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Your First Massage Therapy Appointment

What to Expect.

Going to your first appointment with a massage therapist can feel a bit daunting. Part of the reason it feels this way is not knowing what to expect or what it will entail. There is no reason to feel embarrassed or self-conscious as our only goal is to help you feel better. 

Most people end up wondering why they waited so long to give massage therapy a try.

About Massage Therapy

Massage therapy can help decrease the effects of stress and alleviate chronic pain. Massage therapy treatment of acute injuries can also prevent issues from becoming chronic ones.

A massage therapy treatment has a therapeutic effect on the body and optimizes health and well-being by acting on the muscular, nervous and circulatory systems.

Modern massage techniques can be traced back to the 1700’s and the development of Swedish Massage, the first systematic method of therapeutic massage based on physiology. Today massage therapists use their knowledge of anatomy and physiology to combine Swedish and modern massage therapy techniques with remedial exercise and other therapies to treat their clients.

What to expect for your first Massage Therapy treatment.

Intake

Going to your first appointment with a massage therapist can make some people feel anxious. Sometimes this is because it is an unknown and is something that is new to them. And sometimes people feel self-conscious about their bodies or a hesitancy to receive touch from a person they don’t know.

Massage therapists see and work with bodies of all shapes, sizes, and conditions. We do the work we do because we want to help people feel better in their bodies and in life. There is no reason to feel embarrassed or self-conscious as we are used to seeing bodies in every way they present and our only goal is to help you feel good in yours. Many massage therapists work in rooms with dimmer lighting (you can ask about this beforehand if it’s a concern). The hands-on work we do is therapeutic and should always feel good and safe. If it doesn’t, please know that you can ask the therapist to stop at any time.

When you arrive there will be a health history form for you to fill out which usually takes about 5-10 minutes prior to your appointment time. The health history form will ask for your contact information and will include general and specific questions about your past and current health status such as your current medications, past surgeries, and any allergies you may have. You will also be asked about any familial health issues. It is helpful to bring a list of any medications that you are regularly taking and any medical or imaging reports which may be relevant to the treatment you are seeking.

During the initial intake, your massage therapist will have a conversation with you to discuss your areas of concern and your treatment goals. It can be helpful to provide information relating to any regular activities you participate in (repetitive physical aspects at work, sports, etc.). Within the context of your lifestyle and full medical history, your massage therapist will create an individualised treatment plan and explain the methodology and the process in detail.

Areas of your body that will be included in the treatment will be discussed and agreed upon prior to the initiation of the treatment. 

If you have any questions or concerns prior to, or during the session please always speak up. Your massage therapist wants you to be comfortable and informed. You continue to have the right to stop or alter the treatment at any time if you are uncomfortable, and feedback helps the therapist to help you.

Treatment

Your massage therapist will leave the room and let you get undressed to your level of comfort and make yourself comfortable on the table. The table will have at least two sheets on it that you will lie between so that you are covered up when they come back into the room.

Massage therapists usually use a lotion or oil on bare skin for all or most of the treatment session. We are able to work through clothing if necessary. Clients are positioned for comfort on the massage table and are always securely covered with sheets apart from the specific area of the body being worked on at any given time. The therapist may need to position you in various ways to access specific muscles and this repositioning should always be comfortable for you. It is most helpful to let the therapist move you passively, so the more relaxed your muscles are the easier it is for them to do the work. (Sometimes it is hard to relax, and that is okay too.)

You should always feel comfortable and know that you can voice any questions or concerns at any time.

Post-treatment

After the treatment, the massage therapist will discuss what they have found, and will suggest a plan for treatment moving forward. That will most often involve setting up another appointment within a suggested timeline and possibly some remedial exercises or home treatments for you to do until then.

After a treatment focused massage it is not unusual to be a bit sore for a day or two afterwards. This soreness often doesn’t occur until the following day. While some soreness can be expected (depending on the treatment), it should not be acutely painful or debilitating in any way. If you experience these side-effects you should let your massage therapist know (if severe) or mention it to them at the next appointment. It is more common to have some soreness after your first massage than it is for subsequent treatments.

After receiving your first massage therapy treatment you usually can’t wait for your next one!

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Benefits of Relaxation Massage

Sometimes gentle is better.

If you are like many people, when you think about scheduling a professional Massage Therapy treatment, you may automatically think of deep therapuetic work to directly address specific physical issues or dysfunction. “Deep tissue”, treatment-focused or sports-oriented techniques tend to provide more pressure, possibly some discomfort during the work, and perhaps make you feel like you are receiving more “tangible” results from the session.

However, there are also substantial health benefits to receiving a more gentle, relaxation massage. Just because a relaxation-focused massage feels less “deep” or more superficial, it still packs an amazing array of benefits for your health and well-being. These benefits can include increasing blood circulation, improving digestion, slowing down the sympathetic nervous system (in charge of our “fight or flight” response) and can help you sleep better by relieving small aches and pains in the body.

Gentle massage techniques stimulate sensory nerve endings in the skin, which then transmit messages through the nervous system and cause the brain to release a particular chemical that acts as a natural painkiller. These endorphins can help create a sense of well-being, and being touched by another human can have positive effects on cognition, empathy, and mood.

Massage further aids relaxation by stimulating the body’s parasympathetic nervous system, sometimes called the “rest and digest system.” Blood pressure decreases, your heart rate slows, and digestive activity speeds up. 

Relaxation massage also increases blood circulation and stimulates the body’s lymphatic system, which carries away waste products.

Because the work is less focused and less “intense”, relaxation massage is appropriate in more situations for individuals with sensory issues, systemic conditions or the elderly and those in poor health. However, it is always advised to speak to your medical doctor before receiving massage in these instances, and always be clear about any health conditions or concerns when planning a treatment with your RMT.

Relaxation massage is not a “lesser” massage, it’s just different. And can be useful in situations when your focus is on decreasing mental anxiety, reconnecting with your physical self, and decreasing the effects that life stress is having on your body. These things that we all need to prioritize and must make an extra effort with during challenging times.

Glass ball on beach against a peaceful sunset, the ocean and sky are inversely reflected in the ball.
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Reiki

Reiki is a Japanese modality of healing which channels “life force energy” through the Reiki practitioner and which is then transmitted to another person by “laying on hands”.

The origin of the word Reiki comes from two Japanese words. “Rei” means “God’s Wisdom” or a “Higher Power”, and Ki “means life force energy”. The term Reiki represents life force energy that is being spiritually guided.

Although the technique is spiritual by nature, it is not dependent on any particular belief system and is not affiliated with any religion.

The practitioner is guided by intuition as well as the body’s chakra system while transferring the Reiki energy to the recipient. Reiki helps attune the chakras (link to Chakras post when written) and the intention is to create a more optimal balance within all of the energy centres for the individual receiving the treatment.

Reiki can be an effective modality for stress reduction and relaxation, and because it is received passively it is suitable for everyone regardless of health status.

Reiki energy “goes to” wherever it is needed most at the time. It can affect a recipient physically, emotionally, mentally and/or spiritually.

A Reiki treatment usually feels like a comforting, radiant glow that flows through you and around you. Many people report feeling like they “just got back from vacation” after a session. A general sense of well-being and inner peace is a common outcome from a Reiki treatment.

open hands radiating a glowing orb of light
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Swedish Massage

The basics

Massage therapy can help decrease the effects of stress, alleviate chronic pain and treat injuries. It is also an amazingly effective way to get back “in touch” with your body.

When we are stressed out, overwhelmed or just too busy, it is easy to become detached from our body awareness and live primarily in our head or in our emotions. Reconnecting our mind and spirit with our body has a grounding effect, and helps us to remember to treat ourselves as a “whole”. Being more in tune with how our body is feeling and moving also helps us to be more conscious of better choices we can be making in our daily lives in terms of nutrition, posture, and activity.

Swedish massage is a broad term that encompasses a group of manual techniques that include applying fixed or movable pressure, holding, and/or causing movement of or to the body. While massage therapy is applied primarily with the hands, sometimes the forearms or elbows are used. 

Swedish massage uses a system of long gliding strokes, kneading, and friction techniques on the more superficial layers of muscles. It is used to promote general relaxation, range of motion, and to relieve muscle tension. Swedish massage is the most commonly used form of massage.

This style of massage is most often performed by the practitioner using an oil or lotion to lubricate and allow for both glide and also a bit of friction against the skin.

In future posts I will be delving more deeply into various Swedish massage techniques, and will be covering topics such as appointment procedures, professional ethics and etiquette, as well as suggesting a variety of techniques, massage-related tools and even options for topical lotions and oils that you can use at home.

Hands on a woman's back, giving a massage.