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Sports Massage Benefits for Soft Tissue Dysfunction

You may have heard of sports massage lately. It is different than a regular massage which aims to improve the muscle’s function. However, sports massage benefits are not limited to muscle functioning; it also heals soft tissue dysfunction and accelerates the tissue repairing process.

From the name, you may think that it is only for athletes. However, anyone can take it, but athletes take it mostly to keep their muscle functioning and improve joints related issues.

Throughout this article, you will get to know sports massage benefits for different issues.

Sports Massage Types

The sports massage is combining sessions of before and after sports events as well as during the events too. To get full sports massage benefits an athlete has to take pre-event, inter/ intra-event, and post-event sports massage.

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Pre Event Sports Massage

Usually, a pre-event massage is done 48-72 hours before a sports event. By that time, athletes should reduce physical training. Getting a massage before an event is an excellent way to get relief from any tensions due to the training sessions. However, if the event is very near, the massage should be less intense. So, if you are taking your massage before 1-2 days of the event, you should take a light massage. Otherwise, hard massage will put you through soreness.

On the other hand, some athletes require light massage earlier the event, such as boxing events. Furthermore, it will warm up the body, increases muscle mobility, enhance blood supply and eventually helps the athletes relax.

Inter/ Intra-Event Sports Massage

You may have seen that athletes take a quick massage during breaks or middle of the sports event. The intention of inter-event massage is to boost the energy, relieve from cramps and muscle pains. This specialized massage takes only a few minutes. However, the therapist should be careful about any kind of hard, intense massage techniques during the event.

Post Event Sports Massage

It intends to recover the athlete after an event. Besides, post-event massage can also help to recover from any potential injury. Massage should be taken within the next 72 hours of the event. However, athletes need to rehydrate and cool down before attending the post-massage. At least 10-15 minutes cooling downtime is needed.

All these three sessions are necessary to get tremendous sports massage benefits.

Sports Massage Techniques

Sports massage requires varieties of techniques depending on the needs. However, there are some regular techniques.

> Effleurage: It includes light strokes through the palm of the hands and to the direction of the heart to increase the blood flow.

> Petrissage: It is done by kneading movements that help to recover muscles.

> Friction: Friction usually penetrates deep muscle tissues to make them ready from any injuries. However, Effleurage is needed to warm up the muscles before applying friction.

> Tapotement: It is a special technique used in Swedish massage. However, it is used in sports massage through the fingertips or cupped hands. Athletes usually take Tapotement before an event for the blood flow.

> Vibration: The rapid movements of vibrating hands makes relax and soothe the muscles.

As you have some ideas about techniques, now you should know the potential benefits you would get from those techniques.

Sports Massage Benefits

It is not necessary that only athletes can take sports massage. However, anyone can take sports massages it can treat soft tissue issues. Let’s get an idea about potential sports massage benefits.

> It boosts the muscle’s relaxation. Furthermore, the massage also activates the parasympathetic system that increases the inner working of the body.

> Sports massage works toward the stress relief process. It reduces the stress hormone’s production, which eventually reduces any unwanted injury or illness.

> The relaxation process through the massage can supply enough needed nutrients to the blood. It also helps to remove any unwanted muscle build-up.

> When you stress less, you will tension less. As a result, your blood pressure will be reduced.

> Sports massage is helpful in reducing muscle soreness and repairs them after workout or event.

> It increases the lymph system activity that collects excess fluid from our blood and continuously flushes out from our body.

> Post massage, you will feel good as it releases Endorphins, which is responsible for making you feel better.

> Through stretching out and lengthening, it increases the joint movements that also increase synovial fluid in the joints. The end result is the pain-free movement.

> Finally, sports massage improves the performances as you can run faster, jump higher or even swim further.

These are core benefits; however, you may get some unknown benefits too.

Sports Massage for Soft Tissue Dysfunction

Soft tissue dysfunction usually occurs when muscles are in tense abnormally or tensed for a longer time. In soft tissue dysfunction muscles usually don’t get to relax. Sports massage helps in releasing the soft tissue for ultimate relaxation. It is done through a specific application of pressure and movement to the associated joints. Furthermore, the massage helps to stretch the muscle fibres, ligaments, tendons and fascia, altogether these stretch the soft tissue areas. Hence, it improves soft tissue dysfunction.

Who can Perform Sports Massage?

To get ultimate sports massage benefits, you should take massage from a learned certified therapist. Anyone can take a sports massage course and become a therapist. However, to join a sports team, one needs to study more.

Although, if anyone wishes to learn sports massage, he/she can take a one-day diploma course anywhere.

However, if you are reading this from London, you can try D2D therapies.

We are London based IPHM accredited IPTI & Westminster approved 1-day Sports Massage Diploma course provider. Besides, you can learn other courses too from home or at our venue. We are just a phone call away! Call us at 07455045306 for more details, or you can email us to

So far, you know all the Sports Massage Benefits for your health. Whether you are an athlete or a regular health-conscious person, you can take sports massage for yourself. Do contact us if you want to take a massage or learn massage.

What to do before and After Full Body Deep Tissue Massage?

Full body deep tissue massage offers excellent benefits that can help your body relax, recover, and relieve. However, you can maximize the improvement of the deep tissue massage and extent the experience. That is why you need to know what to do before and after full body deep tissue massage. These things will get you to prepare about what you expect from the massage.

Read on to know the basic concepts and aftermaths of deep tissue massage therapy that can help you to get the most out of your massage.

Why Should You Take Full Body Deep Tissue Massage?

Full body deep tissue massage can recover your damaged skin. However, you may take care of your skin regularly through sunscreen and moister, but your skin can be affected by environmental damage. This is why taking a full body massage at least once in a month is necessary for your health.

Let’s see what you should do before taking a full body deep tissue massage.

Things you should do before a full body deep tissue massage

As you know that you have a massage appointment coming up, you should follow the following things.

  • Take a shower: Taking a shower before a massage can give you the most relaxing experience. It would help if you took a warm shower for maximum relaxation instead of using cold water. Warm water will get your muscle to loosen, that eventually reduce any discomfort during the massage.
  • Stay hydrated: You have to stay hydrated for at least 24 hours prior to the massage. Usually, deep tissue massage helps to release the toxins from your body efficiently and quickly. So, hydration makes it easier to flush out all the toxins from muscles and body. Besides, hydrated muscles are pliable, which helps a therapist break up any toughest knots without potential discomfort.
  •  Wear comfortable and loose clothes:  Comfortable clothes can keep your muscle relax. As a result, your muscle can adjust the massage quickly. Furthermore, muscle soreness can increase the discomfort level after the massage if you wear tight clothes after the therapy. Besides, loose clothes are easier to put on. So, you can easily put that on before leaving the clinic.
  • Know your goal: Ensure you know your outcome from massage, such as healing from an injury or want to relieve tension from a particular area. It would be best if you let your therapist know about your goal. So, the therapist can focus on that and get you the best result. That is how you can get the most out of the full body deep tissue massage. These things make you well prepared before the massage session, and your mind will be ready to take it.

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Things you should do after a full body deep tissue massage

Post massage care is not different than the preparation. Like the preparations, you have to follow some advice to maximize your post-care experience. For that, you can go through the list provided below.

  • Remain in your position: Right after the massage, remain lying for a few minutes so that your mind can absorb the condition. Furthermore, when you get up, make sure you do that gently with care as muscles are tender at that moment, and soreness will hurt you.
  • Take a shower/bath: Your body needs enough water internally and externally. However, adding Epsom salts with the bathing water will fasten the process for maximum relaxation and freshness. This will also relieve your muscle soreness level.
  • Eat well: You have to take enough nutrients as your muscle will need them. However, you have to avoid a heavy meal after the massage. Deep tissue massage increases the blood flow to the muscle tissue, so you have to provide the nutrients to the blood for that muscle area.
  • Continue to hydrate: As you started drinking more water before the massage, keep doing it after the massage too. Drinking more water can flush out the toxins. Besides, hydration can reduce the post-massage side effects also. So your muscle soreness can decrease dramatically.
  • Take enough rest: Muscles tend to recover while you are sleeping. It can utilize your provided nutrients at night if you get a good night’s sleep. After the massage, makes sure you sleep for at least 6 hours. However, 8 hours of sleeping time is idle time. The more you sleep, the quicker your muscle will heal and get you the potential benefits.
  • Follow-up message: A single massage therapy can give you a relaxed body, but you can get significant changes through regular massage sessions. Most of the people attend once in a month or every two months. You can choose your schedule according to your preferences.

This post-massage advice will give you maximum benefits from the full body deep tissue massage. For your own good, you should not avoid any of these.

What to avoid after a full body deep tissue massage therapy?

  • You have to avoid drinking cold water as it will tighten up the muscles, which may lead to cramps. Warm or room temperature water will be best.
  • Avoid alcohol or alcoholic beverage for at least 24 hours after the massage. It will just fill up the newly released toxin’s places.
  • It would be best if you avoided caffeine, too, as it will reverse the process.

When discussing the positive benefits of deep tissue massage, it helps to first… | Deep tissue massage techniques, Deep tissue massage, Deep tissue massage benefits

Where to take full body deep tissue massage therapy?

You can search for deep tissue massage therapy near me to find a therapist near you. However, if you are in London, you can check our deep tissue massage therapies at D2D Therapies.

How to become a deep tissue massage therapist?

You might get wonder about becoming a deep tissue massage therapist. It is easy as you don’t need any prior experience. At D2D therapies, we provide one-day diploma training course which can be availed from our campus and home. We also offer freelance home service to a student’s place. If you want to take a full body deep tissue massage therapy course, contact us via a phone call at 07455045306, or you can email us to for more details.


Get the Details of Thai massage course in London

Throughout this article, you will get to know the details about Thai massage course in London, along with the details of Thai yoga massage.
At D2D Therapies, we offer one-day professional training on Thai massage. After this course, you will be ready to launch your career as a massage therapist. Let’s dig all the opportunities of a Thai massage course in London.

What is Thai Massage?

Thai massage is also commonly known as Thai yoga massage. It is a traditional healing system which also combines acupressure, assisted yoga postures and Indian Ayurvedic principles. The outcome of this massage contains healing, both physical and emotional level. However, the massage performed in western and Thai contexts are different.
Traditional Thai massage doesn’t use oils or lotions. Besides, the recipient remains in clothed during the massage. However, the receiver and taker will be on constant body contact. So, the practitioner also suggests meditation as a part of Thai massage.

History of Thai Massage

The practise of Thai massage therapy was started in 2500 years ago. However, it is believed to come from India. Some claims that Shivago Komarpaj, the physician to the Buddha, has created this massage therapy. Though Buddhism started in India, it gets reformed and highlighted in Thailand later on. With Buddhism, Thai massage also finds its way to Thailand. Since then, it gains popularity with this name. In Thailand, Thai massage was and still are recommended with other traditional medicines.

How does Thai Massage Works?

The idea of compression works for Thai massage, which starts with pressing hands, feet or finger rhythmically. The therapist would stress the whole body into many positions, which could be hard to reach position.
After the massage, it rehabilitees and rejuvenates in a therapeutic way. Besides, these techniques also incorporate Chirocropatic medicine, which focuses on the spine. Through the continuous motion and rocking movement, you can utilize Trager techniques to get yourself relax and energy.

Types of Thai Massage

There are four types of Thai massage available. They are-

  • Traditional Thai massage: It is the most popular Thai massage, which is also known as Yoga massage. It is performed on a fully clothed body while you are lying on the floor on a padded mat. It also includes acupressure as well as some yoga techniques.
  • Thai oil massage: This is a smooth type of Thai massage which is done using oils. It is more relaxing than a traditional one, which is performed on a conventional massage stretcher. However, you will have to take off clothes. It helps to relax the body, soften the skin and calms the mind.
  • Thai pinda massage: It combines traditional healing methods and traditional Thai massage with the application of plant pouches all over the body to make the energy flow work. Pindas are hot poultice filled with medicated herbs, which works on acupuncture points to relax the body. The outcome of this type of massage is to relieve the joint pain, which finally improves blood circulation.
  • Thai foot massage: It includes massaging the feet with oil applying a proper pressure on the specific part of the sole of the feet. Usually, the feet correspond with different organs of the body. So, pressing on feet releases the toxins and improve its functionality.

Benefits of Thai Massage

Thai massage can help to boost energy for athletes while it reduces stress too. Besides it has other health benefits also, let’s find those.

  • Reduce the stress 
    Stress is not bad always. Most of the time, a regular stress can work as positive motivation, which might help push the individual to perform better. Besides, stress can also push to accomplish more.
    On the other hand, too much stress is not good either. It can adversely affect mental and physical health, which may cause chronic illness in the future, including cardiovascular disease and depression.
    The unique techniques of Thai massage helps to keep the body relax, as a result, lower the stress. According to a study conducted in 2015, Thai massage noticeably reduces the stress marker present in the saliva. However, the massage works better on a healthy person.
  • Boost Energy
    When it comes to the physical energy-boosting for a healthy person, Thai massage is the ultimate option. That is why athletes seem to take the massage to keep them fit.
    The research was organized to see the effects of Thai massage and Swedish massage on patients who were experiencing fatigue. The result found that Thai massage increases mental stimulation and energy. On the other hand, Swedish massage mostly improves the sleeping pattern and helps relaxation.
    The Thai massage involves massaging on energy lines, or Sen. It corresponds to the different body parts such as muscles, bones, blood and nerves, which are also known as subtle channels. According to the theory, within different sen, tight muscle cause blockage that reduces the flow of energy. As a result, it creates stiffness, illness and pain. Thai massage can give solutions to all of these.
  • Relieves headaches
    Thai massage involves applying pressure to some specific energy channels. Court-type Thai massage is useful for the treatment of chronic tension headache.
  • Stimulates circulation
    Thai massage increases the circulation of both lymph and blood because of the stretches. However, these stretches are just like yoga, which fills the body’s tissue with enough oxygen. It pushes the cell growth and heart health.
    Thai foot massage has a positive impact on peripheral neuropathy patients, which is a common complication of a person with diabetes. However, it also helps improve people’s body balance. It is believed that blood circulation increases the body balance.
  • Improves range of motion
    Thai massage has some yoga-like stretch techniques to reduce stress and increase circulation. The process enhances the person’s flexibility, which improves the range of motion.
    This massage also reduces the friction between the joints, which improves the range of motion and joint mobility.
  • Benefits for athletes
    Athletes tend to have more muscle pain, joint pain and injury during the training. And, that is the reason; professional athletes always work with sports massage therapists.
    Sports massage as a part of Thai massage consists of stretches, and other massage techniques to recover from sports injuries. Additionally, it increases the athlete’s range of motion.
    Combination of Thai and assisted sports massage gradually stretches the whole body that allows the person to relax. These particular types of massage help people feel physically and mentally restored.
    This technique also improves circulation to bring more oxygen to athletes muscle and tissues.

Who can Perform Thai Massage?

Thai massage is different than any other massage therapies. So, only licensed personal can offer a Thai massage. However, it also is seen that amateur therapist performs massage in some cases, which is vulnerable.
So, make sure your therapist is licensed and well mannered. However, anyone can become a Thai massage therapist. Let’s get to know the details about Thai massage course.

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Thai Massage Course in UK

Thai massage course in UK can be done online or on venue through different organizations. Anyone can take an online course from anywhere in the world. Besides, some organization offers freelance home tuition certification.
D2D Therapies is a reliable name to do Thai massage course in London, where you can attend course online, on campus. Besides, freelance home tuition also available. Courses at D2D is accredited by IPHM and certified by IPTI. D2D Therapies also approved by Westminster Indemnity. Let’s find out the possible ways to do the course at D2D Therapies.

On-Campus Thai Massage Course in London

One day Thai massage training course at D2D Therapies is accredited by IPHM. This course runs on the weekend. So, anyone can do it. After you are completely done with the course, you may work in a massage parlour or ever open your business. However, if you fail the course, you will have to take it. Following is the course curriculum cover by D2D.

What will you learn?

This one day Thai massage course in London will cover theoretical and practical training as per accreditation requirement. All the education will be done through a formal lecture by our highly educated trainers. However, you will not be taught any Anatomy & Physiology units.

It comprises the complete training on the art of Thai yoga massage.

  • Teaches all the different exciting positions for stretching with the help of photographs, diagrams and descriptions.
  • Stretching, Mobilizations and Deep pressure techniques
  • SEN theory, along with a background to Chinese medicines.
  • Relevant muscle and skeletal A&P
  • Pressure point techniques for each area
  • Stretching to key muscle reflexes
  • Practical knowledge

Freelance Home Tuition

Home tuition is available for those who are not available to join the venue. In that case, the student will have to select the place, and our train will go to that specified place to teach the student. There is no difference between learning at home or the venue. You will be taught everything, just like the venue.

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Online Thai Massage Course in London college

We also have online teaching option. In this method, we will send you all the materials, and you will need to complete it. After you are done with the online videos, you will have to submit your task through email or post on our website. However, you will have to take an assessment to mark your course completion. Though, you have to pass the assessment.

Insurance for Online Thai Massage course in London

It is mandatory to get the insurance for any courses as you will have to practice massage on your classmates, friends or friends to gain the practice knowledge.

Who can take the Course?

Anyone can join the Thai massage course in London at D2D therapies. There are no extra prerequisites to attend this course as it is open for any adult. This is a beginner level course; however, any advance level learner can also take this.

How do you book a Thai massage course in London at D2D?

Booking a course at D2D therapies is a piece of cake. Pay £30 to enrol and pay the rest of the money while attending the course. You can book your seat from our booking page. On the other hand, for the online course, you have to pay the full amount at once to access the materials.

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Benefits of Taking Thai Massage Course at D2D Therapies

After taking a Thai massage course in London college with us, you will gain the theoretical and practical knowledge will all the massage techniques. After that, you will become a professional Thai massage therapist, and you will be ready to start your career.

Side Effects of Thai Massage

Despite having all the health benefits, Thai massage has some limits too. Since it mainly works through the circulations people with the following health conditions should be careful or consult a doctor before taking a Thai massage.

  • Diabetes
  • High blood pressure
  • Osteoporosis
  • Heart diseases
  • Coronary artery disease
  • Spinal cord related to neurological diseases

Besides, a person should avoid Thai massage if he is recovering from surgery. However, an injured person should also avoid Thai massage because the massage can lead to further injury to the body.
Pregnant women and cancer patient should also avoid Thai massage.

Is Thai Massage Painful?

Massaging on a tender muscle with intense pressure may hurt. However, you have to know the difference between pain and discomfort. The initial pain may help you to give comfort in the long run. For the first-timer, Thai massage is painful since it involves stretching different body parts. But, all the pain should be gone in a few days. So, it is advisable to take the massage from a certified therapist.


We hope that the guideline provided above will help you to decide to take the Thai massage course in London. You can choose D2D therapies as your reliable course provider. If you have any question feels free to email us as well as call us at 07455045306. 
After taking the course here at D2D Therapies limited, you will get the free consultation about your career and business. Moreover, you will get to know the more advanced course about different massage therapies.

Health Benefits of Thai Massage Course

Benefits of Thai Massage

Thai Massage is beneficial to all; from the athlete to the elderly. Benefits include :

> Deep relaxation. Pressure on feet and legs is sedating, sometimes inducing hypnotic or altered states of consciousness.
> Releases points of tension in the body which block the natural flow of energy,
> Inducing homeostasis, balance and harmony. Releases stress and increases energy. Increases flexibility and range of motion. Assists alignment and postural integrity of the body.
> Improves circulation.
> Strengthens the internal organs.
> Relieves pain.
> Improves neurological functioning and assists in relieving degenerative conditions associated with the aging process.
> Promotes inner peace and a quiet mind.

People will vary in their response to Thai Massage. A calm and relaxed client will benefit well, some finding a single treatment radically altering their perception of their own body, and therefore their sense of self. However, a tense, rigid client may need more than one or two sessions to feel the same benefits or achieve the same result.

Things to Consider as a Therapist

As a Business
For some of you, this is just the beginning of your journey as a professional therapist. It’s important to learn any therapy correctly if you’re going to take it to the public, but even more importantly, please strive to become a great therapist. Consider all of the following if you’re planning to become a practitioner:
Please dress appropriately. There are plenty of companies who offer therapy uniform and many vary in price and style. Always remember to wash your hands before and after giving a treatment and use soap without a strong scent. The same applies to perfume, some of your clients may be allergic to it or find it overpowering. This may unfortunately spoil their treatment and they may not book again. If you offer a mobile service it may be useful to carry wet wipes with you. Some memberships offer badges and upside-down (nurses) watches which are useful when you cannot see a clock or if you operate a mobile service.


> Scrupulous personal hygiene must be observed. Hands should be thoroughly
> washed and fingernails cleaned
> Oil should be squeezed or poured into hand from the bottle or container to avoid
> Contamination
> Wash headbands between clients or use disposables
> Tie back long hair and remove jewellery
> Roll up long sleeves or wear a short-sleeved tunic


Never prescribe if not trained to: You must not prescribe remedies or drugs or use essential oils if you’re not qualified to do so. You can refer your client to a practitioner who is fully qualified if you know one, or suggest they visit a relevant practitioner for a consultation. You could suggest to your client to search for the internet for the association connected to a complementary therapy they are interested in. The associations list practitioners in your area if do not know of any near your client.

Client Record and Treatment Plan

Always start your client’s first treatment by completing with them your Client Treatment Record. Please ask as many questions as you feel appropriate. Please do not expect your client to offer information about them without being asked. For example, you need to check if they are being treated by their GP or another therapist. Are they suffering from any medical conditions, and if so how long have they had it/them? Throughout the discussion you will learn more about your client and can ask them what they would like to achieve from their treatment session. (For forms, please see appendices)


Practice as much as it takes for you to feel confident about what you’re doing and saying. A sensitive client may pick up on your lack of confidence. Case studies are not required for this course but they are an excellent way to gain your experience. As a suggestion to start your experience, find about four friends, family members or friends of friends and offer three or more treatments each, say every week. See how confident you feel after these treatments. This will give you an idea of how many more treatments you would like to offer to feel confident enough to take your work out o into the general public and start your advertising.


Please be aware that your clients will all have different degrees of mobility and paino thresholds. Some clients like a firm massage, others may like it lighter. This can also change each time you treat them, depending on stresses and strains experienced during the time between their last session. Always check your pressure for each treatment and each client. Usually after the first treatment you will get to know them and what they prefer pressure wise. Also be aware that some clients may be shy or embarrassed about areas or parts of their body – this may because of a large scar or something they themselves consider to be unsightly, even if it isn’t. Some clients also do not like to be touched in certain areas of their body as it makes them feel uneasy – it’s always worth asking the question before the treatment begins to avoid sensitive body areas which could spoil their treatment.


In consideration of the above, please try to put your clients at ease. Check to see if they are happy with the music (if you are playing any) and remember to ask regularly to check if they are warm and comfortable enough.

Preparing your Working Area

Size: The room that you intend to work in should be adequate in size to allow you to walk freely around your client. (think ahead to other therapies you may wish to offer- in terms of the size of the room you assign as your treatment room)

Equipment for Thai Massage :

> Consultation Forms
> Aftercare advice form
> Glass of Water
> Floormat
> Thin pillow
> Bolster
> Loose clothing (details on page 23)

Decor: A treatment room should be relaxing and welcoming. The working area should preferably have a good supply of natural light.
Tip: Use a blind to temper natural light. When you do need to use artificial lighting it should not be too bright and should be indirect so that it does not shine into your client’s eyes.

If you use candles, always remember to extinguish them, (check your insurance covers you to use candles).

The floor should be of a material that is easily cleaned but is not slippery, noisy or too cold.

Temperature and ventilation: Your room must be warm enough for the client not to become chilled, but not so warm that it is uncomfortable for you to work. It should be ventilated to prevent it becoming too stuffy.

Tip: As the body cools very quickly during a massage, you could use an electric blanket under the client to keep them warm.

Hygiene: Always make sure the room you are working is in clean and tidy, check between clients. Toilet facilities must always be kept clean and tidy.

Remember: First impressions last. If your toilet and the room the toilet is situated in are not clean it gives your client the wrong impression of you and can lead to them questioning your own hygiene practise. Develop a routine to do so and allow time between patients.

Music: Always check with your client if they would like to have music playing in the background. There are many recordings now of special music for relaxation to accompany massage or similar treatments, do not attempt to fit the rhythm of the massage to the music as this will inevitably lead to an uncomfortable treatment for your client.

Tip: Why not suggest your client bring their own choice of music that helps them relax.
Refreshment: Always offer your client some refreshment before leaving. Chilled water, fruit juices or herbal teas are suitable.

Bringing in the balance – Looking after yourself

Most of you drawn to offering massage and other related treatments are generally “giving” people and enjoy making other people feel good. This is a great gift to have but please remember you too may need some TLC sometimes. Please remember to take a treatment yourself on a regular basis. This will give you some well deserved relaxation and also a chance to check out your competition!


The following should always be taken into consideration. If in doubt always contact a GP.

o Has there been any recent illness or surgery?
o Do they have any chronic health problems?
o Do they have any circulatory problems or a heart condition? If so DO NOT stop the blood flow (Taught in level 2).
o The practitioner should know if the woman is in menses. If so, certain steps of a full
o Thai Massage should either be eliminated or performed with discretion.
o The practitioner should know if a client is pregnant. If so, more emphasis may be
o placed upon the front position. DO NOT do abdominal massage on a pregnant woman. DO NOT massage a pregnant woman until after the safe period of three months has passed.

Many conditions will require a careful judgement on the part of the practitioner.

o Pressure should not be applied on varicose veins, but small “spider veins” do not require as much precaution.
o Pressure should be avoided on a client with oedema in the feet or legs.
o Do not touch any open sores.

Health & Safety Guidelines for Therapists

The following Health and Safety regulations need to be taken into consideration, when setting up your practice.
Health & Safety (H&S) applies to everyone in every industry, including therapists. It is vital therefore to ensure that we provide a safe environment for clients. The Government’s H&S arm, the Health & Safety Executive (HSE) provides sound advice for safe practice and legal requirements, which are covered in this section. The HSE recommend that we ‘Risk Assess’ the workplace, be that an office or home environment. Risk assessing requires that we should identify potential hazards that may arise as a result of either the work or the environment and take appropriate steps to minimize any accidents or injuries to ourselves or others.
A ‘Risk’ is the chance (great or small) that someone will be harmed by a ‘Hazard’.
A ‘Hazard’ is anything that might cause harm.

The Health & Safety at Work Act (HAS) 1974 places a duty on employers and the selfemployed to protect the health, safety and well-being of themselves and others they employ, this also includes our clients. Below is a list of Common Hazards, which we need to be aware of:

> Moving or handling awkward or heavy loads or objects
> Using electrical equipment or equipment that heats or freezes
> Using hazardous substances, materials or chemicals, especially those which can affect the skin
> Ensuring we wear personal protective equipment where necessary Working with computers and working in front of screens
> First Aid training
> RIDDOR (Reporting of Injuries, Diseases & Dangerous Occurrences Regulations) 1995.

Further information: Health and safety law: what you should know.\

Moving or Handling Loads

Therapists should ensure they understand the principle of safe handling and moving, also known as ‘Manual Handling’. Examples of hazards that therapists may want to consider are putting up therapy couches, beds and chairs or the utilisation and movement of any equipment which is used as part of the therapy and which requires lifting, placing (especially if it is an awkward lift or stooping is involved), pushing or pulling.

Remember that equipment doesn’t always have to be heavy or bulky to cause injury; sometimes even the slightest movement, if carried out incorrectly, can cause back or muscle damage amongst other injuries. Further information:

Using Electrical Equipment

Therapists are also responsible for any equipment they use as part of their treatment. Remember that equipment should conform to British Health & Safety standards, any controls should be clearly marked and when protective equipment such as screens, guards or gloves are provided, they must be used. This message should also be reinforced ( to students who may use any potentially hazardous equipment e.g. Hot Stone Therapy, etc.
Things to look out for:

> Trailing wires should be tucked away safely
> Be alert for damage to outer covering of leads or plugs
> Plugs must be correctly wired and must grip the cable properly
> Ensure electrical equipment is regularly maintained/serviced
> Look out for loose screws or equipment casing
> Look out for burn marks or staining which suggests overheating

Further information: 19890635 en 1.htm

Provision and Use of Work Equipment Regulations (PUWER) 1992

this regulation conveys important health and safety controls in the provision and use of equipment. Employers must also make sure all employees who use the equipment have been adequately trained.

Further information: Using Work Equipment safely: and

Using Hazardous Substances or Materials

> Here is a checklist of things to be aware of when using substances, materials or chemicals as part of a therapy or treatment:
> Are they flammable, toxic or corrosive?
> Do they give off fumes?
> Are they stored safely e.g. could children reach them easily?
> Should I be wearing PPE when using or handling my work substances?
> Has anyone reported feeling dizzy, headaches, sickness, skin rash/irritation or has suffered from an Asthma attack?
> Are any hazardous chemicals or substances labelled correctly with black and orange labels, in line with HSE COSHH regulations 2002?

When considering the above, the following guidance from the HSE will be relevant:

Cosmetic Products (Safety) Regulations 2004

These regulations provide recommended volumes and strengths for different hydroxide based products. The strength of a product will vary depending on whether it has been prepared for professional or general public use. It is important that when using these products, you check their strength from the manufacturer’s guidance notes and current legislation.
Further Information: and

Control of substances hazardous to Health Regulations (COSHH) 1992
The regulations require employers to identify hazardous substances used in the salon and stipulate how they should be stored and handled. As such substances are used on and sold to clients it is important all employers are aware of COSHH regulations.

Further information:

Personal Protective Equipment at Work Regulations (PPE) 1992

This legislation requires employers to identify through a risk assessment which activities require special protective equipment (gloves, apron etc) to be worn or used. Further information: A short Guide to PPE:

Using Display Screen Equipment such as computers

Most of us use a computer in connection with our business but there is a checklist of points to consider, in order to prevent tiredness, eyestrain and Repetitive Strain Injuries (RSI’s):

> Is the screen clean from dust and dirt, readable, flicker free and without any glare or reflection?
> Is there suitable lighting in the room?
> Is the screen/keyboard in the right position and at the correct height to prevent upper back and neck strain?

If you suffer from any type of pain in: the wrists, arms, neck or back or if you suffer with headaches, tiredness or eye problems you may well need to make adjustments to your computer work area.

See free HSE download at:

First Aid Training and Emergency Preparation

As a therapist you should be prepared if the unexpected happens. Would you know how to deal with a person who has suffered a Heart Attack or if someone had an Epileptic Fit? If not you should be prepared! You should also ensure you have a well stocked approved First Aid Kit. Many insurers now also insist on this before agreeing cover.

For this reason, you should be in possession of an HSE Appointed Persons Certificate (Valid for 3 years) which is a 1 day course. Gateway Workshops can provide these courses (see Gateway course list).

See Link:

RIDDOR (Reporting of Injuries, Diseases & Dangerous Occurrences Regulations) 1995

RIDDOR ’95 requires the reporting of work-related accidents, diseases and dangerous occurrences. It applies to all work activities, but not to all incidents. For most businesses a reportable accident, dangerous occurrence or case of disease is a comparatively rare event. However, you do need
to report:

1. Deaths
2. Major Injuries, such as fractures, dislocations, amputations, burns (regardless of cause) loss of sight, electrocutions or resuscitation
3. Accidents resulting in over 3 day injury and or hospital treatment or hospitalisation
4. Communicable Diseases
5. Dangerous occurrences
6. Gas incidents

What do I need to report?

If you are working at someone else’s premises and suffer either a minor or major injury that results in your not being able to attend work for more than 3 days then they will be responsible for reporting the event. If you or a client is injured while you are working at your own premises, if there is a dangerous occurrence there, or if a doctor tells you that you have a work-related disease or condition, then you need to report it. However, as a self-employed person you don’t need to notify immediately if you suffer a major injury on your own premises. Either you or someone acting for you should report it within 10 days.

Who do I report to?

You can report incidents by any of the following routes: Telephone – 0845 3009923, Internet, or by post, see the link below for more information.
You must keep a record of any reportable injury, disease or dangerous occurrence. This must include the date and method of reporting; the date, time and place of the event, personal details of those involved and a brief description of the nature of the event or disease. You can keep the record in any form you wish.

Further information: and 19953163 en 1.htm

The above information is intended for guidance purposes only is intended to introduce students & therapists to principles of H&S and encourage them to think about their own working environment and working practices. As therapists we take responsibility in law for the safety and well-being of our clients as well as ourselves. The above list is by no means exhaustive and students/therapists are encouraged to familiarise themselves with the extensive guidance provided on the HSE Website, which can be found at:

Techniques of Thai Massage | D2D Therapies

Palm Press – PP

Palm Presses are used extensively on the feet, legs and arms. It is a movement that prepares the body for deeper and more specific pressure and relaxes the body in between different movements.

  • Palm Press from one foot or leg to the other. Place the palms of the hands appropriately on the feet or legs, one hand on the left and one on the right. Keep your own body in a good working position with shoulders relaxed and elbows straight. Lean with your body weight into one side, and then transfer the weight to the other, back and forth.
  • Occasionally you may use simultaneous Palm Press to open or close a series of alternate PP on the feet. In this case, pressure is applied to both sides together. It is not used on the legs. Both simultaneous and alternate PP is used on the back.
  • When using PP along the sides of the leg or arm, begin with both palms against the limb toward the extremity or distal end. Then move the hand that is closest to the trunk of the body sideways, maintaining pressure with the other hand and reposition the first hand further along the limb. Transfer the pressure and move the hand at the distal end next to the first hand. Continue this “hand closing hand” movement to cover the entire limb, and then return in the same way back to the point of origin.

Thumb Press – TP

Thumb presses are at the heart and soul of working the energy lines (Sen) of the legs and arms. The method of working is the same as with Palm Presses (thumb chases thumb). Pressure is always applied from the ball of the thumb, never with the point or tip. Therefore, the ball of the thumb lies flat against the point being pressed. Initially, this may result in some strain and soreness until the strength of the thumbs is more developed. Be advised not to overdo the pressure and most importantly to use the thumb’s flexor to give strength and support and not simply press with loose thumb joints. It is impossible to predetermine the amount of TP that is best. Each individual is unique in his response to pressure. On the one hand, the depth of touch should be sufficient so that pressure is felt as “real”. On the other hand, it should not produce pain.

Thumb Circles – TC

Thumb pressure is never applied directly to the bone. Whenever such pressure would occur, circular movement of the thumbs is substituted.

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