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.
Swedish massage therapy can be helpful with a number of other physical challenges, such as reduction in scar tissue by physically manipulating the fibers of the tissue, allowing the scar tissue to be successfully reabsorbed into the skin. Additionally, it can aid with lymphatic drainage, where the long strokes of the therapist help move fluids successfully out of clogged areas.

One of the key benefits of Sports massage therapy compared to other modalities is its ability to target muscle-tendon junctions. A 2010 study in the journal of Strength and Conditioning Research found that even a 30-second massage improved hip-flexor range of motion. Another study conducted by Margaret Jones, Ph.D. of the American College of Sports Medicine, demonstrated a notable trend toward decreased muscle soreness in the athletes who received massage either before or after exercise.
The relaxation induced during the massage might feel like the endpoint, but massage care continues after leaving. First off, rest your body. Though you may feel relaxed and calm, it is important to remember the muscles have been intensely manipulated and worked on, thus needing time to recover. Try to schedule the massage appointment when other obligations and responsibilities will not follow. Continue care by drinking water and grabbing a bite to eat. Lightheadedness may occur and water and food can counteract dehydration and low blood sugars.

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Obviously, open sores to the hands and/or feet would be a reason to avoid reflexology. Acute injuries also must be handled with care. Anyone with active blood clots should avoid rubbing near the area of the clot. Burns, wounds, gout and infections to the hands or feet should also limit the use of reflexology. Lower extremity swelling or chronic skin changes that are a result of vascular problems to the feet should also limit this form of therapy. Recent removal of a cancerous tumor or other surgical procedures, such as wart removal, also make reflexology inadvisable. There is some evidence that rubbing of the feet during pregnancy might stimulate contractions, and so should be avoided in the later stages of pregnancy.
A. Not only the person with fibromyalgia but anyone can benefit from the massage. If you're a newbie and have not had much bodywork, start slowly. Having someone stroke your "sore" spots may feel a bit "ouchy," but that type of touch therapy may be quite beneficial in the long run. Have your therapist go as slowly as you need. You can build up to deeper applications by spreading out your experience over many appointments. Special note: Whether you're the patient or the caregiver of a chronically ill person, life's stress can increase to unbearable limits and can cause great mind/body/spirit imbalances. By relaxing your mind and body, massage helps to raise your health and vitality closer to a state of wellness. Perhaps, you will feel better than you could possibly imagine. Start gradually, book weekly, bi-weekly or monthly appointments. Consider keeping a record of your progress. Few doctors would advise you not to try massage therapy, but to be safe, it's a good idea

Most of our clients are interested in deep tissue massage, and that makes sense because it is a great way to manage pain. Deep tissue massage—as well as the other therapeutic massage methods—can give you a lot of relief from chronic pain. Many of our clients come in for frozen shoulder treatment and neck pain—two side effects of working on computers all day.
Some sports massage therapists use myofascial techniques that focus on stretching the fascia, which are connective tissues surrounding muscles, tendons and ligaments in the body. This particular massage technique involves the therapist applying forces in opposing directions which relaxes the tissues. It can help ease pain and increase mobility in the tissues and surrounding muscles.

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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.

George Taylor, M.D., writing in 1885, uses the terms "clappings, knockings, stroking, kneading, pullings, shakings and vibratings" as the passive movements used by Ling in his Swedish gymnastic system. However, he gives very little attention to describing those movements. This may be explained first because Ling provided no explanations and second by the following passage from Taylor: "But the employment of duplicated [passive] movements, it must be confessed, is attended with difficulties that will prevent their general use as a medical resource. An ordinary course of medical instruction does not confer the necessary qualifications for their successful application; the tact necessary to prescribe and apply them properly is only acquired by long and patient practice, and the labor is excessively severe." 

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One narrative review in Open Access Journal of Sports Medicine explains that the impact of using these two modalities combined are somewhat inconclusive, mainly due to research limitations; however, after looking at 21 randomized controlled trials, the author ultimately concluded that “the effects of cold and static compression are clearly better than no treatment.”

n conceived by Shirley Price in 1987 and based upon the principles of reflexogy, according to which energy flow lines in the body connect at certain reflex points. Essential oils are blended with a bland cream that the therapist massages into the reflex points of the body. Method involves at-home patient preparation as well as ongo-ing client-therapist dialogue during treatments. Therapists must be accredited.

Finding time for each other, let alone massages, can be difficult for couples with busy schedules. By pairing massage sessions with quality bonding time, couples can accomplish two goals at once and emerge relaxed, refreshed and reconnected. A couple’s massage is a wonderfully relaxing, personal experience. Leave the ‘real world’ behind the walls of Le Reve Rittenhouse Spa.


A session of deep tissue massage typically starts with relaxation methods borrowed from Swedish or traditional massage. The massage therapist might focus the first several minutes on warming and loosening the muscles at the surface of the area being worked on, as making these muscles more pliable will make it easier for the therapist to reach the deeper muscles and tendons later on. A single session can focus on a particular region of the body or encompass the entire body. The massage therapist and client usually have a conversation prior to the session to determine the client’s specific treatment goals.
Friction strokes, as well as kneading involved within the Swedish massage, are correctly utilized for removing any adhesions present deeper within the muscles. High-pressure strokes are used for pulling the muscles strategically away from the bone via a combination of Swedish massage motions for prevention of muscle tissues fusing together. As a result of which, via increased blood circulation and decreased adhesions, quicker recovery can be achieved.
“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.
Thai massage – or Nuat Thai – combines both physical and energetic aspects. It is a deep, full-body massage progressing from the feet up, and focusing on sen or energy lines throughout the body, with the aim of clearing blockages in these lines, and thus stimulating the flow of blood and lymph throughout the body. It draws on yoga, acupressure and reflexology.
Research shows that firmer massages with more pressure can result in a significant reduction in arthritis pain compared to lighter massages. Lighter massage tends to be arousing (not relaxing) because often the heart rate goes up. However, with moderate pressure, heart rate usually goes down, and this stimulates relaxation and reduced tension. (13)
Because deep tissue massage is recognized as a medical solution for issues related to chronic illness and accident-related health problems, your health insurance may cover your deep tissue massage costs. Always be sure to check with your insurance provider before starting treatment to verify that the massage therapist you want to work with is recognized by your company. You will also want your massage therapist to provide any paperwork you need to submit to your insurance provider.
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]
In general massage the whole body is massaged, and in localized massage, the face, extremities, abdomen, and so forth. The principal techniques are stroking, rubbing, kneading, and vibration. Stroking—slow rhythmic massage with one or both hands in the direction of the blood flow—begins and ends the massage and is used after each of the other techniques. Rubbing, a more energetic procedure than stroking, is performed with the fingers, the whole palm, or the base or edge of the palm of one or both hands, moving longitudinally, transversely, circularly, or in zigzags or spirals. Kneading, in which one or both hands move longitudinally, transversely, semicircularly, or spirally, is used primarily on muscle tissue. Vibration includes intermittent pummeling or chopping and vibration proper (oscillatory movements made without removing the hands from the working area). It may also be done with equipment, such as the vibrating chair and the Velotrab (for general vibration) and a portable apparatus with a set of Vibratods or an apparatus for pulsating massage (for localized treatment).
Brilliant Bodywork is also dedicated to helping people in the transformative treatment of chronic skin conditions through the latest advances in scientific research. This includes the highly skilled use of laser technology which has become very effective and affordable for the cosmetic treatment of the affects of acne, aging and other damage to the skin.

Swedish massage uses five basic movements to increase circulation and remove toxins from the muscles. Always working towards the heart, the massage therapist incorporates these techniques into a flowing massage session that leaves the patient physically and emotionally relaxed. The trademark move is Effleurage, long gliding strokes that can be firm or soft, depending on purpose and client. Many therapists start out a session with Effleurage to familiarize themselves with the patient, and then start to bring more pressure to bear for deeper work.
AD 1878: Dutch massage practitioner Johan Georg Mezger applies French terms to name five basic massage techniques,[13] and coins the phrase "Swedish massage system". These techniques are still known by their French names (effleurage (long, gliding strokes), petrissage (lifting and kneading the muscles), friction (firm, deep, circular rubbing movements), tapotement (brisk tapping or percussive movements), and vibration (rapidly shaking or vibrating specific muscles)).

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Owner, R.M.P., N.C.T.M.B Born in South Africa, and with many years of International Massage Therapy experience, Janine studied Massage in Austria & Germanty. Her bodywork is attentive and precise. Janine is a Maryland State Registered massage Practioner, Licensed with the National Board of Massage Therapy Practioners & also a member of AMTA. Ha started Massage Metta in Bethesda, MD late last year with the intention of providing a bodywork session that will meet the needs of Stay at Home Moms to Weekend Warriors & Professional Athletes alike. She truly practices the Metta Philosophy by treating all beings with Loving Kindness. Janine lives in Potomac Maryland with her husband & their lazy dogs, Chowka & Tequila.
There are five main techniques in Swedish massage: effleurage, friction, petrissage, tapotement and vibration. Within each category there are various movements, all intended to ease muscle tension and pain. Each movement has a specific purpose for loosening, warming, soothing or stimulating your muscles during your massage. Here is a breakdown of each of the five Swedish massage techniques: 

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At The Ritz-Carlton Spa, Kapalua, visitors are welcome to indulge in the healing powers of Waihua—the name ancient Hawaiians gave to water that is pure in every sense. Inspired by this spirit, the spa offers a variety of treatments and therapies based on native Hawaiian healing and the potent plants, flowers, fruits, and herbs abundant in the islands. Time-honored remedies like the lomilomi massage are designed to alleviate modern ailments, while innovative skin-care rituals such as the NuFACE Lift Clinical Facial aim to revitalize. The luxurious 17,500-square-foot spa and fitness center provides private outdoor gardens, as well as private couple’s cabanas.
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]

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In this particular study, published in Studies in Health Technology and Informatics, therapeutic massage included techniques of tapping and friction, while DTM used “oblique pressure and a combination of lengthening and cross-fiber strokes.” All sessions were 30 minutes long and preformed daily, and all participants did not receive any other treatments during the course of the study. After 10 days, participants treated with DTM reported significant improvements in pain (lower back pain in this case) compared to those treated with therapeutic massage, based on scores using the Modified Oswestry Low Back Pain Disability Index, Quebec Back Pain Disability Scale and Visual Analog Scales. (4)

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Pre-event sports massage is done to help prevent serious athletic injury. It helps to warm up the muscles, stretching them and making them flexible for optimal athletic performance. A pre-event massage stimulates the flow of blood and nutrients to the muscles, reduces muscle tension, loosens the muscles, and produces a feeling of psychological readiness.
“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).

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]

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Swedish massages remain the most common practice in therapeutic and spa environments. It is the relaxing manipulation of the superficial soft tissues supporting the experience of relaxation. Applied to the muscle surface, it serves the primary purpose of facilitating circulation, improves immunity, and manages stress and pain. Learn of the exceptional qualities that Swedish massages provide.

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During the 1990s, I observed at least seven foot reflexologists at work during health expositions. In most cases, the process appeared to be an ordinary prolonged foot massage with little communication between the practitioners and their clients. But at one exhibit, the practitioners claimed that they could reduce stress, cleanse the body of toxins, increase circulation, assist in weight loss, and improve the health of organs throughout the body. On another occasion, I underwent a 15-minute session in which the practitioner felt my foot for diagnostic purposes and then massaged it for "therapeutic" purposes. During the previous year, I had had severe shoulder pain caused by an inflamed tendon that was rubbing against a bony surface inside my left shoulder joint. Thorough medical evaluation had determined that the appropriate treatment was arthroscopic surgery in which a drill is used to shave the bony area that was impinging on the tendon. The reflexologist claimed that he could detect the shoulder problem by feeling my left foot, that it was caused by stress, and that pressing on my foot—perhaps for a few sessions—could solve the problem. His "treatment," which lasted about 10 minutes, consisted of massaging the foot and from time to time, pressing hard on the ball of my foot, a procedure that was quite painful. The "treatment," of course, did absolutely nothing to help my shoulder. A few months later, I had the surgery, which cured the problem immediately and permanently.
The benefits of a sports massage are numerous: improved flexibility, reduced risk of injury, and a boosted circulatory system, just to name a few. But bodywork isn’t a one-size-fits all tool, and there are certain things to consider before booking an appointment. Here, three runner-trusted massage therapists impart important pre-massage knowledge.  
This type of massage is recommended for loosening and releasing deep layers of chronic muscle tension. Specific areas of tight muscles are massaged deep into the muscle fibers to release tension. Your therapist will skillfully find and release muscular fibers, knots and adhesions. The desired effect will be increased circulation, reduced muscle tension and reduced muscle pain. Massage often helps to relieve chronic back, shoulder, hip, and neck pain.
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]
Massagetique is not intended to be a substitute for professional advice, medical treatment, or diagnosis. Always seek the advice of your qualified health care provider or physician with any questions you may have regarding any symptom or medical condition. Never disregard professional or medical advice or delay in seeking evaluation or treatment because of something you have read on Massagetique.

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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.
These writings and use of massage movements successfully ended the commingling of massage with any of the gymnastic or movement systems found so prevalent earlier in the century and brought about the advent of massage as a stand-alone therapeutic tool for the first time in its long history. And the first to stand alone were the massage methods systemized by Mezger and expanded upon ever since.
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.
Empathy: Most people opt for massage therapy because they are in pain or because they are stressed out and need to calm down. As a massage therapist, it is imperative that you are empathetic to the needs of your clients, regardless of your day is going. If you appear or feel anxious or stressed, you are not going to be able to make your client feel calm and relaxed. Create trust with your patients by being personable and communicating effectively. Be receptive to their needs.
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.

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