How to Give a Proper Relaxation Massage (From a Pro)

Dec 10, 2015 1:39 AM

So, here goes.

I saw the random list of images someone posted on the front page today, and I recognized them immediately. They are strokes from an orthopedic massage book I used when taking classes to become a massage therapist in Ohio. I'm currently an LMT, and if you follow those strokes without any context (especially the neck ones) you could seriously injure someone. Think I'm full of shit? Check out this article:

https://thenanfang.com/man-goes-for-a-massage-in-shenzhen-leaves-paralyzed/

Yes, it's not in the US, but you sure as hell can do the same thing here with a bit of misdirection and overconfidence, which is what that post will give you. I don't mean to bash that person, but unless there's some context and several warnings (which there clearly were not) you're just asking for trouble.

And so, here's a(n incredibly wide) overview of Swedish massage techniques that are generally safe to use. Please see disclaimer, however.

DISCLAIMER: I am an LMT, not a doctor, and none of this is intended to diagnose, advise, or teach. Its intent is to clear the air about relaxation massage, and is not intended as a replacement for a solid massage therapy education. I am not responsible for any harm, physical or otherwise, that comes out of reading this post. If you do use this information, you do so at your own risk. Any contraindications not mentioned ending in harm to you or others is not my responsibility or liability.

Let's talk about Kellogg.

Yes, that Kellogg

Did you know that the guy whose name is on your cereal box promoted massage therapy? Pretty badass, if you ask me. Yes, he did some other wacky stuff, but he's known as the "father of modern massage therapy" so I'm including him here.

Aside from totally inventing Corn Flakes in 1878, John Harvey Kellogg, M.D. (February 26, 1852 – December 14, 1943) was a nut about massage. He went so far as to recommend prostate massage and a lot of "internal" procedures that he claimed worked (and I'm sure they did in some cases) but are way way illegal now.

He was a huge fan of treating ailments such as Formication (the sensation of bugs crawling on the skin) and other insane sounding things.

Anyway...

Contraindications

There are a lot of things that massage therapy can help with in terms of relief, based on physiological and psychological effects, but there are quite a few instances where you should definitely NOT massage someone. Examples include but are not limited to (again, disclaimer!):

Total Contraindications (No Massage-y Massage-y):

Fever
Contagious diseases, including any cold or flu, no matter how mild it may seem
Under the influence of drugs or alcohol-including prescription pain medication
Recent operations or acute injuries
Neuritis
Skin diseases
Congestive Heart Failure
Cancer

Partial Contraindications. Avoid the parts that have this stuff going on on them:

Burns (I hope I don't have to explain this one)
Post Surgery patients (surgical site and any part of the site that is not between the site and the heart. Example, if someone has had surgery on their knee, do not massage below their knee.)
Broken bones (like, duh)
High blood pressure (Any strokes that go towards the heart will increase blood pressure and can increase risk of heart attack, stroke, etc.)
Bruises or any other space that someone says hurts them (in the "it doesn't feel good" way) when you use pressure
Varicose veins
Undiagnosed lumps or bumps
Pregnancy (please NEVER massage a pregnant woman if you are not licensed)
Sunburn
Undiagnosed pain
Inflammation, including arthritis

Areas to not massage on anyone, ever:

Directly over the spine
Always massage one side of front of the neck at one time, never both (Ever pass out from lack of blood flow to the brain?)
Elbow/knee spaces
On the eyes or "in" anything (let's be legal/PG13, here)

And last but not least, always keep a feedback conversation going with the person you're rubbing down. If it hurts, twinges, burns, etc, move on to another place.

Ready for the good stuff?

Stroking - Awwwww, yeah.

No, not that kind, you pervs! This stroke is basically what you do when you run your fingers lightly across someone's stomach before hanky panky time. This is a highly stimulative stroke, and should be done centrifugally (away from the heart.) This means that you move from the shoulders to wrists, hips to ankles, and on the back, shoulders to glutes. Stomachs should be stroked in a clockwise direction, which stimulates digestion.

Friction/Effleurage

Couldn't find a good gif for this one, use your imagination!
I copied this from the internets since it's a great explanation:

Effleurage means long, soothing, stroking movements which are performed using the flat of the hand or fingers. One can apply oil evenly to the entire body using this method. Relax the hands and mould them towards the contours of the body. Apply slightly more pressure when you take the stroke in the direction of the heart to improve circulation and lymph flow. If you are working away from the heart, keep the pressure firmer on the return strokes. Following a fairly slow and continuous movement is essential.

If Effleurage is used at the start of a massage, it helps in soothing and helping your partner get used to your touch. It also gives a relaxing finish, if used at the end of a massage. In between, it helps in providing more stimulating strokes.

Knead Some Bread, or Muscles, or Whatever.

Kneading is exactly what it sounds like. Just knead bread all over them. Awwww yeah. This is an incredibly relaxing stroke, and is usually what you think of when someone mentions a massage. Just take your cues from the kitty cat, and you'll practically be a master!

Kneading Pt. 2

You may be thinking, "That's great and all, but that doesn't really work well for extremities." You are soooo right! Take a look at how this dude is making a duck quack with his hand, and do that to the fleshy part of the extremities. Boom! You're welcome.

There's several other types of strokes in massage therapy, but I wanted to put this up ASAP. If you're interested, PM me, and I'll do another set of these with some more info and some videos I'd find helpful. Until then, you've been schooled!

Part 2: http://imgur.com/gallery/SJlmf

As a certified massage therapist, this was cool to see on here. +1

10 years ago | Likes 5 Dislikes 0

I would like one penis massage please

10 years ago | Likes 9 Dislikes 2

Relax and breathe. Discover THE BEST FREE relaxation music : https://www.youtube.com/watch?v=X5A1Tbfiods&t=2500s

5 years ago | Likes 1 Dislikes 0

I want more

10 years ago | Likes 6 Dislikes 0

Where is Shaun where is my son ?

10 years ago | Likes 2 Dislikes 0

Interesting

10 years ago | Likes 2 Dislikes 0

Only thing I know about massaging is never put pressure on the very last rib.

10 years ago | Likes 2 Dislikes 0

Great point! Those float, so they'll hurt like a mother and/or break at the costochondral joint. Yikes.

10 years ago | Likes 1 Dislikes 0

One of the best gifts I got from an ex. Her knowledge from her attending Message Therapy Courses.

10 years ago | Likes 2 Dislikes 0

Massages are SO worth the money! I swear I almost fell asleep due to pure bliss

10 years ago | Likes 2 Dislikes 0

If you are massaging a really hairy guy, a bed sheet over his skin can keep you from pulling his hair. Source: I'm very fuzzy.

10 years ago | Likes 3 Dislikes 0

that FP post is dangerous. trying to do some of that stuff u could really hurt someone.

10 years ago | Likes 26 Dislikes 3

Cats seem to have these techniques pretty much down.

10 years ago | Likes 9 Dislikes 0

So true!

10 years ago | Likes 4 Dislikes 0

As an LMT, THANK YOU! Many don't realize the harm we can do because we are trained to do the opposite. Our powers are used for good.

10 years ago | Likes 47 Dislikes 1

Is there a book I can read about this stuff? Stuff like how clockwise strokes help digestion..

10 years ago | Likes 2 Dislikes 0

Sorry I'm probably not the best to ask. I mainly use my textbooks which are heavy on anatomy and not a fun read :/

10 years ago | Likes 2 Dislikes 0

Also, Reiki is suitable for everyone and got me the best results as a massage therapy student.

10 years ago | Likes 2 Dislikes 0

Absolutely! I'm a Reiki II practitioner and it's amazing

10 years ago | Likes 2 Dislikes 0

Question! Why can you only massage between the surgical site and the heart when someone is post-op?

10 years ago | Likes 1 Dislikes 0

This helps to reduce inflammation by assisting your veins in bringing "old" blood to the heart to be reoxygenated, and then new blood can

10 years ago | Likes 1 Dislikes 0

travel back to the site. If you massage below that part, it can hinder healing, as you're also pushing lymph (the stuff that heals/fights

10 years ago | Likes 1 Dislikes 0

infection) back to the site and increasing risk of infection that way. Say you have an unknown infection in your toe, and you send the blood

10 years ago | Likes 1 Dislikes 0

to your knee surgery site, then you've increased your chances of infection from something that may not have spread without massage. HTH!

10 years ago | Likes 1 Dislikes 0

Thanks for posting this.Seriously people we go to school and are licensed for a reason, see a professional

10 years ago | Likes 2 Dislikes 0

How to receive a proper relaxation massage: Lay there.

10 years ago | Likes 4 Dislikes 1

Boyfriend is going to Massage school showing him this later. Thanks!

10 years ago | Likes 2 Dislikes 0

I would like to learn as well.

10 years ago | Likes 2 Dislikes 0

@OP I am interested in this "prostate massage" Mr. Corn Flakes came up with please post more info and videos.

10 years ago | Likes 10 Dislikes 2

I have a massage stick that's good for that ;)

10 years ago | Likes 1 Dislikes 0

Poor Kellogg, tells people he can help with "formication", has parents bring him their masturbating children.

10 years ago | Likes 3 Dislikes 0

Kellogg also sewed boys forskins shut and poured carbolic acid on girls clits.

10 years ago | Likes 229 Dislikes 2

Maybe I should get circumcised now, just in case someone like that is still around

10 years ago | Likes 4 Dislikes 0

Also, he stole someones infant child and killed the spouse.

10 years ago | Likes 6 Dislikes 1

*sigh*, sadly yes. Not all of the things he did were badass, unfortunately

10 years ago | Likes 123 Dislikes 1

They were pretty bad, ass things to do though.

10 years ago | Likes 11 Dislikes 0

Wait, did he ACTUALLY do that? I thought he just started the whole circumcising trend to prevent boys from masturbating.

10 years ago | Likes 20 Dislikes 2

HE wrote about doing it in his own book, "Plain Facts for Old and Young". Dude was ridiculous. Don't eat cereal, btw.

10 years ago | Likes 5 Dislikes 0

Circumcision has been around for 1000s of years. He didn't start it

10 years ago | Likes 19 Dislikes 2

He just popularized it in north America.

10 years ago | Likes 13 Dislikes 1

Thank you for providing the daily "imgur comment that makes my butt clench so hard it inverts"

10 years ago | Likes 144 Dislikes 0

Want me to sew it shut for you?

10 years ago | Likes 22 Dislikes 0

No need. The thermal energy from the compression has cauterized it shut.

10 years ago | Likes 10 Dislikes 0

Kinky.

10 years ago | Likes 2 Dislikes 3

"Kellogg also advocated hydrotherapy and stressed the importance of keeping the colon clean through yogurt enemas." His wikipage.

10 years ago | Likes 17 Dislikes 0

I'm way less creeped out by yogurt enema, especially since the yeast can kill virii and bacteria if you are having an issue.

10 years ago | Likes 2 Dislikes 0

Fair enough. Had not looked into any actual medical benefits of it.

10 years ago | Likes 1 Dislikes 0

So that's where "corn flakes" come from

10 years ago | Likes 20 Dislikes 0

NO TONY THEY'RE NOT GRRRRREAT ANYMORE

10 years ago | Likes 1 Dislikes 0

Hows this not have more upvotes?

10 years ago | Likes 2 Dislikes 0

Corn flakes were Dr. John Kellogg's attempt at reducing any and all sexual desire and masturbation, which he viewed as the root of all evil.

10 years ago | Likes 7 Dislikes 0

He also fostered 42 children and adopted 8 of them. I think I might rub one out in their honor tonight.

10 years ago | Likes 5 Dislikes 7

Well that didn't work

10 years ago | Likes 1 Dislikes 0

The first one, did it make their pee come out like water from a shower head?

10 years ago | Likes 7 Dislikes 1

Asking the real questions.

10 years ago | Likes 3 Dislikes 0

Asking the real questions.

10 years ago | Likes 1 Dislikes 0

As soon as I read Kellogg, I came to the comments section to see if this was top comment. Imgur always delivers.

10 years ago | Likes 1 Dislikes 0

I just started massage therapy school and did my first effleurage practical this week. Best decision in my life so far!

10 years ago | Likes 3 Dislikes 0

Still in my early 20s considering doing this but scared I cant make a living doing it. Would you please share your story with me?

10 years ago | Likes 1 Dislikes 0

I'm in the us and work at massage envy. Minimum is 16$/hr plus tips, which are usually 10+. They book you, so no stress there. Just pay 1/

10 years ago | Likes 1 Dislikes 0

Attention in school and learn as much as you can. I don't have a fam to support so I do well working 16 hrs a week plus a small pt job 2/

10 years ago | Likes 1 Dislikes 0

And find your niche. I love sports massage, so I got extra certs in it and can be hired to work on location of events. Can pay VERY well 3/

10 years ago | Likes 1 Dislikes 0

Esp. If hired by colleges. Find what niche you love and your passion will show. If you don't care, your clients will know. Good luck! 4/4

10 years ago | Likes 1 Dislikes 0

I'm certainly not going to be rich but you can live comfortably off of massage therapy.

10 years ago | Likes 1 Dislikes 0

I'm 28 and live in Alaska. TM is on the rise now that most insurance covers it and it's making its name in the med field. Message me :)

10 years ago | Likes 2 Dislikes 0

Good question! IMO, it's best if you own your own business and have others work under you for the most $$. PM if you want more info!

10 years ago | Likes 1 Dislikes 0

You can certainly make a living off of it. I'm currently in school for it in one of the more expensive parts of the US.

10 years ago | Likes 1 Dislikes 0

Ok big question here. I have MS, and have heard good things about massage's effect on it. But neuritis is listed as a contraindication 1/2

10 years ago | Likes 2 Dislikes 0

decrease your symptoms. MS is also linked to wheat allergies, if you're interested in more info, I can point you in that direction. BOL! :)

10 years ago | Likes 2 Dislikes 0

MS is not neuritis, although that's a symptom of MS. MS is contraindicated for those not trained. It's a great way for you to possibly (1/2)

10 years ago | Likes 2 Dislikes 0

If I am having an MS flare and feel paresthesia or neuropathic pain should I seek or avoid massage? 2/2

10 years ago | Likes 1 Dislikes 0

Thanks for the responses. I'm assuming MS neuropathy isn't the same as traditional neuritis, as the damaged nerves are in the brain vs limb

10 years ago | Likes 1 Dislikes 0

I would recommend talking to a MT about it yourself. They will be able to assess your situation personally, and massage may be indicated.

10 years ago | Likes 2 Dislikes 0

When having a flare up, definitely avoid massage, as this could make things worse. When not experiencing flare ups, enjoy!

10 years ago | Likes 2 Dislikes 0

Definitely call/email several therapist.Ask if any of them have had experience,or is willing to do some research,to work within your comfort

10 years ago | Likes 3 Dislikes 0

I'd like to know more, I'm on mobile so I can't PM.

10 years ago | Likes 2 Dislikes 0

Thanks for letting me know! I'm keeping a tally of who wants to know more, I'll get another post out if I get more requests. :)

10 years ago | Likes 6 Dislikes 0

Tally.

10 years ago | Likes 1 Dislikes 0

Tally up anoher one for "more massage posts"!

10 years ago | Likes 1 Dislikes 0

Yay!! Please post more tips and tricks! I'm useless at massages and could use some educated assistance!! (And this was super interesting! :)

10 years ago | Likes 1 Dislikes 0

I hope you do.

10 years ago | Likes 2 Dislikes 0

Kellogg was a quack. Massage feels great, but I get the impression it's mostly pseudoscience. Like chiropractics or acupuncture

10 years ago | Likes 8 Dislikes 5

MT here, There is plenty of pseudoscience (craniosacreal therapy, reflexology, etc.), but there are plenty of empiricist MTs like me too. ->

10 years ago | Likes 8 Dislikes 1

I'm not saying MT is all phony or bad. It's not. But holy smokes it's amazing how much nonsense can creep into therapeutic care

10 years ago | Likes 3 Dislikes 0

You would not believe some of the stuff my colleagues believe. I deal with it everyday, and the pseudo-practitioners cling to it strongly.

10 years ago | Likes 2 Dislikes 0

<- Basically, if an MT says they can "cure" anything, walk away. We can provide relief and alleviate some chronic conditions, but not cure.

10 years ago | Likes 10 Dislikes 1

Like... you don't believe massage can unstuck a neck or a back? Or what do you mean by that?

10 years ago | Likes 2 Dislikes 0

There is a great deal of research in reputable places like PubMed that proves a wide variety of benefits of all three of those practices.

10 years ago | Likes 1 Dislikes 0

Massage has some basic benefits, sure. But lots of placebo going on, particularly with acupuncture.

10 years ago | Likes 1 Dislikes 0

Massage has several basic benefits, quite a few specific ones, and a few people selling snake oil. Acupuncture is in the same boat.

10 years ago | Likes 1 Dislikes 0

You clearly have never had something like a rib put back in place. Bc that's something chiros and LMT do that's pretty far from pseudo

10 years ago | Likes 5 Dislikes 1

Citation needed

10 years ago | Likes 1 Dislikes 0

Urgh. And it hurts like a bitch.

10 years ago | Likes 2 Dislikes 0

Not everything they do is pseudo. Too bad they don't restrict the claims they make.

10 years ago | Likes 2 Dislikes 0

Most legit massage operations aren't claiming crazy shit. But ya there are raki, reflexology etc who are. That's just not a majority

10 years ago | Likes 1 Dislikes 0

@OP, question for you, so when you see pregnant women asking for a foot massage or what have you on TV they should definitely not (1/2)

10 years ago | Likes 2 Dislikes 0

get one? Also what might be a good resource for a layperson to pick a little of this up for, say, a girlfriend I'll probably never have? 2/2

10 years ago | Likes 1 Dislikes 0

I recommend that folks who are not certified in pregnancy massage not do any massage at all. There are believed to be certain points on a

10 years ago | Likes 1 Dislikes 0

woman's body that can induce labor, and it's best to steer clear. Of course, if you're a spouse, then it's up to her. :)

10 years ago | Likes 1 Dislikes 0

Woah seriously? That's really weird to think about, and I might now be suddenly afraid of breathing the wrong way around pregnant women.

10 years ago | Likes 1 Dislikes 0

hahaha! it's mostly superstition, but you never know! Also, massage before the second trimester increases risk of miscarriage. That's the

10 years ago | Likes 1 Dislikes 0

biggest risk, honestly.

10 years ago | Likes 1 Dislikes 0

Good to know. So where would be a good place to find more information on this (if I don't want to go to school for it, that is)?

10 years ago | Likes 1 Dislikes 0