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Tag Archives: therapeutic massage
Total Health Massage Frequently Asked Questions
Total Health Massage FAQs
Top Ten+ Most Frequently Asked Questions

- What exactly is a massage? What is a therapeutic massage? What is massage therapy?
- Who is the Total Health Massage Therapist?
- Why should I get a massage? What are the benefits?
- Are there times when massage is not recommended?
- Where do I go for a massage?
- What happens during my first appointment?
- Do I need to get undressed for a massage?
- When do I get undressed? Do I get undressed with the massage therapist in the room?
- What should I expect during the session?
- What should I wear when I get a massage?
- How long is a massage session?
What exactly is a massage? What is a therapeutic massage? What is massage therapy?
Massage, also referred to as therapeutic massage or massage therapy, is defined as the manual manipulation of soft body tissue, such as connective tissue, muscle tissue, tendons and ligaments with the intent being an enhancement of health and well-being. States and organizations that have governing authority over massage therapists all have similar definitions in describing massage therapy.
There are many techniques and modalities in massage therapy, which may address specific conditions or symptoms. For the most part they consist of routines using a combination of stroking, kneading, tapping, friction and/or vibrating to improve muscle tone, restore flexibility of joints, enhance blood and lymph circulation, as well as help with relaxation and stress reduction. A wide range of pressure is practiced in the Total Health Massage; our experienced Therapist works closely with you to determine the appropriate level for each area of your body with just the right amount of touch to help the body let go of its localized areas of tension.
Depending on the modality or technique used, the Total Health Massage may consist of deep or light pressure and may be stimulating or sedating. Certain modalities such as sports massage use techniques with the intention of enhancing athletic performance or alleviating sports related injuries, while others such as geriatric massage, prenatal massage or infant massage have techniques appropriate for a specific population.
Who is the Total Health Massage Therapist?
The Total Health Massage therapist is Joe Fox, licensed and certified in a wide variety of therapeutic massage styles as well as other wholistic and natural health disciplines, in practice since 1978. Joe believes in Nature’s power to heal with natural remedies, and that your health is in your own hands and Joe can be your guide to heal yourself. He works with a wide range of people of different ages and “occupations” and uses his Total Health Therapeutic Massage in a wholistic fashion for prevention, remedy, relief of stress and pain, and for personal and professional development.
Joe sees that the tensions in the body may be the result of everyday or compounded stress, overworking of the tissues from sports, play, work, or injury. The body may need to be taught how to become well and how to let go of its ingrained physical habits and contributing mental and emotional tendencies. For this reason the Total Health Massage is best done regularly and preferably before you think you need it. Of course, if you do really need it right now Total Health Massage is the natural remedy. We always recommend you try a Total Health Massage at our introductory rates to see how it benefits you.
Why should I get a massage? What are the benefits?
- Massage and other forms of bodywork can help to reduce muscular tension, which results in less pain.
- Massage improves blood and lymph circulation.
- Massage helps to lower blood pressure.
- Massage increases joint flexibility and improves posture.
- Massage helps to reduce anxiety and stress levels and improves concentration.
- Massage promotes quicker healing of injured muscles.
- Massage helps to reduce muscle tightness.
- Massage lessens depression.
- Massage reduces spasms and cramps.
- Massage relieves generalized or chronic pain.
- In some cases, massage reduces or eliminates the need for medication.
- Massage enhances immunity.
- Massage improves quality of sleep.
- Massage boosts your personal and professional development.
Are there times when massage is not recommended?
An experienced Massage therapist will know how to work with the following situations, but, of course the choice is entirely up to you, if…
- If you have had recent surgery.
- If you have open sores.
- If you are experiencing acute pain.
- If you have an active inflammation, such as with rheumatoid arthritis.
- If you have an active bacterial or viral infection.
- If you are undergoing chemotherapy or radiation treatments.
- When you are drunk, taking mind-altering drugs or otherwise impaired.
- If you have untreated, high blood pressure.
- If in doubt, check with your primary care physician first, but, of course, the choice is entirely up to you.
Where do I go for a massage?
Your appointment should be made with a licensed and certified massage therapist, educated at a reputable massage school. Our very experienced Total Health Massage Therapist is licensed and certified in many natural health disciplines, and began his career in 1978. Total Health Massage is offered primarily in your home or workplace throughout SoCal or in the Total Health Studio, if you prefer. Our fees are reasonable and are based on the distance to your location. Our massage therapist brings the massage table to your home or office and sets up in a comfortable space; the Total Health Studio is in a quiet natural setting in SW Riverside County.
What happens during my first appointment?
During the course of your Total Health Massage, the Therapist will have questions about your general health, diet and exercise habits, medications you are taking, recent surgeries and any ailments or limitations you may have. You may be asked about your activity levels, what type of work you do and your reason for scheduling a massage. As an ongoing client, our Therapist will want to know about all medications as well as herbal and nutritional supplements you are taking.
Do I need to get undressed for a massage?
For some types of massage, such as traditional Swedish massage which uses vegetable oil, you would need to get undressed. Some people choose to leave on certain articles of clothing such as underwear or socks, at your discretion. For other modalities, such as pressure-point, sports or chair massage, you remain fully clothed. However, before the massage, the Total Health Massage Therapist should advise you regarding this matter and instruct you to only disrobe to your own level of comfort.
Legal regulations require the client to be covered with draping (for those modalities requiring you to undress), with a sheet or large towel, except for the body part being treated. So even though you are undressed, you are covered during the massage session.
When do I get undressed? Do I get undressed with the massage therapist in the room?
Our massage therapist will bring you into the treatment area and then leave the room, closing the door and allowing you to get undressed in private. Once you are undressed you should get onto the massage table and cover yourself with the towel or sheet provided. If this is your first massage, our Therapist will provide you with instructions, such as whether you should lie face down or face up on the table.
What should I expect during the session?
It depends on the type of massage you will receive. Our massage therapist will discuss this with you. The massage therapist should ask about your expectations and health information to decide the best form of treatment.
- If you choose a traditional Swedish massage, you will be asked to go into the treatment room, disrobe to your own comfort level, lay on a padded massage table and cover yourself with a sheet or towel. Depending on what your needs are, the massage may include the use of broad, flowing strokes on the arms, hands, legs, feet, back and shoulders. State laws forbid the massaging or touching of private areas.
- If you are receiving pressure point or sports massage, you will be asked to wear comfortable clothing. The session may consist of appropriate pressure tense areas of the body as well as gentle stretches.
- The massage therapist will use his or her body, including fingers, hands or forearms, for a seamless flow of acupressure manipulations as well as helping you learn stretches and poses you can do on your own.
- Each form of bodywork may have its own instruction, which should be explained in full by your massage therapist.
- A massage therapist should ask for feedback with regard to your comfort level during the massage.
- A massage should never hurt or produce any bruising.
- Whether your Total Health Massage is Swedish or Acupressure, it will generally include your neck, back, shoulders, arms, hands, legs and feet. It may or may not include your face, and may include the abdomen with your permission. The massage will not include your private areas.
What should I wear when I get a massage?
It is important to wear comfortable clothing when you go to get a massage.
- For a Swedish massage you will need to get undressed to the level of your own comfort. This is done with the massage therapist out of the room. He or she will instruct you to cover yourself with the provided sheet or towel for modesty.
- If you are receiving a massage using acupressure techniques, most likely you will be keeping your clothing on. Wear something loose and comfortable, preferably made from natural fabrics like cotton, and that have some give to allow for assisted stretching.
If you are unsure as to what type of clothing to wear for the specific technique your massage therapist will be using, ask before you go to the appointment
How long is a massage session?
A massage session can be as short as 10 or 15 minutes for a mini- or demo-massage (given to multiple clients), or as long as an hour or so for the full body massage. In the Total Health Studio or for multiple clients in the same outcall location you may opt for a half-hour session. Depending on the condition of your body and your responses to the treatment , a one-hour appointment may be anywhere from 50-70 minutes of actual massage.
Allow at least 15 minutes before and after your appointment to relax, and for undressing/dressing. Being rushed afterwards may reduce some of the positive results of your massage session. The OutCall Total Health Massage is the ultimate way to receive your massage for this very reason.
Massage as Medicine
Don’t Call It Pampering: Massage Wants to Be Medicine
By ANDREA PETERSEN,
the following article appeared in Wall Street Journal,
- HEALTH & WELLNESS
- March 13, 2012
http://online.wsj.com/article/SB10001424052702304537904577277303049173934.html
While massage may have developed a reputation as a decadent treat for people who love pampering, new studies are showing it has a wide variety of tangible health benefits.
Research over the past couple of years has found that massage therapy boosts immune function in women with breast cancer, improves symptoms in children with asthma, and increases grip strength in patients with carpal tunnel syndrome. Giving massages to the littlest patients, premature babies, helped in the crucial task of gaining weight.
Is massage just for pampering or does it have true biological effects? A recent study showed muscles rebounded better if massaged after exercising to exhaustion. Andrea Petersen on Lunch Break has details on Lunch Break.
The benefits go beyond feelings of relaxation and wellness that people may recognize after a massage. The American College of Physicians and the American Pain Society now include massage as one of their recommendations for treating low back pain, according to guidelines published in 2007.
New research is also starting to reveal just what happens in the body after a massage. While there have long been theories about how massage works—from releasing toxins to improving circulation—those have been fairly nebulous, with little hard evidence. Now, one study, for example, found that a single, 45-minute massage led to a small reduction in the level of cortisol, a stress hormone, in the blood, a decrease in cytokine proteins related to inflammation and allergic reactions, and a boost in white blood cells that fight infection.

Aurora Photos
There’s been a surge of scientific interest in massage. The National Center for Complementary and Alternative Medicine, part of the National Institutes of Health, is currently spending $2.7 million on massage research, up from $1.5 million in 2002. The Massage Therapy Foundation, a nonprofit organization that funds massage research, held its first scientific conference in 2005. The third conference will be in Boston next year.
The research is being driven, in part, by massage therapy’s popularity. About 8.3% of American adults used massage in 2007, up from 5% in 2002, according to a National Health Statistics report that surveyed 23,393 adults in 2007 and 31,044 adults in 2002, the latest such data available. Massage was expected to be a $10 billion to $11 billion industry in 2011 in the U.S., according to estimates by the American Massage Therapy Association, a nonprofit professional organization.
“There is emerging evidence that [massage] can make contributions in treating things like pain, where conventional medicine doesn’t have all the answers,” said Jack Killen, NCCAM’s deputy director.
The massage therapy field hopes that the growing body of research will lead to greater insurance coverage for its treatments. Washington is the only state that requires insurers to cover massage therapy.
Aurora PhotosAbout 8.3% of American adults used massage in 2007, up from 5% in 2002, according to a National Health Statistics report.
Elsewhere, private insurers generally provide very limited coverage for massage. WellPoint, for example, doesn’t include massage as a standard benefit in most of its plans, but employers can purchase alternative medicine coverage as an add on, said spokeswoman Kristin E. Binns. Aetna doesn’t cover massage therapy as a standard benefit but offers members discounts on massage visits with practitioners who are part of an affiliated network of alternative medicine providers. Providers such as chiropractors or physical therapists, whose visits are often covered, sometimes use massage as part of their treatment.
Massage therapists charge an average of about $59 for a one-hour session, according to the American Massage Therapy Association. Treatments at posh urban spas, however, can easily cost at least three times that amount.
Most of the research is being done on Swedish massage, the most widely-available type of massage in the U.S. It is a full-body massage, often using oil or lotion, that includes a variety of strokes, including “effleurage” (gliding movements over the skin), “petrissage” (kneading pressure) and “tapotement” (rhythmic tapping).
Research Findings
- A full-body massage boosted immune function and lowered heart rate and blood pressure in women with breast cancer undergoing radiation treatment, a 2009 study of 30 participants found.
- Children given 20-minute massages by their parents every night for five weeks plus standard asthma treatment had significantly improved lung function compared with those in standard care, a 2011 study of 60 children found.
- A 10-minute massage upped mitochondria production, and reduced proteins associated with inflammation in muscles that had been exercised to exhaustion, a small study last month found.
Another common type of massage, so-called deep tissue, tends to be more targeted to problem muscles and includes techniques such as acupressure, trigger-point work (which focuses on little knots of muscle) and “deep transverse friction” where the therapist moves back and forth over muscle fibers to break up scar tissue.
Massage is already widely used to treat osteoarthritis, for which other treatments have concerning side effects. A study published in the Archives of Internal Medicine in 2006 showed that full-body Swedish massage greatly improved symptoms of osteoarthritis of the knee. Patients who had massages twice weekly for four weeks and once a week for an additional four weeks had less pain and stiffness and better range of motion than those who didn’t get massages. They were also able to walk a 50-foot path more quickly.
“If [massage] works then it should become part of the conventionally recommended interventions for this condition and if it doesn’t work we should let [patients] know so they don’t waste their time and money,” says Adam Perlman, the lead author of the study and the executive director of Duke Integrative Medicine in Durham, N.C.
Scientists are also studying massage in healthy people.
In a small study published in the journal Science Translational Medicine last month, a 10-minute massage promoted muscle recovery after exercise. In the study, 11 young men exercised to exhaustion and then received a massage in one leg. Muscle biopsies were taken in both quad muscles before exercise, after the massage and 2½ hours later.
The short massage boosted the production of mitochondria, the energy factory of the cell, among other effects. “We’ve shown this is something that has a biological effect,” says Mark Tarnopolsky, a co-author of the study and a professor of pediatrics and medicine at McMaster University Medical Center in Hamilton, Ontario.
A 2010 study with 53 participants comparing the effects of one 45-minute Swedish massage to light touch, found that people who got a massage had a large decrease in arginine-vasopressin, a hormone that normally increases with stress and aggressive behavior, and slightly lower levels of cortisol, a stress hormone, in their blood after the session. There was also a decrease in cytokine proteins related to inflammation and allergic reactions.
Mark Hyman Rapaport, the lead author of the study and the chairman of psychiatry and behavioral science at the Emory University School of Medicine in Atlanta, says he began studying massage because, “My wife liked massages and I wasn’t quite sure why. I thought of it as an extravagance, a luxury for only people who are very rich and who pamper themselves.” Now, Dr. Rapaport says he gets a massage at least once a month. His group is now studying massage as a treatment for generalized anxiety disorder.
Knead to Know Tips
• How can you make sure you get a good massage? Most states regulate massage and require therapists to be licensed. This usually requires a minimum number of hours of training and an exam. There is also national certification. Members of the American Massage Therapy Association must have 500 hours of training.
• Ask how many massages a therapist gives a day—and make sure you’re not the 10th or even the seventh. ‘It takes a lot of physical exertion to deliver a therapeutic massage,’ says Ken Morris, spa director at Canyon Ranch, a health resort in Tucson, Ariz. Canyon Ranch limits its therapists to six massages in a day.
Write to Andrea Petersen at andrea.petersen@wsj.com
A version of this article appeared Mar. 13, 2012, on page D1 in some U.S. editions of The Wall Street Journal, with the headline: Don’t Call It Pampering: Massage Wants to Be Medicine.

