If you are going to get a massage that is guaranteed to meet or exceed your expectations there are a few key points or steps that will help you in your experience. If you have never received a massage before you may be saying, “How hard is it to receive a massage that feels great?”. The answer is not as simple as it may seem. I have been practicing massage for the past 10 years and have hired, trained and worked with some of the most talented massage therapists in the United States. I have also traveled around the country and world receiving massage in various establishments, from my first massage being in the practitioners living room to the most exclusive resorts.
Since I am on the subject let me share with you my first massage experience. I have always been very active. I wrestled and lifted weights in high school as well as surfing, skateboarding, snowboarding, and wakeboarding. It’s safe to say that I just loved getting out there having fun and working out. I had some injuries and I was experiencing some shoulder pain. My friend David suggested I see his dad for a massage. I had never really known anything about massage except when I would get a back massage from my girlfriend, which I really enjoyed. David’s dad is a very intense individual who had been practicing massage for 30 years at that time. I was told that David’s dad was great at working with the body and had extensive study in professional massage therapy(over 30 years at that time).
I decided to give the professional massage therapy a try for my injured shoulder. I arrived at David’s house and was met by his dad. He explained to me about his experience and directed me to the massage table in the middle of his living room. I have to admit that I was a little uncomfortable about the idea of getting naked on the massage table in the middle of his living room, but since I was there I thought that I had to go through with it.
Once I was on the table and slipped under the towel, he began by massaging my shoulder, chest and neck muscles. I have a high tolerance for pain but what he was doing was very painful and I found that my body was tightening up in response to his pressure. He indicated to me to “bear” with the pain and that the massage would help my shoulder. I did as he said, as I did not know any better. I was counting the minutes as it seemed like the session would never end. After the session, I ended up with more pain in my shoulder than before. I really had nothing to base the experience off of so I assumed that this is what massage therapy was all about.
It is still amazing to me that I ended up getting so deeply involved in the massage profession after this initial negative experience. In my years of experience I had racked up countless massage sessions that were performed by massage therapists that have had “extensive training” only to find that the session actually left me in more pain than before.

Here is an example of a massage that left the massage consumer with bruises.
I am writing this report so that you do not have to experience the negative massage outcomes that I , like so many others, have encountered. In social settings the question always comes up what I do for a living. When I tell people about my experience as a massage expert I am “gifted” with the many negative and positive experiences that people I meet have encountered. I say “gifted” because I have always been fascinated about what each individual expects when receiving a massage. I know what I like and what 100’s of my clients like as they continue to come into my clinics to receive regular massage.
However, I love to hear from other people about their experience and what made it a positive or a negative one. I have been taking notes through the years and I am known for immediately implementing this feedback to better serve our current clients. Massage Therapy is such a powerful tool for individuals to relieve stress, eliminate pain, and increase sports performance. It is with regret that I consistently hear of negative experiences from individuals that will never receive massage therapy again. My mission is to make it clear to the public what steps or principles should be known when they receive a professional massage from anyone, anywhere.
If you are going to receive a massage that will help you feel better and decrease your pain and stress then you must embrace these key principles. Unfortunately, it is not enough to trust that the massage therapist you are going to work with is going to apply the techniques that are going to be of greatest benefit for you.
People are getting massage in record numbers. They may be going to a resort spas, day spas, med spas, massage clinics, chiropractic clinics, yoga studios, individual massage therapists (at an office or at the client’s home) or a massage schools (taking their chances with a student). The positive effects of massage are more widely known then ever before. This is an exiting time in the massage therapy profession. This is also a time when many people will receive a service that does not help them achieve their goals. There are many possible reasons why this takes place every day, all over the country.
- The massage centers hire practitioners who are not qualified to practice massage that will help individuals achieve their massage goals. The fact is that many business owners who decide to implement massage therapy as an extra revenue source care little, or not really at all, about the quality of the massage treatments. It is less expensive to hire someone directly out of massage school as the owner will have to pay them less. This will mean more revenue for the business. If the business is owned by another practitioner, such as a chiropractor, physician, salon owner, yoga studio, or corporate massage center, the practitioner is focused on their practice and does not have time to focus on the quality of care given by the massage therapist.
The owner has to focus on personally serving their clients, not on ensuring quality massage treatments. They assume that is the massage therapists’ responsibility.
Note: I have heard of many companies that hire massage therapists without even receiving a massage from the therapists to ensure quality. It is appropriate to ask the massage therapist that you work with about the hiring process.
2. There is a low point of entry for the massage therapy profession. In San Diego alone, there are over 12 schools who offer massage programs. At the current time this article is being written there are different requirements for different areas throughout the state of California. Some areas have a requirement of as little as 200 hrs of massage therapy training. These schools are motivated more by business than by virtue and therefore are mostly interested in getting as many students through their program as possible. Some of the schools have a little higher standard, but the fact is that there are very few qualified individuals that are capable of providing a massage therapy treatment that will meet their clients’ goals.
I know that when I had 200 hrs training I was not capable of treating any clients’ needs for anything other than basic relaxation. The school that I went through did not give me the tools to provide clients with anything more than a massage that was relaxing. It was only until I had continued training and practicing that I was able to treat patients for pain relief and sports performance. I also was in school with many individuals that were allowed to graduate the program that I would never let give me a massage. My only hope is that they were not hired by one of the centers listed above when they got out of school. I can only assume that there are many people out there that have received negative massage who now feel that massage could not help them. I have personally heard these stories time and time again.
- Since there is such a low point of entry for massage therapists they tend to be a “flighty” group of individuals that rarely stay in the profession for life. If you are reading this and you are professional massage therapist and you are saying, “Hey, I have been in the profession for umpteen years”, this obviously does not apply to you. However, I am sure you can agree that through the years you have seen more massage therapist come and go then those of us who have stayed in.
So, how does this affect the massage consumer? Well, if you were lucky enough to find a qualified massage therapist who helps you achieve your goals, more often than not you will soon lose them as they move on to another profession. I personally have seen qualified therapists leave due to relocating, getting injured or having personal issues which do not allow them to continue servicing you, or just simply do the typical Californian “flake” out and not call you. Therefore you, the massage consumer, are out of luck. I only bring this up as I have seen this scenario time and time again. The commitment to the clients’ massage goals is many times at the will of the massage therapist and not the massage consumer. Your needs as a massage consumer have not changed, but what I see is individuals who will not want to go through the hassle of finding another qualified practitioner to give them a massage so they simply do not get massage. This only hurts the massage consumer and I would argue, the community as a whole.
3. There is no way of identifying the “expertise” of a massage therapist without wasting time and money on ineffective treatments that can actually cause you more pain then when you started. I told you the story of my friend Dave’s dad. He had 30 yrs of experience, had done numerous studying with acclaimed body workers, but still lacked the very basic principle that the client is always right and massage therapists must work within the pain tolerance of the massage client. I could have been one of the many people out there, possibly just like you, who have received a massage treatment like the one with Dave’s dad, who are not willing to give it another try. I am not, though. I feel that I have learned exactly what the massage consumer should know about the massage treatment in order to receive a massage experience that meets your massage goals.
I am about to present to you the 5 key things you need to know to receive a massage experience that aligns itself with your massage goals. Get your pens ready. This may seem like basic knowledge for many of you, but I can tell you that I wish I read this before enduring the many negative massage experiences that I have encountered.
1. You are always right and should get exactly what you want. Many massage consumers assume that you are going to a professional massage therapist and therefore whatever they say goes. The old adage that the consumer is always right also applies to the massage therapy industry. Of course, you want to work with a “trusted expert”, but that does not mean that if you think you need more focus on a particular area or altered pressure that you should not receive exactly that.
A “trusted expert” will listen to exactly what you want and apply the techniques that are going to help you achieve that goal. When you go out to buy something that you have already decided to purchase you are not going to let a salesperson sell you on something different than what you had in mind (although this happens all too frequently in the marketplace). The same is true for your massage therapy experience. If you are not sure what you need but have a specific complaint, your massage therapist should listen to your chief complaints and provide a solution that helps you achieve your desired outcome (more on this later).
If you sense that the massage therapist you are working with is not listening to your needs, it is perfectly alright for you to end the massage session. This may seem a bit harsh, but wasting your time and money on ineffective treatments is not an acceptable option.
2. What you should expect from your massage therapy treatment. The massage therapy treatment should specifically fulfill your desired result. You should expect that you are going to work with a skilled massage therapist that is going to listen to your issues and help you receive a massage that is very satisfying for you. From the moment you call in to schedule your massage treatment you should have a sense that you are going to work with a therapist that is going to treat you as an individual and respect your individual needs. It is appropriate to ask for the massage therapist’s credentials and experience.
You may also want to speak with an existing client to ensure that they have had a pleasant experience an existing client that they work with that has had a pleasant experience with the practitioner you are about to have a massage with. You can ask to come by and see the facility where you will be receiving your massage. Does it look clean, relaxing, and therapeutic? What does the energy of the facility feel like? Does it align with your energy and feel like a place that you will be comfortable with? It is also appropriate to ask to meet with the therapist who is will potentially be working with you prior to the massage treatment so you can be assured that you will be comfortable with the massage therapist.
When you have set up your massage treatment and arrive for your massage you will be asked to fill out some paperwork. Allow for enough time to fill out the paperwork so it does not interfere with your massage time. After all, if you are seeing a massage expert, chances are they are very busy and they have clients before and after you.
When you arrive at the establishment you should be warmly greeted and offered water while you fill out the paperwork and wait to meet your therapist (if you did not meet them prior). Your therapist should introduce themselves to you and welcome you and direct you back to the massage room. The therapist should then ask you about your specific goals for the session and listen to you before proceeding. You should feel that the therapist cares deeply about your goals for the session and is interested in helping you achieve them. The treatment room should be relaxing and comforting. The massage therapist should explain that you can disrobe to your level of comfort.
Note: For some people their level of comfort may be to keep all of their clothes on. This is perfectly fine. I have worked with clients who started with me working with me fully clothed and as their comfort level increased they began to remove some clothing so I could massage directly to their skin. The fact is that massage therapy feels better when it is applied directly to the skin. The other fact is that a skilled massage therapist can work with you with all your clothes on and still provide a great massage.
You should be covered or draped with sheets properly during your massage. This is not only a law, but is intended for your comfort. This means that only the area of your body that is being massaged will be exposed. The rest of your body will be covered by a sheet and when you are cold a blanket as well.
Note: I have had massage at establishments that have used very little towels to cover my naked body. I am very comfortable with my body, but in one session in particular (at a San Diego establishment) I was very cold during the session and the draft made the massage very uncomfortable. I have come to find out that this particular establishment may not be a legitimate massage practice but a front for prostitution. You would never know this as it is marketed as a day spa, so be wary of where you set up your appointment. I can guarantee that if I would have implemented these 5 steps I would have known that this establishment was not legitimate and I would have saved myself the uncomfortable experience and the waste of my time and money.
The practitioner will leave the room once they explain where you should place your clothes and they will indicate that they will be back in a while to start your massage.
Note: We implemented a “relaxation switch” in our clinics that when pressed by the client turns on a light outside to know you are ready. I have had numerous experiences of opening the door on clients who were not comfortably under the sheets. If the establishment does not have the “relaxation switch” make sure that you are quick to get on the table to avoid any uncomfortable racing to the table scenarios.
Once you are on the table you should not have to wait too long for the therapist to come and start the massage. The therapist should enter the room and ask you how you feel on the table. How is the temperature of the room? How does the table feel? How do the pillows or bolsters feel?
Before therapist begins doing the massage they should tell you that if at any time during the massage you would like more or less pressure to just let them know and they will accommodate you. If you are getting the massage for general relaxation the massage therapist should not talk with you during the session. This is one of the chief complaints I hear from massage consumers across the country when they tell me about their massage experiences. I have heard of therapists who will tell the client about all their personal problems while the client is “held hostage” and is paying good money to council these therapists on their personal issues.
Remember the first step, You are always right and should get exactly what you want, so tell the therapist that you prefer to just listen to the music or zone out during your massage. If your therapist is a massage expert you will find that they will have listened to you describe your goal of relaxation and therefore they would be quiet during your massage session.
Note: If you are receiving a massage for a goal of reliving pain or a specific injury then your massage therapist will need to discuss your history with you and explain what they are doing. You also may be asked to move around on the table from face down, side lying to on your back.
After the massage your therapists should thank you for the session and discuss their assessment of your muscular health. Your therapist will explain what they recommend for a treatment plan for you to achieve your goal. It may be as simple as you needing to receive massage once a month to keep stress levels low enough to help you to better manage your life; or it may require that you come in as often as 2X a week for 6 weeks to aggressively treat a specific issue you are dealing with.
Whatever the case is the therapist you work with should give you a plan that will help you achieve your massage goals. It may be that massage therapy will not be the best method for helping decrease your pain. In this instance, your therapist should refer you to the appropriate group or therapy that will help you achieve this.
3. Why massage modalities are a thing of the past and what a massage modality is. If you are new to massage you will peruse the massage menu and wonder what all these treatments are. A massage modality is a massage technique that has a specific purpose for the massage receiver. There are literally hundreds of massage modalities and they can seem daunting to someone who has never received a massage before. There is also misrepresentation of massage modalities by therapists who are not adequately trained in the modality they offer. This is due to the third point I discussed in the potential problems massage consumers can experience when receiving massage.
The fact is that the only people that know what a shiatsu, reiki treatment, deep tissue massage or Swedish massage are massage practitioners. You as the massage consumer care about one thing: that you will receive a massage that will help you achieve your specific goal for that particular session. Whether that is stress management, sports performance, injury prevention, injury rehabilitation, pain relief, or just overall wellness, the modality that is used to achieve these goals is not of importance to you. Most of the time you do not even know what the modality is. So, if you are faced with having to choose between a Swedish, deep tissue, shiatsu, thai massage or trager, then you know that you may want to look elsewhere to get your massage treatment. You want to work with a massage expert that will listen to your needs and integrate a variety of modalities that fulfills that outcome.
4. How to effectively communicate with your massage therapist. As you recall from the first step you are always right and you should always get what you expect from your massage treatment. Before, during and after your massage treatment you should have an open communication line with your massage therapist. If at any time during the session you would like more or less pressure you should only have to say a little less pressure and your therapist should immediately respond to your requests.
If for any reason you feel uncomfortable during the session you should be able to state it and have the therapist validate your feelings by making the necessary changes. So, it’s as easy as just speaking up. Unfortunately, I have heard from too many massage consumers who have received a massage that they were uncomfortable, but they did not speak up because they did not want to upset the therapist.
Here’s the deal, if your therapist responds in a defensive manner to your feedback, you can end the session right at that moment. You should not have to pay for the treatment. When you work with a massage expert they will be able to sense what you are feeling and address your concern before you have a chance to express them. I have trained our therapists to watch body language and listen for any cues to change the direction of treatments with clients. If you do not experience this, I urge you to politely end the massage session and seek out an expert to help you with your massage needs.
5. You may be able to get massage for Free (that’s right, I said it, for free)
I know I don’t mind paying for something when I get exactly what I. I usually buy things based on a problem I would like to solve(a pain I would like to avoid). Massage therapy is exactly the same.
If you are stressed and your stress is relieved, your head is clearer, and you are able to enjoy a more relaxed life, then you are happy to pay for the service. How about if you could get the service that relieves your pain or stress and get it for free? Sound too good to be true? Well, some massage establishments have referral incentive programs where they will give you a massage or money towards a massage when you refer a friend, family or colleague. At the clinics I own we offer $35 for every referral that our wonderful clients honor us with. We have some clients that get a couple of free massages a month because they enjoy the service and they encourage their friends, family and colleagues to come in to our clinic and get a massage. The end result is that you end up getting massage for free.
Of course if the massage establishment you go to does not produce a massage that meets or exceeds your expectations then you would get more massage that is basically worthless. There are options out in the marketplace. Use this reference to help you receive a massage that meets your expectations.
If you have any more specific questions about advanced massage therapy techniques or working with a massage expert please e-mail your questions to info@cassidysclinic.com Or call on of our two locations
La Jolla Clinic 858.450.4456
Solana Beach 858.350.9476
Thank you for reading this article and good luck getting a massage that exceeds your expectations!
Chris Cassidy, President/CEO
Active Wellness. Inc