The benefits of massage extend far beyond simple relaxation. In fact, massage is a holistic therapy that can affect just about every part of the body, from pain in the lower back to tightness in the neck.
To learn more, we talked to Emmanuel Bistas, who has been teaching massage students for more than a decade as the founder and director of Chicago’s New School for Massage. A licensed massage therapist himself, he also treats clients at River North Massage Therapy Center, which he co-owns.
Below, he answers some of the most common questions people have about his work:
People think of massage as a treatment for the body, but its benefits actually start off in the brain. According to Bistas, bodywork signals to the brain and the nervous system that it’s okay to relax. These central bodily control systems pass the message along to the muscles and the rest of the body, creating trickle-down relaxation effects.
Bistas compares the process to typing: “You’re working with a computer, and the information gets processed in the hard drive, but you’re interacting with it through the keyboard.” (Except the computer is the body, the hard drive is the brain, and the keyboard is the muscles and skin.)
It’s collaborative. “The client plays a big role,” Bistas said. “It’s not the same as taking a chemical substance, a pill that will knock you out whether you believe it will or not.”
To get the full benefits of a massage, he said, clients need to do four things:
The difference lies in how therapists think about the body. In a Western framework, muscles and connective tissue—basically, the physical body—are the primary focus. But in an Eastern framework, “they’re not even thinking about the muscles," Bistas said.
"They’re thinking about the flow of energy and information through the body, and how to clear that up."
The techniques that result from each framework are similar, in that they involve applying pressure strategically. But the schools of thought use “different maps,” as Bistas put it, to arrive at their techniques. Bistas compared it to two people heading downtown. One is armed with a bike map, the other with a map of pedestrian pathways. “They’re seeing the same terrain,” he said, “but they follow different routes and notice different landmarks.”
This is the wrong question, Bistas said. For one thing, every style of massage is so customizable, it can easily be tailored to the client’s needs. “We can change the stroke, the depth of the stroke, or the speed, or the temperature,” Bistas said—all without ever switching modalities.
Secondly, any symptom can mean a variety of things. For example, upper-back pain could indicate an actual upper-back problem, but it could also be rooted in a tightness in the chest that makes you hunch forward, or many other causes.
Symptoms, in other words, are an unreliable guide. According to Bistas, it’s more effective to choose a massage style based on what feels best to you. For help with that, see our guide to different types of massage.