Is deep pressure in a massage ever bad?
One of the first things you learn as a massage therapist is that everyone wants deep pressure in massage. This is because no one wants a light fluffy massage because they feel there will be no benefit and they have wasted both their time and money.
The second thing you learn as a massage is that everyone has their own idea what deep pressure is and what would be light pressure for one person is deep pressure for another person. Even if you take one client, the pressure they consider deep on their tight shoulders will be different from their idea of deep pressure on their legs. So there is no fixed concept of what deep pressure is, it varies from client to client, and with the same client it varies treatment to treatment and depending up on the part of their body your are treating.
Given all this how do we work out pressure in clinic. First, we base it on our experience, your body type, the tension in the muscle we are working on. But most of all we talk to you about how the pressure feels to you and respect your preferences for pressure.
I am sure most of you have heard me talk about good pain. Its based on a phenomenon that I have seen in clinic over the years. This is where someone comes into clinic in pain, we apply pressure and the pain turns into a good pain – because the pressure is a source of relief. For some people this “good pain” just feels right. This good pain is strong but welcome and came sometimes be described as a “sweet ache”. For some clients the good pain, is such a welcome relief that pain doesn’t even seem the right word.
A word of warning, I like all my other therapists are only human and sometimes we get it wrong. This can be if we have missed a trigger point that is very sensitive, and we go into deep or the opposite can happen where a muscle locks up and we apply pressure and you as the client can’t feel anything. These situations can also arise due to change with your body i.e. an intense gym session or longer work hours than usual so lots of extra time sitting at your desk.
I try to ask all my clients regularly without sounding like its some automated message, do you want the pressure deeper or lighter and if so let me know. I know the other therapists in clinic do this as well.
In clinic we always want you to get the most out of your treatment. So please remember we always welcome feedback on pressure throughout your treatment.
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Is reflexology or massage better at reducing stress or pain?
While amongst my clients there is a clear preference for massage, I decided to investigate if there was any scientific evidence if massage was better than reflexology (or vice versa) at reducing pain and stress. In 2012 there was a small study comparing massage to reflexology on cancer survivors over the age of 75 living in a care home. The study compared the effectiveness of 20 minutes of reflexology treatments against 20 minute Swedish massage by examining the impact on the patients stress levels, pain levels and mood. Pre and post treatment levels of salivary cortisol, observed affect and pain were compared. Both reflexology and Swedish massage resulted in significant declines in salivary cortisol indicating a reduction in stress levels, reduced pain levels and improvements in mood. So to go back to my original question, there is scientific evidence for both and I suggest you book the treatment you prefer. Hodgson N, Lafferty D (2012) Reflexology versus Swedish Massage to Reduce Physiologic Stress and Pain and Improve Mood in Nursing Home Residents with Cancer: A Pilot Trial. Evidence Based Complement Alternat Med. 2:456897

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