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.

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Many training programs are now available throughout the world that require a minimum of 500 hours of basic massage therapy training, in addition to continuing education credits that can require up to another 400–500 hours. (19) Always make sure you’re “in good hands” by first checking that a therapist has proper qualifications and experience, specifically asking about training in NMT, trigger point therapy, sports massage, pain management, myofascial release and orthopedic massage.

In most cases, the more often you receive massage services, the better it is for your overall health. In fact, many physical therapists or specialized doctors may prescribe a series of deep tissue massages if you are recovering from an injury or as a solution to chronic pain. When you need an ongoing series of deep tissue massage, you will likely find the most savings by purchasing a package. Ask your massage therapist if he or she offers a package deal with a reduced rate per massage. The massage therapist benefits from the ongoing business, you benefit from the savings, and you both benefit physically as the massage therapist comes to know your body's needs and is better able to treat you. For example, a 90-minute deep tissue massage may cost $90 for one session, but if you purchase a package of five 90-minute deep tissue massages, the cost might be $400, saving you a total of $50.

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In all cases, such massage techniques are employed in collaboration with other appropriate medical care. For example, encouraging circulation around a bruise, but not directly on it, through the use of compression, cross-fiber techniques or even long, deep strokes is only used after appropriate medical referral and diagnostics indicate that there are no clots formed in the area which may embolize.
The therapist may utilize some Swedish techniques to warm up the tissues (kneading, friction, percussion), softening the superficial layers so that he or she can access the deeper ones more easily. Then, with little or no lotion, the therapist utilizes the hard surfaces of their hands and arms — surfaces such as fingers, knuckles, forearms, and elbows — and employs a very slow, sustained type of stroke.
Reflexology is one of the most used alternative therapies in Denmark. A national survey from 2005 showed that 21.4% of the Danish population had used reflexology at some point in life and 6.1% had used reflexology within the previous year.[14] A study from Norway showed that 5.6% of the Norwegian population in 2007 had used reflexology within the last 12 months.[15]
Deep Tissue Massage, is a deeper more intense massage than our popular Swedish Massage. This massage uses slow, deep-guided strokes and firm pressure to relieve severe tension and reach below the superficial muscles. Deep Tissue Massage is often recommended for individuals who experience consistent pain and soreness in both large and small muscle groups.
Pain management. If you have a condition like sciatica or osteoarthritis and are suffering from chronic pain as a result, Swedish massage can be an effective method for managing that pain in a natural way. Notify your massage therapist about your pain points, he or she can target those areas and use a stroking motion to improve local circulation and reduce muscle tension.
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.

Massage has a multifaceted effect on the body and evokes complex reactions involving all the tissues, organs, and systems. It improves the movement of lymph and blood in the vessels and tones the vascular system, facilitating the work of the heart. The hemoglobin content of the blood and the erythrocyte and leukocyte counts are raised. Massage increases gas exchange and the excretion of mineral salts, urea, and uric acid. Changing the character, force, and duration of the massage can affect the functional state of the cerebral cortex by lowering or raising general excitability, intensifying attenuated reflexes and reviving lost ones, improving the function of conduction tracts, and reinforcing the reflex links of the cerebral cortex with the muscles, vessels, and internal organs. Massage can accelerate the regeneration of a nerve after injury and relieve or stop pain.

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In addition, while the research remains inconclusive, many massage therapists feel that their techniques can lead to the release of toxins into your bloodstream. Because of this, it's commonly recommended that people receiving a massage drink a lot of water for the remainder of the day to help their liver and pancreas process any excess toxins. Doing so may help you avoid feeling nauseous, fatigued or excessively sore afterward.

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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. 

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