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WHAT IS MASSAGE?

Massage therapy is one of the oldest healthcare practices known. References to massage are found in ancient Chinese medical texts written more than 4,000 years ago. Massage has been advocated in Western healthcare practices since the time of Hippocrates, the "father of medicine."

Massage therapy is the scientific manipulation of the soft tissues of the body for the purpose of normalizing those tissues and consists of a group of manual techniques that include applying fixed or movable pressure, holding, and/or causing movement to parts of the body. While massage therapy is applied primarily with the hands, sometimes the forearms or elbows are used. These techniques affect the muscular, skeletal, circulatory, lymphatic, nervous, and other systems of the body. The basic philosophy of massage therapy embraces the concept of vis Medicatrix naturae, which means "aiding the ability of the body to heal itself."

Touch is the fundamental medium of massage therapy. While massage can be described in terms of the type of techniques performed, touch is not used solely in a mechanistic way in massage therapy. Because massage usually involves applying touch with some degree of pressure and movement, the massage therapist must use touch with sensitivity in order to determine the optimal amount of pressure to use for each person. For example, using too much pressure may cause the body to tense up, while using too little may not have enough effect. Touch used with sensitivity also allows the massage therapist to receive useful information via his or her hands about the individual's body, such as locating areas of muscle tension and other soft tissue problems. Because touch is also a form of communication, sensitive touch can convey a sense of caring to the person receiving massage, enhancing the individual's sense of self and well being.

In practice, many massage therapists use more than one technique or method in their work and sometimes combine several. Effective massage therapists ascertain each person's needs and then use the techniques that will best meet those needs.

Swedish massage is the most commonly used form of massage. It uses a system of long gliding strokes, kneading, and friction techniques on the more superficial layers of muscles, generally in the direction of blood flow toward the heart, and sometimes combined with active and passive movements of the joints. It is used to promote general relaxation, improve circulation and range of motion, and relieve muscle tension.

Deep tissue massage is used to release chronic patterns of muscular tension using slow strokes, direct pressure, or friction directed across the grain of the muscles. It is applied with greater pressure and to deeper layers of muscle than Swedish, which is why it is called deep tissue and is effective for chronic muscular tension.

Sports massage uses techniques that are similar to Swedish and deep tissue but are specially adapted to deal with the effects of athletic performance on the body and the needs of athletes regarding training, performing, and recovery from injury.

Neuromuscular massage is a form of deep massage that is applied to individual muscles. It is used primarily to release trigger points (intense knots of muscle tension that refer pain to other parts of the body) and also to increase blood flow. It is often used to reduce pain. Trigger point massage and myotherapy are similar forms.

Acupressure applies finger or thumb pressure to specific points located on the energy pathways or "meridians" in order to release blocked energy along these meridians that may be causing physical discomfort. The rebalance of energy flow releases tension and restores function of organs and muscles in the body. Shiatsu is a Japanese form of acupressure that applies these principles.

Massage therapy sessions can be at home or in a professional office. Most sessions are one hour. Frequency of massage sessions can vary widely as needed based on the condition being treated. The cost of massage therapy varies according to geographic location, experience of the massage therapist, and length of the massage. In the United States, as of 2004, the average range is from $35 to $60 for a one-hour session.

The first appointment generally begins with information gathering, such as the reason for getting massage therapy, physical condition and medical history, and other areas. The client is asked to remove clothing to one's level of comfort. Undressing takes place in private, and a sheet or towel is provided for draping. The massage therapist will undrape only the part of the body being massaged. The individual's modesty is respected at all times. The massage therapist may use an oil or cream, which is quickly absorbed into the skin.

Insurance coverage for massage therapy varies widely. There tends to be greater coverage in states that license massage therapy. In most cases, a physician's prescription for massage therapy is needed. Once massage therapy is prescribed, authorization from the insurer may be needed if coverage is not clearly spelled out in one's policy or plan.

Massage therapy may be recommended for children to help relieve conditions such as allergies, anxietyand stress, arthritis, asthma and bronchitis, joint or limb injuries, post-surgical muscle rehabilitation, chronic and temporary pain, circulatory problems, depression, digestive disorders, tension headaches, sleep problems or insomnia, myofascial pain, sports injuries, and eating problems associated with temporomandibular joint dysfunction.

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