A 2004 systematic review found single applications of massage therapy "reduced state anxiety, blood pressure, and heart rate but not negative mood, immediate assessment of pain, and cortisol level", while "multiple applications reduced delayed assessment of pain", and found improvements in anxiety and depression similar to effects of psychotherapy. A subsequent systematic review published in 2008 found that there is little evidence supporting the use of massage therapy for depression in high quality studies from randomized controlled trials.
Burynski came home and saw how quickly she could help clients with chronic problems. As she began to integrate Thai massage stretches into her table massage, her clients would speak up: “That feels amazing,” they would say. Eventually, Burynski returned to Thailand for further instruction, and then went on to become an instructor, opening her own Thai massage school, Living Sabai, in Asheville.