Thursday, October 23, 2008

Basic Massage Techniques

Effleurage – means to lightly touch or stroke. Just by varying pressure & speed, you can easily massage the whole body. Especially good for back & chest. It improves circulation, stimulates lymph glands, eases tense muscles, reduces stress, lowers blood pressure, relaxes Do not use over varicose veins

Types

-Fan stroking

-Circle stroking

-Cat stroking

-Thumb stroking

Petrissage – Useful for deeper massage. Use only after warming up with stroking. Suitable for shoulders & fleshy areas like hips & thighs. It releases tension from stiff muscles, improves circulation, breaks down & eliminates fatty deposits. Do not apply on recent injury, scar tissue, area of inflammation, people with digestive disorders, pregnant women , varicose veins

2 main types

-Kneading (useful for light massage)

-Wringing

Pressures - involves applying firm penetrating pressure to specific areas. Best for shoulders, either side of the spine, bony areas such as base of skull, specific tension points. Releases muscular tension, increases blood flow.

2 main types

-Static pressure

-Circular pressure

Do not use over bruised, delicate, broken skin, scar tissue or varicose vein.

Percussion – Pounding stroke, used to stimulate fleshy, muscular areas like thighs, buttocks etc. Used as a wake up technique at the end of the massage. Stimulates the whole body, improves circulation, tones muscles

2 main types

-Hacking

-Pummelling

Do not use on bony areas, over bruises & broken veins.

Knuckling – Use movement with light or deep pressure. Best on soles of feet, palms of hands, shoulders & chest. Increases blood flow, releases muscular tension Do not use on abdomen, any inflamed area, delicate or broken skin, recent scar tissue, varicose veins.

Acupressure Concepts

Acupressure is based on two concepts:

  • Yin and Yang concept. This concept, generally known as the negative and positive, is the energy responsible for the function of every phenomenon in the universe. It is the source of the universe and the governing principle of the functioning of nature and the human body with all its organs. They are like two sides of the coin.. Yin is to Yang what woman is to man, left is to right or night is to day. One cannot exist without the other. They complement each other like a lock and key. Both are necessary for life. A unit is incomplete or cannot survive without Yin and Yang.
  • Five functions or the five element theory. Like Yin and Yang, the five function theory is applied to nature, seasons, colours, stages of life and so on. In the human body, it is applied to the organs, functions, tastes, orifices, moods and senses.

These five functions have a very complex inter-relationship. There are intricate checks and balances that keep the cycle in progress. The synergism and antagonism among these five elements ensure that no one element becomes excessively strong or weak and each of these elements has the responsibility of creating one element and controlling another. This again gives us the next two cycles - creation and antagonism.

  • Cycle of creation: Each creates another and hence is the mother of the element it creates and the son of the element that creates it.
  • Cycle of antagonism: Each element controls another element and is in turn controlled by other.

What Is Acupressure?

Acupressure involves pressure points on the body with fingers or hands to alter the internal flow of a supposed vital force or energy called chi (pronounced "chee"), strengthening it, calming it or removing a blockage of the flow. Acupressure is one of a number of treatment methods regularly used in Traditional Chinese Medicine, or TCM, a system of healthcare that originated in China thousands of years ago, which is still widely practiced in Asian countries today.

According to TCM, acupressure points are aligned along 14 body meridians, or pathways. Twelve of the meridians are bilateral, that is, identical versions of them (with the same sets of points) exist on both sides of the body. The other two are unilateral, running along the midline of the body. The 14 meridians do not correspond to any known physiological processes or anatomical structures in the body, such as nerves or blood vessels. Nevertheless, some well-controlled studies suggest that acupressure can be effective for a number of health problems, including nausea, pain and stroke-related weakness. A single point may be pressed for relief from a particular symptom or condition, or to promote overall well-being of the body. A series of points can be worked on in a specific order.

Acupressure Points

Acupressure can be administered by someone trained in the technique or it may be practiced at home. The force used on different points varies, but in general, most points call for a steady, downward pressure lasting one to two minutes. If you are applying pressure to a point several times in succession, complete this process on one side of the body before switching to the other side.

The risks of acupressure are minimal, provided certain cautions are observed. During pregnancy, the points designated Spleen 6 and Large Intestine 4 should never be used; avoid the abdominal area entirely, if possible. Never apply pressure to open wounds, varicose veins, tumors, inflamed or infected skin, sites of recent surgery, or areas where a broken bone is suspected.

Healing the natural way

With the modern world being subjected to tremendous stress and the air, water and sound pollution taking its toll on the mind and body, excessive excitement and the various stimuli keep us moving continuously in top gear. Excesses in eating and drinking have further increased the imbalance. Our age unfortunately has become a pill popping age. We use a pill for reducing stress or to sleep. To combat real and imaginary pains, antibiotics, anti-depressants and steroids are used. What we do not realize is that our body has the power to heal itself of many ailments. Acupressure is one such science which encourages the body to heal itself in the natural and physiological way.

Tantric Balancing Through Massage

What is experienced on the physical plane will have far reaching effects on all aspects of a person's life.

This article is an overview, and not intended as a training session. Integrate these ideas with your own knowledge of anatomy and physiology, and decide for yourself if you feel comfortable with this form of bodywork. If you do, then seek out guides in both massage and yoga to balance yourself so that you can attempt to balance others. Remember, kundalini energy is incredibly powerful, and you could do more damage than good, to yourself and your clients, if you don't achieve a balance within yourself first. Read with interest, but practice with caution...

As a bodyworker, you are about to examine a unique form of therapeutic massage. It is not easy bodywork, for either the practitioner or for the recipient. Each Tantric balancing session requires a minimum of two hours of focused, concentrated effort. Some sessions have been known to last four or five hours, and frequently more than one session is required to complete the balancing and integration aspects of the work. After studying this information, you should have a clear understanding of the goal of Tantric balancing, and can decide for yourself if you are prepared integrate this form of bodywork into your practice.

Because of the deep massage techniques used during Tantric balancing to open, release, and channel the stored energy in the physical body, at times the work can be intense, penetrating, and emotional. The techniques used are based upon the solid principles of Tantra. These principles promote the integration and balancing of three "bodies" which make up each human being. This bodywork promotes the release and movement of powerful kundalini energy. What is experienced on the physical plane will have far reaching effects on all aspects of a person's life.

As a massage therapist, you need to understand that, before the kundalini energy can be released, the five regions of the vertebral axis must be relaxed. This is normally done through tactile manipulation of the adjoining spinal musculature. Starting upward from the lowest region, Tantric literature anatomically defines the vertebral axis regions as the coccygeal (which consists of the tailbone and first four incomplete vertebrae), lumbar (five vertebrae), dorsal or back (twelve vertebrae), and cervical or neck (seven vertebrae). These five regions correspond roughly with the lower five chakra centers.

Deviating further from allopathic anatomy, from a Tantric perspective, the spinal cord is understood to lie within the vertebral axis (spine) and extend downward from the fourth ventricle of the brain to the coccygeal region, where it narrows to a thin, hair-like ending called the filum terminale. The spinal cord itself is formed of two symmetrical halves joined together along a center line. The actual line of juncture is a minute conduit called the canalis centralis or central canal (sushumna). It is through this passage that the kundalini force, once released and guided upward, can vitalize the six chakra centers along an invisible course to the brain.

A Tantric Balancing session actually begins with a thorough massage of the back.

Particular attention must be given to relaxing the muscles adjoining the spine which will prepare the canalis centralis for the upward flow of kundalini energy. Once the back, shoulders, and neck are open, the lower back of the body should be vigorously massaged, including the legs, feet, and buttocks, to relieve tension in the lower extremities and to prepare the filum terminale to channel the kundalini upward.

With the back of the body relaxed, the lower pelvic area is prepared for chakra relaxation and opening through deep, penetrating massage strokes in the sacral and pelvic regions. This is done to cleanse the principal nadis or astral channels so that kundalini currents may later unite and flow between the subtle body and the physical body. The line of ascension is always from the lower upward to the higher and less dense. Because of this, the bodywork begins at the lowest level. Opening of the chakra centers and balancing of the physical, subtle, and casual bodies must be accomplished in sequential order, from the root, or muladhara chakra, upward through the other chakra centers into the sahasrara. This opening is in preparation for subsequent release and movement of kundalini energy.

As the lower pelvic cavity from the anus to mid-sacrum begins to open through deep massage, the higher chakra sites are prepared for opening with gentle touch in an upward direction along the spine to the neck. The highest chakra, the ajna, and the sahasrara area at the top of the head are prepared for opening through energy balancing without touching the body. Sequential opening of the chakras, which will come next, will provide a path for the kundalini force to radiate upward into all the chakra centers, laying the foundation for integration of the physical, subtle, and casual bodies. The portion of the process just completed, with the client lying face down, is preperatory to turning the client over on his or her back for the actual chakra opening process, covered in the next section.

Sequential opening of the chakras will provide a path for the kundalini force to radiate upward into all the chakra centers, laying the foundation for integration of the physical, subtle, and casual bodies.

Once the chakra centers are vibrant and glowing, the kundalini energy embedded in the muladhara chakra at the base of the spinal column is delicately released. The kundalini energy is often called "serpent power" because in its quiescent form, it lies coiled around the base of the vertebral axis. It is normally static and sealed off at the base of the spine just beyond the tip of the tailbone. Through release of this energy, the centripetal "Shakti" force can be directed upward to the higher chakra centers, there to complete a union with the centrifugal "Shiva" energy who's originating source is the sun. Harmony and balance, according to Tantric beliefs, comes from this union of these polar opposite energy forms.

At this point in the procedure, the massage therapist calls upon specialized training and experience to coax the serpentine like kundalini energy to emerge and rise through the spine. There is no set direction the bodywork might take from this point on, as energy channeling and chakra balancing are difficult to predict.

Often the mere experience of the first release of kundalini energy is so dramatic that the force never rises above the first or second chakra. After some practice, however, the complete yogic experience can be achieved. When full, mature kundalini release happens, the experience is unimaginable. Liquid fire races up the spine, through the head, and out through the top of the body with an incredible intensity. The human body is, for a brief moment, a lightening rod between the polar opposite forces of nature.

During this release process, and through the subsequent Tantric Balancing work to regain equilibrium, there exists a shared responsibility between the massage therapist and the person receiving the therapeutic treatment. There must be a commitment to work together within a close bond of trust, openness, and sharing.

Because the kundalini energy is so powerful, so fundamental, and so rooted in human sexuality, a clear element of professional intent and respect is paramount.

Because the kundalini energy is so powerful, so fundamental, and so rooted in human sexuality, a clear element of professional intent and respect is paramount. If the partners are lovers, than the sexual aspect of tantric yoga may be explored to accentuate the energy flow. If, however, this is not the case, the therapist must maintain intense focus to not deviate from professional treatment, even though the atmosphere is charged with the kundalini force. One method of maintaining focus for the therapist is to concentrate on opening his or her upper chakras, particularly the heart chakra.

Preparation for a Tantric Balancing Session

Tantric literature states emphatically that, "True liberation can come only through experience. States of consciousness cannot be controlled and transcended until and unless they are lived rapturously, freely, and in all the fullness of their power." As a recipient of Tantric Balancing, you are encouraged throughout the work to actively participate in the process and fully experience what is happening on all levels. Breathing, sounds and visualized colors play an important role in moving the powerful kundalini force, as does your emotional clarity. The resultant merging or union of the Shakti and Shiva energy forces within your body is called samarasa in the Tantric texts.

"On their union, nectar (amrita) flows. Refreshment, increased power and enjoyment follow upon each visit to the well of life."

Tantric literature also states, "It is very possible that the greatest power of transformation is more in the attitude than anywhere else." Accepting the possibility of change, the potential for growth, and the capacity for true integration, especially during the powerful release and movement of kundalini energy, will help guide this amazing force upward through the chakra centers. With an accepting and positive attitude, "Tantric Balancing can move an individual toward a more satisfying plane of existence; one in which there is more love and, in a final sense, more stability.

Tantric Balancing can move an individual toward a more satisfying plane of existence; one in which there is more love and, in a final sense, more stability.

Massage Guide - Trigger Points

Trigger points are hyper sensitive/hyper contracted areas in muscles, which, when active, give a predictable pattern of pain referral. The main advantage of learning these patterns is that if you have pain in a particular area and it stems from a trigger point, knowing the patterns will help us to determine which muscle to work to help alleviate that pain. This is important since the pain can be as distant form the originating muscle as the length of an arm. For example, the pain referral pattern for the rectus abdominus muscle, which runs from your breast bone down to your pubic bone on the front of your body, can include pain in two bands across your mid back and lower back.

As well as causing refered pain, trigger points may cause stiffness and decreased range of movement and are also capable of triggering autonomic symptoms such as sweating, lacrimation, proprioceptive disturbances, dizziness and tinnitus.

Trigger Point Therapy involves applying ischaemtic pressure (pushing all the blood and fluids out of the area) in the area of a trigger point for 10-15 seconds. This can sometimes be applied when coming across unexpected hypersensitive areas as well as those we're looking for.

Trigger Point theory was originally developed by Dr Janet Travell and Dr David Simmons, and Myofascial Pain and Dysfunction: The Trigger Point Manual by Travell & Simmons outlines Trigger Points throughout the body and their pain referral patterns.

Back Pain: How to Help Yourself

Learn simple hands on remedies for a range of common aliments and learn to take responsibility for your own health.

Back pain begins with an irritation. This can have many causes ranging from sneezing to diving into water. This affects the nerves in the back and can cause complications. The nerves can also be influenced by infection, direct or indirect injury, sudden changes in temperature, and illness. The psyche also plays an important role in the development of back pain. Back pain often occurs in conjunction with other symptoms. Special notice should be taken of bruising, swelling, abnormal bone protrusions, foot problems, and muscle cramps. All of these can lead to back pain. Back pain can be aggravated by bad posture and lack of exercise.

Pain in the lower back: In the mornings while you lay in bed, or while sitting in your office, press the knuckles against both sides of the spine in the lower back. This helps if you have hip pain and also calms the sciatic nerve. Raise the knees and stretch the legs and breathe deeply. You should feel warmth flowing through your body. This helps to disperse pain caused by bad posture and insufficient exercise. This exercise also helps to prevent cramp in the back muscles and stomach organs. Press the knuckles against the lower back

Pressing with the thumbs against the sides of the lower spine will help to remove toxins that have collected in the bloodstream at this point. It doesn’t matter if you do this while standing or sitting, so long as your spine is straight.

It is much more difficult to treat the vertebrae in the neck and upper spine yourself. One possibility is to lie on a golf ball. Lie so that the ball is under the point that is giving you pain, after approximately 10 seconds let the ball roll higher or lower depending on the point you started from. Feel with your fingertips for sensitive places between the neck and the shoulders. If you feel a hard spot, apply slightly more or longer pressure. Lie on a golfball!

Alternatively try working on the relevant area on your feet! Reflexology is easy to give yourself and the following tips will take only minutes to carry out. The results will very often be not only pleasurable but remarkable!

Massage Guide - Tips for Receiving Massage

Massage Tips

If possible, rest or take a walk after a massage to allow some time to adjust to your new relaxed state. I find this helps me get the most out of a massage.

Here are some useful questions you may want to ask before going to a massage:

  • Is this type of bodywork done fully clothed?
  • How much does it cost?
  • How long are appointments?
  • Are you willing to do this work at my house?
  • Do you use scented oil?
  • Do you have a waiting room?
  • Is this a non-sexual type of massage?
  • Is this a gentle massage?
  • What is your cancellation policy?

Here are some tips for during the massage:

  • If the massage is too light or too hard, ask to have the pressure changed. Some massages are only light (Rosen, Feldenkrais, etc.) but asking is appropriate.
  • If you are uncomfortable (need heat turned up, less blankets, light moved), say something.
  • Tell the practitioner where you hurt. This way the massage can focus on where you need it most.

Massage Guide - Reflexology

Foot and Hand Reflexology is based on the premise that there are zones and reflex areas in the feet and hands which correspond to all body parts.

The physical act of applying specific pressures using thumb, finger and hand techniques, performed without oils, lotions or creams result in stress reduction causing a physiological change in the body.

WHAT IS A TREATMENT LIKE?

Both patient and reflexologist must be positioned comfortably to ensure maximum relaxation. Usually, a reclining position is preferred by the patient. A reflexologist will usually work on the bare feet, but if this is not possible, the treatment can be given on the hands.

Beginning with the right foot, all reflex points on both feet are always stimulated as the body is considered to be a whole unit, the pressure applied varying with each person.

CAN REFLEXOLOGY MAKE A CONDITION WORSE?

No, it will not make any condition more acute. FOOT REFLEXOLOGY helps nature to normalize body functions. A Foot Reflexology series relaxes the stress that can affect your health. It is a safe effective way to Better Health.

RELEASE OF TENSION

Stress cannot be avoided, we live with it every day. A days work, playing sports or giving a dinner party can be stressful but also exhilarating and fun. Stress becomes a problem when we fail to manage it well, especially the stress that results from problems, frustrations, overwork and worry. When we don't handle stress well, the body's defences breakdown and you become more susceptible to illness. Reflexology reduces stress by generating deep tranquil relaxation.

IMPROVES CIRCULATION

We all know how important it is for blood to flow freely through the body carrying oxygen and nutrients to all the cells in the body and removing waste products and toxins. Stress and tension tighten up the cardiovascular system and restrict blood flow. Circulation becomes sluggish. By reducing stress and tension, Reflexology allows the cardiovascular vessels to conduct the flow of blood naturally and easily.

HISTORY OF REFLEXOLOGY

When mankind went barefoot, walking on sand or uneven ground was a partial reflexology treatment.

India, China, Egypt, etc., practiced reflexology thousands of years ago.

When we put on shoes we lost direct contact with the earth and were no longer grounded to it. We lost the natural exchange between the body's electrical currents and those of the earth.

In 1913 reflexology was brought to the Western world. Dr. Wm. Fitzgerald, an M.D. in Connecticut, was using "Zone Therapy" to deaden pain in some parts of the body.

Edwin Bowers, M.D., of New York, and George Starr White, M.D. used reflexology but the medical world did not accept it then.

Nervous people pace back and forth; wring their hands; rub hands together; bite their nails and some even handle worry beads and/or rocks. Unknowingly they are relieving tensions by working the reflexes.

Disease is created by stress. Stress is removed with reflexology, thereby aiding optimal health.

Massage Guide - Aromatherapy

Aromatherapy is the use of powerful, natural, fragrant plant essences - essential oils - for well-being and good health. The use of fragrant oils from aromatic plants has a long and ancient history stretching back to the Egyptian Empire. Plant essences were familiar to the founding fathers of modern medicine in ancient Greece. In modern times, essential oils can be found in licensed medicines, as well as in fine quality cosmetics, perfumes and traditional remedies. Aromatherapy involves the application of Essential Oils through massage, inhalations or baths. There are many oils to choose from and each one has a specific effect on the body. They are all delightfully aromatic and can soothe away tension, improve concentration, fight infection, reduce inflammation and speed up healing.

By far the most stimulating method of using aromatic essential oils is through an aromatherapy massage using a synergistic blend of oils personalized to the needs of each individual. An aromatherapy massage will stimulate the systems whilst allowing the body to totally relax. The massage technique allows the oil to penetrate the skin and become absorbed into the vital organs of the body to effect the healing process, prevent illness and disease, improve circulation and eliminate toxins. The following disorders have shown a marked improvement after being treated with aromatherapy massage: most forms of back ache, rheumatism, joints aches and pains, arthritis, stress related problems , headaches and migraines, kidney complaints, colds and viruses, respiratory disorders, nervous problems, muscle aches and pains, skin disorders like eczema, dry skin, acne and other related problems.

AROMATHERAPY AND STRESS

The pace of today's life makes many demands and although the human frame is designed to cope, we sometimes go too far. Time must be set aside to allow the body to unwind and relax. Aromatherapy is an ideal way to help in redressing the balance. Our sense of smell and our sense of touch aid in relaxation and promote overall well-being.

Modern research confirms the strong link between stress and illness. Researchers report changes in blood pressure, muscle tension and brain wave patterns when certain aromas are perceived. Likewise the massage technique releases tension throughout the body and promotes healing. Aromatherapy is one of the most pleasant forms of natural health care. It is non-invasive and personally tailored to meet each client's needs.

AROMATHERAPY FACIALS

Our appearance, especially that of our skin, reflects our emotional view on life. Clear, glowing skin reflects our inner beauty and health. An aromatherapy facial cleanses, nourishes and treats the face with extra attention to the individual needs of each client.

Massage Guide - Massage Laws in the US




































































































































































































States


Educational
Requirements



Fee/Reciprocity


Continuing Education
Requirements


Exam

ALABAMA
enacted
1996
500 hours: 325 hours basic massage
therapy and clinical practice; 125 hours anatomy, pathology and
physiology; 50 hours related coursework

TBD


TBD


TBD

ARKANSAS
enacted
1951
500 hours from accredited massage
therapy school or a like institution

• Registration $75.00


• Exam $25.00



Reciprocity


3 hours approved by Board—Once a
year


Own exam—written and
practical

CONNECTICUT
enacted
1993
500 hours from school accredited by
an accrediting agency and curriculum approved by AMTA or COMTAA

• Application $300.00


No Reciprocity



None


NCETMB1

DELAWARE
enacted
1993


Two Tiers:


100 hrs-. certified massage
technician


500 hrs- licensed massage
therapist


500 hours supervised study: 100
hours anatomy and physiology; 300 hours technique and theory; 100 hours
electives; CPR required


• Application $25.00



• Licensing and Certification
$222.00


Reciprocity


12 hours—Every 2
years


NCETMB1
(tentative)

DISTRICT OF COLUMBIA
enacted
1994
Minimum 500 hours

N/A


N/A


NCETMB1

FLORIDA
enacted
1943
500 hours from State Board approved
school


• Application and Exam
$330.00


No Reciprocity


Half hour per month


NCETMB1

HAWAII
enacted
1947
570 hours: 50 hours anatomy,
physiology, kinesiology; 100 hours theory and demonstration; 420 hours
practical training; spend a minimum of six months as an apprentice or
student in a COMTAA or Rolf Institute school

• Application $50.00


• Exam $70.00



No Reciprocity


Every even numbered
year


Own exam


Written

IOWA
enacted
1992

500 hours from a state licensed or
accredited school approved by department: 100 hours anatomy and
physiology;


400 hours other subjects including
first aid and CPR


• Application $100.00
Reciprocity


12 hours


September 30 of the odd-numbered
years


NCETMB1 or final exam
from school


approved by
department

LOUISIANA
enacted
1992
500 hours: 325 hours massage
therapy techniques; 125 hours anatomy and physiology; 50 hours related
course work

• Exam $75.00


• Renewal $50.00
Reciprocity

12 hours

NCETMB1 or own exam
plus an oral exam

MAINE
enacted
1991

Exam or diploma from a massage
training program accredited or approved by AMTA/COMTAA


• One Time Application
$25.00


• Yearly Registration $100.00


Reciprocity


None


NCETMB1
or diploma
from a COMTAA training program

MARYLAND
enacted
1996

Exam or diploma from a massage
training program accredited or approved by AMTA/COMTAA


• Fee: TBD


Reciprocity


None


TBD

NEBRASKA
enacted
1958
1000 hours: 100 hours physiology;
100 hours anatomy; 100 hours massage; 100 hours pathology; 100 hours
hydrotherapy; 100 hours hygiene/practical demonstration; 100 hours health
service management; 300 hours clinical practice of massage therapy

• Application $301.00
Reciprocity


18 hours approved by the
Board—Every 2 years


NCETMB1

NEW HAMPSHIRE
enacted
1980
High school diploma or GED;
graduation from school of massage - 750 hours: 150 hours A & P; 50
hours massage; 50 hours hydrotherapy; 175 hours Swedish and related
modalities; 10 hours rules/ethics; 50 hours allied massage techniques; 50
hours hygiene; 25 hours health services management; 125 hours practical
massage; 65 hours electives; CPR required

• License $50.00 every two
years
Reciprocity


12 hours—Every 2
years


NCETMB1


and New Hampshire practical
exam

NEW MEXICO
enacted
1991


650 hours: 300 hours supervised
in-class massage therapy instruction; 100 hours anatomy and phyisiology;
50 hours superivised massage, hydrotherapy, first aid, CPR, business and
professional ethics


Alternative qualifications: experience and/or
credentials (350 hours)


• Initial application
$50.00


• Initial licensing
$75.00


• Jurisprudence exam
$10.00



No Reciprocity


16 hours approved by Board—Every 2
years


NCETMB1 and take-home
jursiprudence exam

NEW YORK
enacted
1967

A graduate of a N.Y. school program
or of a substantial equivalent.


600 hours: 500 hours must be
classroom instruction.


• Initial application $100 for
first 3 years;



• Registration $50 + 9% surcharge
every 3 years


• Exam $125.00
No
Reciprocity


None


Own exam

NORTH DAKOTA
enacted
1959

N/A


No more than $50.00
Reciprocity



N/A


Own exam

OHIO
enacted
1916
Certification of high school
graduation; 600 hours over 12 months from an approved school

• Exam $100


No Reciprocity


N/A


Own exam

OREGON
enacted
1971
330 hours

• Application $100.00


• Exam $80.00



Reciprocity


12 hours every 2
years


Own exam—practical and
oral

RHODE ISLAND
enacted
1979
Graduate of an AMTA/COMTAA
accredited or approved training program of at least 500 hours: 100 hours
Anatomy and Physiology; 300 hours theory and practice of massage; 100
hours electives

• Licensing $25.00


No Reciprocity


Every year


NCETMB1

SOUTH CAROLINA
enacted
1996

500 hours through accredited
school


TBD


TBD


NCETMB1






TENNESSEE
enacted
1995
500 hours from a State approved
school

Reciprocity: states with
substantially similar rules/laws


TBD


NCETMB1

TEXAS
enacted
1985
300 hours: 125 hours Swedish
Massage Therapy techniques; 50 hours anatomy; 25 hours physiology; 15
hours hydrotherapy; 15 hours business practice of professional ethics; 20
hours health and hygiene; 50 hours internship

• Application $53.00


• Exam $110.00



No Reciprocity


N/A


Own exam—written and
practical

UTAH
enacted
1981
Graduate from an apprenticeship
program or an IMF or AMTA/COMTAA accredited or approved training program
or NCBTMB Certification

• Application $75.00


• Utah Theory Exam
$65.00


• Utah Law & Rule Exam
$55.00



No Reciprocity


N/A


NCETMB1


and Utah Theory Exam and Utah Law
& Rule Exam

VIRGINIA
enacted
1996

TBD - Regulations are being
developed


TBD



TBD


NCETMB1

WASHINGTON
enacted
1976


Board approved program - 500
hours: 130 hours anatomy, physiology, kinesiology; 50 hours pathology; 265
hours theory and practice of massage; 55 hours of clinic/business
practices


• License $55.00


• Exam $150.00


Reciprocity: States with
equivalent jurisdiction



16 hours every 2 years plus CPR
yearly


NCETMB1

Massage Guide - Benefits of Massage

Many of today's health problems arise from stress. Because stress upsets the delicate integral balance of all your body's functions, regaining this balance requires a holistic approach. Massage therapy not only treats those parts of you which require immediate attention, but has also been found to have positive effects on circulation, immune function, digestion, the nervous system and is safe and effective if used for stress management. It is also widely used to help clients obtain relief from many specific problems, as follows in the list below:


  • Reduces stress and fatigue
  • Soothes painful or tight muscles
  • Lowers blood pressure
  • Improves joint mobility
  • Reduces muscle soreness
  • Can relieve pain or tingling in limbs
  • Aids in healing of scar tissue due to injury
  • Increases capacity for clear thinking
  • Increases oxygen supply in bloodstream
  • Relieves headache, neck ache and eyestrain
  • Improves immune system function
  • Improves circulation of blood and lymph
  • Nourishes the skin
  • Breaks up toxins to enable their elimination
  • Brings total body awareness
  • Improves digestion
  • Induces a relaxed state of alertness
  • And of course........It feels great!



Massage can benefit people of all ages and conditions and in many different stages of health and well-being. It is important to know that your massage practitioner has been well trained in injury treatment, pathology and general anatomy and physiology.

Tips For Great Massage

1. Avoid eating close to the time of your massage.
2. Relax before your massage. Give yourself plenty of time to get to your massage appointment.
3. Wear clothing that you can get out of easily. If you plan to keep your clothes on, wear something like loose shorts and a jog bra for a woman or boxers for a man; these options will be easy for the massage therapist to work around.
4. Tell the therapist if you have any health concerns or have had any injuries.
5. Let the therapist know if there is any area where you do not wish to be touched, or if there is an area where you would like special work done.
6. Clear your thoughts. A massage is a time to relax, not to worry about the interview tomorrow or your car payments.
7. Breathe normally. Don't hold your breath if a sensitive spot is being worked on.
8. Try not to contract your muscles. Your body needs to be relaxed and flexible to get the best results. Imagine you are a rag doll.
9. Report any discomfort or problems during the massage. Tell the therapist if you feel any pain, are cold, don't like the music, etc.
10. Rise slowly after the massage is over. Get off the table gradually. Take your time, and try to maintain your state of relaxation.
11. Avoid driving if you are feeling spaced out or lightheaded. Wait a few minutes to get grounded.
12. If you're having a professional massage, make sure you use a certified, trained therapist.
13. If you prefer a massage therapist of a certain sex, remember to make your request when you make your appointment.
14. Leave on some clothing if you are uncomfortable being totally nude. The key is for you to be comfortable.

Massage Guide - The History of Massage

Massage, or systematic rubbing and manipulation of the tissues of the body is probably one of the oldest of all means used for the relief of bodily infirmities. Evidence has been found that the Chinese employed massage as much as 3,000 years ago. An ancient Chinese book, later translated into French was probably the foundation for modern massage and the Swedish movements elaborated and systematized by Dr. Ling.

The Japanese seem to have learned massage from the Chinese along with other forms of their culture. For years the blind were the primary practitioners and understood the use of massage in treating illness.


The Hindus and Persians, who still practice massage have helped in the maintaining of this skill since early times. Massage was also practiced by the Greeks and Romans, in connection with their baths. Herodicus taught Hippocrates massage and medical gymnastics. Julius Ceaser, who had a severe nervous disorder (epilepsy) had himself pinched all over daily and massaged. He was better able to carry on his labors because of being treated. Pliny was rubbed for the relief of chronic asthma.


A sort of percussion, called whipping, was employed by the ancient Roman physicians in various diseases, and is still used by the Laplanders and the Finns, who beat the body with bundles of birch twigs.


The natives of the South Pacific islands have used massage both in the water and out for hundreds of years.


The art of massage has been used in all parts of the world. The development of the proper use of the methods of massage was led by physicians in France, Germany and Sweden. Dr. Pehr Ling, of Sweden, in the beginning of the nineteenth century cured himself of rheumatism. Later he founded a system of gymnastics that is universally known as "the Ling System" or the "Swedish Movement Treatment." He established a school and when he died in 1839 he left several pupils in Europe who made known his methods throughout the world.


In the middle and late 1800's men from America went to Sweden, Germany and France and learned the skills that were being used there. The methods were further developed and their efficiency demonstrated in treating certain physical problems.


In the late 1800's the most common treatments were blood letting and the use of purgatives. Commonly used were Calomel which is mercury based and arsenic based tonics. Touching was not considered as part of the healing methods as it involved corporal pleasures and these were considered sinful. However, there were always some who used "folk remedies" and the movement was called health reform. Included in these were the use of herbs and water therapy with rubbing of the body. Some men traveled to Europe to learn Swedish Massage. They brought the techniques and some European trained therapists to work at sanitariums that were established to offer an alternative to the standard medical approach.


Native Americans used heat and massage with herbs as the means of treating various problems. The Cherokee, Penias and Navaho were among the tribes which rubbed their warriors before they went to war and when they returned. They eased the labor of the women and colic of the infants and many other ailments and problems.


During the 1960's there was a resurgence of interest in the natural ways of treating the body. Since then there have been an increasing interest in and use of hand applications on the body to affect and or relieve body problems. The range has been from the Rolfing and Alexander methods with considerable pressure to Tragering with its rhythmic nurturing of the tissues. There is Shiatsu using pressure from the Japanese to reflexology where only the feet are worked upon. The use of massage in the treatment of athletes both before and after participation in sports is growing from the local occasional participant to the world renowned Olympic class performer.


The use of massage with infants is also increasing. It is used with premature and well babies and many benefits are being documented. Western countries have been the slowest to use massage in the care of infants but are gathering much evidence of its many benefits.


The use of the hands to treat and nurture the body, to aid its functions and to promote its well being is growing steadily. Recent studies at the Touch Research Institute at the University of Miami in Florida have verified the value of massage in the treatment of many problems. When infants who were born premature or of crack addicted mothers and were not developing well were massaged, the results were remarkable. When these babies were massaged for fifteen minutes three times a day, they gained weight 47 percent faster than babies which were not massaged. The food intake was the same. The babies simply developed more than those which were not massaged. Eight months later, the mental and motor abilities showed better development and they had maintained their weight advantage.

Coffee breaks or fifteen minute chair massages twice a week, which is better? Studies over five weeks showed:

  • Immediate response - A change in brain waves in the direction of heightened alertness. Secondly, the subjects showed better performance on math problems which were completed in less time with fewer errors.

  • At the end of the five-week period, the subjects reported:
    1. Reduced job stress.

    2. Less depressed mood state.


This was felt to be of significance as the International Labor Organization has stated that job stress costs the U.S. economy $200 billion annually. The Journal of the American Academy of Adolescent Psychiatry has reported that massage reduces depression and anxiety in child and adolescent psychiatry clients. The group of 52 hospitalized depressed and adjustment disordered youth in the study were given thirty minute back massages daily for five days. The results showed the subjects to be less depressed and anxious. They also showed lower saliva cortisol levels. The nurses also rated the youth less anxious and more cooperative. Their night time sleep also increased. Cortisol and norepinephrine levels decreased. The other youth in the controlled study were shown relaxing video tapes instead of the massage. The control group did not display the responses that those who were massaged did.

So much information is coming out weekly, often daily on the studies being done and the findings of those studies regarding massage. The public is also being informed regarding the training of massage therapists and how to evaluate the clinic or therapist before they patronize them.

Massage Guide - Massage Types

There are many massage styles that may be different one from the other and the best styles for the one who receives massage may vary from one to other and from time to time for the same person.

Here is a list of massage styles:

Swedish Massage

A classic full body massage that incorporates long gliding movements to promote relaxation, stimulates blood and lymphatic circulation and relieves tension and stress. This is the most popular form of massage being practiced today.

Sports Massage

This is a vigorous massage using compression, cross friction and deep kneading techniques aimed at warming up the body for a sports activity. This massage is designed to enhance sports performance and is also known as the Pre-Event Sports Massage

Deep Tissue Techniques

This massage uses a combination of palm, thumb, elbow and arm movements that gradually penetrates below the superficial muscle layers to provide relief.

Acupressure

Acupressure works in the same way as acupuncture but without the needles. Instead acupressure uses finger pressure applied to energy points known as chi, which is also the vital energy force that flows throughout the body. Acupressure can also be done to oneself to alleviate a variety of conditions such as headache and nausea.

Trigger Point Therapy

Pioneered by Janet Travell, M.D., trigger point therapy are hypersensitive areas that radiate or refer pain to other points of the body. Trigger points can be used for a variety of conditions such as headaches, tendinitis and overuse of muscles.

Alexander Technique

This technique puts emphasis on reshaping the relationship among the head, neck and shoulders through movement re-education. The patient is retrained on how to move properly, thus benefiting a variety of ailments.

Aromatherapy

Aromatherapy employs the use of essential oils which are absorbed into the body and into the bloodstream. Certain oils can help conditions like acne, muscle pain and stress.

Shiatsu

This is traditional Japanese style bodywork which uses finger pressure to release the body's internal vital energy flow or KI along meridians or pathways of the body. Shiatsu creates a general feeling of well being in body, spirit and mind.

Reflexology

Reflexology uses pressure points applies to feet/hands/ears to affect the entire body. This promotes relaxation and restores balance.

Pregnancy Massage

This massage is specially designed to help alleviate the discomfort of pregnancy and its changes to the body. Pregnancy massage promotes relaxation to the expectant mother.

Massage Guide - Head Massage


  1. The best way for head massage is when your partner lies on his back , if this is not possible ,have your partner sit on a chair backwards, so they can rest there elbows on the back of the chair and support their head with their hands. Stand behind your partner. Another way to head massage is when your partner lies on his back



  2. Put all of your fingertips on your partner's scalp. (The left hand should be on the left side and the right hand should be on the right side.) Don't push too hard, but make circular motions with all your fingertips. The slower you make the motions, the more relaxing it is to your partner. Continue this motion all over the head keeping both of your hands on equal sides of her scalp. You need to keep your motions simultaneous on both sides of the head so your partner doesn't feel out of balance.



  3. You can also stimulate the ears by placing your thumb on one side of the earlobe and your pointer finger on the other side, lightly squeezing the fleshy area on the ear. Do it slowly, three times.



  4. Run the tips of your fingers up and down the back of the ears, where they connect to the head. Move fingers forwards and backwards along the top of the ears, where they connect to the head. Lightly pinch the outer edge of the ear, including the ear lobe.



  5. Place your hands on your partner's face, fingers on chin, heels on forehead. Gently slide your hands to the sides, until your fingers are touching the table. Slowly apply increasing pressure until you are pressing quite firmly. Maintain pressure for a few seconds. Slowly decrease pressure.



  6. Now you may begin to massage your partners face. Very gently squeeze your partners eyebrows between your thumb and pointer finger. Squeeze lightly all the way across each brow. Then, take your pointer finger, middle finger and ring finger of each hand and simultaneously massage both sides of the entire face with light, circular motions. Pay special attention to the jaw line, which can sometimes hold a lot of tension.


  7. Place hands under your partner's neck, curving fingers so that they meet on the back of the neck. Drum fingers up and down neck, as if you were playing a piano.


  8. Gently rotate your partner's head to the left. Place the palm of your hand on your partner's right shoulder, with fingers extending down towards the collar bone. Rotate your hand, moving fingers around the side of shoulder to top of the back. Move towards the spine, but
    before reaching it move up the back of the neck. Apply moderate pressure. Repeat a few times.


    Make firm circles with your right hand on the back of your partner's neck, up to the top of the neck. Then make circles down the side of your partner's neck, starting below the ear and continuing to the collar bone.



    Find the bony ridge where the skull meets the neck, on the back of your partner's head. Using your finger tips, make tiny circles below this ridge, pressing firmly.



    Gently rotate your partner's head to the other side, then repeat thesesteps.


  9. Pick your partner's head up and move it forward, towards their chest. Slowly move it as far as it will go (stretching the neck). Slowly return your partner's head to the table.


  10. Now begin to massage the scalp. Make your hand into a claw. Pressing firmly, move tips of fingers in small circles. Work systematically, covering the entire scalp

Massage Guide - Foot Massage

  1. The best foot massages always start with a relaxing five-minute soak in warm water with a drop or two of lavender oil.
  2. Get the feet used to your touch. Sandwich a foot between your hands and stroke firmly from the toes to the ankle. When you reach the ankle, return to the toe with a lighter stroke.
  3. Hold the foot with the heels of your hands on the top and your fingers touching in the middle of the sole. Press up with your fingers while moving the heels of your hands to the sides.
  4. Massage toes individually by squeezing rolling and rotating each one, then pull it gently toward you. To improve flexibility, gently bend the toes backward and forward one at a time or together.
  5. Use your thumbs to stroke the furrows between the tendons on the top of the foot, running one thumb after the other up the foot toward the ankle.
  6. Massage the sole of the foot using the thumbs of both hands. Make small circles with the pads of your thumbs. Be sure to cover the entire sole.
  7. Support the foot with your fingers on top, thumbs on bottom. Place one thumb over the other and press firmly for three seconds. Move a half inch and repeat. Do this all over the sole of the foot from the top down.
  8. Make a fist. Hold the foot steady with your other hand, and massage the sole of the foot with your fist. Make small circles with your knuckles, making sure to cover the entire sole.
  9. Massage the top of the foot using your thumbs, in the same manner as you did the sole of the foot. When you reach the ankle you may want to use your fingertips.
  10. Find the tendons running from the base of the ankle to the toe. Run your fingers between the tendons.
  11. Lightly hack the foot by holding it with one hand and quickly hitting the sole side with the other hand. Your hacking hand should be loose, not karate-chop rigid.
  12. Massage the sides and back of the ankle in a circular motion. Stroke firmly as you circle up toward the leg; keep the pressure light as you circle down toward the heel.
  13. When you reach the lower end of the heel, lift the foot with your left hand while massaging the lower end of the heel with your thumb and fingers of your other hand.
  14. Finish the massage by stroking the entire foot with a light touch, molding your hands to the shape of the foot, then slowly sliding them off the tips of the toes.

Massage Guide - Front of Leg Massage

(It is important not to apply any pressure when gliding over the front or back of the knee, since this is a sensitive area.)

This massage works especially well without clothing and with some massage oil.

1. Tell your partner to lie on her back. Kneel next to her feet on the left side of her body facing her head. Cup both hands and place them next to each other, just above her left ankle. Your fingers should appear to be pointing towards her head. Apply light pressure as you move your hands up towards her thigh.

2. When you have reached the thigh, slide your hands so they are on the sides of her leg and pull back towards her ankles while applying light pressure.

3. When you have reached just above her ankle, slide your hands sideways so that the fingers of either hand are facing in opposite directions. Push your hands across the skin and back toward the thigh.

4. When you have reached the thigh, slide your hands so they are on the sides of her leg and pull back towards her ankles while applying light pressure.

Massage Guide - Back of Leg Massage

(It is important not to apply any pressure when gliding over the front or back of the knee, since this is a sensitive area.)

This massage works especially well without clothing and with some massage oil. There is an old school of thought that as wonderful as the experience of a good massage may be, it should not be viewed as a sensual experience without therapeutic value

1. Tell your partner to lie on her stomach. Kneel next to her feet (on the left side of her body), facing her buttocks. Place your hands on her calf sideways so that the fingers on either hand are facing opposite directions. (The fingers on the left hand should point to your right and your right hand fingers should be pointing to your left.). With light pressure, move both hands forward till you reach just below the buttocks.

2. Once you reach the top of the thigh glide both hands to either side of the leg and pull with light inward pressure, down towards the feet.

3. Repeat steps one and two a few times, applying slightly more pressure each time (make sure you never apply pressure that will make your partner uncomfortable.)

4. Repeat all steps on the right leg.

Massage Guide - Back Massage

There are two very important things to remember when massaging someone's back: Don't put any pressure on the spine, and use your hands equally and simultaneously on the left and right side of the back to create a balanced sensation.

1. A very important key for back massage is using a lot of oil , when you feel you need more oil don't hesitate you have to stop the massage and pure some more oil

2. Position yourself above your partner's head.Pure some oil on your partner's back. Place your palms on either side of the top part of the back, with fingers pointing toward the spine. Your fingertips should be right beside the spine, but not on it. Glide your hands down the entire back. Use firm pressure, leaning forward so that your own weight helps you. Let your fingertips press into the small furrows on either side of the spine. Repeat.

3. Press down with light pressure and slowly slide your hands straight up her back towards the neck with your fingers still pointing towards the head.

4. When you have reached the bottom of the neck, with your finger still pointing forward, widen the space between your hands so that the are resting on the outer part of the shoulders.

5. While still applying light pressure, pull your hands back towards yourself.

6. Repeat a few times.

7. Return to step one position, with your fingers pointed toward the outer shoulders. Using your palm, make small circular motions, up the center (on either side of the vertebrae) and down the sides of the back. The direction of these simultaneous circles should mimic breast stroke (get your mind out the gutter...we are talking about swimming here), the right hand goes clockwise and the left hand counter clock wise (simultaneously).

8. Slide your hands onto your partners shoulders. Place your thumbs on either side of the spine, just below the hairline. With small circles, use your thumb pads to massage the muscles on either side of the spine. Work your way down the back, moving only a half inch at a time, remaining next to the spine the entire way down.

9. Use the balls of your thumbs to make short, rapid strokes moving away from you. Alternate between thumbs. Go over the same spot several times before moving on. You should be working close to the spin, just below the waistline.

10. Repeat step seven and eight two or three times.

11. Position yourself on either side of you partner, near their lower back. Place your right hand on your partner's lower back, just to the right of the spine. Your fingertips should be at the waistline, pointing towards your partner's head. Now place your left hand on top of your right. Make a circle with both hands near the hip bone. Continue making circles, moving across the waistline towards your partner's side. Use firm pressure. Repeat on the other side of the back.

12. Use the balls of your thumbs to make short, rapid strokes moving away from you. Alternate between thumbs. Go over the same spot several times before moving on. You should be working close to the spin, just below the waistline.

13. Knead the muscles curving from your partner's neck onto their shoulders. Work the muscles gently between your thumbs and fingers. Do both sides at once.

14. Use your thumbs on the upper back just as you did on the lower back. Position yourself above your partner's head. Move your thumbs away from you in short alternating strokes. Stay off the spine and concentrate on the shoulder blades. First do the muscles above the blades, then those between the blades and the spine.

15. Position yourself on either side of your partner. Put your right hand and left hands on your partner's respective shoulders. Your fingers should be pointing down. Slowly pull both hands (heels first) toward the spine. Apply pressure as you pull. When the hands are about to meet, rotate each hand 180 degrees so that the fingers are pointing in opposite directions. Continuing moving your hands across your partners back in the new direction until your hands have reached your partner's sides. Start gliding your hands back to your partner's spine. Repeat, moving down the back.

16. Run your palms quickly in horizontal strips across the back. Alternate hands, so that one hand is moving away from you while the other moves towards you. Keep your hands moving constantly, never leaving the surface of the skin. Generate as much friction as you can. Gradually work down the length of the spine and back up again.

Principles of a Great Massage



  • Be centered and focused.

  • Respect the recipient fully: have clear intention.



  • Listen to the client's body and breath with your hands, heart, ears, and intuition.



  • Massage to create more space (length and breadth) and breathing room.



  • Massage to facilitate movement. Include secure range of motion work.



  • Massage toward the heart to improve blood circulation and lymph return.



  • Massage muscles thoroughly: body, tendons, insertions.

  • Start gently, then massage deeper.



  • Massage as deep as is comfortable for the client. Deeper means slower.
    Listen very carefully to the recipient's body and breath.
    Cool down after deep work.



  • Don't over-massage an area.