Is It Safe to Get a Massage Right Now? | Elemental - Elemental

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What you should know as physical therapists, acupuncturists, and massage therapists are starting to see clients again

Ashley Abramson

Photo: tekinturkdogan/Getty Images

Almost every week, 46-year-old Nina Strommen, a Minneapolis-based nurse, got a massage to manage muscle spasms and pain caused by fibromyalgia. But that was before the pandemic.

While some medical care has been able to pivot to telehealth, many patients havenโ€™t received the hands-on treatments they rely on for conditions like chronic pain, headaches, or injuries.

For Strommen, that meant her fibromyalgia worsened. โ€œWithout these treatments, and with the added stress of the pandemic, my symptoms arenโ€™t well controlled,โ€ she says. โ€œIโ€™ve had to take muscle relaxers, which make me sleepy and makes it hard to work.โ€

Strommenโ€™s massage therapist and other practitioners around the country are starting to see clients again. But the decision to go back to receive care isnโ€™t simple. When is treating a health condition with hands-on therapy worth the risk?

It depends, says Irina Todorov, MD, an integrative medicine doctor at Cleveland Clinic. In general, even before the pandemic, she suggested people focus on nutrition, exercise, and getting ample sleep to treat the root cause of many health conditions, rather than relying only on hands-on therapy. Therapies like massage and acupuncture are โ€œadd-ons,โ€ according to Todorov.

โ€œI always stress to patients what you can do at home, versus seeking outside care,โ€ she says. โ€œOther therapies should be in addition to you taking care of yourself โ€” self-care can improve your overall health and help manage symptoms.โ€

Wondering if you can and should resume hands-on therapy? We talked to practitioners to find out.

Until itโ€™s safe for all patients to come back for physical therapy, many providers are using a triage system to determine who needs to be seen in-person immediately and who can do therapy from home.

โ€œWeโ€ฆ are all working hard to take a look at patients and decide who is most necessary for an in-person visit because we donโ€™t want to put people in a high-risk situation if waiting a few weeks wonโ€™t hurt,โ€ says Karen Mattie, Boston Medical Centerโ€™s director of rehabilitative services.

If you have chronic pain that doesnโ€™t threaten your overall health or youโ€™re progressing in your healing from an injury, your PT may recommend you wait to come in. It may seem counterintuitive, but many hands-on providers, including physical therapists, can do a lot for patients over telehealth visits. Joe Majercik, director of rehabilitation services at Northwestern Medicine Woodstock Hospital, says PTs can easily offer at-home exercise ideas and monitor patient progress through video appointments.

If you recently had surgery or you have a health condition or injury that could get worse without therapy, your physical therapist will probably want to see you in person. People who stop making progress following at-home exercises might also need to go into the clinic.

โ€œIn most surgeries, a patientโ€™s outcome will be negatively affected if they donโ€™t receive physical therapy on a timely basis,โ€ says Majercik. โ€œIf someone had a knee replaced, the knee wonโ€™t move unless the therapist is helping them move it.โ€

Majercik says physical therapy clinics, like other medical settings, are following stringent guidelines to keep in-person patients safe during the pandemic. Staff screen for Covid-19 symptoms and take temperatures before a patient is allowed into the clinic, and appointments are spaced out to avoid patient overlap. Staff disinfect more surfaces more frequently, all staff and patients wear masks, and clinics enact a more limited visitor policy.

โ€œIf you look at all the things we are doing, itโ€™s so much safer than if patients go pick up carry-out or go to the grocery store,โ€ says Majercik. โ€œWe donโ€™t feel like they are putting themselves at risk when they come in.โ€

Want to maintain your mobility at home? Mattie emphasizes prioritizing physical exercise after consulting with your doctor. โ€œMost people are staying at home, so they have limited motion and activity,โ€ she says. โ€œGo for a walk up and down your street, or up and down your stairs if possible.โ€

Unlike physical therapy, massage doesnโ€™t come with an easy telehealth option. If youโ€™re dealing with physical pain, you might be counting down the days until your massage therapist opens their doors. Maybe your doctor even prescribed medical massage to help you manage a health condition.

If you regularly receive massage for medical reasons, check in with your doctor to see if you should resume in-person appointments. Sue Kim, MD, an internal medicine doctor and medical acupuncturist with Stanford Health Care, says she recommends massage therapy to patients with pain or injuries that interfere with their daily functioning.

Ideally, Kim says, massage practitioners should follow county or state guidelines for patient safety, such as taking patient temperatures, requiring masks, and screening for Covid-19 symptoms. And because the warm temperature of a small, confined space could cause sweating, which can compromise the efficacy of a mask, itโ€™s also important for massage therapists to use open spaces or airflow systems when possible.

โ€œMost massage places will have to comply with certain guidelines if they are able to operate under the current situation,โ€ she says. โ€œIโ€™d explore what steps were taken and talk with your physician about if those steps are adequate.โ€

โ€œI donโ€™t think this is the time to show up to a random massage place in a strip mall with lots of practitioners. Iโ€™d recommend seeing a massage therapist you have a relationship with.โ€

If massage is an elective therapy you simply enjoy getting, whether you go back is up to you, and if you feel like the health benefits of a massage outweigh the risk. If your therapist is open, the first step is to check which precautions theyโ€™re taking toward client safety.

Kathy Gruver, PhD, a California-based massage therapist, is getting ready to reopen her practice with CDC and state guidelines. So far, her plan is to remove high-touch items from her massage room, disinfect surfaces between clients, and wear a mask (along with requiring the client to do so). She wonโ€™t massage faces and wonโ€™t touch hands unless requested. Sheโ€™s also going to screen clients by asking if they have any Covid-19 symptoms when they arrive for the massage.

While massage therapists should do their part, Gruver says you may want to go the extra mile to ensure safety. Wipe down the table with a disinfectant before you get on it, and wear a mask throughout the massage. And, ideally, do all of the above with a massage therapist you know. If you donโ€™t have a practitioner you trust, and you can manage your condition with other measures, it might be better to wait.

โ€œI donโ€™t think this is the time to show up to a random massage place in a strip mall with lots of practitioners,โ€ she says. โ€œIโ€™d recommend seeing a massage therapist you have a relationship with.โ€

Want to relieve tension at home if you donโ€™t feel comfortable getting a massage yet? Your massage therapist may be able to share at-home self-massage techniques.

Gruverโ€™s favorite method is placing a golf ball under your foot, then gently leaning into the ball so it massages the arch. And to prevent strain associated with excessive sitting, stay hydrated, stretch regularly, and get up about every 50 minutes to shift your posture or walk.

As their clinics reopen in some parts of the country, some acupuncturists are triaging their clients. Elizabeth Sommers, PhD, MPH, a senior acupuncturist and researcher at the Integrative Medicine and Health Disparities Program within the Family Medicine Department at Boston Medical Center, says a practitioner might recommend in-person care for patients who canโ€™t manage conditions with telehealth. For example, patients with chemotherapy side effects or someone recovering from surgery would receive higher priority than someone with a headache.

Other acupuncturists are open to seeing people who donโ€™t have an urgent need. Elizabeth Martin, a New York-based acupuncturist, says most acupuncturists follow CDC and state guidelines like prescreening patients for symptoms, both parties wearing masks, and properly disinfecting surfaces. As for the actual therapy: Martin says practitioners wash their hands frequently and only touch the shaft of prepacked, sterilized needles. They also wipe down the surface of a personโ€™s skin with 70% isopropyl alcohol before penetrating with the needle.

With these protocols in place, the risk of receiving care could have a positive payoff. She says acupuncture and nutritional recommendations from practitioners can help strengthen the immune system.

Receiving acupuncture may also keep patients out of the emergency room, which in turn lowers the risk for contracting Covid-19; studies show acupuncture can manage pain enough to keep people from needing drugs.

โ€œI feel like Iโ€™m helping flatten the curve by providing care for patients by keeping them out of the hospital,โ€ Martin says. โ€œThat way, doctors can focus on the people who are really sick.โ€

If you have a condition like chronic pain or headaches that you can partially manage at home, your provider might suggest waiting to visit the office. Sommers says an acupuncture practitioner can use telehealth to guide through acupressure, a type of self-massage that can mimic the effects of acupuncture.

How does that work? Martin recommends a stress- and anxiety-relieving spot between the eyebrows, an inch above the top of the nose. Press firmly with your index finger on the point where you feel tenderness and take five to 10 deep breaths. Then, pat yourself on the back: Youโ€™ve just practiced stress-reducing self-care, which can only benefit your health. โ€œThereโ€™s so much we can do in the treatment room, but what youโ€™re doing at home is also going to help facilitate healing,โ€ says Martin.
 
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    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA (Iran), ๐Ÿ‡ป๐Ÿ‡ณ MIKA (Vietnam), ๐Ÿ‡ต๐Ÿ‡ญ MADY (Philippines), ๐Ÿ‡จ๐Ÿ‡ด MEGAN (Colombia) ๐Ÿ“… bit.ly/flowers_schedule ๐Ÿฆฉ bit.ly/bookingpinklove
  32. SugarLoveSpa:
    Monday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: CHRISTINA, ELLA, MIA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž CHRISTINA is Spanish, C Cups, 5'3", tall & nice curves, very open minded. ELLA is a lovely Thai sweetheart, 5โ€™1โ€ with C Cups, smooth skin and a very pleasing attitude. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™
  33. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Victoria Day!!! ๐Ÿ’œ๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” Top Star Jenny, ๐Ÿ†• Cathy, Coco, JPN Yui, Cindy, Kelly, GFE Eva, Amber, Echo & Juliet โ€” ๐Ÿ๐ŸŽˆ Hit up 647-695-6354๐Ÿค™ or text to ๐Ÿ“ฑ647-578-8169 โœจ160 East Beaver Cr., Unit 12, Richmond Hill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits๐Ÿ™Œ
  34. SpringGreen.:
    Today we have 5 girls on downtown toronto 72 gerrard st west๏ผš๐Ÿ’‹๐Ÿ’‹ New girl Hitti very young๐Ÿ’‹๐Ÿ’‹Lisa- Tanned Spanish beauty with large melons and a fun booty too minica- exotic goddess with a gymnasts body and corresponding flexibility Jennifer- Exotic beauty with... Call and text 647 891 0699 ask questions Thanks๐Ÿ’‹๐Ÿ’‹
  35. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธAmber๐ŸŒธCarlyCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  36. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน2 girls ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ Table Shower Sea Salt Bath Body Scrub๐Ÿ˜˜ Japanese girl Nina โค๏ธ Natural Big Boobs 38 DD ๐Ÿ˜˜Pink Mini Nipples Hot body slide, super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธYou are welcome to make an appoint
  37. wonderspa:
    welcome toWonder spa [9421Jane st unit 127)L6a 4H8,๐Ÿ”ฅ4165000-800,Ensuit rain shower is available ,every day 4 nice girls working,๐Ÿ’„Amy is Vietnamese young sex girl,open maid,everything she can do,๐Ÿ’„Mimi is very beautiful face long leg friendly ,nice body slide,really popular must try๐ŸŒนlong hair Mina strong to relax oil massage,back walk,nice sexy body slice.amazing ending,๐Ÿ”ฅbring you comfortable time๐ŸŒนmust try
  38. Nu spring spa888:
    ๐ŸŒน๐ŸŒน๐ŸŒนsexy hot Latino ๐Ÿ’– Malaysian ๐Ÿ’– Korean girls ๐Ÿ‘working at Nu spring spa๐Ÿ’‹๐Ÿ’‹โ˜Ž๏ธ416-669-8508๐ŸŒน๐ŸŒน๐ŸŒน
  39. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธSamy๐ŸŒธTiffany๐ŸŒธPriya๐ŸŒธHellen Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  40. Jennyโ€™s Spa:
    ๐Ÿ’‹๐Ÿ”ฅGood news for all the west end people in Etobicoke Mississauga Milton and Brampton!!!๐Ÿ’‹๐Ÿ”ฅ ๐Ÿ˜˜The famous superstar Cambodian Princess Suki from Annie Spa is now working at Jennyโ€™s Spa in Etobicoke starting this Tuesday May 20th with Tina & Jenny๐Ÿ˜˜ ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE)
  41. 89moonstar&MoonMoon:
    MoonMoon spa/416 887 8801/8131Yonge st #203 Spanish Latin white girl and 22ys Colombia girl today &&Bradford location 6477129688
  42. Lilyspa1:
    Lily Spa : ๐Ÿ’ฐ๐Ÿ’ฐ100 hh all in๐Ÿ’ฐ๐Ÿ’ฐ โค๏ธโค๏ธ SuSu ( Asian )Slim , ๐Ÿ˜๐Ÿ˜Porn Service ๐Ÿฉท๐ŸฉทElena 22, Latino French, 36 DDD and ๐Ÿ‘๐Ÿ‘ASS, ๐Ÿ’‹๐Ÿ’‹Mimi 24, Asian mixed White , very open-Minded , ๐Ÿ˜ˆbbbj , DFk ๐Ÿ”ฅDuo ๐Ÿ”ฅ,โ˜Ž๏ธ 6475318288
  43. AliceSpa:
    MONDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Sexy Young Girls Today at Alice Spa. Open 10am to 9pm : LINA (12pm-9pm): is a young Hispanic girl, hot body, C Cups, brown skin, round tight big butt, cute baby face, great services. LUCKY (12pm-9pm): is Vietnamese, small body, busty D cup, very beautiful face, Young/Cute/Petite/Pure/Submissive, Fair Skin
  44. Annie Spa:
    ๐ŸŽ‰๐Ÿ’ANNIE SPA๐ŸŽ‰๐Ÿ’ โœ…7-1001 SANDHURST CIRCLEโœ… ๐Ÿ‘ŒSCARBOROUGH ON M1V 1Z6๐Ÿ‘Œ โ˜Ž๏ธ (647) 891-9688โ˜Ž๏ธ โ˜Ž๏ธ (416) 291-8879โ˜Ž๏ธ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…NEW MANAGEMENT๐Ÿ’ฏNEW GIRLS๐Ÿ”ฅ๐Ÿ”ฅ ๐Ÿ”ฅGORGEOUS NEW YOUNG ASIAN GIRLS - TODAYโ€™s ROSTER INCLUDES: ๐Ÿ”ฅ Judy๐Ÿ˜˜๐Ÿ”ฅOur new Asian massage girl Judy is a vision of refined sensuality, with a graceful figure and smooth, flawless skin that radiates warmth and allure. Her striking black hair frames her delicate features, and her poised
  45. bnwellness_wilson:
    We have 4 young girls are working today, young sweet Michelle 25โ€™s sexy body open mind and young pretty Lily 25โ€™s with curve body, young cute Taiwanese Victoria slime open mind 25โ€™s and nice GFE cute are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  46. Red Rose Spa:
    ๐ŸŒธ We have 5 hot brown girls today ๐ŸŒธ YUKI, MALIYA, MONICA, SASHA, BELA, AMANDA, PREETI, ANGELINA, SABHA, MONIKA ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  47. ForeverWarden:
    Monday at ๐Ÿซฆโค๏ธ๐Ÿ”ดโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella & Yumi. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience.
  48. HolidaySpa:
    Monday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: AMY, FIONA & CINDY. AMY is an attractive young lady with larger breasts and a nice bottom. She has outstanding oral skills, and is very popular. Donโ€™t miss out on her special skills! FIONA is a slim hottie with long dark hair, great melons and ass, and nice services.
  49. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga ViVi Sarah and Kiki work. They are young, sexy and cute and they give very good massage. Sarah is 23 years old and still a student. She only works for one day.
  50. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน2 girls ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ Table Shower Sea Salt Bath Body Scrub๐Ÿ˜˜ Japanese girl Nina โค๏ธ Natural Big Boobs 38 DD ๐Ÿ˜˜Pink Mini Nipples Hot body slide, super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธYou are welcome to make an appoint
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