Flushing. If massage can “improve” any tissue — unknown — one way it might do it is through simple hydraulics: physically pumping tissue fluids around, and/or stimulating the circulation of blood and lymph. I won’t get into the evidence about it here. Suffice it to say that it might be true, and if it’s true then it may not much matter if the process is uncomfortable. While gentler massage may feel pleasant and satisfying, it is possible that more biological benefits can only be achieved hydraulically — whether it’s comfortable or not. This is even more plausible because of trigger points: it’s likely that the tissue fluids of a trigger point are quite polluted with waste metabolites, and the need for flushing is greater, but it’s especially uncomfortable to squish those polluted patches of tissue.

Alongside the above mentioned, basic massage notions such as following circulation of the lymph nodes, adjusting massage intensity and combination as per each user are also essential to follow to best deliver an effective massage experience. Perfecting the Swedish massage may take time; yet, with constant practice, the art can eventually be attained.
Since reflexology is not recognized by law, no formal training is required to practice reflexology or call oneself a reflexologist. However, some nurses and massage therapists offer reflexology as part of their licensed practice. Some courses are accredited for continuing education for nurses and massage therapists. The most widely publicized training source is probably the International Institute of Reflexology, of St. Petersburg, Florida, which claims to have 25,000 members worldwide [9]. Its seminar on the "Original Ingham Method of Foot Reflexology" are taught by Ingham's nephew, Dwight Byers. Its "Certified Member" status requires 200 hours of instruction plus passage of written and practical tests. As far as I know, this certification process has neither legal nor medical recognition. The Institute's Web site states:

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It’s important to be open with your massage therapist about the level of pressure and discomfort you wish to endure. This may be different for certain areas and throughout the massage, feel free to communicate with your massage therapist before and during the massage. Some massage therapists find pain to be counterproductive to the process and expect you to speak up if the pain is too much.
You can usually choose which type of massage you’d like to receive, and you and your partner can each get a different type of massage depending on your preference and the offerings at the spa. Your partner and you will be on tables side-by-side, and you’ll each have your own massage therapist working on your body. You can talk during the massage if you wish.
A typical reflexology session runs from thirty to sixty minutes. Shoes and socks are removed, and the client is made comfortable, usually by sitting or reclining. Some reflexologists offer a foot bath at the beginning of the session, however, no lotions or oils are used. Pressure is applied in thumb-and-finger “walking” patterns, resulting in gentle stretching and massaging of specific zones of the hands and feet that are thought to correspond to body organs. Simple self-care instructions may be discussed at the completion of the session.
Interestingly, many patients and therapists swear by massage as a way to reduce constipation or digestive upset, since the increased circulatory benefits and relaxation of the abdominal and lower back muscles can help relieve symptoms. In fact, a 2014 study from the British journal Nursing Standard highlights a number of the ways abdominal massage encouraging muscle contraction, nudging the gut to move things along.
To put it bluntly, it’s not clear that massage has any musculoskeletal benefits at all. It probably does, but mostly quite temporary and highly unpredictable. There’s not nearly enough science, and therapists are hopelessly biased assessing their own efficacy. See Does Massage Therapy Work? A review of the science of massage therapy … such as it is. BACK TO TEXT

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The deepest work in Swedish massage is accomplished with friction, where the therapist works deep into the muscles with the fingers, elbow, or base of the palm. Using circular movements, the therapist works deeply into the muscle, especially in bony areas, to release adhesions that can restrict movement. Friction helps the client to be more flexible, and it also releases deep seated muscle tension.
You may also have your own unique trouble spots, perhaps from past injuries. A massage therapist can pay special attention to these areas, monitor them for developing problems, and help keep them in good condition. An experienced massage therapist can also compliment treatment received from other health care professionals for various injuries. You may also have your own unique trouble spots, perhaps from past injuries. A massage therapist can pay special attention to these areas, monitor them for developing problems, and help keep them in good condition. An experienced massage therapist can also compliment treatment received from other health care professionals for various injuries. 
Swedish massage is the most common and best-known type of massage in the West. If it's your first time or you don't get massage often, Swedish massage is the best place to start.  The Swedish body massage is the combination of many different  techniques rolled into one session. During this therapy session the therapist will work with the soft tissues and muscles in the body to help restore balance and health.
I want to be part of people’s health program. Providing my professional knowledge, dedication and passion for body/mind wellness Deep Tissue, Swedish, Contemporary Cupping Methods Neuro Muscular Therapy, Prenatal, Labor, postpartum and newborn/infant massage Myoskeletal Therapy Therapeutic Massage and Hydrotherapy Pediatric Massage, “Liddle Kidz” (ADD, ADHD) Touch Therapy for “Liddle Kidz” with Autism (ASD) Karmapa Reiki Master Tian Di Bamboo Massage Hawaiian Lomilomi Massage Trained in Traumatic Incident Resolution Certified Body Practitioner, “Institute for Mind Body Therapy” ... View Profile
Deep tissue massage is a focused, therapeutic massage that targets muscle knots (also known as "adhesions") and specific problem areas in the deeper layers of muscle and connective tissue. Using deliberate, slow strokes or friction across the grain of the muscle, the therapist addresses chronic tight or painful muscles, repetitive strain, postural problems, or injuries.

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Once play begins, the massages start. Players can sign up for 30, 60 or 90 minutes of specific massage. If not scheduled for a massage session, massage therapists work in the training room doing spot treatments, warm ups or flushes, and even paperwork. It is not uncommon in the middle of the week to have a few days that go until 12:00 am or later. It is intense, but the days fly by and it is tremendously exciting.
The massages are geared towards athletes and their sports. For instance, working on a runner will require doing a lot of leg work, but the upper body work will be minimal. Moreover, massages will target those areas that tend to become injured. For example, a massage session with a tennis player will involve a forearm massage that is preventive in the development of tennis elbow. If necessary, a whole session could be spent only on important areas, and skip completely muscles that are not overused in a particular sport.

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The 1984 Summer Olympics in Los Angeles was the first time that massage therapy was televised as it was being performed on the athletes. And then, during the 1996 Summer Olympics in Atlanta massage therapy was finally offered as a core medical service to the US Olympic Team.[28] Massage has been employed by businesses and organizations such as the U.S. Department of Justice, Boeing and Reebok.[29] Notable athletes such as Michael Jordan and LeBron James have personal massage therapists that at times even travel with them.

Deep-tissue massage helps ease stress and tension, which can have a beneficial effect on blood pressure. People who had a deep-tissue massage saw their systolic pressure drop by an average of 10.4 mm Hg and their diastolic pressure drop an average 5.3 mm Hg, according to a study cited by the University of Maryland Medical Center. Deep-tissue massage can help increase the body's production of serotonin, the hormone that promotes happiness and good feelings.


Since reflexology is not recognized by law, no formal training is required to practice reflexology or call oneself a reflexologist. However, some nurses and massage therapists offer reflexology as part of their licensed practice. Some courses are accredited for continuing education for nurses and massage therapists. The most widely publicized training source is probably the International Institute of Reflexology, of St. Petersburg, Florida, which claims to have 25,000 members worldwide [9]. Its seminar on the "Original Ingham Method of Foot Reflexology" are taught by Ingham's nephew, Dwight Byers. Its "Certified Member" status requires 200 hours of instruction plus passage of written and practical tests. As far as I know, this certification process has neither legal nor medical recognition. The Institute's Web site states:

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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.
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.
Massage has been shown to reduce neuromuscular excitability by measuring changes in the Hoffman's reflex (H-reflex) amplitude.[90] A decrease in peak-to-peak H-reflex amplitude suggests a decrease in motoneuron excitability.[91] Others explain, "H-reflex is considered to be the electrical analogue of the stretch reflex...and the reduction" is due to a decrease in spinal reflex excitability.[92] Field (2007) confirms that the inhibitory effects are due to deep tissue receptors and not superficial cutaneous receptors, as there was no decrease in H-reflex when looking at light fingertip pressure massage.[93] It has been noted that "the receptors activated during massage are specific to the muscle being massaged", as other muscles did not produce a decrease in H-reflex amplitude.[91]

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Due to this techniques harsher pressure, 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.
According to research done by the American Massage Therapy Association, as of 2012 in the United States there are between 280,000 and 320,000 massage therapists and massage school students.[115] As of 2011, there were more than 300 accredited massage schools and programs in the United States.[116] Most states have licensing requirements that must be met before a practitioner can use the title "massage therapist", and some states and municipalities require a license to practice any form of massage. If a state does not have any massage laws then a practitioner need not apply for a license with the state. However, the practitioner will need to check whether any local or county laws cover massage therapy. Training programs in the US are typically 500–1000 hours in length, and can award a certificate, diploma, or degree depending on the particular school.[117] There are around 1,300 programs training massage therapists in the country and study will often include anatomy and physiology, kinesiology, massage techniques, first aid and CPR, business, ethical and legal issues, and hands on practice along with continuing education requirements if regulated.[10] The Commission on Massage Therapy Accreditation (COMTA) is one of the organizations that works with massage schools in the U.S. and currently (Aug 2012) there are approximately 300 schools that are accredited through this agency.

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Buying a bundle of massage sessions upfront can provide an opportunity to save. Clients receive the benefit of paying less per session than when buying each massage individually, and massage therapists benefit by ensuring future work and securing customer loyalty. Garry Commiato LMT offers 10 percent off of the total price when any number massages are pre-purchased as a package.
Some research has shown that massage therapy can be effective during pregnancy due to its anxiety-lowering effects, and women who receive massages before and during labor tend to experience decreased depression, anxiety, and leg and back pain. Results from one study found that women who received massages prior to and during labor had significantly less pain, plus their labors were on average three hours shorter and required less need for medication.

Deep tissue massage is a therapeutic technique that relieves deep-seated muscle tension and soothes chronic tightness. During a deep tissue massage, a trained therapist delivers intense pressure through slow strokes and targeted fascial release. This technique is often used to treat repetitive-stress injuries, posture problems, and sports injuries.


Hellerwork is the 1970s creation of Joseph Heller an aerospace engineer for Nasa. It grew out of Rolfing. It combines deep-tissue massage with counseling for the emotional well-being of the client and movement. It is as much about educating the client about their body as giving them a massage. It has its followers, but not as many as another Swedish Massage prodigy, Sports Massage Therapy. Of all the types of Western Massage, Sports Massage remains truest to Western form. Sports Massage focuses on a specific body part with intent. It is purely physical. It is also tailored to an athlete’s sport. The intent is to multifold – to help prevent an accident or injury, to minimalize any problems and to facilitate healing. Sports Massage Therapy requires three massages: pre-event, inter-event and post-event. 

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Some massage therapists offer couples massage, where two people receive bodywork at the same time, generally side by side. People often opt for couples massage on special occasions such as birthdays or anniversaries. Typically two massage therapists work on the couple or two friends simultaneously; however, one therapist can provide the massages one after the other. Garry Commiato LMT charges $120 for a 60-minute couples massage.
On the road with the WTA is intense but energizing! I have traveled to Paris, Madrid, Istanbul, Monterrey, Acapulco as well as sites in the U.S. The day generally begins at about 7:00am with breakfast, followed by a team meeting. On the first day, we cover every player as well as their individual needs before and after a match. We arrive onsite in the training room one hour prior to play—work can include anything from a quick warm up of a shoulder to cutting tape for an athlete to prepping sports drinks or ice and towels.
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.
Over time, deep-tissue massage therapy can help break up and eventually erase scar tissue in the body. It does this by improving lymphatic circulation and drainage to improve flexibility and range of motion in the affected area. Scar tissue is often associated with ongoing pain and stiffness, so deep-tissue massage can improve these symptoms. Massage therapy is often recommended for people who are recovering from surgery.

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As a Reflexologist works each reflex, it triggers a release of stress and tension in the corresponding area or body zone, as well as an overall relaxation response. The release of tension unblocks nerve impulses and improves the blood supply to all parts of the body. Because reflexology works from the inside, it also has a balancing effect on each gland, organ and body region. . . ." [10]


Reflexology was introduced into the United States in 1913 by William H. Fitzgerald, M.D. (1872-1942), an ear, nose, and throat specialist who called it "zone therapy." As noted in the diagram to the right, he used vertical lines to divide the body into 10 zones. Eunice D. Ingham (1899-1974) further developed reflexology in the 1930s and 1940s, concentrating on the feet [3] Mildred Carter, a former student of Ingham, subsequently promoted foot reflexology as a miraculous health method [4-6]. A 1993 mailing from her publisher stated:

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.

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