“Good pain” is at the heart of the pressure question: a strange, potent sensory paradox that many people actually seek out as the goal of therapy, consciously or unconciously. Either it isn’t literally painful (just intense), or it’s painful but desired anyway because of relief or belief: an actual biological relief or at least the belief that there is one. But it’s important to note that not all satisfying, relieving sensations are genuinely helpful (e.g. scratching a mosquito bite).
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.
Cathy Wong explains in her article “Deep Tissue Massage: Everything You Need to Know” on verywell.com that while Deep Tissue massages can be slightly uncomfortable, they have been known to reduce stress hormones and heart rate while releasing oxytocin and serotonin, which allow the client to experience a boost in mood and relaxation. Deep Tissue massages are often used to relieve chronic aches and pain, stiff necks, upper back and lower back pain as well as muscle tightness. Therapists treat such issues by utilizing Deep Tissue massages to break up scar tissue and muscle knots and working out adhesions that might be hindering circulation and limiting movement.
Swedish massage techniques are different from other massage techniques in that they are quite specific in the order in which the massage is done. These techniques apply deeper pressure than other kind of massages and they are also known to increase oxygenation of blood and release metabolic waste such as lactic and uric acids from the tissues of the muscles.
The price of a couples massage depends on the spa, the amount of time, and the amenities. Generally, it is the cost of a regular massage, times two. Sometimes you can add on private time. For instance, Aspira the Spa at The Osthoff Resort in Wisconsin offers couples massage at $135 per person for 50-minutes. Couples can enjoy an additional hour of time alone together in the spacious suite, equipped with a master shower, whirlpool bath, stone fireplace, and sofa, for $50 per person. At some spas, the package might include private time and amenities like Champagne, which sends the price higher.

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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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The Swedish massage is one of the best-known types of body work.  The purpose of a Swedish massage is to enhance the general health and well-being of the recipient as well as relax the entire body. As one of the most commonly taught and well-known massage techniques, Swedish massage, is a system of treatments designed to energize the body by stimulating circulation and loosening tight muscles. Five basic strokes, all flowing toward the heart, are used to manipulate the soft tissues of the body. Therapists use a combination of kneading, rolling, vibration, percussive, and tapping movements, with the application of oil or lotion, to reduce friction on the skin.

Reflexology is an alternative medicine system that claims to treat internal organs by pressing on designated spots on the feet and hands; there is no anatomical connection between those organs and those spots. Systematic reviews in 2009 and 2011 found no convincing evidence that reflexology is an effective treatment for any medical condition. Quackwatch and the NCAHF agree that reflexology is a form of massage that may help patients relax and feel better temporarily, but that has no other health benefits. Our own Mark Crislip said, “The great majority of studies demonstrate reflexology had no effects that could not be replicated by picking fleas off your mate…And it has no anatomic or physiologic justification.”
Cancer. Used as a complement to traditional, Western medicine, massage can promote relaxation and reduce cancer symptoms or side effects of treatment. It may help reduce pain, swelling, fatigue, nausea, or depression, for example, or improve the function of your immune system. However, there are specific areas that a massage therapist should avoid in a cancer patient, as well as times when massage should be avoided altogether. Talk to your doctor before getting massage therapy if you have cancer.
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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
Pain relief: Relief from pain due to musculoskeletal injuries and other causes is cited as a major benefit of massage.[10] A 2015 Cochrane Review concluded that there is very little evidence that massage is an effective treatment for lower back pain.[88] A meta-analysis conducted by scientists at the University of Illinois at Urbana-Champaign failed to find a statistically significant reduction in pain immediately following treatment.[80] Weak evidence suggests that massage may improve pain in the short term for people with acute, sub-acute, and chronic lower back pain.[88]
Reflexology has been chosen by most people to treat their body health problems because it offers high level of safety and effectiveness. It also offers natural treatment without consuming drugs and it is easy to use.1 Learning reflexology and its application is quite easy, there is no limitation for people to apply it anytime and anywhere.1 Its effectiveness in treating the root of some diseases may lead to many benefits in health concern such as it helps in easing day-to-day stresses and alleviates the effects from injury and illness.1 However, it is not used in diagnosing processes.11
Diagnosing or treating disease would constitute the practice of medicine and would be illegal for anyone who does not have a professional license to do these things. Although many diagnose and treat disease, I am not aware of any prosecutions. In some states that license massage therapists, unlicensed reflexologists might also be prosecutable for practicing massage therapy without a license [11].

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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.
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.
The literature on reflexology is only beginning to emerge since early 1990. Several methodological shortcomings in the previous studies of reflexology safety and efficacy are worth mentioning. Firstly, the number and the methods of reflexology treatment given are not standardized. Furthermore, most studies have small sample size (around 20 participants).

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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.
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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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The main purpose of Swedish massage is to increase the oxygen flow in the blood and release toxins from the muscles. Swedish massage shortens recovery time from muscular strain by flushing the tissues of lactic acid, uric acid, and other metabolic wastes. It increases circulation without increasing heart load. It stretches the ligaments and tendons keeping them supple and pliable.

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There’s rarely any justification for extremely painful massage, unless it clearly produces a better result than gentler treatment — which is rarely clear!1 It is possible that a few “brutal” deep tissue massages could do the trick where gentler treatment would fail — but there is no way to know this in advance, and massage is expensive stuff. If you’re going to gamble on a treatment, gamble on cheaper and less painful ones.

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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.

Trigger points or stress points may also cause muscle soreness and decreased flexibility. These points are specific spots in muscle and tendons which cause pain when pressed, and which may radiate pain to a larger area. They are not bruises, but are thought by some to be small areas of spasm. Trigger points may be caused by sudden trauma (like falling or being hit), or may develop over time from the stress and strain of heavy physical exertion or from repeated use of a particular muscle.
While a foot massage may feel the same as a reflexology treatment, a reflexologist will work on areas to promote a healing response in the corresponding organs. A massage therapist giving a foot massage will manipulate muscles and other soft tissues to improve circulation, relieve pain, and heal injuries in the area or to induce overall relaxation.

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Did you know that the bottom of your feet could affect what's going on in other areas of your body? On each foot there are over 7,000 nerve endings called reflexes that correspond to every organ and system within your body. By pressing on these reflex points, you stimulate the nervous system and open energy pathways that may be blocked or congested.

The researchers also note there are psychological benefits for athletes receiving massages, which other research shows can include improved focus and confidence. Although more research is still needed on a long-term scale, both tissue healing and the psychological effects of massages are areas that seem promising for both professional and recreational athletes.
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The researchers also note there are psychological benefits for athletes receiving massages, which other research shows can include improved focus and confidence. Although more research is still needed on a long-term scale, both tissue healing and the psychological effects of massages are areas that seem promising for both professional and recreational athletes.

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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That is, regardless of all other considerations, a massage therapist must talk to you about pressure, respect your preferences (they are more important than any treatment ideology), and be careful about stumbling into areas that need much less pressure (for comfort) or much more pressure (for satisfaction). Far too many therapists make the mistake of setting a “default” pressure for a client early on, and then using roughly that much pressure everywhere.
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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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Long strokes are simply modified in their intensity, duration, and pressure to address specific aspects of promoting muscular healing. A Swedish massage with heavy pressure will affect deep tissue, and that’s where some overlap between Swedish massages and deep tissue massages come into play. Often times, a deep tissue massage will utilize Swedish stroking techniques, but with a much heavier hand. Since deep tissue is, by definition, deeper below the skin, the only way to reach that tissue is with very firm pressure. Many people find deep tissue massages to be too painful, making a firm Swedish massage a more comfortable alternative that achieves the same goal.
Quick muscle knot orientation: Muscle knots — myofascial “trigger points” — are a factor in most of the world’s aches and pains. Their biology is still mostly mysterious: conventional wisdom says they are tiny spasms, but they might also be a more pure neurological problem. Regardless, they can cause strong pain that often spreads in confusing patterns, and they grow like weeds around other painful problems and injuries, making them quite interesting and tricky. Although they are well known to many specialists and researchers, most doctors and therapists know little about them, so misdiagnosis is epidemic. For more information about how trigger points might be involved in your own medical history, see PainScience.com’s best-selling tutorial:
The purpose of the practice of massage is to enhance the general health and well-being of the recipient. ‘Massage’ is used as a general term to describe manual manipulation of the muscles and joints to help relieve pain and stress in the body. This generalized term can be broken down into many subcategories such as: deep tissue, trigger point, prenatal/pregnancy massage, hot stone, sports massage, Thai massage, myofascial release, lymphatic drainage, crainiosacral, lomilomi, shiatsu, reflexology, Hellerwork, looyen work, polarity therapy, tui na, and connective tissue massage, just to name a few.
Aspects of sports massage therapy are gaining popularity as useful components in a balanced training regimen. Sports massage therapy can be used as a means to enhance pre-event preparation and reduce recovery time for maximum performance during training or after an event. Athletes have discovered that specially designed sports massage promotes flexibility, reduces fatigue, improves endurance, helps prevent injuries and prepares their body and mind for optimal performance.
When you think of a massage, you probably think of soothing music, a gentle brush of hands softly kneading the stress from your shoulders, maybe even of a loved one offering to rub your back after a long day at work. While some massages can be soothing, and rely on gentle touches to work out a client’s stress or anxiety, there are other massages that have a little more grit to them. For example, the Deep Tissue massage, which is very similar in style to the Swedish massage, utilizes some of the same techniques as its much gentler cousin; Deep Tissue massages, however, are designed to focus on the deeper layers of muscle tissues and fascia, the protective layer that surrounds muscles and joints. Working out these harder to reach muscles will require more pressure, making the Deep Tissue massage slightly uncomfortable, gritty and highly effective.
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]
Deep tissue massages are usually “cross-grain,” moving against the muscles to relieve aches or pains rather than moving  with them. This can sometimes feel a bit more painful as a result compared to standard “relaxation massages.” However, the pressure involved in deep massages is actually a good thing. It provides many of the benefits that this type of therapeutic massage has to offer. Deep tissue massages also tend to be slower-paced and longer than many other massages, ideally about 1.5 hours long, which gives bodily tissue enough time to warm up and then relax.
During most full-body massages the expectation is you’ll be undressed. Your massage therapist will ask you to undress for your massage while they wait outside. It’s up to you whether or not to keep your underwear on. Your massage therapist will drape a sheet over your body, which they will pull back and adjust as they work their way around. You will be covered most of the time.

Proprioceptive studies are much more abundant than massage and proprioception combined, yet researchers are still trying to pinpoint the exact mechanisms and pathways involved to get a fuller understanding.[94] Proprioception may be very helpful in rehabilitation, though this is a fairly unknown characteristic of proprioception, and "current exercises aimed at 'improving proprioception' have not been demonstrated to achieve that goal".[95] Up until this point, very little has been studied looking into the effects of massage on proprioception. Some researchers believe "documenting what happens under the skin, bioelectrically and biochemically, will be enabled by newer, non-invasive technology such as functional magnetic resonance imaging and continuous plasma sampling".[93]


A 2004 systematic review found single applications of massage therapy "reduced state anxiety, blood pressure, and heart rate but not negative mood, immediate assessment of pain, and cortisol level", while "multiple applications reduced delayed assessment of pain", and found improvements in anxiety and depression similar to effects of psychotherapy.[54] A subsequent systematic review published in 2008 found that there is little evidence supporting the use of massage therapy for depression in high quality studies from randomized controlled trials.[55]

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