the most dense and tends to crystallize and become blocked. Working on the feet frees up this stagnant energy, allowing it to be released and flow freely throughout the body. This process is suited for all ages and many conditions.
Aromatherapy is the use of essential oils to promote healing and a feeling of well being and relaxation in the recipient. The essential oils are extracted from the parts of herbs and plants and contain all the properties of the plants themselves. There are several ways of applying the oils, including adding the oils to your bath, or inhaling them, but the most popular and effective is through massage.
Trigger points or stress points may also cause muscle soreness and decreased flexibility. These points are specific spots in muscle and tendons which cause pain when pressed, and which may radiate pain to a larger area. They are not bruises, but are thought by some to be small areas of spasm. Trigger points may be caused by sudden trauma (like falling or being hit), or may develop over time from the stress and strain of heavy physical exertion or from repeated use of a particular muscle.

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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

Swedish massage is one of the most recognized categories of massage techniques. The main focuses of Swedish massage are increasing blood flow and circulation, assisting in draining the lymphatic system to support immune system function, and creating a more relaxed state of being. Unobstructed blood flow and lymph drainage both help keep the body in good working order and are considered essential in maintaining the body’s defenses against illness and disease.


How are NMT and Sports Massage treatments different from a basic massage Treatment? While each system uses a hands-on approach to soft tissue manipulation, NMT and Sports Massage are extremely specific. Like massage therapy, NMT and Sports Massage address the muscle bellies, but they also go to work with the entire length of the muscle from origin to insertion. Instead of a general approach, Sports Massage identifies postural and biomechanical distortions that are involved with pain patterns. These systems also go on to strategically manipulate specific soft tissue components to facilitate structural change and balance.

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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]

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.


Swedish massage therapy is the modality that comes to mind when most people think about massage. As the best-known type of bodywork performed today, one of the primary goals of the Swedish massage technique is to relax the entire body. This is accomplished by rubbing the muscles with long gliding strokes in the direction of blood returning to the heart. But Swedish massage therapy goes beyond relaxation. Swedish massage is exceptionally beneficial for increasing the level of oxygen in the blood, decreasing muscle toxins, improving circulation and flexibility while easing tension.

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