My boyfriend booked our first full body Thai couples massage (literally our FIRST massage experience) here at Siam Thai. We've heard about many massage places but decided to have it here due to the various options and two different atmospheres (modern and vintage) at the Century Center. There's a private lot to park at. The fee (no matter how long we park) is $2 flat! Just don't forget to get it validated prior to leaving. He made a night reservation at their "modern" location for my birthday. We walked into the room and was greeted with a lovely scent, great night view of Waikiki, and a beautiful heart design to take pictures of/with. After entering, don't forget to take your shoes off! We were greeted by the owner, Tanya, and offered water as soon as we entered and waited for our room. She kept us company and led us to our room with two massage beds and another grand view. We were instructed on how to prepare as we waited a little longer for our masseuses to arrive. Being the awkward first timers we were, we actually didn't know what to actually do and expect. But our masseuses, Mary and Claudia, were very patient with us! Mary, my masseuse, began on my upper back and worked her way down to my legs and then arms (my favorite part). And surprisingly, I had a lot of knots, especially on my upper back. There were these two knots that would not budge unless I got the really deeeeep massage (but my body's too weak). Mary tried her best to press out my knots without hurting me (thumbs up to her!). She put coconut oil over my body as she worked, making it easier for area transitions. The oil felt more like a lotion combination, smoothing and rejuvenating my skin. In the end, we were offered water or tea. Siam Thai definitely takes pride in caring for their customers! My boyfriend and I really enjoyed our time at Siam Thai and will definitely be back for more massages. Especially trying to press those knots out of my upper back! The interior was beautifully done, service was superb, and the massage was excellent. Next time, we'll try out their other services!
Friendly ladies! My first time Thai massage ever (although I've had plenty of Swedish and deep tissue massages in the states). After walking miles and miles a day exploring and long flight here, my body was aching and this is exactly what I needed. I booked a 90 minute Thai massage and the cost was 9000 Yen (she gave me a 10% discount though) I messaged through yelp and confirm my reservation easily.
Typically, Thai massage is more rigorous than other forms, which also makes it more energizing. It is also referred to as Thai yoga massage because the massage therapist may use his or her arms, knees, and feet in addition to hands in order to manipulate the muscles through yoga-like movements. Some massage therapists may also use acupressure during sessions.
My fiancee and I got a couple's massage this weekend, utilizing their fall special, and we had a great experience. We're first timers to spas in general, but we were met with a kind staff who gave us good direction and communicated well. The massage itself was great. Head to toe and definitely worked out all the kinks I had in my body. Both of us felt so relaxed after the 90 minutes were up. And they give you an option of a hot tea or water after the massage is complete.

One of the best massages of my life! We went here during our trip to Tokyo to celebrate my husband's birthday. I was able to easily schedule an appointment online and they were ready for us as soon as we arrived. They welcome you with tea and then show you to the massage area. We booked a 60 minute couples aromatherapy massage and it was glorious especially after the long flight. I highly recommend this place if you are visiting Tokyo

Neuromuscular therapy is a form of soft tissue manipulation that aims to treat underlying causes of chronic pain involving the muscular and nervous systems. This medically oriented form of massage addresses trigger points (tender muscles points), circulation, nerve compression, postural issues, and biomechanical problems that can be caused by repetitive movement injuries.
Massage developed alongside athletics in both Ancient China and Ancient Greece. Taoist priests developed massage in concert with their Kung Fu gymnastic movements, while Ancient Greek Olympians used a specific type of trainer ("aleiptes")[25] who would rub their muscles with oil. Pehr Ling's introduction to massage also came about directly as a result of his study of gymnastic movements.
However for the past couple days, they ignored my email, Yelp message and text message. I decided to call. On the phone they tried to dodge things still, which seemed questionable at best (possibly shady). However supposedly they will honor the order confirmation that I received. Again the issue is not that my brother did not receive the email. It was everything that followed.

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I received a warm and friendly greeting at the entrance. The decor and smells was very relaxing and a sight to remind of a traditional Thai massage spot. I was lucky to get a same-day Thai massage because this place accepts appointments only. The place is moderately sized and I feel the clientele defaults to a 60 min which was what I took and was well worth it.
After our long drive from San Diego my husband and I wanted to start our vacation off right. We called and made appointments the same day we were arriving into town. We had the couples massage and it was awesome! The massage room was very clean and everything smelled nice. The ladies both did a great job. We would definitely return the next time we are here.
Acupressure [from Latin acus "needle" (see acuity) + pressure (n.)[29]] is an alternative medicine technique similar in principle to acupuncture. It is based on the concept of life energy which flows through "meridians" in the body. In treatment, physical pressure is applied to acupuncture points with the aim of clearing blockages in those meridians. Pressure may be applied by fingers, palm, elbow, toes or with various devices.

4. Make sounds. The intensity of a Vietnamese massage is partly due to the various groans and shouts that the masseuse makes while carrying out the techniques. There’s more power in a movement when you exhale and let your voice loose. When you make contact with the skin, release a grunt or a roar that signifies the effort you’re putting into the act. Each movement should be accompanied by its own sound. The combination of skin pounding and slapping with your vocal exhalations is what makes the experience exciting for your partner.

They also have a punch card - get 1 massage free after every 10 massages. It is $70/hour without tip and it is worth every penny. Technicians are never lazy and they work real hard the entire time (no taking 5 minutes to bring a towel, walking in/out, or getting lazy just patting your back for a few minutes). I really enjoy the place and I can't wait to go back

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Sciatic nerve pain is experienced by many women in late pregnancy as the uterus rests on muscles of the pelvic floor and lower back. The pressure of the uterus spreads tension to the muscles of the upper and lower legs, causing them to swell and put pressure on nearby nerves. Massage therapy addresses the inflamed nerves by helping to release the tension on nearby muscles. Many women have experienced significant reduction in sciatic nerve pain during pregnancy through regular massage. Other potential benefits of prenatal massage include: reducing back pain, joint pain, muscle tension, headaches, stress, anxiety and promoting blood circulation by improving oxygenation of soft tissues and muscles.
If you’re looking for a great massage this is the place. The place is very clean and quiet. You can request male or female if you have a preference and the prices are great! You can’t beat them. The massages are awesome, I never feel cheated and always wish I had made my appointment longer- sometimes even add time. They really listen to what you want and like. If you prefer a light massage or deep muscle work. They’ll even walk on your back if you’re ok with that, they always ask ahead of time. There is no rush either. They let you know the time the exact moment they start and they massage to the second of the hour or two hours you are paying for, sometimes even over.
I was excited to see Thai Massage has made it to PCB. I was also excited to discover what a gem this place is. After inquiring of my problem areas, Serie suggested I select Thai / Deep Tissue combo. Without a doubt, it was one of the most professional, healing massages I have experienced. Serie is most gracious and knowledgeable and obviously loves her profession. If you are looking for a healing, therapeutic and relaxing massage, you MUST call Serie. As a finishing touch, she will serve you a most delicious, personally steeped cup of lemongrass tea to compliment the massage. Oh, and those wonderful warm towels!!! Don't pass this place up!! Your mind and body will thank you!
Whoa! Did that just happen? Mind blown! Datchy was not playing games. Easily one of the best massages I've ever had and I've had a lot of massage.  Don't be the last to know. She's an artist. If I had to find something to complain about it would have to be the frigid temp. She made every attempt to keep me covered by multiple blankets but it was still chilly chill chill.
Mary, my masseuse, began on my upper back and worked her way down to my legs and then arms (my favorite part). And surprisingly, I had a lot of knots, especially on my upper back. There were these two knots that would not budge unless I got the really deeeeep massage (but my body's too weak). Mary tried her best to press out my knots without hurting me (thumbs up to her!). She put coconut oil over my body as she worked, making it easier for area transitions. The oil felt more like a lotion combination, smoothing and rejuvenating my skin. In the end, we were offered water or tea. Siam Thai definitely takes pride in caring for their customers! 

Came here needing a good massage after receiving a very weak massage while on vacation. Had a 60 min Thai massage with a male masseuse. If you like hard pressure, you can't go wrong with this massage. My masseuse really used firm pressure to target the knots in my shoulders. After an hour of this, my whole body felt a lot better. I'll definitely be coming back on a regular basis for these awesome massages
Traditional Thai Medicine (TTM) was developed over thousands of years ago. Influenced by ancient Indian Ayurveda and Chinese practices, it includes proper nutrition, physical exercise, medicinal herbs and therapeutic massage. Traditional Thai Massage, or Nuad Phaen Boran, is based on pressure points along energy (sen) lines of the body which power physical, mental and emotional processes. Energy imbalances can disrupt the body’s harmony causing pain and disease. Our practitioners massage along energy (sen) lines and use Thai medicinal herbs to break energy blockage, stimulate circulation and restore health & well-being.
Tui na is a branch of Chinese medicine, which looks at the underlying causes of pain and illness as well as the symptoms. Because Tui na massage can be very relaxing, it is particularly useful to relieve anxiety and stress, promote relaxation and aid sleep. Like other forms of massage, it can be used preventatively, to encourage the movement of Qi (vital energy) and Blood. Tui na can be used in conjunction with the other branches of traditional Chinese medicine such as Acupuncture.
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For the last 15 years, Thierry has travelled throughout Thailand, Australia and Europe to deepen his studies. He has trained in Shiatsu and Oriental Medicine, Massage Therapy and among his many teachers are Pichest Boonthumee master of Traditional Thai Massage, Krishnataki, David Lutt co-founder of OsteoThai and Eyal Lederman of oscillatory and harmonic osteopathy.

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Prior to gaining momentum in the U.S. as a popular modality, Thai massage schools in Thailand taught 60-hour certification courses, and teacher training was available for an additional 60 to 70 hours. Now, certification can be had around the world from the traditional 60 hours up to 500 hours, leaving massage therapists to make their own choices as to what is sufficient training.
In addition there are many professional bodies which have a required minimum standard of education and hold relevant insurance policies including: the Federation of Holistic Therapists (FHT),[111] the Complementary Therapists Association (CThA),[112] and the Complementary Health Professionals (CHP).[113] In contrast to the CNHC these bodies exist to support therapists rather than clients.
A good massage is truly a treat and offers many health benefits, but as you've noted, massage places tend to offer lots of options on their services menus. In fact, there are over 200 different massage techniques and types, all treating different needs and providing various benefits. Let's break it down. Here are nine of the most popular types of massages and when you might want to choose them.
After experiencing the art of traditional Thai massage in the “professional Thai massage for health” course, this sophisticated course provides serious training to show the students the original aspiration and full potential of Thai massage. Massage as a traditional Thai medical practice is able to cure diseases and restore health. The students will study the required methods and techniques to treat at least 25 ailments; e.g. frozen shoulder, carpal tunnel syndrome, stiff neck, ankle and wrist sprain, etc.
We offer the finest treatments at reasonable prices. Our signature treatment, an Authentic Thai massage, has been a favorite among our clientele. Other popular services include facials, deep tissue massages, Swedish massages, and waxing treatments. You will be in good hands at our spa. Our professional and friendly staff provide the best possible services in a calm and pleasant atmosphere.
Thai massage isn’t nicknamed “yoga for lazy people” for nothing. Clients such as Pete who are into performance don’t necessarily take adequate time for stretching compared to how hard they push their bodies. Roger still isn’t totally comfortable with taking his clothes off and he likes that some of the Thai stretches he can do at home in between treatments.
Siam's location is in mid-Market; not the best location and parking can be a challenging (best to use Uber or Lyft).  But inside the environment is very serene with wood interior and the sound of water flowing.   They have a large number of masseuses here at any given time- I believe ~8 so they often have availability, provided you schedule.  Cost is $90 for a 1 hour swedish oil massage, and $5 discount if you pay by cash.  Some of the masseuses have their own unique hours; for example Judy often starts at 2 PM on.  You can also request a massage table if you prefer (which is elevated and I find allows for better breathing), versus the ground mat that is common in thai massage.  Siam also has a steam room which is extra and showers.  
This place is in a strip mall, so the first time, I wasn't sure what to expect. Inside, it is small, but comfortable. The massage, was wonderful. The rooms are private. My masseuse was incredible. People ask me what a Thai Massage is. I say it is similar to a regular massage, but with yoga where they do the work for you. They bend and stretch you to get all those kinks out. This has become one of my favorite massage parlors. I always leave feeling refreshed.
For routine general health and well-being. Full body massage using pressure points with passive yoga stretching. No oil is used. At Suchada, we perform authentic traditional Thai massage the way it is practiced in Thailand. The massage is done on a mat with the client fully-clothed. In Thailand, a traditional Thai massage session last two hours. For your best experience, we recommend a 2 hour combination of a Thai massage and foot reflexology. $73 / 1 hr. $110 / 1.5 hrs. $140 / 2 hrs.
Forty-three states, the District of Columbia and five Canadian provinces currently offer some type of credential to professionals in the massage and bodywork field—usually licensure, certification or registration.[78][117] Thirty-eight states and the District of Columbia require some type of licensing for massage therapists.[118] In the US, 39 states use the National Certification Board for Therapeutic Massage and Bodywork's certification program as a basis for granting licenses either by rule or statute.[119] The National Board grants the designation Nationally Certified in Therapeutic Massage and Bodywork (NCTMB). There are two tests available and one can become certified through a portfolio process with equivalent training and experience.[120] Between 10% and 20% of towns or counties regulate the profession.[96] The National Certification offered by the NCBTMB does not mean that someone can practice massage in any state.[121] These local regulations can range from prohibition on opposite sex massage, fingerprinting and venereal checks from a doctor, to prohibition on house calls because of concern regarding sale of sexual services.[96][122]
Ive had massages all over the country from Hawaii and Cali to New York and Jersey as well as Philippines and Guam ... Anna, Noi and Choi from Thai Spa 2 are hands down the best thai masseuse's I've ever experienced. I prefer deep, strong massages ... and the strength of any of these 3 can make u cringe, but i love it! Once you try thai, u'll forget about any other types of massages! 

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. If you don't like intense pressure and pain therefrom, Marisa is better for you. One day I got a Groupon (15 min foot, 60 min thai body massage, and steam room access) and went to book with someone Yelp said did deep tissue well, rainy, because Anna wasn't available. I booked with rainy but was given Marisa, whose massage was nice but gentler and did not meet my expectations for extreme deep pressure and good therapeutic pain from tension dissolving in knots. I later found out if you're asked if you prefer a male or female massage therapist at check in, when you already booked a particular person online, then you won't be getting who you requested, so double check who you're getting if that happens to you if you're expecting to get a specified massage therapist. After I expressed I didn't feel satisfied from that massage with Marisa because I needed more pressure, the owner / manager was extremely concerned that I was disappointed by a gentler massage and enticed me to come back to get the type of massage my body needed! I've been to well over 100 different massage places and Siam orchid Thai massage has the best customer service. No proprietor has ever been so concerned or kind after my experience was not great. I am very impressed and appreciate them. The foot massage was gentler, not like some other places where I start to sweat from the pain/stimulation of imbalanced acupressure points. Super relaxing and firm(not ticklish). The ambience is very nice, all wooden with orchids with incense or candles scent wafting about and steam coming out of a humidifier in the hallway. The room itself for massage is nice: private, spacious with relaxing zen music playing. You don't really hear any other movement or customers in the hallway. Very tranquil ambience. They pay attention to cute and chill details. You get some loose pajamas to wear. If you can, I recommend the steam room access. After the massage you bring your stuff to the back where the steam room is. Looked clean. There are locks and lockers to stow your belongings. I noticed they had flat iron and curling iron to touch up your hair.


This is such an unusual place. Not sure how they got all these fabulous reviews. The first time I decided to try it, I called and made an appointment. The woman who answered the phone didn't really speak english, so when I told her that I wanted to make an appointment she kept saying "ok ok ok". I felt that she didn't understand. I showed up to the appointment the following day and the person at the front was so confused when I told her I had an appointment. Needless to say she begrudgingly took me back to a room and left. Another woman comes in and starts massaging. As she is massaging I notice loud chewing sounds. Turns out she was chewing gum loudly and popping it too! I had never experienced anything like that during a msaage! The massage itself was ok with deep pressure, and they offered cupping therapy. They never bother to ask you why you are there or what your preferences are. Even when I kept asking her to focus on my neck and shoulders she just tried to follow her own routine and seemed annoyed. I decided to give it another try, so called again to make an appointment, and sure enough a woman answered and seemed confused when I requested the appointment. I asked if summer was there since I read great reviews about her. The woman started yelling at me!!! Honestly this place is so shady and unprofessional, I don't know how hell they got all these supposed stellar reviews on multipe sites like tripadvisor and thumbtack. For 70$ you can find so many other wonderful, professional and attentive massage places in the area.
They also have a punch card - get 1 massage free after every 10 massages. It is $70/hour without tip and it is worth every penny. Technicians are never lazy and they work real hard the entire time (no taking 5 minutes to bring a towel, walking in/out, or getting lazy just patting your back for a few minutes). I really enjoy the place and I can't wait to go back
10/4/2018 We are very sorry that you had a bad massage experience. And very much thank you for the review, so… We are very sorry that you had a bad massage experience. And very much thank you for the review, so we are able to approve our spa through this issue. So we would like to ask your help a little bit, we hope you could describe about the therapist who gave you a service, either her name or feature,  also the date and time that you visited our place, and please provide your name of booking. So that we could do an investigation and we would get back to you later on. Thank you for your patience.
Thai Massage, YES, please!! Found this cute little place on... yes, YELP. I enjoy very firm pressure massages and usually disappointed with therapists that don't have the strength or fluidity I enjoy in a massage. The petite gal I had was amazing. She walked on my back, stretched me in ways, I never been stretched and found knots I didn't know I had. If I'm in the city with time to kill, I will most definitely come back for more!
Let's be clear, this is Thai style massage, not the usual Massage Envy or Canyon Gate true spa. There will be a lot of pressure, deep tissue work, as well as stretching like turning you into a human pretzel, but in a good way. Think of this like Asian vs Western style of parenting. You may be used to a lot of "Great job!" or "I'm proud of you" and even hugs, but this is more like Tiger Mom tough love. You get what you need, and sometimes what you need is a light ass kicking. You will walk out a better person, but the experience will not be 100% comfortable while in progress. However, one day, you may become a doctor, lawyer, or engineer because you've been tested by fire at the Thai Spa. They may go easy on you if you're good at tennis or piano. All in all, one of my preferred full body massage place after a snowboarding trip or if I have a lot of knots or tightness in my muscles.

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The staff at Therapeutic Thai Massage believe everyone should take advantage of the therapeutic and stress relieving benefits of massage therapy. Our certified massage therapists will create an oasis of healing and tranquility with the sole goal of catering to your needs. Are you seeking improved circulation? Need relief from sore muscles? Or, do you simply want to treat yourself and relax in our steam room? Visit Therapeutic Thai Massage today.

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AD 1776: Jean Joseph Marie Amiot, and Pierre-Martial Cibot, French missionaries in China translate summaries of Huangdi Neijing, including a list of medical plants, exercises and elaborate massage techniques, into the French language, thereby introducing Europe to the highly developed Chinese system of medicine, medical-gymnastics, and medical-massage.[8]
One of the most remarkable healing techniques on the planet. Works with the pulses of the energy pathways known as meridians in Chinese medicine. The term tui na (pronounced "twee naw"), which literally means "pinch and pull," refers to a wide range of Traditional Chinese Medicine (TCM) therapeutic massage and body work. People in the West may refer to Chinese massage as tui na.
Medical Massage is a controversial term in the massage profession.[50] Many use it to describe a specific technique. Others use it to describe a general category of massage and many methods such as deep tissue massage, myofascial release and triggerpoint therapy as well as osteopathic techniques, cranial-sacral techniques and many more can be used to work with various medical conditions.[51]
I have Rheumatoid Arthritis and I was inflammed and my back was spasms in pain so much I couldn't think or see straight. I knew i needed to find a place to get a massage on the way home and I read the reviews. I am so happy i went in!! Walk in are Welcome thank goodness!! I was taken to a room right away. I got the combination massage as i had never had a Thai massage before. It was perfect. The pressure was great. Very Clean place. Very nice staff. Combo massage was $70 for an hour!! Awesome prices. I tipped $30. They also do couple massage and body scrub or a combination of both. Hot stones included with the hour. My experience was worth it. I'd go back in a instant!!
This place is a bit sketchy. Not sure if it is legit and the "therapist" don't listen to what the customer wants. They are extremely unprofessional as well. The therapist never introduce themselves to you at the beginning but after the massage is over and when you go to the counter to pay, the strange man that runs the place gives you a card with a name, and the name isn't the same as the person who massaged you.
Came here on a Sunday for my first Thai massage ever! My therapist was Eva–it was quite enjoyable, not sure if it was “amazing” since it was my first one. I had the Thai-Swedish combo and I felt like they could have worked on my back more though. The ladies were very nice, and the ambience pretty relaxing, I would definitely come back for the price and location, and happy hours are weekdays $45 before 2:00 pm. Free street parking on Sunday, otherwise they have a lot in the back, but limited parking spots. Overall did the job and got the relaxation I was overdue for!
I made my appointment last minutes for my sister bday present, the owner was very helpful and happily squeezing us in their pack schedule. She was very considerate and went out of her way to make sure we got the right masseuse according on how we would like our massage. We felt welcomed from the beginning when we got there to the end of our visit. The room was very relaxing, clean, and orderly. Fresh robes were also provided while waiting. The masseuse was perfect, asked through out the whole process to make sure they were giving the right pressure. The owner even checked in on us to make sure we were well taken care of. Before we left we were offered tea and the ginger tea was decadent . Thanks to this great experience I had recommended them to my friend and myself to  visit them monthly.

I did not like having to wait for 10 minutes after my appointment to check out. There was a customer that came in 10 minutes before me and was checking out when I came out of my service and she was allowed to monopolize the front desk for 10 more minutes. I realize that with multiple services that there will be multiple clients leaving at the same time. Get more help, more computers or come up with a different way to check out your clients. Your front desk girls are very courteous and my massage was very relaxing which was my goal. The customer was a buzz kill and I didn't like listening to her smack her gum and give the girls the run around with making a new appointment. I know you can't help how your customers behave, but the front desk girls may need some training on how to deal with difficult customers.

Fifth Avenue Thai Spa invites you to enjoy a relaxing day at our spa to experience peace and tranquility. We offer the finest treatments at reasonable prices. Our signature treatment, an Authentic Thai Massage has been a favorite among our clientele. Other popular services include facials, deep tissue massages, Swedish massages, manicures & pedicures, and waxing treatments.
A hot stone massage uses water-heated stones to apply pressure and heat to the body. Stones coated in oil can also be used by the therapist delivering various massaging strokes. The hot stones used are commonly Basalt stones (or lava rocks) which over time have become extremely polished and smooth. As the stones are placed along the recipient’s back, they help to retain heat which then deeply penetrates into the muscles, releasing tension. 

Renowned for services ranging from eyelash extensions and laser hair removal to chakra balancing and chi revitalizing, Bangkok is host to an exotic and bizarre array of treatments and therapies. A quintessential component to this multi-faceted jamboree, traditional Thai massage is perhaps the most well-known and celebrated of Bangkok's pampering services. As the Japanese delicately knead flesh in accordance with Shiatsu and the Chinese offer rubs following principles of Tui-Na, Thailand presents a signature massage technique involving traditional systems of holistic beliefs.

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...It is very important to ALWAYS speak up and let your therapist know if you need the pressure to be corrected, (i.e. if you need them to lighten up because it is too deep, or to apply more because it is not deep enough). Most everyone needs more pressure in some areas and less in others. This occurs because muscle tissue that contains Trigger Points is more sensitive to pressure and can be tender to the touch.
Massage of Chinese Medicine is known as An Mo (按摩, pressing and rubbing) or Qigong Massage, and is the foundation of Japan's Anma. Categories include Pu Tong An Mo (general massage), Tui Na An Mo (pushing and grasping massage), Dian Xue An Mo (cavity pressing massage), and Qi An Mo (energy massage). Tui na (推拿) focuses on pushing, stretching, and kneading muscles, and Zhi Ya (指壓) focuses on pinching and pressing at acupressure points. Technique such as friction and vibration are used as well.[69]

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In the US, licensure is the highest level of regulation and this restricts anyone without a license from practicing massage therapy or by calling themselves that protected title. Certification allows only those who meet certain educational criteria to use the protected title and registration only requires a listing of therapists who apply and meet an educational requirement.[122] It is important to note that a massage therapist may be certified, but not licensed. Licensing requirements vary per state, and often require additional criteria be met in addition to attending an accredited massage therapy school and passing a required state specified exam (basically the certification requirements in many states). In the US, most certifications are locally based. However, as of March 2014, some states still do not require a license or a certification.[citation needed] However, this is thought to change eventually as more regulatory bodies governing the profession of massage are established in each state. Furthermore, some states allow license reciprocity where massage therapists who relocate can relatively easily obtain a license in their new state. Not all states provide this option.[123]

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There may be other possible adverse effects which need to be focussed upon, such as the risk of fracture due to rough massage. One example is a report from Malaysia on serious spine fracture resulting in spinal cord compression due to traditional massage (Malaysia is a country geographically close to Thailand and shares a few traditional medical practices).[5] There can also be neurological side effects due to massage and need investigation. Although there has never been any official report about this, the problem of brain hemorrhage in infants due to traditional massage applied to the mothers during pregnancy has been reported.[6,7] In fact, application of traditional massage to infants can directly cause testes hemorrhage and such other internal hemorrhages in infants.[8] Finally, the risk of embolism due to applying massage to carotid area needs to be mentioned.[9] This can be the cause of cardiac arrhythmias and cerebrovascular accidents[10] that can further result in sudden death (in the latest indexed case, this cannot be rule out to be a cause). It will be of interest to note that in the present clinical practice, there are no guidelines for the practitioners for history taking and monitoring of vital signs of the patient before, during and after massage.

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