While this massage is designed to help ease pain, you might experience discomfort during your appointment, especially when your therapist is applying pressure to a problem area. It is best to speak up and let your therapist know if the discomfort becomes painful; even though the Deep Tissue massage is meant to apply more pressure, pain does not mean that the massage is working. You might also experience some soreness and stiffness; this is perfectly normal and should subside within 24 hours. ElementsMassage.com recommends that you drink a lot of water in order to flush out the lactic acid that will have accumulated in the tissues; this may ease some of the soreness. Bruising after your massage may also occur; keep in mind that your therapist was applying more pressure in order to reach your troubled areas, light bruising is normal. Cathy Wong also points out that “case reports have reported venous thromboembolism, spinal accessory neuropathy, hepatic hematoma, and posterior interosseous syndrome after deep tissue massage.”


“Resonate” in this context means that physical pain may transmogrify into emotional pain and vice versa. Emotional and physical pain readily create and reinforce each other. I assume that catharsis is inherently valuable, and I think that’s a fairly safe assumption. I discuss the relationship between pain and emotions in from many angles in several articles, like Pain is Weird, Pain Relief from Personal Growth, The Anatomy of Vitality, Why Do We Get Sick?, The Art of Bioenergetic Breathing, Insomnia Until it Hurts, and Anxiety & Chronic Pain. Whether catharsis is medically helpful for pain obviously depends on many factors, but it’s certainly possible — just as they can reinforce each other, relief from one may also be coupled to relief from the other. BACK TO TEXT


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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Swedish massage is a very relaxing and therapeutic style of bodywork. It combines oil or lotion with an array of strokes — such as rolling, kneading, and percussion — to help the body improve its circulation. The benefits of this type of bodywork are wide-ranging and include relief from aches and pains, decreased stress levels in the body, enhanced mental clarity, improved appearance, and greater flexibility.
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An aromatherapy massage is a Swedish massage with scented plant oils (known as essential oils) added to the massage oil. Extracted from flowers and other plant parts, essential oils offer a pleasing scent and are believed to have healing properties. Lavender and rose, for instance, are known to promote relaxation. Although oils may be selected to address specific needs, the therapist typically uses pre-blended oils to relax, energize, or uplift.
Esalen or Essalen Swedish Massage is a direct outgrowth of Swedish Massage. It is a product of the Esalen Institute in Big Sur, California. It combines Swedish Massage with acupressure. Its approach is more Asian philosophy than Western. The intent of Esalen Massage is to relax the mind and the body to produce an overall sense of well-being. It does so through slow, rhythmic and even hypnotic strokes. These combine with rocking and stretching movements.

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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.

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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.
This short course only takes about 60 min to learn the routine of classic Thai Foot Reflexology, which is originated from Chiang Mai, Thailand, together with an instructor who teaches body mechanics and proper techniques. A basic knowledge of Thai Medicine theory, ancestors, well-known influential figures in Thai healing, and the history of Thai foot reflexology are also taught.20

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Do not use massage therapy to replace conventional care or to postpone seeing a health care provider about a medical problem. If you have a medical condition and are unsure whether massage therapy would be right for you, discuss your concerns with your health care provider. Ask about the training, experience, and credentials of the massage therapist you are considering. Also ask about the number of treatments that might be needed, the cost, and insurance coverage. For more tips on finding a massage therapist, see the National Center for Complementary and Integrative Health’s (NCCIH) webpage (How to Find a Complementary Health Practitioner) or ask a friend or your physician for a referral.
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.
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The standard type of massage offered in most clinics, gyms, spas, and wellness centers, Swedish massage is virtually synonymous with massage therapy. Swedish massage is based on the Western concepts of anatomy and physiology, compared to the energy-centric style more common in Asian forms of massage. Using lotion or oil, massage therapists typically begin with broad general strokes and then transition to specific strokes to address problem areas.

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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]

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In short, yes. An athlete’s medical condition and history should not be discussed with anyone except other trainers or coaches. There is nothing the media likes more than to hear a high profile athlete is sick or injured, so those discussions don’t happen outside of closed doors. The athlete is the only person who should be deciding what information they want to share.
The significant difference in the two approaches is their effect on these layers. A Swedish technique uses lubricant to glide over the layers – whether that be on a superficial layer (light pressure) or a deeper layer (firm pressure). There may also be kneading of the muscles, vibration or percussion to stimulate the muscles, and passive and/or active joint movements. All of these techniques serve to increase circulation of blood and lymph, soften and relax the tissues, reduce cortisol levels in the body (the stress hormone), and provide a generalized sense of relaxation for the client.
Increased blood flow. Your Swedish Massage Therapist should use effleurage – a long, stroking motion in the direction of blood flow towards the heart – in order to open up your blood vessels and increase your blood flow. Increased blood flow means that your muscles are getting more nutrients and oxygen and that your body is removing toxins more efficiently.
This is the one among Swedish massage techniques that helps to loosen up the muscles by using a back and forth action of the fingertips or the heel of the hand over the skin. The muscles of the body are literally shaken up to loosen and relax the muscles. The sides of the hand, and any part of the hand such as the tips or heel can be used by the masseuse to shake up the muscles of the person.

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Your therapist might assess your complexion at the start of your treatment and choose essential oils or lotions to suit your skin type. She will massage these into your body with a series of strokes and techniques specific to the part of your body and what you want to achieve; for example, this might be long, gliding strokes across your back to help you relax, or kneading or rubbing your shoulders to unwind any knots. The treatment takes into account the delicate or tender areas of your body, so it should be comfortable and soothing.
Like The Surrey itself, the spa inside is known for its impeccable service and attention to detail. You’re greeted with a ginger-and-neroli–infused hand cloth and a heated herbal neck pillow before being whisked into one of the spacious treatment rooms. Reserve the Superior Couples Suite for the ultimate spa day: You’ll begin with customized 60- or 90-minute massages before retiring to the suite for a private soak and steam. A botanical tasting bar serves treats that complement the spa services, such as sorbets and cocktails.

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Deep tissue massage involves manipulation of the deep layers of tissue in the body, including the fascia and other supportive tissue that make up the muscles and joints. Compared to other popular massage techniques — including Swedish massage or acupressure, which tend to be lighter in pressure and can involve moving the body into certain positions — deep tissue massage is usually slower and firmer. (2)

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This traditional, free-flowing, rhythmic Afro-Paraguayan-style of massage consists of the therapist using feather strokes with the fingers and hand. He or she applies light to medium pressure on the client’s body to restore energy and well-being. The massage session is enhanced with upbeat Afro-Latino jazz music and your choice of aromatherapy oils.
Classic Swedish Massage was pioneered and developed by a Swedish physiologist, Henri Peter Ling residing at the University of Stockholm in 1812. The work focusing around a gently firm pressure intended to improve circulation, diminish muscle aches and ease all forms of tension. Swedish Massage can improve help to imporve flexibility and create deep relaxation.
“If your hands and fingers start to scream while you're working, you need to modify what you're doing,” says Bykofsky. “Also, if you notice that you’re sore at the end of your work day, Bykofsky also recommends that you “do the things you suggest to your clients: ice, apply something to help, perhaps take an anti-inflammatory, and, the hard one, rest!”  
Therapists use a combination of kneading, rolling, vibrational, percussive, and tapping movements, with the application of oil, lotion, or cream, to reduce friction on the skin. The many benefits of Swedish massage may include generalized relaxation, dissolution of scar tissue adhesions, and improved circulation, which may speed healing and reduce swelling from injury.
Tapotement strokes are usually used at the very end of a massaging session where the therapists deliver rhythmic movements via rapidly constant strikes from his/her wrists. Besides from relaxed wrists tapping upon the body in a repetitive pattern, the fingers, sides of the hands, as well as the fists, can be utilized to achieve the massage objective best.

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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.

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The ankle doctors I saw didn’t do anything wrong. They offered a diagnosis. They gave me some potential remedies. But a doctor’s time is precious. I had no more than fifteen minutes with each of them. I had J–‘s undivided attention in for a full 60 minutes. That could help explain why people keep seeking out alternative medicine despite the lack of efficacy. When neither conventional medicine nor alternative medicine can solve the problem, the experience becomes almost as important as the therapy.
Many clients see the benefit of different modalities and choose to incorporate massage therapy into their health and wellness plans by enrolling in the Elements Wellness Program™. Members of the Elements Wellness Program™ receive discounted massage therapy on a regular basis from the nation’s highest-rated massage provider. Our studios offer the highest-rated massage because we make the massage about you, the client.

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