BODY KNEADS THERAPEUTIC MASSAGE - Massage & Body Treatments by Anita M. Paquette, LMT
What Can I Expect in a First Visit?
Most people receive massages in a place that is designated for massage. The environments vary, but the most common is a commercial setting, such as a spa, wellness center, or massage clinic. However, massage is becoming increasingly common in other settings such as hospitals and rehabilitation clinics. On-site chair massage is also offered in environments such as malls or airports, sporting events, or private parties.
In a private practice, however the experience may be different than other environments.
Before the Massage
First of all, make sure it's a good time for you to have a massage. There are several contraindications for receiving a massage. If you have any of the following conditions, you should NOT get a massage:
  • Fever
  • Any type of infectious disease 
  • Systemic infections 
  • Severe cold 
  • Fracture, bleeding, burns or other acute injury 
  • Liver and kidney diseases 
  • Blood clot (unless you have a doctor's written permission)
  • Pregnancy-induced diabetes, toxemia, preeclampsia/eclampsia 
  • High blood pressure (unless under control with medication) 
  • Heart disease 
  • Open skin lesions or sores (therapist may work around them if localized)

The guidelines here are pretty straightforward. You don't want the massage to make an underlying medical condition worse, and you don't want to pass anything contagious to the massage therapist. If you're unsure about whether a minor condition should prohibit you from getting a massage, call before your appointment. If you have a chronic medical condition, check with your doctor before proceeding on a course of massage therapy. For some illnesses, other bodywork modalities/techniques may work well.
In the days before your massage, drink plenty of water.
Do not eat just before your massage.
Give yourself enough time to arrive on time and relaxed. If you're rushing and arrive stressed, it will take longer to get into a relaxed state.
Health History
Generally, first appointments begin with an intake process, starting with a health history.  Arrive early for your first visit to fill it out. Generally, a health history will ask about:
  • Medical conditions
  • Areas of concern
  • Your level of pain or discomfort on good and bad days
  • What helps reduce the pain and what makes it worse
  • Contact information
I will review your health history and ask questions. Because massage can affect multiple body systems, such as the cardiovascular and nervous systems, be honest with about your health. You should also let me know about any pharmaceutical drugs or botanical medicines you're taking, because massage can enhance or reduce the effect of pharmaceutical drugs, such as blood pressure medication. Knowing your history allows me to determine if there are any reasons you should avoid massage or a particular technique.
I will ask you questions to better design a session that meets your needs and goals within the time allotted. Let me know what areas of your body you would like worked on, if there are any areas to avoid, and if you have any techniques that you would like to use or avoid. If you are concerned about undressing, discuss it with me so I can offer you some options. Don’t be afraid to discuss any apprehensions or concerns. All information you give is confidential.
I will outline what will happen in the session and then leave the room so you can undress to your comfort level.
When you're ready, lie down on the massage table and cover yourself with the sheet or other draping on the table. I will knock before re-entering.
During the Massage
Generally, you will lie on a massage table, covered by a sheet or large towel. Make sure you are comfortable and let me know if you are not. Tell me if you're cold, want to be covered, don’t want an area of your body touched, don’t like the music, or are experiencing discomfort with the technique or how it's being applied. Remember, you are in charge, and can ask for changes or stop the session at any time.
Draping is required at all times. Only the area being worked on will be undraped. Breasts, genitals or any other areas you identify will not be exposed during the session. 
I play a lot of different kinds of music.  Be sure to tell me if you prefer a different type of music or if you would like quiet.
How to get the most from your massage
Be as open to the process as you can.
Relax and try let your thoughts go. One way to do this is to focus on how the touch or technique feels.
Remember to breathe, as this helps you relax. Sometimes people hold their breath when a sensitive area is massaged, but it is best to breathe through it.
In the same way, tightening your muscles during the massage is counterproductive. If you can’t seem to relax your muscles, let me know so I can adjust the massage technique.
    Answers to common questions
    • Is it common to experience emotions?  It depends. You might be having a day filled with emotions: sadness, joy or exhaustion. Sometimes the safe touch, music that brings up memories, dates that are linked to events, or the smell of the massage oil may release feelings. The body can react by crying, laughing, or “shivering from cold.” The mind can also become absorbed in the feelings rather than the massage. I will simply ask if you are okay to continue receiving touch and given your answer, I will monitor how you are doing and adjust the session goals accordingly. For example, I may shorten the time, change the strokes or the music or add more draping.
    • Is it okay to talk?  Yes, it is okay to talk, but you may get more benefits from a relaxation massage if you let go of your everyday worries or concerns. If you are nervous about the process of receiving massage and need to talk to feel safe, I will understand.  If your session is rehabilitation-based, I will need to stay in constant contact with you regarding pain levels and measuring relief because it’s important that you offer specific feedback to me, so I may keep talking to keep you from drifting off.
    • Do I have to be completely undressed? You should undress to your comfort level. I will work around the clothes left on the best I can. You should realize that this may mean that certain areas of the body may not be massaged at all, or may only receive minimal work there.  
    • What if I am embarrassed about my body?  Remember that massage therapists are professionals who are sensitive to possible client issues with touch and are non-judgmental about your body weight, amount of hair, skin conditions, scars, disabilities, medical conditions, or personal history of trauma.
    After the Massage
    At the end of the massage, I will leave the room so you can dress in private. Wait a few minutes on the table as you get grounded, especially if you feel light-headed. Then take your time getting ready.
    You will be offered a glass of water. It's a good idea to drink some water to help the body flush waste products.
    If possible, allow some quiet time after the massage and don’t go back to work or other responsibilities immediately.
    How you feel after the massage will vary based on the style of massage used, the length of the session, and the demands you place on your body afterward. Feelings range from being relaxed, renewed and centered, to invigorated, excited or experiencing a rush of clarity or new energy and insight, to recognizing your true level of fatigue (particularly if you can be “off duty” for the rest of the day) and wanting only to rest.
    Clinical types of massage may leave the body free from chronic tightness or acute pain patterns, but may replace it with a mild soreness from the pressure applied. After this type of massage, you may want to rest the area before jumping back into the activity that produced the soreness.
    Realize that the benefits of massage tend to be cumulative, so typically, you will feel better as you get additional massages.
    Answers to common questions
    • Can I go back to work after my massage?  Of course, but plan on enough time to readjust. Be aware that your perception of motion (driving, stairs, distances may be “off” for 20 minutes or so after the session). Also, realize your relaxed state may bring your feelings close to the surface.
    • Will the oil ruin my clothes or mess my hair?  Most massage oils will not damage your clothing. If you have any concerns, bring a comfortable set of clothes to put on afterward.  I can design a session that doesn't mess up your hair or make-up.
    • Should I tip the massage therapist?  In spas and salons, it's generally considered proper protocol to tip the massage therapist, just as you would tip a hairdresser. But this is not always true in other environments, such as private practices or clinics where you don’t tip the other professionals (such as a physical therapist). The decision up to you. The quality of your session will not be affected by whether you leave a tip or not.  Additionally, you should not expect to get additional time or better service by tipping or giving gifts. It's nice to let me know that you appreciate a good job, but tipping is not the only way, especially if the cost of the massage therapy is already a burden.