AD 1776: Jean Joseph Marie Amiot, and Pierre-Martial Cibot, French missionaries in China translate summaries of Huangdi Neijing, including a list of medical plants, exercises and elaborate massage techniques, into the French language, thereby introducing Europe to the highly developed Chinese system of medicine, medical-gymnastics, and medical-massage.[8]

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Many proponents claim that foot reflexology can cleanse the body of toxins, increase circulation, assist in weight loss, and improve the health of organs throughout the body. Others have reported success in treating earaches, anemia, bedwetting, bronchitis, convulsions in an infant, hemorrhoids, hiccups, deafness, hair loss, emphysema, prostate trouble, heart disease, overactive thyroid gland, kidney stones, liver trouble, rectal prolapse, undescended testicles, intestinal paralysis, cataracts, and hydrocephalus (a condition in which an excess of fluid surrounding the brain can cause pressure that damages the brain). Some claim to "balance energy and enhance healing elsewhere in the body." [2] One practitioner has even claimed to have lengthened a leg that was an inch shorter than the other. There is no scientific support for these assertions.


Prenatal massages are designed to ease the aches and pains common in expecting mothers. Sports massages are designed to treat areas of the body where athletic people are most likely to incur overuse or strain injuries relating to physical activity. Swedish massages are designed to give you a well rounded healing and relaxation experience. That’s exactly why they’re among the most popular massage offering. Anyone from anywhere will be able to feel positive effects from a Swedish massage, no matter their specific concerns.
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A satisfying sensation doesn’t necessarily imply successful treatment, unfortunately. Scratching mosquito bites feels great… but it’s not helping them! Trigger points may be like mosquito bites: it may feel terrific to massage those mysterious sensitive spots in soft tissue, but it may not be doing much to actually “release” or resolve them. It may be a purely sensory experience, the satisfaction of dealing with an “itch” that we cannot easily reach on our own.

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This modality was first developed by a Swedish doctor, Dr. Per Henrik Ling, though it possesses more than just Swedish influence. With techniques borrowed from several countries, including China, Egypt, Greece and more, Swedish massage is worldly in nature and combines many practices to create a massage experience that has become popular for good reason. Swedish massage is very therapeutic and very relaxing.
20 asthmatic patients were chosen to be the subject for active treatment and another 20 patients were chosen to have reflexology session. According to a recent research conducted by the author, there are no significant differences between the groups having active session and placebo session of reflexology.33 However, when the analysis of the symptoms diaries was carried out, the results showed that there were significant differences between both groups especially when it was conducted together with subconscious unblinding pattern of study.33

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Most deep tissue massages normally focus on major muscle groups — such as the neck or lower back — along with joints and tendons that are susceptible to straining or injuries. Certain areas of the body that tend to tense up in times of stress, including the shoulders, neck and hips, can often benefit the most from this type of deep manipulation. Many people consider “sports massages” to be a form of deep tissue massage, which involves physical treatment primarily to neuromusculoskeletal systems to treat pain and disability, improve muscle recovery and joint mobilization, and prevent injuries.

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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.
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

In regulated provinces massage therapists are known as Registered Massage Therapists, in Canada only four provinces regulate massage therapy:[96] British Columbia, Ontario, Newfoundland and Labrador, and New Brunswick.[97] Regulated provinces have, since 2012, established inter-jurisdiction competency standards.[98][96] Quebec is not provincially regulated. Massage therapists may obtain a certification with one of various associations operating. There is the Professional Association of Specialized Massage Therapists of Quebec, also named Mon Réseau Plus, which represents 6,300 massage therapists (including orthotherapists, naturotherapists and others), the Quebec Federation of massage therapists (FMQ), and the Association québécoise des thérapeutes naturels; however, none of these are regulated by provincial law.

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No, because most therapists will customize the pressure of their strokes to suit your requests. According to Shannon Merten, a licensed massage therapist we interviewed about massage etiquette, communication is key. “I would rather my clients leave happy and satisfied than not, so if [the therapist] is doing something that is not enjoyable, a good ‘that’s a little too much pressure’ or ‘that area is too sensitive to be worked on’ should get you satisfying results,” she says.


But one doesn’t book a reflexology appointment and then berate the reflexologist for practicing reflexology. That simply isn’t done. So instead I lay quietly and tried not to grimace or yelp or giggle as J– pressed her fingers deep into my feet while saying things like “your breast area feels great,” “your kidney is tense,” and “you have so many ribs out,” a phrase I find totally baffling. Out of what? I watched her vigorously knead the pituitary gland in my big toe. I let her scrape pieces of horn over my sad tendon. And then I paid for the service.
The pressure from Swedish massage is ideal for relieving muscle tension, like the kind that builds up from hunching over a computer all day. This tension can sometimes result in knots: trigger points of extremely tense muscle fibers that form tiny nodules. Massage therapists are trained to feel for these knots, and Swedish-massage techniques are ideal for gently coaxing them away.

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Adequate recovery is also a major factor in avoiding the over-training syndrome. Over-training is characterized by irritability, apathy, altered appetite, increased frequency of injury, increased resting heart rate, and/or insomnia. It occurs when the body is not allowed to recover adequately between bouts of heavy exercise. Therapeutic massage helps you avoid over-training by facilitating recovery through general relaxation, and its other physiological effects. 

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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.

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Each type of sports massage uses different massage techniques. Effleurage is a light stroking that can be performed with the palms or the thumbs. The pressure and speed is varied depending on the muscle and the desired result. Effleurage increases blood flow to the muscle. Petrissage is a form of two-handed kneading in which both hands pick up the muscle and compress it. This technique loosens tight bunches of muscles. Percussive strokes are blows or strikes on the muscle, often performed with the little fingers. They are used to tone the muscles. Cupping involves percussing or striking the muscles with cupped hands. It stimulates the skin and causes muscle contractions that help tone the muscles. There are variations on all these strokes, such as deep cross-fiber friction to separate muscle fibers and break down scar tissue, and jostling to relieve muscle tension. A good sports massage therapist will combine techniques to achieve the maximum desired result. Sports massage sessions generally last 30-60 minutes.

Another study compared the effects of foot reflexology, simple massage, and conversation on 130 patients who had undergone abdominal gynecologic surgery under full anesthesia. The patients were asked how they felt, and data were recorded on general condition, pain intensity, movement of the bowels, urination, and sleep, from the day before the operation until until the tenth day afterward. Simple massage turned out to be a relaxing, positive experience, whereas foot reflexology had various effects, some of which were negative. The researchers concluded that foot reflexology is not effective in acute, abdominal postsurgical situations in gynecology and can occasionally trigger abdominal pain [15].

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Area of focus. Deep tissue massage targets the inner layers of your muscles. It’s used to treat muscle and tendon injuries, pain, and stiffness in your major muscle groups and joints. Swedish massage targets the superficial layers of muscle and focuses on the parts of your body that tend to hold the most tension, such as your neck, shoulders, and back.

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In addition there are many professional bodies which have a required minimum standard of education and hold relevant insurance policies including: the Federation of Holistic Therapists (FHT),[112] the Complementary Therapists Association (CThA),[113] and the Complementary Health Professionals (CHP).[114] In contrast to the CNHC these bodies exist to support therapists rather than clients.
In Australia, Melbourne Polytechnic offers reflexology course for the students and accredited with Diploma of Reflexology. In this course, students will learn the skills to assess and treat the body, supporting its search for natural balance and well-being. It also includes how to develop specific skills in reflexology techniques, learn to provide clients with basic dietary guidance, and learn the necessary health terminology about chronic disease. The qualification from this institute is valid for the membership of national organization such as the Reflexology Association of Australia and also can be used for further studies in complementary medicine.

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“The number one thing therapists should do to protect themselves from injury is avoid doing too much work,” says Bykofsky. She also recommends not over-scheduling, working too many hours, or holding too many deep massage sessions a week. Also, take advantage of other “tools” at your disposal, such as different parts of your hands and arms, using them for leverage to take some of the pressure off your thumbs.

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Most of us can't afford to jet off to Burgundy with our beau for a romantic getaway, but the luxe rooms inside the Plaza Hotel's spa is the next best thing. The dark-wood-paneled enclave allows you to channel a French vineyard with its wine-infused treatments. Couples should choose the Divine Love Ritual package ($650 per couple), which includes both a 50-minute customized massage and facial. The signature facial uses products derived from red wine—resveratrol and polyphenols—to help maintain skin’s elasticity and brighten the complexion. Hop onto the adjacent massage tables for 50-minute toning rubdowns designed to promote circulation, then wind down on the leather couches inside the wine lounge while sipping a glass of bordeaux from Caudalie’s family vineyard ($10-$15) and nibble on an assortment of fromage ($18-$25).

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Sports massage is a systematic manipulation of the soft tissues of the body that focuses on muscles relevant to a particular sport. Runner Paavo Nurmi, known as the "Flying Finn," was one of the early users of sports massage. Nurmi is said to have used sports massage during the 1924 Olympics in Paris where he won five gold medals. Jack Meagher is thought to be the father of sports massage in the United States.

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Therapeutic massage is used in the treatment of diseases and injuries of the motor and support apparatus, metabolic disturbances (obesity, diabetes mellitus, and gout), and diseases of the cardiovascular, respiratory, and nervous systems. In reflex-segmental massage various organs and tissues are affected through the massage of certain areas of the skin, subcutaneous tissue, and muscles. Reflex-segmental massage is prescribed for therapeutic purposes, as is pneumomassage, or vacuum massage, in which waves of air are used to improve the peripheral blood circulation. Syncardial massage, which is also prescribed for therapeutic purposes, involves the rhythmic compression of the vessels of the extremities by means of a special apparatus called the Synkardon. Another form of therapeutic massage, underwater massage, is performed by a special apparatus that creates an underwater stream under as much as two to four atmospheres pressure.

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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.
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 …

Excell within you! I keep that in mind all the time. When you enjoy whatever you are doing, certain magic occurs, certain energy flows through your hand or your word; and serendipity appears (that unexpected fantastic results). Me and Armando, my husband, we make a great team as we are both massage therapist; I also teach yoga, reiki, and meditation and Armando is also a personal trainer.  We love service others to create harmony and balance physically, mentally and spiritually, so we can help each others to deal with daily life challenges and reach goals.  ... View Profile


Previous research has showed that reflexology can reduce the peripheral neuropathy of a patient who suffers from type 2 diabetes mellitus.31 76 patients ranged from 40–79 years old were listed from public health centres in Busan City. Tactile response to monofilament and intensity of the symptoms of peripheral neuropathy were used as the variable outcomes in this study. Tingling sensation and pain were reduced and tactile was more sensitive to 10 g force monofilament.32 The author added that the reflexology can be used as one of the interventions for encouraging foot care in patients who have diabetes mellitus.32 It also can be measured based on glycaemic control and nerve conductivity which show improvement with reflexology.31
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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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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Our program can be taken on a full-time or part-time basis with classes available during the morning, afternoon, or evening/weekend hours. We offer students a challenging and supportive environment focused on turning out competent, ethical, and successful massage therapists who are life-long learners, support their communities, and advance the profession.
There are many types of massage therapy, from classics like Swedish and deep tissue to more exotic styles like shiatsu. Whether you'd like to branch out a bit or have a health condition or injury, choosing a style of massage can be confusing if you're not quite sure what it involves. Here is a list of the most popular types of massage (including some that may be new to you).

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Pre-event massage is given shortly before an athlete competes. It consists mainly of brisk effleurage to stimulate and warm the muscles and petrissage to help muscles move fluidly and to reduce muscle tension. Effleurage is generally a relaxing stroke , but when done briskly it is stimulating. As the massage progresses, the pressure increases as the massage therapist uses percussive strokes and cupping to stimulate the muscles to contract and flex. The part of the body being massaged varies from sport to sport, although leg and back muscles are common targets for this type of massage.
To be effective, a reflexology practitioner must be certified and understand the meridians related to each pressure point. Most spas offer reflexology, and the treatment typically lasts approximately 30 minutes. It’s important to have a conversation with your reflexologist beforehand to discuss your “issues,” whether it is constipation, a tension headache or trouble sleeping.
Area of focus. Deep tissue massage targets the inner layers of your muscles. It’s used to treat muscle and tendon injuries, pain, and stiffness in your major muscle groups and joints. Swedish massage targets the superficial layers of muscle and focuses on the parts of your body that tend to hold the most tension, such as your neck, shoulders, and back.

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Alhough he was a Certified Strength and Conditioning Specialist (CSCS) through the National Strength and Conditioning Association at the time, Pietrunti says that he ultimately decided to pursue licensure in massage therapy as well. This provided that missing link while also being “a good way to ‘bridge the gap’ and provide a better service to my clients,” he says.

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Reflexology points: The inner and outer reflex areas on each side of your ankle. These are the reflex areas to the hot spots of the body (the uterus and vagina for women). Stimulating these areas can improve the circulation to the reproductive organs and help to regulate and balance you during that time of the month. It may be easier to take a warm spoon and press.

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Reflexology, also known as zone therapy, is an alternative medicine involving application of pressure to the feet and hands with specific thumb, finger, and hand techniques without the use of oil or lotion. It is based on a pseudoscientific[1] system of zones and reflex areas that purportedly reflect an image of the body on the feet and hands, with the premise that such work effects a physical change to the body.[2]

Most types of massage, with the exception of some traditional Chinese medicine are not regulated in China. Although illegal in China, some of the smaller businesses are fronts for prostitution. J.K., anti-prostitution operation has established sting operations to combat the situation.[99] These are called falangmei (发廊妹 "hairdressing salon sisters").

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