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.

In this particular study, published in Studies in Health Technology and Informatics, therapeutic massage included techniques of tapping and friction, while DTM used “oblique pressure and a combination of lengthening and cross-fiber strokes.” All sessions were 30 minutes long and preformed daily, and all participants did not receive any other treatments during the course of the study. After 10 days, participants treated with DTM reported significant improvements in pain (lower back pain in this case) compared to those treated with therapeutic massage, based on scores using the Modified Oswestry Low Back Pain Disability Index, Quebec Back Pain Disability Scale and Visual Analog Scales. (4)

In all cases, such massage techniques are employed in collaboration with other appropriate medical care. For example, encouraging circulation around a bruise, but not directly on it, through the use of compression, cross-fiber techniques or even long, deep strokes is only used after appropriate medical referral and diagnostics indicate that there are no clots formed in the area which may embolize.
Deep Tissue massages are designed to focus on a specific problem, usually something along the lines of chronic muscle pain, limited mobility, tennis elbow, etc. Cathy Wong explains that according to Consumer Reports magazine, at least 34,000 people claimed that Deep Tissue massages were more effective in relieving osteoarthritis pain than physical therapy, chiropractic, acupuncture or over-the-counter drugs. It is also especially effective in easing fibromyalgia pain, usually giving clients an improved range of motion immediately following treatment.
In sports massage, the massage therapist generally concentrates on a specific problem area that you present, usually associated with some sort of sports activity, such as running, tennis, or golf. The most important thing with sports massage is that you find a specially-trained massage therapist who has mastery of a wide range of techniques and knows when to use them. In the past, many spas used to put sports massage on their menu as a way to appeal to men. As spas have become more sophisticated, however, they realize they shouldn't list sports massage unless they have some therapists with specialized training.

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.
DTM can be useful to those that are recovering from an injury (once the client/patient is out of the acute phase), for athletes, for people with postural strains, or people with chronic pain. Typically there is an area or a few areas where this type of work is needed. For example, a person who has chronic postural pain/tightness from sitting at a computer, might need DTM to their shoulders, chest, and upper back/neck. They likely, do not need DTM on their whole body. Some therapists might disagree with me here, but I rarely think a full-body, DTM, is needed. It can simply be too much. I would rather see a client more often, for less-intense sessions. It is simply more effective. It is the same as Physical Therapy- it is more effective to do it regularly.

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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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.
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.
International Institute of Reflexology has been conducting reflexology training and course. This institute has acceptable qualification and has been teaching for over 50 years to the highest professional standard. This institute teaches the original Ingham method and it is taught only by tutors who have approved licence from the IIR to ensure that authenticity is maintained. All the graduates have international and European recognition for their training by the addition of City and Guides Level 3.

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.

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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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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A person receiving a deep tissue massage usually lays on the stomach or back in one position, while deep pressure is applied to targeted areas of the body by a trained massage therapist. The massage is beneficial mostly because it helps stimulate blood flow and relieve muscle tension, while at the same time lowering psychological stress and releasing “happy hormones” like serotonin and oxytocin.
The massage types above are some of the most popular massages you can get, but there are many others. Regardless of the type of massage you opt for, be sure to tell your therapist which areas you especially need work on, whether you have any health issues, and, during the massage, how the pressure feels. When you find a therapist you like, you might want to book a standing appointment with him or her for pain and stress relief all year long.

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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)

Post-event sports massage is given after a competition and is mainly concerned with recovery. It is geared toward reducing the muscle spasms and metabolic build-up that occur with vigorous exercise. Recovery after competition involves not only tissue normalization and repair, but also general relaxation and mental calming. A recovery session might be 15 minutes to 11/2 hours in length. Post-event sports massage is given after a competition and is mainly concerned with recovery. It is geared toward reducing the muscle spasms and metabolic build-up that occur with vigorous exercise. Recovery after competition involves not only tissue normalization and repair, but also general relaxation and mental calming. A recovery session might be 15 minutes to 11/2 hours in length. 

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.
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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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
Neck pain. Neck pain is tied with headaches as the second most common pain experienced by adult Americans (also 15 percent), and massage can typically help with this too. For instance, a systematic review and meta-analysis published in 2014 in Evidence-Based Complementary and Alternative Medicine analyzed 15 studies and found that there was “moderate evidence” that massage therapy helped provide relief.

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To make sure all people are aware of this problems and benefits of reflexology, the Ministry of Health should organize awareness programs such as talks, offers class for reflexology practitioners with low fees, and campaign about the importance of having correct reflexology technique with recognized premises. A reflexology practitioner association is yet to be formed. Any case of problems happen related to reflexology in this country can be referred to this organization.
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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With no lotion or oil to cause sliding, it becomes possible to fully get a hold of the shortened fascia; this is necessary in order to lengthen it. Slow, sustained strokes are what can change this tissue from a short, hardened state to a lengthened, fluid state. The process is not unlike stretching salt water taffy. You’ve got to get a hold of it, warm it up, and work it very slowly. The work may sometimes be intense, eliciting moderate discomfort as old adhesions and chronic dysfunctional patterns are altered. But that leads to a much more fluid, easy sense in the body.

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Sports Massage is a combination of massage strokes and techniques combined with flexibility and specific exercise routines geared to increase an athletes performance capabilities. The application of Sports Massage is determined by ones own specific anatomical and physiological needs. Basic musculoskelatal evaluations, orthopedic assessments, and flexibility analysis do this. By determining the athletes specific needs, the Sports Massage therapist will not only be able to provide increased strength, speed and flexibility, but also improve biomechanical efficiency and decrease the potential for injury. This is a comprehensive program with a shared responsibility between the Sports Massage Therapist and the athlete.
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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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.

AD 1150: Evidence of massage abortion, involving the application of pressure to the pregnant abdomen, can be found in one of the bas reliefs decorating the temple of Angkor Wat in Cambodia. It depicts a demon performing such an abortion upon a woman who has been sent to the underworld. This is the oldest known visual representation of abortion.[12]
During the 1930s and 1940s massage's influence decreased as a result of medical advancements of the time, while in the 1970s massage's influence grew once again with a notable rise among athletes.[10] Until the 1970s, nurses used massage to reduce pain and aid sleep.[22] The massage therapy industry is continuously increasing. In 2009, U.S. consumers spent between $4 and $6 billion on visits to massage therapists.[23] In 2015, research estimates that massage therapy was a $12.1 billion industry.[24]

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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 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.
Strength and stamina: There is no question that massage therapists must have a great deal of physical strength and endurance to perform their jobs every day. It takes a significant amount of arm and shoulder strength to perform various massage techniques especially when you have to do it all day with consistency. This is especially true for those who perform deep tissue massage or Swedish massage. Most sessions run an hour long. So, if you see at least six clients a day, it is crucial that you maintain your strength, focus, and attention to detail.
For theory session, the teaching includes principle of reflexology, physiological effect of reflexology, various reflex points of the feet, chart theory, zones and cross reflexes, relationship of reflex points to body organs, using reflexology for health and complementary treatment as well as contraindications to reflexology. On the other hand, for practical session, the teaching includes the methods to examine the feet, good hygiene practice, and arrangement of treatment sessions, treatment practicality, assessment and documentation of the client's treatment, consultation as well as individualization of client's conditions.15
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]

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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!
For starters, you bear in mind the things described above that tend to cause ugly pain, and you avoid that kind of therapy like the plague. Then you look for some clues that painful pressure is okay. Here are at least three reasons why unpleasantly intense pressure might be therapeutic — “bad pain,” but not ugly. In each of these situations, it might be acceptable to tolerate sensations so intense and painful that the only thing about them that is pleasant is the part where it stops. 

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Massage therapists who have received specialized training and are certified in prenatal massage know how to position and support the woman's body during the massage, modify techniques, and avoid certain areas and techniques during pregnancy. Most will have a special table that allows the woman to rest comfortably and safely during the massage. Ideally, you should seek out a practitioner who is experienced and licensed in prenatal massage.

Some sports massage therapists use myofascial techniques that focus on stretching the fascia, which are connective tissues surrounding muscles, tendons and ligaments in the body. This particular massage technique involves the therapist applying forces in opposing directions which relaxes the tissues. It can help ease pain and increase mobility in the tissues and surrounding muscles.


Thai massage – or Nuat Thai – combines both physical and energetic aspects. It is a deep, full-body massage progressing from the feet up, and focusing on sen or energy lines throughout the body, with the aim of clearing blockages in these lines, and thus stimulating the flow of blood and lymph throughout the body. It draws on yoga, acupressure and reflexology.
Like having your feet worked on? The therapist uses finger pressure and techniques such as kneading and rubbing to promote relaxation and healing in the body. Reflexology is based on "reflex areas" on the hands and feet, whose energy is believed to be connected to organs and other body parts. By applying pressure to the reflex points, the reflexologist can balance your nervous system and stimulate endorphins, the body's natural pleasure response, which reduces stress and discomfort.
As the name suggests, deep tissue massage applies deep pressure onto specific trouble points. It feels very much like someone is torturing you on purpose by pushing into your knotted muscle, and the massage can leave you feeling sore. It's not just more pressure all over your body, however (which would be true torture), it's very specific, methodical treatment. As Moyer Wellness explains:

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This is not only an inaccurate and potentially harmful picture of this type of therapy, but such misguided practices can bruise muscles, elicit a defensive reaction in a client’s body, and worsen pain cycles. Properly executed deep tissue work should not cause the client to grit their teeth in agony as the therapist coerces the body into submission! If you find yourself clenching, shortening or holding your breath, or gritting your teeth, then it’s TOO DEEP. Even when it gets intense, it should not go above about a 7 on the pain scale: enough to “hurt so good,” but not enough that you want to leap off the table (and never come back).
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.
Of course, a map is useless unless you understand it! Take a look at the basic sections, so you can know where to start and finish, what corresponding body part you’re working on, and so on. With a little practice, you’ll be affecting the right places without even looking at the chart. Always make sure that the person receiving the treatment has a lot of water afterwards!
This is a great beginners and professionals reflexology foot map. Learn the basics of these, and you will be able to provide solutions such as relief from blocked sinuses. For instance, you locate the sinuses area on the map above (tips of all the fingers and toes), repetitively squeeze and release the sinus area for twenty seconds on each finger or toe (begin on the right hand/ foot with thumb along to little finger, repeat on left hand/ foot), and gently rotate all the joints on each finger or toe (begin on the right hand/ foot with thumb along to little finger, repeat on left hand/ foot).
The Athletico blog is an educational resource written by Athletico employees. Athletico bloggers are licensed professionals who abide by the code of ethics outlined by their respective professional associations. The content published in blog posts represents the opinion of the individual author based on their expertise and experience. The content provided in this blog is for informational purposes only, does not constitute medical advice and should not be relied on for making personal health decisions.

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Just ask one of our wonderful receptionists to add you to the e-mail list when you arrive or sign-up online and you will receive e-mails with schedule availability, promotions and coupons. It's that easy!! Our therapists at Elements Therapeutic Massage Swampscott can ease away tension and soreness, help reduce stress, and improve well-being.  Contact us to schedule your massage session today!
“I have had massages in almost every state and numerous countries. My 90-minute massage at The Wellness Center was, without a doubt, the BEST massage I have ever received in my life! My therapist was attentive, deeply conscious to the needs of my body and was more attached to doing his best for my particular muscular issues than to his “routine.” He varied his pressure considerably depending on what he felt I needed and checked in with me without being intrusive or interrupting my experience. I cannot recommend this center highly enough!”
Scheduling and Cancellation policy. Payment is due in full at the end of each appointment. A 50% deposit is required for scheduling any appointment with Le Reve Rittenhouse Day Spa. The deposit goes toward that appointment. Late cancellations or no shows are non-refundable. We have a 24-hour cancellation policy. Should you need to reschedule or cancel your appointment, please do so prior to 24 hours before your appointment.

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.

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Most people feel very relaxed. Some experience freedom from long-term aches and pains developed from tension or repetitive activity. After an initial period of feeling slowed down, people often experience increased energy, heightened awareness, and greater productivity which can last for days. Since toxins are released from your soft tissues during a massage, it is recommended you drink plenty of water following your massage. Massage therapists sometimes recommend a hot Epsom salt bath that encourages the release of toxins that may have been stirred up from the massage treatment.

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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

RCTs have a vital role in the assessment of efficacy in reflexology. However, they only address the effect of reflexology in which other pertinent issues are unexplored such as the mechanism of reflexology, psyche, and the experience of participants receiving reflexology. Nursing research has long used qualitative research to explore various health care phenomena. Similarly, qualitative approach can provide further understanding about the patient's perception and belief towards reflexology.4, 36 Qualitative research also assists in understanding the impact of the context and the process of reflexology intervention. A greater understanding of reflexology intervention has the potential to enhance the delivery of health care. Thus, it is argued that qualitative explorative methods combined with RCTs could potentially reveal the contributing factors of reflexology effect.

There’s just no reason to push a client to that “cringe point.” It’s ham-handed, tends to indicate a simplistic “more is better” approach to the work, and simply isn’t needed — that’s not what defines “intensity” in a good massage. Very strong and sastisfying pressure can always be achieved without that edgy, nervous-system-almost-rebelling feeling.
There are articles on “Learn the Importance of Five Elements Theory in Acupressure – Dao, Yin Yang,” how acupuncture is effective for smoking cessation; why acupuncture is a form of preventive medicine; how acupuncture treats various skin conditions, seasonal allergies, emphysema, hemorrhoids, gallbladder disorders, and emotional syndromes; the healing effects of Qi in acupuncture; the Five Spirits that impact mental health (Hun, Shen, Yi, Zhi, and Po); and on and on.
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].
Reflexologists posit that the blockage of an energy field, invisible life force, or Qi, can prevent healing. Another tenet of reflexology is the belief that practitioners can relieve stress and pain in other parts of the body through the manipulation of the feet. One claimed explanation is that the pressure received in the feet may send signals that 'balance' the nervous system or release chemicals such as endorphins that reduce stress and pain. These hypotheses are rejected by the medical community, who cite a lack of scientific evidence and the well-tested germ theory of disease.[9]
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.
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!
Swedish massage is the most common massage therapy technique in the United States. (In case you were wondering, Swedish massage is called “classic massage” in Sweden.)   A Swedish massage focuses on overall relaxation, circulation, and physical and mental wellness.  Swedish massage includes gliding, kneading, tapping, stretching, and cross-friction strokes.

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