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Home My WebLink About1992-04-07; City Council; 11626; REQUEST TO REVISE MASSAGE ORDINANCE151 d-- .4. do .rl L, cd E k 0 w -4 G T-l cd G 0 -4 U .rl a a cd b4 0 w w w cd c, v3 0 c, k a, c, c, cd E a, JZ c, -a a, h b4 Q) w a, k 4 .rl 7 0 u 2 hl z b I- 0 2 a o\ 1 1 4 6 z 3 0 0 8b CIW OF CARLSBAD - AGEW BILL v AB # 1!,6~26 TITLE: DEPT. DEPT. Research CITY I RECOMMENDED ACTION: CITY 1 REQUEST TO REVISE MASSAGE ORDINANCE MJG. 4/7/92 Receive presentation from Mr. Paul Schumann, Holistic Health Practitioner, concerning his r the City revise its massage ordinance. ITEM EXPLANATION: Mr. Paul Schumann, has requested that the City revise its massage ordinance so that Holi Practitioners (HHPs) may provide massage services in businesses and clients’ homes. C regulations only allow massages to be given on the premises of a business which has be€ for that purpose. The ordinance also establishes certain operating standards which musl order for such a business to retain their license. Those giving the massages must also m qualifications. City staff has met with Mr. Schumann to discuss his request and recommends that, if Cou staff to revise the current massage ordinance, the revision would allow HHPs to providc services in businesses but not in private residences because of law enforcement probler would present. FISCAL IMPACT: None EXH IBlTS : 1. Letter from Mr. Paul Schumann requesting to speak at a City Council Meeting on the mas: 2. Memo to the City Manager regarding staffs recommendation. I L 0 0 PRACTITIONER M 1722 Avenida Aft0 Mira . Oceunside, CA 92056 . 619.726.4228 # c: ity lY-mger 7,290 ccrlsba? villzge 6.r. Cf-r7_nb<., cc Fh-. htchett I Elerse z?-low ne 2 re77 i?iixts:s QZ %e c pi;’ilc 1 i ... ?ge:?-’zI I 7,,r,?7;l<. Ti’,:= __-..A v t,: ~2~2: 2;~. t3-s p2s’pG2 izst;s, q I- .-. -- - -c. lE& ~. - 0 rO Q * e 0 1 - P P March 17, 1991 VIA: Assistant to the City Manager TO: CITY MANAGER FROM: Sr. Management Analyst - Research REQUEST TO REVISE MASSAGE ORDINANCE Mr. Paul Schumann, a Holistic Health Practitioner (HHP), has requested that the City revise its Municipal Code to allow certified HHPs to provide massage services in non-licensed locations such as in homes and businesses. Staff reviewed information submitted to them as part of his request and originally opposed the request due in part to problems reported by the City of San Diego Police Department. Changes to the City of San Diego Municipal Code similar to revisions requested by Mr. Schumann have led to problems with prostitutes using HHP certificates to operate in home massage businesses as a front for their prostitution activities. (HHP educational certificates can be bought from "diploma mills" in the Los Angeles area.) The Police Chief, Acting City Attorney and Assistant to the City Manager met with Mr. Schumann after he requested to be placed on the City Council Meeting Agenda to discuss his proposed changes. Staff now believes that regulations could be enforced if HHPs are a llowed &gwd 'e massages in businesses but do not recommend that they be allowed to provide the service i~ private residences. Although the vast majority of HHPs provide legitimante services, allowing them to give massages in homes would create a serious enforcement problem because of the difficulty in monitoring those operations. Please let me know if you would like any additional information or would like to meet and discuss the matter. r 7A- 4L-L- FRANK BOENSCH c: Assistant City Manager Acting City Attorney Police Chief 0 0 w-. @* April 7, CITY OF C A R L S B A D t Ladies & Gentlemen of the Council: My name is Judy Dean of 4607 Park Soulevard, San Diego. I an a Holistic Health Practitioner with a practice in San Diego and ar affiliation with Mueller College of Holistic Studies. I also repi sent the CA Chapter of the American Massage Therapy Association, having recently served on the CA and National Boards of that orgar ization. I have been practicing €or almost 20 years and have a specialty in care of the elderly and terminally ill. Although I rarely goout to clients at this time, I used to make many outcal: I warmly urge you to support Paul Schuman's application for ai off-premise license so he can go out to cover his holistic health practice. . . . and for your information, a Holistic Health Practi- may be described as "a nonmedical health care therapist who uses a massage specialty and therapeutic approach in caring for clients . To SUPPORT Paul's application is to facilitate the process of making health care options available to the public. To SUPPORT Paul's application is to allow Paul to go to peOpIt who may need his services and, yet, be unable to travel. To SUPPORT Paul's application is to protect his constitutiona right to work and puspit of his honest livlihood. 7s To NOT support Paul application is to participate in making non-medical health care hard to get and, thus, limit consumer optit This does not serve a discerning community like Carlsbad, To NOT support Paul's application is to force him to make cruelly difficult decisions sometimes when his help is needed and client cannot travel. To NOT support Paul's application is to deny him the right to serve people and the right to work at his honest livlihood. IS Again, I urge you to support Paul application -- despite your understandable concerns. Who knows what the outcome will be of a1 Holistic Health Practitioners to make home visits in Carlsbad. Th police have told me that San Diego has above 90% conpliance with t holistic health laws and that 60% is considered by most police as i 0 * -L- w4 t a good average. So I urge you again ... why not give it a try??? . . . Potenti problems are unknown -- and if I may respectfully suggest -- M 0 S U N L I K E L Y. Why not allow outcalls to Holistic Health Practit and see what happens???? If difficulties arise, further action can always be taken. Thank you for your attention. AMTA Missih and Goals 0 The mission of the American Massage Therapy Association (AMTA) is to develop anc advance the art, science and practice of massage therapy in a caring, professional and ethj manner in order to promote the health and welfare of humanity. GOALS To establish massage therapy as integral to the mainte- To estabZish AMTA as an influential member of the care community as well as a leader and deciding forc massage therapy in the areas of definition, standards practice, education, oversight and professional, legisl nance of good health and complimenta y to other therapeutic processes Objectives: and regulato y issues 1. To foster increased acceptance of massage therapy as a therapeutic modality Objectives: 2. To educate other therapeutic providers and the public about the benefits of massage therapy agencies 3. To develop reciprocal relationships in the health care community 4. To participate in the redefinition of health care 1. To pursue a level of recognition by outside 2. To be willing to be judged by objective criteri, 3. To establish the capability to monitor and implement standards control 4. To demonstrate that AMTA meets the demanc and needs of individual practitioners effective and competently, and in ways to retain the trL and respect of those practitioners To ensure the highest standards in providing massage therapy to the public Objectives: 1. To establish reasonable standardization of 2. To ensure the development of legislation favorable 3. To provide education to members regarding the 4. To visably promote (internally and externally) 5. To show competency in individual practices practice, education and certification to massage therapists necessity of standards Objectives: the standards of the industry To continue AMTA's growth, development, strength 1 visibility to ensure that its focus continues to be on thr needs of its members, the public and the profession 1. To commit to professional managerial expertisc 2. To improve our internal standards and control, 3. To re-evaluate organizational structure, i.e., 4. To determine the ramifications of membership governance and operation To provide access to quality massage therapyfor all persons growth Objectives: 1: To introduce programs that indicate accessibil- 2. To enable members to practice successfully In pursuit of the above goals, AMTA will be guide by the values of care and competency. ity, visibility and public service 2 r.- Contents 0 0 1 -_ Massage Therapy: HOW AMERICAS GETTING IN TOUCH 4 Therapeutic Benefits: WHAT CAN MASSAGE REALLY DO? 6 Stress and the Body 10 Specialized Applications of Massage Therapy 12 Questions and Answers 16 WHAT YOU'VE BEEN WANTING TO KNOW ABOUT ... Directory of AM TA Affiliated Massage Schools 19 About the AMTA 22 Massage 0 HOW AMERICAS GETTING IN TOUCH Across the country people from all walks of life are discovering the health-enhancing benefits of Massage Therapy, one of the most ancient and venerable healing arts. This branch of natural health care spans a wide variety of therapeutic approaches that work to improve a person‘s health and well-being through the hands-on manipulation of muscles and other soft tissues of the body. John Naisbitt, author of the best-selling book MEGATRENDS, has predicted that, “the more high technology around us, the more the need for human touch.” In today’s society it appears that our hectic high-tech lifestyles have outpaced our basic need for human contact. Imagine the stress you experience in a single day with telephones and traffic, work and family demands, financial concerns, and personal conflicts. Intensify this and multiply it by millions - and you can begin to see a primary source of the mindless violence and wide- spread alcohol and drug abuse in our culture today. vicious cycle. Naisbitt’s ”high tech/high touch concept is proving true as people from coast to coast seek out the skilled and caring hands of massage therapists for healthy, drug-free relief from the effects of their over-stressed lives. MASSAGE IS GOING MAINSTREAM The media is watching. You have only to pick up magazines and newspapers from the last few years to see a barometer of this change: articles such as ”The Message About Massage” in NEWS WEEK, ”A Guide to Massage” in THE NEW YORK TIMES, and numerous others in publications like USA TODAY, ESQUIRE, and WORKING WOMAN. Not to mention a whole sea of words in pages from ULTRASPORT to RXBES MAGA- ZINE. The health and fitness movement has fed this boom, along with America’s new emphasis on wellness. Athletes and performing artists praise massage for its relaxing, rejuvenating effects; doctors increasingly recommend it for stress relief and as part of treatment programs for pain and certain medical conditions; businesses have begun to recognize its potential t boost worker ProductivitY and morale. MODERN METHODS GROW FROM ANCIENT TRADITIONS This long-respected healing art has a history v stretches back thousands of years and spans the g The first written records of massage go back 3,000 to China, although it’s certain that the use of touck heal and soothe extends into the farthest reaches o Perhaps human touch can help to break this human experience. To rub a sore muscle or stroke another in comfort is a natural human instinct; and ”laying on of hands” has been valued among spirit and healing traditions throughout history. Greek i Roman physicians used massage, as did Egyptians islanders in the South Pacific, Persians, and Hindu In ancient Greece, Hippocrates (considered the father of modern medicine) wrote, ”the physician r be experienced in many things, but most assuredly rubbing.” The therapeutic methods we utilize today comc from two main traditions, Eastern and Western. E ern traditions can be traced back to the systems of f medicine of China and Ayurvedic medicine of Indi Shiatsu, acupressure and reflexology spring from tl sources, as do other contemporary methods. Modern Western massage can be traced back tc Peter Heinrik Ling, an educator and athlete from nineteenth-century Sweden. His approach, which combined hands-on techniques with-active movemf 4 <- c became known as Swedish Massage, of the most ’ commonly used methods in the Wem world. f THE STATE OF THE ART As the twenty-first century approaches, massage continues as an integral part of the health systems of most cultures. For example, in the Soviet Union, West Germany, China and Japan, the therapeutic effects of massage have been recognized for many years. Conse- quently, massage therapists there have been working along with doctors in the hospital setting as an impor- tant member of the health care team. In West Germany today, doctors will write a prescription for 10 massage treatments as readily as for a bottle of tranquilizers - and that massage is covered by their national health insurance plan! In the past 40 years, a new wave of pioneers have brought forth a wealth of innovative approaches to the field. People such as Janet Travell, M.D. (Trigger Point Work), Ida Rolf, Ph.D. (Structural Integration) and Randolph Stone, D.C. (Polarity Therapy) have made invaluable contributions to the work we do today. tion from traditional approaches with modern-day scientific knowledge and the latest hands-on tech- niques, producing therapeutic models which are more precise and effective than ever before. As this health care profession has evolved, the terms masseur and masseuse have generally given way to the designation Massage Therapisf, which denotes a well- trained, ethical practitioner. By the way, you may also see the term BODYWORK used these days. Bodywork and massage are some- times used interchangeably; however, bodywork refers to a broader range of disciplines which include manipu- lation-based therapies like Trager and Structural Integration, as well as movement-based approaches - such as Hatha Yoga and Feldenkrais work. THE DEMAND INCREASES The demand for qualified massage therapists in the U.S. has grown steadily over the past decade. Between 1983 and 1990, membership in the American Massage Therapy Association (AMTA) increased seven-fold, to more than 10,000 nationally. And the number of AMTA program-approved schools climbed from 12 to 55 during the same period. seen in the growth of related products such as high- quality instructional books and videos, relaxation tools and massage tables for both professionals and the general public. Massage therapists are specialists. In our entire health-care delivery system, they receive the most training in hands-on approaches. In practice, some may focus primarily on a single method, but most tend to Many of these new therapies synthesize informa- This resurgance of interest in massage can also be Benefits cb Health and mil-being: WH2iT CAN MASSAGE REALLY DO? Far beyond simply "feeling good," massage has an bolic waste products resulting from exercise or ity, allowing more oxygen and nutrients to reac cells and tissues. Sensory receptors in skin and "wake up," bringing new awareness to areas th; felt "cut off" by chronic tension patterns. The release of muscular tension also helps tc unblock and balance the overall flow of life enei throughout the body (known in different culturc vital force, bioenergy, c'hi, prana, ki, etc.). In additi impressive range of therapeutic effects and benefits, many of which have been documented in research studies conducted in the U.S., Europe and Asia. With a variety of hands-on methods, a skilled massage therapist not only stretches and loosens muscle and connective tissue, but also greatly improves blood flow to the heart and the movement of lymph fluid throughout the body. - ~~ 6 - --.--/- 1- .-c------ - --._z___vv_I - 0 f body’s natural painkillers - into the brain and nervous system. All this translates into an amazing number of tangible results: PHYSICAL LEVEL Deep relaxation and stress reduction Relief of muscle tension and stiffness Reduced muscle spasm and tension Greater joint flexibility and range of motion Increased ease and efficiency of movement Promotes deeper and easier breathing Better circulation of both blood and lymph fluids Reduced blood pressure Healthier, better nourished skin Improved posture Faster healing time from pulled muscles and sprained ligaments: reduced spasm, pain and swelling; reduced formation of scar tissue Strengthened immune system and disease prevention Health maintenance ” Relief of tension-related headaches, eye-strain MENTAL LEVEL Relaxed state of alertness Reduced mental stress; a calmer mind Greater ability to monitor stress signals and respond appropriately Increased capacity for clearer thinking EMOTIONAL LEVEL Satisfying the need for caring and nurturing touch Feeling of well-being Greater ease of emotional expression Enhanced self-image Reduced levels of anxiety Increased awareness of the mind-body connection A sense of being unified and in harmony Stress andthe Body 0 We experience all of life through the physical reality impacting all levels - physical, mental and emoti We are at full readiness as our body tenses a breathing gets shallower and more rapid. There increase in: heart rate, blood pressure and adren: production, with a corresponding decrease in: blr to the extremities, digestive function, and immt system activity. Ideally, this defensive reaction will subside situation has resolved, allowing our body to ret its normal state of affairs. We often help this pr with some rest, the right exercise or a little mas However, a person who is frequently undei ful influences will tend to remain locked into a 1 of stress response, unable to relax or let go. Thj pattern is damaging to the body; as it escalates, ultimately leads to discomfort or pain, and is a uting factor in most disease processes. The longer one is in pain, the more likely o try to block it out. It is at this point that alchoh drugs (both legal and illegal) often enter the pic Unfortunately, as one uses substances which dc nervous system to reduce the perception of the awareness of oneself and others are reduced in process. IN OUR EVERYDAY EXPERIENCE Like driving a car with one foot on the ga other on the brakes, we experience stress whei initiate an action and hold it back at the same i ever-obedient muscles try to obey both messal work against each other. In the same way, we have our own uniqu lar responses to the expression of emotions su anger, sadness, fear, exhilaration. We use our to block, control and restrain these strong fee11 our reactions to them. Even though we may b aware of the amount of tension we store withi extra wear and tear on both mind and body 07 Maintaining these patterns of chronic tens leaving the lights on all night - it takes energy it's a habit, we no longer recognize it as such. we do notice are the aches, pains, fatigue, hea of our bodies. Our pleasures and pains, the ups and downs of daily life affect the body profoundly, often in ways we're not aware of. STRESS is more than a household word these days - it's something everyone feels to one degree or another. Let's take a look at the mechanics of stress and the role therapeutic massage can play in stress management. UNDERSTANDING THE STRESS RESPONSE Stress is an unconscious and automatic reaction to anything we believe may be threatening to us. In the stress response, the body is primed for fight or fright by messages carried by the sympathetic branch of the nervous system. Whether we are confronted by a mugger in the street or find ourselves in a long line at the bank on a short lunch hour, the effects are the same, __Ch_VVS_*_VI?_---\---. 10 SpecializeApplications of Massage Therapy SPORTS MASSAGE: The Competitive Edge The Olympic Games, the Boston Marathon, the Ironman Triathlon - these are just a few of the major sporting events of recent years where teams of AMTA massage therapists were on hand*. Marathon runners, bicyclists, racquetball, football and hockey players are among the top users of massage as a training tool to help give better odds for winning. Davis Phinney, U.S. Olympic Medal Cyclist, told ULTRASPORT magazine, “At our level of competition, there’s such a subtle difference between winning and losing that you need every advantage possible. Mas- sage is one of them.” have found massage a necessity (some top Soviet athletes receive 300 sessions a year). John Harris, Director of the Sports Massage Training Institute in San Diego, says, ”It should tell you something that many foreign teams, including the Russians, wouldn’t think of traveling without a doctor and a massage therapist.” States. Indeed, the American sports world has been a leader in bringing acceptance of massage to the rest of our nation. An editorial in THE PHYSICIAN and SPORTSMEDICINE sums up speculations on the why of this increasing popularity in two words: “If works.” Clearly, many massage benefits are of special interest to the athlete. Different from general full-body massage, sports massage focuses on the muscles relevant to the particular athletic activity, is shorter in time length, and usually more vigorous. Massage prior to the athletic event loosens, warms and readies the muscles for intensive use, especially when combined with stretching. Besides helping prevent injury, it can improve athletes’ performance and endurance. Post-event massage relieves pain, prevents stiffness, and returns the muscles to normal faster, letting the athlete go back to full action sooner. Sports massage is also used for injury rehabilitation. For example, at the 1984 Summer Olympics, U.S. Marathoner Joan Benoit Samuelson won the gold medal just 17 days after a leg injury which had threatened put her out of the competition. Massage was a vita part of the program which enabled her to make sur outstanding comeback. Jack Meagher, author of the book SPORTSMA: SAGE: says, ”The athletic barrier is tightness. Rek tion can be defined as the completely unimpaired motion of a muscle in any direction, and anything can do easier you can do longer.” For years European and Russian sports figures Appreciation of massage is finally a hot item in the Not surprisingly, recreational athletes and fib buffs are discovering the benefits of sports massa: well. Runners, softball players, aerobic dancers a swimmers alike are including massage as a reguk of their workouts. Besides individuals who go to private practitioners, many health clubs, fitness c( and YMCA’s have massage therapists on staff. “The AMTA has a national sports massage team and h cerfification program in Sports Massage. 12 v_--..._c-4 -------.---,.v\-- ' * THE HEALTH CARE coN&ON: Massage enhances a tal health: Be more alive, 4 From Illness to Wellness alert and aware. Massage helps integrate body and mind, bringing a sense Of emotional well-being. This comes from caring touch as weu as the re1ease Of physical tensions connected with mental or emotional discord. Psychosomatic and stress-induced illnesses can often be aided. And you can learn to know better what your body needs. According to Dr. Willibald Nagler, head of Reha- bilitation Medicine at New York Hospital, "Massage is better than a good tranquilizer, and can serve as a very helpful adjunct to other therapies." HEALTH IMPROVEMENT Massage Therapy is utilized in a wide variety of ways both as an adjunct to medical treatment and in the promotion of health and wellness. HEALTH MAINTANANCE For mothers and mothers-to-be: Massage is a wonderful tool for relieving discomforts of pregnancy and the post-partum period. For infants and children: Studies show that massage facilitates healthy development, both physi- cally and psychologically. As an adjunct to medical treatment, massage is addressed to specific areas and recommended (often in combination with other forms of therapy) by doctors and chiropractors for such conditions as: backaches headaches muscle spasm and pain hypertension to reduce swelling and pain resulting from certain For the elderly: Massage can help maintain normal circulation, flexibility; enhance vitality. As many of our elderly experience greater physical isola- tion in their later years, touch conveys an essential feeling of caring and belonging. injuries or in the aftermath of surgery, such as mastectomy as a palliative treatment for the comfort of those with terminal conditions, such as cancer to maintain circulation and muscle tone for bedridden patients FOR THE CREATIVE SPIRIT Touching the Muse In the words of the ancient philosopher Cicero, "Only the person who is relaxed can create, and to that mind ideas flow like lightning." Massage relaxes. It frees the body and opens the, mind; it sharpens the senses and clears the thinking - releasing the individual's innate creativity and allowing it to expand to new dimensions. You don't have to be a dancer or singer or star to enjoy these benefits. Whether running a business, overseeing a household or pounding nails, you use creativity; and the more you use, the more results and fulfillment you find. For wellness and health promotion: Feel better than you think you could! By keeping mind and body more relaxed and stress-free, hands-on therapies can help prevent illness. They can also raise your health and vitality to a state of WELLNESS - perhaps to levels you've not yet imagined! For most people it's a new idea that health is a spectrum, not just the opposite of sickness. Combined with regular exercise, good nutrition and a positive sense of self, massage can work wonders. In the Performing Arts massage helps to open the body as the ultimate vehicle of expression, whether in music, dance, or theater. Many leading performers - Bob Hope, David Letterman, Bruce Springsteen, opera singer Lucian0 Pavarotti, to name a few - receive massage on a regular basis to keep their creative edge and to ease the rigors of performing. Davis Phinney, U.S. Olympic Medal Cyclist GLOSSARY of MASSAGE METHODS Something for Every Body The wide variety of therapeutic approaches are sometimes confusing, so here are some short descriptions of the methods you’re most likely to encounter. Shiatsu and Acupressure are Oriental-based systems of finger-pressure massage which treat special points along acupuncture ”meridians” - the invisible channels of energy flow in the body. Blocked energy along these meridians can cause physical discomforts, so the aim is to release the blocks and re-balance the energy flow. Full-body or specific work. Some massage therapists focus their work on one or two systems, while others are more ecletic - combining them as needed. Swedish Massage uses a system of long strokes, kneading and friction techniques on the more superficial layers of the muscles, combined with active and passive movements of the joints. Used primarily for a full-body session: promotes general relaxation, improves circulation and range of motion, relieves muscle tension. Reflexology (zone therapy) uses similar principles, although it’s organized around a system of points on the hands and feet that are thought to correspond, or “reflex” to all areas of the body. Specific, but with full-body effects. Polarity Therapy is also an energy-based system, created by the late Randolph Stone, an American chiropractor, naturopath and osteopath. It attempts to harmonize the body’s energy flow and structural balance through both gentle and deeper contacts. A subtle and somewhat esoteric approach, but very powerful. Full-body or specific work. Deep MuscleKonnective Tissue Massage, as the name implies, releases the chronic patterns of tension in the body through slow strokes and deep finger pressure on contracted areas, either follow- ing or going across the grain of muscles, tendons and fascia. Can be used for specific work or full- body. Hydrotherapy is traditionally used as an adjunct to massage and is employed by practitio- ners in some states. It includes modalities such as hot packs and ice applications, along with saunas, steam baths and whirlpools. Water is highly Trigger Point Therapy (a.k.a. Myotherapy or Neuromuscular Therapy) appplies concentrated finger pressure to ”trigger points” - painful irri- tated areas in muscles - in order to break the cycle of spasm and pain. Often used to deal with pain. . regarded for its therapeutic properties. Questions %d Answers 0 VVHAT YOU'VE BEEN WMTING TO KNOW ABOUT ... Who can benefit from massage? nant Women. Those who do hard physical labor. Athletes. Performers. Nurses. Counselors. Carpen- ters. Plumbers. Salesmen. Teachers. Writers. Artists. Administrators. You get the idea - anyone except those with medical contra-indications. I'm a reasonably healthy, active person without physical problems. Why would I consider getting therapeutic massage? 1. It feels wonderful! 2. To be even healthier. Wellness means you can feel better than you ever knew was possible. 3. To increase your body awareness and sensitivity 4. To relieve everyday type stress as well as more 5. To become calmer, more centered, and thus more 6. To think more clearly and to quiet mental static; to 7. To nourish your muscles, and your whole self 8. All these help prevent illness and improve life represent high standards of professionalism, and adhere to a code of ethics. For referrals in your arc contact the AMTA National Office (listed on the ir back cover of this Guide). In addition: Personal referrals are especially good. Ask yo1 friends or associates who they might recomme If you're under the treatment of another health Young. Old. All in between. Professionals. preg- extreme stress from key times of pressure or crisis. creative. be in relaxed alertness. quality. When would massage NOT be recommended? tis/thrombosis, as well as: high fevers, infectious diseases, cancer (some types), cardiac problems, in- flamed or infected injuries, areas of hemorrhage or heavy tissue damage, recent fractures or sprains (here circulation needs to be reduced for the first 24-72 hours). raise questions, consult your physician. An AMTA- certified therapist will also be able to tell you when massage would not be indicated. I've decided to get a massage session. How do 1 find and choose a good massage therapist? essential that you trust the person who will be touching YOU. We recommend an Active member of the Ameri- can Massage Therapy Association. These practitioners With certain circulatory ailments, especially phlebi- To find local names to choose from, look for tisement and business cards, sometimes the Pages. When you call therapists, ask what services offer, and get explanations of any you don't stand. Inquire about their training, certifica fees; you may also ask for references. Personality fit is important; so is trust; you feel confident and comfortable with your rr therapist Don't be afraid to discuss any apprehensio- concerns. If you have any of these conditions or others that Assuming I've found a qualified massage th what can I expect when I go in the first time: When you call to make an appointment a you arrive for your first massage, your massa pist will ask about your reasons for getting m By all means, check this out thoroughly. It's 16 -.""-*A- I ,-e "------..------ b Cost depends on 9 e type of treatment, the experi- ence of the practitioner, where you live, and the length of the massage. Nationally, the range would be from $20-$60 for an hour-long session (home visits often cost more due to travel time). Can I give a massage to someone else for a gift? Absolutely! Most practitioners make gift certifi- cates available. It's a wonderful gift that shows your friends, family members or business associates YOU care. If 1 get a massage for pain or injury, will insurance If a physician prescribes it, insurance will some- your current physical condition, ical history, What about cost? lifestyle and stress level, any area e pain, etc. You'll be asked to undress in private and drape yourself with a sheet or towel provided for you (under- wear is left on or off, at your discretion); then you'll lie down on a comfortably padded massage table. Only the part of the body being worked will be uncovered, and your modesty is respected. You can expect a peaceful and comfortable environ- ment for the massage. Your therapist may gently establish a connection in some way such as breathing in rhythm with you for a few moments before beginning the first strokes. For the period of time agreed upon you'll have the unique experience of having all your muscles kneaded ' cover it? and stroked in a full-body massage, or only in specific areas in case of a session oriented to localized injury, pain or tightness, or sports readiness. DO I have any responsibilities during the massage? 1. TO give your therapist accurate health information. 2. To report discomfort of any kind, whether from body, room temperature, volume of music, or other distractions. l times cover it. It depends on the company and the policy. Discuss this with your massage therapist. With all its healthy benefits, why isn't massage used more by doctors or in hospitals ? It is in other countries. America is the only devel- oped country where massage isn't an official part of the If I relax, won't it take away my edge - my drive and productivity - especially if I get a massage in the middle of the day? There are various styles of massage, some more invigorating than others. A good therapist will match the style to your needs. Massage for a business person returning to the office afterward will be different from a session for an overstressed client seeking deep, resting relaxation at the end of a day. Too much tension always restricts, both mentally and physically. Relaxed alertness enhances creativity and productiveness. Why do so many people equate massage with the "seamy side" of life? America is the only country in the world where the word massage has been used as a euphemism and front for illicit sexual activity. Massage Therapy has no connection with such activity. As more and more Americans learn about and experience therapeutic massage, we see that unfortunate and negative associa- tion being replaced with a high positive regard. Is it good to get massage on a regular basis? most doctors and therapists say the more often you get a massage, the better you feel" - a NEW YORK TIMES quote. The therapeutic effects of massage are cumulative. From one session to the next, you are able to relax more and more as the chronic patterns of stress in the body are released. These changes are readily felt in your day- to-day life, as well. . .. health care system. In the Soviet Union and West Germany, every major hospital has a Massage Therapy department and restorative therapy is given in spas. Massage is also found in the medical setting in coun- tries such as India, Japan and China. Yet a study in the NEW ENGLAND JOURNAL OF MEDICINE reported that out of 169 medical schools in the English-speaking world, only 12 have any course material relating to the therapeutic value of touch. In our medical mainstream today, time-consuming treatments are not used, except in extraordinary circum- stances. It is our hope that as Americans continue to take a more active interest in improving their health and fitness, they will create such a demand that the medical community will embrace therapeutic massage. "Massage has its greatest benefits over time, and Massage is a one-to-one interaction that takes time. What does it take to become a massage therapir Massage is a healing art as well as a science; requires a balance of technical knowledge, clinic, sensitivity and awareness. Everyone has the inn resources to touch another with care and confide However, it takes a sincere desire to help others, with a commitment to the time, energy and focu necessary for the training process in order to bec solid practitioner. People from a wide range of backgrounds ai experiences are making a career move to massag therapy these days, as they are looking for work is both personally and professional rewarding. How can I find a reputable massage therapy scl pursue professional training? Your best bet is a school which has received gram approval from the AMTA Commission on Massage Training Accreditation / Approval. These schools offer a 1 curriculum consisting least 500 classroom hours of training, which includ 300 hours of the Theory and Practice of Mass 100 hours of Anatomy & Physiology 100 hours of elective subjects, which include Hydrotherapy, First Aid and CPR. ' - Directory ol)AMTA AffiliatebSchools ' These massage schools have earned Program Approval from the AMTA Commission on Massage Training Accreditatim/kpproval -- iu e of the Healing Arts* 639 N. 6th Ave., Tuscon AZ 85705 602/882-0899 Directors: Margaret Avery, Janice Hollender Boulder School of Massage Therapy 3285 30th St., Boulder CO 80301 303/443-5131 Director: Ruth Marion Phoenix Therapeutic Massage College Stress Massage Institute 3150 N. 24th st., Suite 101, Phoenix AZ 85016 602/955-2677 Director: Carol G. Lagesse P.O. Box 1304, Manitou Springs CO 80829 719/685-5431 Directors: Togi Kinnaman, Ron Apgar -- -- ,i u .:i I:/!> American Institute of Massage Therapy, Inc. 120 E. 18th St., Costa Mesa CA 92627 714/642-0735 Directors: M.K. Hungerford, PhD, Debbie Z. Bergquam, RN Heartwood Institute, Ltd. 220 Harmony Lane, Garberville CA 95440 707/923-2021 Director: Robert Fasic r Massage Therapy, Inc.* 75 Kitts Lane, Newington CT 0611 1 203/667-1886 Directors: Stephen Kitts, Beverly Schoenberger, PT Potomac Massage Training Institute 7826 Eastern Ave., NW, Suite LL-I, Washington DC 20012 - - 202/726-1150 Director: Kathryn Hansman-Spice c- Institute of Psycho-Structural Balancing _- 4502 Cass St., San Diego CA 92109 619/272-4142 Director: Barbara Clark Integrative Therapy School 2100 21st St., Sacramento CA 95818 916/739-8848 Directors: Patricia Lahey, James Peal, John Sibbet Mueller College of Holistic Studies 4607 Park Blvd., San Diego CA 92116 619/291-9811, 800/245-1976 Directors: E.W. Mueller, Judy Dean National Holistic Institute** 5900 Hollis St., Suite J, Emeryville CA 94608 415/547-6442 Director: Carol Carpenter Educating Hands School of Massage 261 SW 8th St., Miami FL 33130 305/358-6991 Director: Iris Burman Florida School of Massage 5408 SW 13th St., Gainesville FL 32608 904/378-7891 Director: Paul Davenport Humanities Center School of Massage* 4545 Park Blvd., Pinellas Park FL 34665 813/541-5200 Director: Sherry Lynn Fears Sarasota School of Massage Therapy** 7045 S. Tamiami Trail, Sarasota FL 34231 813/921-6585 Director: Lewis W. Garrett, PhD Seminar Network International, Inc. School of Massage Therapy"* 518 N. Federal Highway, Lake Worth FL 33460 407/582-5349 Director: Jean E. Loving Suncoast School of Massage Therapy* Directors: Daniel A. Ulrich, Tekla A.Ulrich s - i 0 ,i Canadian College of Massage & Hydrotherapy 85 Church St., P.O. Box 340, Sutton, Ontario, CN LOE 1RO 416/722-3162, Fax: 416/722-3106 Director: Edith Szasz 3 Sutherland-Chan School & Teaching Clinic 4910 W. Cypress St., Tampa FL 33607 813/287-1099 732 Spadina Ave., Toronto, Ontario, CN M5S 2J2 416/924-1107 Director: Grace Chan i 19 -_ - -~ .,--.---ZP t Directory of ANTA Amated Massage Schools GEORGIA Atlanta School of Massage+ 2300 Peachford Rd., Suite 3200, Atlanta GA 30338 404/454-7167 Director: Leticia Allen 50 Franklin St., Worcester MA 01608 5081’757-7923 Director: Steve Tankanow Massage Institute of New England, Inc. 439 Cambridge St., Cambridge MA 02141 617/547- Director: Rosalie Foster Muscular Therapy Institute** 122 Rindge Ave., Cambridge MA 02140 617/576-1300 Director: Ben E. Benjamin, PhD Stillpoint Center School of Massage, Inc. P.O. Box 15,60 Main St., Hatfield MA 01038 413/2 Director: Frank Bialosiewicz HA%fvAIl Honolulu School of Massage, Inc. 1123 11th Ave., Suite 301, Honolulu HI 96816 808/ 733-0000 Director: Kathryn Robinson ILklivOIS Chicago School of Massage Therapy 2918 N. Lincoln Ave., Chicago IL 60657 312/477-9444, Fax: 312/477-7256 Directors: James M. Hackett, Robert K. King /g\.j Health Enrichment Center, Inc. 408 Davis Lake Rd., Lapeer MI 48446 313/667-945 Director: Sandy Fritz INDIANA Alexandria School of Scientific Therapeutics 809 S. Harrison St., P.O. Box 287, Alexandria IN 46001 317/724-9152,724-7745 Director: Ruthann Hobbs Graham School of Massage Therapy 2038 W. 2nd St., Marion IN 46952 317/664-5619 Director: Jan Brown Lewis School of Massage Therapy 1500 W. 37th Ave., Hobart IN 46342 219/962-9640 Directors: Rose Marie Lewis, Carroll W. Lewis 001 of Massage Therapy 1313 SE Fifth St., Suite 202, Minneapolis MN 55414 612/379-3822 Directors: Sally Niemand Petersbu Jackson Petersburg j$~TEXjLj ,T</:L] New Hampshire Institute for Therapeutic Ms, School of Massage Therapy 153 Lowell Rd., Hudson NH 03051 603/882-302; Director: Patrick Cowan, PhD IO VJ-4 Carlson College of Massage Therapy 1756 First Ave., NE , Cedar Rapids IA 52402 319/363-5831 Director: Ruth A. Carlson i-* >]E ,4 Dr. Jay Scherer‘s Academy of Natural Healing 1443 St. Francis Dr., Santa Fe NM 87501 505/98 Director: Lonnie Howard New Mexico Academy of Massage & Advanced Healing Arts P.O. Box 932, Santa Fe NM 87504 505/982-6271 Directors: Robert C. March, ND, Lorin Parrish hk New Mexico School of Natural Therapeutics 117 Richmond, NE, Albuquerque NM 87106 Directors: Charles Brown, Robert Stevens ‘WAiNE Downeast School of Massage Route 220 North, P.O. Box 24, Waldoboro ME 04572 207/832-5531 Director: Nancy Waltz Dail MARYLAATD Baltimore School of Massage 6 N. Broadway, Baltimore MD 21231 301/342-7010 Director: Jerry Toporovsky 5051’268-6870 0 0 & i NEW YORK UTAH Swedish Institute, Inc.+ 226 W. 26th St., 5th Floor, New York NY 10001 212/924-5900 Director: Patricia J. Eckardt Utah College of Massage Therapy 124 S. 400 East, Suite 330, Salt Lake City UT 84102 801/521-3330 Director: Norman Cohn wASHIlvG2-ON Seattle Massage School** 7120 Woodlawn Ave., NE, Seattle WA 96115 206/527-0807 Director: Paul Rerucha Tri-City School of Massage 26 E. Third Ave., Kennewick WA 99336 * 509/586-6434 Directors: Ruth E. Williams, PhD, Patty J. Kruschke NORTH CAROLINA Body Therapy Institute P.O. Box 202, South Wind Farm, Saxapahaw NC 27340 919/376-9696,9424846 Director: Rick Rosen Carolina School of Massage Therapy 103 W. Weaver St., Suite C, Carrboro NC 27510 919/933-2212 Director: Cindy Alvarez OHIO TWISCONSIA~ Central Ohio School of Massage 1110 Morse Road, Suite 012, Columbus OH 43229 614/841-1122 Director: Mrs. C.D. "Peg" Thompson Self-Health, Inc., School of Medical Massage 130 Cook Road, Lebanon, OH 45036 513/932-8712 Directors: Sharon Barnes, PhD, Heather Morgan, MD Lakeside School of Natural Therapeutics 804 E. Center St., Milwaukee WI 53212 414/372-4345 Director: Cheri Louise Yarborough * Accredited by NATTS, the National Association of Trade and Technical Schools ** Accredited by ACCET, the Accrediting Council for Continuing Education and Training OREGON East-West College of the Healing Arts 812 SW 10th Ave., Portland OR 97205 503/226-1137 Director: David Slawson PENNSYLVANIA Pennsylvania School of Muscle Therapy, Ltd. 651 S. Gulph Rd., King of Prussia PA 19406 215/265-7939 Director: L. Victoria Ross TEXAS Asten Center of Natural Therapeutics 717 Lingo Dr., Suite 209, Richardson TX 75081 Directors: Paige Asten, Hervey Perez Institute of Natural Healing Sciences 4100 Felps Rd., Suite E, Colleyville TX 76034 817/498-0716 Director: Charlotte Small 214/669-3245, 669-3246 About thp 0 American Massage Therapy Associati The American Massage Therapy Association standards through: a rigorous approval process f01 (AMTA) was founded in 1943 and is the oldest and massage schools, state-of-the-art continuing educai largest national organization representing the massage for its members, and advanced certification progra therapy profession. This Association has grown dra- A massage therapist qualifies to become an Ah ma tically in recent years and has evolved with its member in one of two ways: graduating from an members as massage has become a multi-faceted health AMTA-approved program of study, consisting of : care profession. least 500 classroom hours; or by passing a membc On the national level, AMTA serves in a leadership entrance examination, given under the auspices oi role in many ways. The Association has been instru- National Director of Education. There are 55 mas: I) -----_---- -__""---_- 22 0. --- ,. ** 1 0 1 earned program approval status. These schools are the leaders in career training and professional develop- ment. therapists for premier athletic events such as the Olympic Games, Pan-American Games, and Boston Marathon. It also has a Department of Outreach Services, which is dedicated to assisting efforts to provide massage to the elderly, the handicapped and the terminally ill. The Association publishes a excellent quarterly magazine, the MASSAGE THERAPY JOURNAL. Writ- ten for the general reader as well as the professional, it covers a wide range of topics relating to health and hands-on therapies (subscriptions are $15 for one year/ 4 issues). Two of the major obstacles facing the massage therapy profession are: lack of public awareness about massage therapy, and oppressive laws which affect the practice of massage. AMTA addresses these vital issues and supports the work of its members through both National Public Relations and Law and Legislation Programs. Illinois. This headquarters serves as a central network- ing resource which can provide you with free informa- tion about membership and referrals to qualified practi- tioners. This office can also answer any questions you may have pertaining to massage - or will help you find appropriate resources. AMTA is governed by a National Board of Direc- tors, which guides the work outlined above. The organization exists to serve the needs of its members, and especially, the health care consumer. states, the District of Columbia and Canada. Each of these individual chapters has its own Board of Direc- tors, which establishes goals and designates projects which serve its members and the public on a local level. “AMTA is committed to upholding the highest standards of educational expertise and professionalism. We invite your inqui y.” AMTA regularly provides teams of sports massage The association also has a National Office in Chicago, In addition, there are AMTA State Chapters in all 50 Robert K. King, AMTA National President