I think I can say with confidence that most Thai massages in the US would be not processed 100%. These types of extreme massages can't be administered to the full extent what authentic Thai massages can actually do. Is just too painful or better very uncomfortable and ones have to love the torture it brings to the table.  Clients want to be comfortable and pampered (I do at least, lol).
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.
A licensed massage therapist should ask you about your health history before the massage. Thai massage may not be safe for someone with health conditions such as disk herniation, osteoporosis, recent surgery, or cardiovascular disease. If you're considering trying Thai massage, it's a good idea to check with your healthcare provider before getting treatment to discuss whether it's appropriate for you.
Deep tissue massage is a focused, therapeutic massage that targets muscle knots (also known as "adhesions") and specific problem areas in the deeper layers of muscle and connective tissue. Using deliberate, slow strokes or friction across the grain of the muscle, the therapist addresses chronic tight or painful muscles, repetitive strain, postural problems, or injuries.
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