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Massage is the manipulation of superficial layers of muscle and connective tissue to enhance the function and promote relaxation and well-being. The word comes from the French massage "friction of kneading", or from Arabic massa meaning "to touch, feel or handle" or from Latin massa meaning "mass, dough". In distinction the ancient Greek word for massage was anatripsis , and the Latin was frictio .

Massage involves acting on and manipulating the body with pressure – structured, unstructured, stationary, or moving – tension, motion, or vibration, done manually or with mechanical aids. Target tissues may include muscles, tendons, ligaments, skin, joints, or other connective tissue, as well as lymphatic vessels, or organs of the gastrointestinal system. Massage can be applied with the hands, fingers, elbows, knees, forearm, and feet. There are over eighty different recognized massage modalities. The most cited reasons for introducing massage as therapy have been client demand and perceived clinical effectiveness.

In professional settings massage involves the client being treated while lying on a massage table, sitting in a massage chair, or lying on a mat on the floor. The massage subject may be fully or partly unclothed. Parts of the body may be covered with towels or sheets.

History

Ancient and medieval times

Writings on massage have been found in many ancient civilizations including Rome, Greece, India, Japan, China, Egypt and Mesopotamia. A biblical reference from c.493 BC documents daily massage with olive oil and myrrh as a part of the beauty regimen of the wives of Xerxes (Esther, 2:9-12). Hippocrates wrote in 460 BC that "The physician must be experienced in many things, but assuredly in rubbing".

The Ancient Chinese book called Huangdi Neijing by the Yellow Emperor recommended "massage of skin and flesh". The technique of massage abortion, involving the application of pressure to the pregnant abdomen, has been practiced in Southeast Asia for centuries. One of the bas reliefs decorating the temple of Angkor Wat in Cambodia, dated circa 1150, depicts a demon performing such an abortion upon a woman who has been sent to the underworld. This is believed to be the oldest known visual representation of abortion.

In Romania some illnesses were treated by a massage in which the client was trodden on by a tame bear.

Modern times

China: In modern times, massage in China has developed by absorbing western ideas into the traditional framework. It is widely practiced and taught in hospital and medical schools and is an essential part of primary healthcare.

United States: Massage started to become popular in the United States in the middle part of the 1800s and was introduced by two New York physicians based on Per Henrik Ling's techniques developed in Sweden.

During the 1930s and 1940s massage's influence decreased as a result of medical advancements of the time, while in the 1970s massage's influence grew once again with a notable rise among athletes. Massage was used up until the 1960s and 1970s by nurses to help ease patients’ pain and help them sleep.

Because it is illegal to advertise or offer sexual services in much of the United States, such services are sometimes advertised as "massage," hence the rise of the term "massage therapy" in an attempt to provide a distinction between sexual and non-sexual services.

United Kingdom: Massage is popular in the United Kingdom today and gaining in popularity. There are many private practitioners working from their own premises as well as those who operate from commercial venues.

Massage in sports, business and organizations: The 1996 Summer Olympics in Atlanta was the first time that massage was offered as a core medical service. Massage has been employed by businesses and organizations such as the U.S. Department of Justice, Boeing and Reebok.

Equipment

Tables and chairs

Specialized massage tables and chairs are used to position clients during massages. A typical commercial massage table has an easily cleaned, heavily padded surface, and a horseshoe-shaped head support that allows the client to breathe easily while lying face down and can be stationary or portable. An orthopedic pillow or bolster can be used to correct body positioning.

Ergonomic chairs serve a similar function as a massage table. Chairs may be either stationary or portable models. Massage chairs are easier for the practitioner to transport than massage tables, and clients do not need to disrobe to receive a chair massage. Due to these two factors, chair massage is often performed in settings such as corporate offices, outdoor festivals, shopping malls, and other public locations.

Oil

Many different types of oils can be used including fractionated coconut oil, grape seed oil, olive oil, almond oil, macadamia oil, sesame oil, pecan oil, and mustard oil. Aromatherapy oils such as neroli oil and pine oil can also be mixed with carrier oils. Salts are also used in association with oils to remove dry skin.

Massage methods

Practitioners of massage include massage therapists, athletic trainers and physical therapists. Massage practitioners work in a variety of medical and recreational settings and may travel to private residences or businesses. Contraindications to massage include deep vein thrombosis, bleeding disorders or taking blood thinners such as Warfarin, damaged blood vessels, weakened bones from cancer, osteoporosis, or fractures, and fever.

Acupressure

Main article: Acupressure

Acupressure (a blend of "acupuncture" and "pressure") is a traditional Chinese medicine (TCM) technique derived from acupuncture. In acupressure physical pressure is applied to acupuncture points by the hand, elbow, or with various devices.

Anma

Main article: Anma

Anma is a traditional Japanese massage involving kneading and deep tissue work.

Ayurvedic massage

Ayurveda is a natural health care system originating in India that incorporates massage, yoga, meditation and herbal remedies. Ayurvedic massage, also known as Abhyanga is usually performed by one or two therapists using a heated blend of herbal oils based on the ayurvedic system of humors.

Balinese massage

Balinese massage techniques are gentle and aim to make the patient feel relaxed and calm throughout. The techniques include skin folding, kneading, stroking,and other techniques. The massage therapist applies aromatheraphy oil throughout the massage. A patient's blood, oxygen and energy flow is said to increase as a result of the treatment. Balinese hot stones are an option.

Barefoot Deep Tissue

Barefoot Deep Tissue also known as Barefoot Compressive Deep Tissue, or Barefoot Sports Massage, is a blend of Eastern barefoot techniques, such as Barefoot Shiatsu Massage, coupled with Western manual medicine, encompassing Deep Tissue, Myofascial Release, Trigger Point Therapy, transverse friction, compression, tension, shear, PNF, stretching, as well as parasympathetic response, on clothed clients using no oil. Dara Torres, 41-year old Olympian, received barefoot compression massage on a daily basis in her training program.

This modality typically uses the heel, sesamoid, arch and/or whole plantar surface of foot, and offers large compression, tension and shear forces with less pressure than elbow or thumb, and is ideal for large muscles, such as in thigh, or for long-duration upper trapezius compressions. The unclothed cousins of this modality are Keralite, Yumeiho, Barefoot Lomi Lomi, Fijian Barefoot, Chavutti Thirummal.

Ashiatsu Oriental Bar Therapy, which is a form of barefoot effleurage, combines western science and contemporary American ingenuity, for therapists who specialize in deep tissue work using Swedish techniques performed by the massage therapists feet.

Bowen therapy

Bowen technique involves a rolling movement over fascia, muscles, ligaments, tendons and joints. It is said not to involve deep or prolonged contact with muscle tissues as in most kinds of massage, but claims to relieve muscle tensions and strains and to restore normal lymphatic flow. It is based on practices developed by Australian Tom Bowen.

Breema

Main article: Breema

Breema bodywork is performed on the floor with the recipient fully clothed. It consists of rhythmi

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