Legitimate massage therapy businesses shouldn't display this sign.

“You do massage therapy? Do you like being a masseuse?”

Well, I wouldn’t really know what it’s like to be a masseuse because I’m a licensed massage therapist (L.M.T.) in the state of Arizona. Unfortunately, that statement almost makes me sound like I add the fancy acronym to all of my magazine subscriptions as if I were a doctor. I’m not really that uptight, but I do have a legitimate reason to squirm away from the “masseuse” title.

The word “masseuse” originated in French to describe a female who gives massages and “masseur” describes a male who gives massages. “Masseuse” describes me, right?

Yes and no.

A licensed massage therapist can always be considered a masseuse/masseur but a masseuse/masseur isn’t always a licensed massage therapist. Now that massage therapy has started to become regulated in this country, most states won’t allow unlicensed individuals to charge for massage. People who aren’t licensed, certified, registered, etc. in their states do give massages on the sly, but they can’t profess that they meet state or city requirements.

Some masseuses/masseurs may be self-taught experts of anatomy and physiology. They may be better at my job than I am. (I suppose they can call themselves massage therapists as long as they don’t purport to be licensed.) Others just hand out business cards that say, “I’ll rub you the right way,” and, “Feeling knotty?” They will give you a back rub. Some masseuses/masseurs may work out of their homes, others may do outcalls, but many of them work at massage parlors, where the clientele expect a little more than a massage.

The terms “masseuse” and “masseur” were used on a regular basis in the United States for so long that it is still normal for anyone to use them interchangeably with “certified massage therapist,” “licensed massage therapist,” or “registered massage therapist.” But, as one who went through the 750 hours of schooling to obtain a license, I’d prefer not to be linked to a name which indicates that I may wear stilettos and a tube top on the job.

So, if someone ever calls me a masseuse, I don’t get huffy and say, “I can’t believe you just called me that!” I might, however, offer a gentle nudge in a more affirmative direction by nodding and saying, “Yes, I am a licensed massage therapist.”

Your abdomen is your friend.

The abdomen isn’t merely a container for most of the body’s internal organs; it is also contains emotions. Have you ever received terrible news and had the feeling that your heart has plummeted into the pit of your stomach? I have.

Some of us experience tension mostly as headaches while others of us deal with stomach problems connected with daily stress. Body stress actually begins in infancy. Many babies experience abdominal distress on a regular basis (often linked to colic,) and children get tummyaches when they are stressed out about school or friends. As we get older, we usually fall into one of two categories: headache people and stomachache people.

Sure, we might all get both every once in a while, but one type of discomfort is definitely prevalent. While I feel fortunate to be able to say I’ve never had a migraine headache, I can’t say the same about excruciating stomach pain. Most of my stomach troubles came at a time when I was being treated for Generalized Anxiety Disorder (GAD). Not surprisingly, a study published in “Alimentary Pharmacology & Therapeutics” found a direct association between GAD and Irritable Bowel Syndrome (IBS).

Emotions are indeed very physical. It’s the reason why getting a massage doesn’t just feel good physically, but also allows us to leave the table feeling like life is completely worthwhile. The best part is that, while massage does help reduce physical ailments, its benefits are multiplied because a healed mind contributes to a healed body.

I’m disappointed that massage therapists don’t spend much time working in the abdominal region. I currently have one client on whom I perform regular weekly abdominal massage, and the treatment is truly a mind-body experience for both of us.

If you get a lot of stomachaches, I encourage you to ask your massage therapist to focus on your abdomen for at least a few minutes every session. Because the abdomen can be so closely connected with emotional reservations, receiving a massage in that area can feel a little more intimate or even invasive in the beginning. Over time, however, you will get used to having someone else apply healing touch in that area, which I believe will allow you to release some of what is causing the discomfort.

I also encourage you try some basic abdominal massage techniques on yourself:

1. Lie flat on your back with a thick pillow just below your knees.

2. Rub your palms together until you feel heat radiating from your hands.

3. Let your hands rest side by side and palm-down just below your navel. Feel the steady rise and fall of your abdomen as you take slow, deep breaths. Focus on every breath, allowing your body to relax under the warm weight of your hands.

4. Using the full surface of both palms, massage your abdomen in clockwise circles to follow the natural digestive pathway in your colon. Start with small circles directly around the navel, gradually working your way out toward the edges of your torso. Let your hands work in a flowing motion by alternately stroking with one as you lift the other.

5. Let your massage last as long as your body is receptive to it, but try to work for at least 10 minutes to start with.

Tips:

• You can massage your abdomen through thin clothing, but working directly on your skin with a warming massage oil is a more effective way to induce physical and emotional relaxation.
• Check out this video if you want to see some advanced techniques.

Warning:

Abdominal massage is contraindicated for anyone:

• In the first trimester of pregnancy
• Actively undergoing chemotherapy
• Experiencing a flare-up of IBS or Crohn’s Disease
• Recently recovering from abdominal surgery
• With an abdominal aneurysm
• With cirrhosis of the liver
• With angina pectoris
• With an active infection or cancer in the abdominal region

Massage minutes go by faster than the rest.

If you’ve ever been to a spa or any other place where massage therapy is offered, you probably know that massage therapists provide treatments for assorted lengths of time. Three typical massage lengths are 30 minutes, 60 minutes, and 90 minutes.

The most common massage in a spa environment is a 60-minute massage. As a massage therapist at a chiropractic office, I’d say I give about an equal amount of 30-minute and 60-minute massages. I give occasional 90-minute massages and have only given a single two-hour massage.

Which should you choose? The one that’s best for you depends on what you expect to get out of your massage.

30-minute Massage

• What it is:A 30-minute massage is a great maintenance massage for one area of the body. (Most of my 30-minute clients enjoy my combination shoulder, low-back, neck, and scalp massage.) It can also offer you a quick breather in the midst of a stressful day. Another major “pro” of a 30-minute massage is that it’s usually pretty cheap.

• What it isn’t: 30 minutes isn’t the intended length of time for a full body massage; it simply isn’t enough time to adequately address all areas of the body. If I were to break down a general full body massage into 30 minutes, I wouldn’t have enough time to do extra work on any of the muscles after I warmed them up.

60-Minute Massage

• What it is: 60 minutes is enough time to fit in a relaxing full body massage. An hour gives me time to warm up muscles pay a little extra special attention to problem areas. A 60-minute massage will be more expensive than a 30-minute massage, but many massage therapist offices and spas won’t actually double the cost for double the time. Generally, you’ll get more massage for your buck if you choose a longer massage. (For example, if a chiropractic office charged $40 for 30 minutes, it might charge $65 for 60 minutes.)

• What it isn’t: Some clients don’t feel that 60 minutes is quite enough time for them to be on the table when they want a well-rounded treatment. As a therapist, I agree. I can give a full-body massage in 60 minutes but I still feel rushed. For example, sometimes I’ll have already worked on a person’s back for 20 minutes but then run across a problem area right before I go onto the next body part. I have no choice but to tell my client something like, “I can continue to work on this spot and not work on your arms and legs, or I can just continue on

90-minute+ Massage

• What it is: 90 minutes is blissful. It’s enough time for me to slow down, ignore the clock a bit, and listen closely to what a client’s body is telling me. It’s also enough time for me to try out new massage techniques. Some of my clients say, “Once you try a 90-minute massage, you will never want to go back to shorter ones.” A 90-minute massage is naturally more expensive than your other options, but it also is usually cheapest per minute. I couldn’t say whether you should get a 30-minute massage every two weeks or one 90-minute massage every six weeks; that really depends on how often your body needs maintenance.

• What it isn’t: A 90-minute massage isn’t for people who have trouble lying in one position for extended periods of time. It also isn’t a frequent treatment option for people who are on a tight budget. However, I urge you to try it once to decide whether it suits you.