Reflexology is basically a study of how one part of the human body relates to another part of the body. Reflexology practitioners rely on the reflexes map of the feet and hands to all the internal organs and other human body parts. They believe that by applying the appropriate pressure and massage certain spots on the feet and hands, all other body parts could be energized and rejuvenated. This review aimed to revisit the concept of reflexology and examine its effectiveness, practices, and the training for reflexology practitioners. PubMed, SCOPUS, Google Scholar, and SpringerLink databases were utilized to search the following medical subject headings or keywords: foot massage, reflexology, foot reflexotherapy, reflexological treatment, and zone therapy. The articles published for the last 10 years were included. Previous systematic reviews failed to show concrete evidence for any specific effect of reflexology in any conditions. Due to its non-invasive, non-pharmacological complementary nature, reflexology is widely accepted and anecdotal evidence of positive effect reflexology in a variety of health conditions are available. Adequate training for practitioners is necessary to ensure the consistency of service provided.
However, since having the feet or hands rubbed is an enjoyable and relaxing experience for most people, there is little doubt that hand and foot reflexology can promote stress relief and a sense of well being in much the same way as any other form of massage. This therapy may be an especially useful complementary treatment for neuropathy of the legs, feet and toes. It can also be useful for sore hands and feet after a workout, running or taking a long walk.

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"The entire visit from reception to walking out is enjoyable. The staff is friendly and knowledgeable. Each massage is better than the last which seems impossible. Everyone acts as a team unit and are all on the same page. The therapist always ask how you are feeling and if there is anything you’d like to focus on. It is ALWAYS a full 60 minutes of hands on and certainly not a fluff massage. Dr Julia is amazing and the fact that they run chiro and massage under your insurance benefits is just the cherry on top! You won’t be disappointed at the Wellness Center!"
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. 

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In India, massage therapy is licensed by The Department of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH) under the Ministry of Health and Family Welfare (India) in March 1995. Massage therapy is based on Ayurveda, the ancient medicinal system that evolved around 600 BC. In ayurveda, massage is part of a set of holistic medicinal practices, contrary to the independent massage system popular in some other systems. In Siddha, Tamil traditional medicine from south India, massage is termed as "Thokkanam" and is classified in to nine types, each for specific variety of disease.
A study by an author found that patients who suffered from low back pain usually show good effect in terms of their pain management when they have reflexology as the complementary treatment.25 In this study, the author used VAS scores to indicate the level of pain of the patient. The author added that this complementary treatment can be used as one of the treatment to reduce low back pain but further study on it must be conducted.23
So what does all of this mean? It seems that the positive mind (psychological) benefits of sports massage are indeed supported by research studies. Study findings also support that sports massage does not negatively affect performance, but the positive body (physiological) benefits on performance are not quite as clear. More research is needed on the positive body effects and also on the mind/body interaction after sports massage.

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Massage techniques also include Petrissage, or kneading, which is designed to release toxins from the muscles by lifting, separating, and rolling them. Gentle pressure is used to compress and relax the tissue and enhance circulation. Another technique, Tapotement, involves tapping the muscles with a percussive stroke. The side of the hand, fingers, or palm may be used to release tension and cramping. Many therapists also incorporate vibration, a later technique, which involves the therapist centering his or her hands on the back of a limb and shaking them briskly for several seconds to release tension, encourage circulation, and help muscles to contract.
Reduced stress. Swedish massages are meant to maximize relaxation—you’ll be on a massage table, in a peaceful environment, with a professional spending an extended time (between 60 – 120 minutes) giving you a massage. The combination of the hands-on attention and the environment should relax you, lowering the level of the stress hormone cortisol in your body. Lowering your stress level offers a surprising number of additional benefits, including reducing or eliminating tension headaches, giving you more energy, and allowing you to get a better night’s sleep.

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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.
At All is Well Massage and SPA, we look forward to helping all of our clients achieve health and tranquility. We are always happy when we can serve more people with a couple’s massage on their journey to a ‘all is well’ life. We invite you to discuss with our massage therapists any concerns or accommodations they may have regarding their couple’s massage.

Pumping - The stroking movements in massage suck fluid through blood vessels and lymph vessels. By increasing the pressure in front of the stroke, a vacuum is created behind. This is especially important in tight or damaged muscle tissue as a tight muscle will squeeze blood out like a sponge, depriving the tissues of vital nutrients and energy to repair.

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Connective tissue stimulation. A lot of therapists are keen on stretching connective tissues — tendons, ligaments, and layers of Saran wrap-like tissue called “fascia.” I’m not a huge fan of this style, but certainly it’s a way of generating many potent and novel sensations, which may be inherently valuable to us — another form of touch. Although “improving” the fascia itself is implausible and unproven, perhaps fascial manipulations affect bodies indirectly, just as a sailboat is affected by pulling on its rigging. People have written whole books full of speculation along these lines. So, as long as the sensations are not like skin tearing (that’s an ugly pain for sure), you might choose to tolerate this kind of massage if it seems to be helping you.
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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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.
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.
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.

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AD 1878: Dutch massage practitioner Johan Georg Mezger applies French terms to name five basic massage techniques,[13] and coins the phrase "Swedish massage system". These techniques are still known by their French names (effleurage (long, gliding strokes), petrissage (lifting and kneading the muscles), friction (firm, deep, circular rubbing movements), tapotement (brisk tapping or percussive movements), and vibration (rapidly shaking or vibrating specific muscles)).

Harriet Hall, MD also known as The SkepDoc, is a retired family physician who writes about pseudoscience and questionable medical practices. She received her BA and MD from the University of Washington, did her internship in the Air Force (the second female ever to do so),  and was the first female graduate of the Air Force family practice residency at Eglin Air Force Base. During a long career as an Air Force physician, she held various positions from flight surgeon to DBMS (Director of Base Medical Services) and did everything from delivering babies to taking the controls of a B-52. She retired with the rank of Colonel.  In 2008 she published her memoirs, Women Aren't Supposed to Fly.

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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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In Myanmar, massage is unregulated.[101] However, it is necessary to apply for a spa license with the government to operate a massage parlour in major cities such as Yangon. Blind and visually impaired people can become masseurs, but they are not issued licenses. There are a few professional spa training schools in Myanmar but these training centers are not accredited by the government.[citation needed]
According to practitioners, foot reflexology is a simple, non-invasive method to help balance the body. It has been described as a natural therapy that requires the application of a specific type of pressure on particular areas of the feet. It gets its school of thought from the principle that there are reflexes in the feet which correspond to every part of the body, so by understanding the “maps,” you can do anything from relaxation to improved circulation, and also add a general feeling of wellness. It’s like a massage for your feet…that affects your whole body!
Deep tissue massages are not for everyone, and it’s very important to find a well-trained therapist. If you’re actively healing from surgery, have nerve damage or an existing injury, you’re wearing a cast or brace, or you’re pregnant, then talk to your doctor before seeking a massage therapist. Although it’s rare, massages that are poorly performed can sometimes cause increased pain, inflammation and other complications in high-risk patients. (16)

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Although many assume Swedish massage comes from Sweden, Johan Georg Mezger (1838-1909), a Dutch man, is often credited with formalizing the system known as Swedish massage—sometimes referred to as “classic massage” in Europe. Mezger assigned French names— effleurage, petrissage, friction, and tapotement—to the specific strokes used in Swedish massage application. In English, these movements are known as stroking, kneading, rubbing (friction), and striking.
Sports massage tends to be deeper and more intense. It is based on the various elements of Swedish massage and often incorporates a combination of other techniques involving stretching, compression, friction, toning, and trigger point response techniques similar to Acupressure and Shiatsu. The skilled therapist brings together this blend of techniques, knowledge and advice during treatment, to work effectively with the client to bring about optimum performance and to provide injury-free training and minimise post event injuries.

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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.
Somatoemotional release. Mental and emotional context is a major factor in how we experience pain. Painful sensations are unusually good at stimulating catharsis — the expression of strong or repressed emotion. — because physical pain often strongly “resonates” with emotional pain.12 For instance, the pain of an injury may blur together with the emotional frustrations of functional limits and rehab. That’s a basic example, and much more complex interactions between emotional and physical pain are obviously possible. Whether it is the clear goal of therapy, or simply a natural side benefit, experiencing very strong sensations can certainly be a meaningful part of a personal growth process “just” by changing your sense of yourself, how it feels to be in your skin, and perhaps bumping you out of some other sensory rut.13

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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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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.

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AD 1813 The Royal Gymnastic Central Institute for the training of gymnastic instructors was opened in Stockholm, Sweden, with Pehr Henrik Ling appointed as principal. Ling developed what he called the "Swedish Movement Cure." Ling died in 1839, having previously named his pupils as the repositories of his teaching. Ling and his assistants left little proper written account of their methods. [8][15][16]
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]
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)
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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Sports massage can play an important part in the life of any sportsman or woman whether they are injured or not. Massage has a number of benefits both physical, physiological and psychological. It can help maintain the body in generally better condition, prevent injuries and loss of mobility, cure and restore mobility to injured muscle tissue, boost performance and extend the overall life of your sporting career.
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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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.
No. Bottom line, massage should never hurt if you don’t want it to. Some clients specifically say that they do not want to be in pain, and that should be respected. However, there are certain techniques that might cause discomfort. If the client and therapist communicate and agree on increased pressure, you can incorporate these deeper or more aggressive techniques into the massage. They can cause a little pain at the time, and a little bit of soreness the next day. I like to compare it to how you feel after a good workout. A good Massage Therapist will also be very skilled at warming and softening the tissue layer by layer to decrease the amount of pain felt by the client.

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Like massages, chiropractic care can be beneficial for lowering pain and improving recovery. It’s also been shown to lower stress, headaches and more. One way that chiropractors help treat pain is by lowering mechanical compression and irritation of spinal joints, which can send nerve signals throughout the body that increase inflammation and irritation.
Swedish massage is now gaining acceptance from the medical community as a complementary treatment. Studies have shown that massage can relax the body, decrease blood pressure and heart rate, and reduce stress and depression. It may also provide symptomatic relief for many chronic diseases. Many doctors now prescribe massage therapy as symptomatic treatment for headache , facial pain, carpal tunnel syndrome, arthritis, other chronic and acute conditions, stress, and athletic injuries. Many insurance companies now reimburse patients for prescribed massage therapy. As of 2000, however, Medicare and Medicaid do not pay for this form of alternative treatment.

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Somatoemotional release. Mental and emotional context is a major factor in how we experience pain. Painful sensations are unusually good at stimulating catharsis — the expression of strong or repressed emotion. — because physical pain often strongly “resonates” with emotional pain.12 For instance, the pain of an injury may blur together with the emotional frustrations of functional limits and rehab. That’s a basic example, and much more complex interactions between emotional and physical pain are obviously possible. Whether it is the clear goal of therapy, or simply a natural side benefit, experiencing very strong sensations can certainly be a meaningful part of a personal growth process “just” by changing your sense of yourself, how it feels to be in your skin, and perhaps bumping you out of some other sensory rut.13 

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According to the Neuromuscular Therapy Center, NMT is one type of deep massage technique that focuses on applying manual therapy to soft tissue with “quasi-static pressure” in order to stimulate skeletal striated muscle. (17) In addition to massaging a painful or inflamed muscle, the area around the affected muscle that normally supports it is also massaged in order to release tension. NMT therapists often focus on several factors that can add to muscle or tissue dysfunctions, including joint pathologies, postural positioning, disruptive habits of use, nutritional components, emotional well-being, allergies and neurotoxins. 

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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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