In Germany massage is regulated by the government on a federal and national level. Only someone who has completed 3,200 hours of training (theoretical and practical) can use the professional title "Masseur und Medizinischer Bademeister" or Medical Masseur and Spa Therapist. This person can prolong his training depending on the length of professional experience to a Physiotherapist (1 year to 18 months additional training). The Masseur is trained in Classical Massage, Myofascial Massage, Exercise and Movement Therapy. During the training they will study: Anatomy, Physiology, Pathology, Gynecology, Podiatry, Psychiatry, Psychology, Surgery, and probably most importantly Dermiatry and Orthopedics. They are trained in Electrotherapy, and Hydrotherapy. Hydrotherapy includes: Kneipp, Wraps, underwater Massage, therapeutic washing, Sauna and Steambath. A small part of their training will include special forms of massage which are decided by the local college, for example: Foot reflex zone massage, Thai Massage etc. Finally a graduate is allowed to treat patients under the direction of a doctor. He is regulated by the professional body which regulates Physiotherapists. This includes the restriction on advertising and oath of confidentiality to clients.[citation needed]

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While on vacation in Las Vegas, my upper back, shoulders, and neck were starting to get tired/tight from me lugging around my camera gear (DSLR camera, battery grip/pack, & speedlight flash) around my neck for 4 days at roughly 4 hours each day. My legs and feet were also tired from all the walking, standing, and running on the Strip. I was looking for a massage and the place that I was staying at offered massages but I found the prices to be too expensive. I had also tried the water massage beds offered in some malls (including the Showcase Mall) and although those water massage beds were relaxing, I preferred a more firm, deep tissue type massage to try to get rid of the knots that I was sure were building up in my shoulders & upper back. As luck would have it, there was a discussion forum about firm, deep tissue massages in the Las Vegas Talk forum. I checked out the prices and the review and called to make an appointment. Even factoring the Lyft ride to/from the place, I calculated the price to be less than how much it would cost me to get a similar type massage at the place I was staying at or any Strip hotel spa. I arrived early and was told that I should come back in ~30 minutes. Since the temperature was cold outside, I asked if I could stay inside and there wasn't an issue. I was told that I could lay on the bed while I waited but I decided I would just sit there. I used the Yelp app on my phone to check in and there was a discount. I spoke with the person behind the counter about the discount and I was informed that because I wanted a 90 minute massage and the 90 minute massage was already discounted, it would not apply. When the person was ready I was escorted to the room. Inside the room there were 2 massage beds. I was asked how long I wanted and I mentioned that I wanted 90 minutes. I was then asked to undress and go underneath the towel. I was told that this place also specializes in back walking so I requested a few minutes of that. Above the massage tables are 2 bars so the massage therapist can hold on as to not apply all her weight on the customer. I thought that I could handle firm massages but Kim gave me one of the firmest, deep tissue massages that I've ever experienced. The oil that she used had a burning and soothing feeling to it. Part of the 90 minute massage also involved stretching certain muscles. At the end of the 90 minutes, even though I was a little bit sore from the deep tissue massage, I felt a lot better. When the massage was over, I got dressed, went to the front counter, and paid as well as left a tip. While I used the Lyft app on my phone to get ride to get back to the Strip, I was offered a loyalty card. The only thing about the loyalty card is that it was created/made for 60 minute massages and not 90 minute massages since a 90 minute massage only gets 1 stamp on the card. If you like firm (deep tissue) massages, this is the place to go.
Although there is a standardized system of training Thai traditional medicine in Thailand the control of medical practice is not well guided by local governmental agencies.[11,12] This has led to a situation where laypersons without degrees are practising Thai traditional massage. Although a legal framework to control of Thai massage medical centers and massage shops is available, the massage is also widely conducted in other settings without control. Also, since Thai traditional massage has ethnic and cultural connections, people tend to accept it out of belief, not knowledge. Standardization of the massage is an issue and when done, it can bring about greater acceptance of the massage system.
I had heard so many positive things about this place from friends, but am not really into the walking on my back and popping my joints scene so I avoided it. Fast forward to today my lower back was in so much pain I could barely move. My normal massage guy was booked, so I relented. BEST DECISION!! Noy eased by back pain, and eliminated knots I didn't even know I had. I will be going back here soon. Noy was magic.

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This place can be heavenly with the right massage therapist!!! My body tends to be tight and I really need that  deep tissue, good pain that comes from very strong pressure, which is why I seek Thai body massage. Anna is absolutely amazing, excellent at deep tissue/ strong pressure massage--a true healer. Anna likes to help people feel better and her intuitive massage skills, vibe and words confirm this. Anna is very strong and called herself a "knot buster," which is wonderful and true! She found knots and sore spots and broke them. I feel so much better in my body. I've been to her a few times and left very happy and satisfied each time.
Sometimes confused with pressure point massage,[10] this involves deactivating trigger points that may cause local pain or refer pain and other sensations, such as headaches, in other parts of the body. Manual pressure, vibration, injection, or other treatment is applied to these points to relieve myofascial pain. Trigger points were first discovered and mapped by Janet G. Travell (President Kennedy's physician) and David Simons. Trigger points have been photomicrographed and measured electrically[70] and in 2007 a paper was presented showing images of Trigger Points using MRI.[71] These points relate to dysfunction in the myoneural junction, also called neuromuscular junction (NMJ), in muscle, and therefore this technique is different from reflexology, acupressure and pressure point massage.

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