Shiatsu Massage - Does it Really Work?

It means "finger pressure" in Japanese and that's exactly what shiatsu is: a Japanese type of body work, or massage, which uses the pressure of fingers to relieve aches and pains throughout the body. Some say it's helpful and others say it's hogwash, but the fact remains that any type of massage can be relaxing, calming and pleasant. So what have you got to lose?

Benefits of Shiatsu

The origins of shiatsu go back at least 5,000 years. It originated as a traditional Chinese form of healing called Anma, which came to Japan and began to develop into something more unique. In the 20th century the word shiatsu was coined, and by the mid 1950s the government in Japan officially recognized it as a legitimate type of therapy.

Like acupuncture, this type of bodywork or massage is carried out by concentrating on the body's system of Chinese meridians, or specific pressure points. When pressure is applied along these very specific meridian lines, it is thought that the body is able to realign its natural qi, or energy flows.

People who practice shiatsu use these pressure techniques combined with assisted stretching to stimulate the lymphatic system and help the blood flow circulation throughout the body. It is thought that by doing this the body will eventually release built-up toxins, and that the muscles will get rid of accumulated tension.

Proponents of this age-old technique believe this release can help the body heal itself overall through building up its hormonal and immune systems, which in turn have a positive effect on the nervous system. So shiatsu is supposed to be not only have immediate results when we feel instantly better, but also long-term ones that can help us overcome a variety of ailments. Benefits can include:

Reduced blood pressure

Reduced muscle stiffness

Increased blood circulation

Increased vitality and energy

Better stamina

Increased flow of lymphatic fluid

Better circulation

How Does Shiatsu Work?

Experiencing shiatsu is as easy as finding a qualified practitioner, and there are many. Once you find someone you like, he or she will ask you questions about your general health, carry out an examination which usually includes looking at your tongue and listening to your voice, and then perform several techniques to improve the flow of energy around your body.

Each treatment lasts usually around one hour, and will include the practitioner applying pressure to various parts of your body using his or her hands, thumbs, fingers, palms, knees, feet, elbows etc, and also carrying out some assisted-stretching techniques. There are several different schools of shiatsu and the treatment you have will be tailored to suit the school, which include:

Namikoshi Shiatsu. Uses rubbing and pressing techniques to aid in healing. Developed by one Mr Tokujiro Namikoshi, who supposedly cured his mother's rheumatism and became a known and gifted healer at the ripe old age of 10. It uses pressure to rid cells of toxins, concentrating on both deep and superficial tissues. It is thought that repeated pressing generates electrical charges which help to stimulate energy levels, and get rid of adhesions that have held the body back.

Zen Shiatsu. Most popular kind of shiatsu, which concentrates on the entire body and sometimes requires abdominal massage. Developed by Shizuto Masanuga, a psychologist and shiatsu practitioner who died in 1981. Lifestyle and dietary advice may be given. The practitioner will listen to how the body responds to certain pressing, which will dictate the steps he or she will take next. The recipient usually lies on a futon or mat on the floor, and no massage oils are used.

Tsubo Therapy. Not as popular in the States as it is in Japan, this was developed by Katsusuke Serizawa and concentrates on tsubo, or acupressure points. It is thought that the skin has an electrical resistance which changes over specific tsubo points, so a tsubo therapist will use a variety of techniques to prove this, including needles and electrical devices as well as plain old massage. Acupressure shiatsu is largely thought of as a derivative of Serizawa's techniques.

Please note that shiatsu is not for everyone. People with certain skin rashes, who have just had surgery or who are prone to blood clots should refrain from having it. Pregnant women, people with osteoporosis, and those who have just had chemotherapy or radiotherapy should consult their doctor first. And use common sense: avoid having it if you have large bruises, have just had a hernia operation or an open fracture etc.

Does it Really Work?

Proponents of shiatsu believe it can "cure" everything from constipation to insomnia to back pain, and say it also works well on depression, sports injuries, poor digestion, anxiety, stress and fatigue and other muscle pain. Others say it works primarily as a relaxation technique, and while it certainly can temporarily relieve pain - especially that associated with muscle stiffness because of its massage element - it cannot actually help the body heal itself.

"Ordinary massage and the legitimate practice of massage therapy can help people feel better. However, many practitioners falsely claim to do much more, and the agencies that oversee the educational and licensing systems display no evidence of concern about this," writes Dr Stephen Barrett on his Quackwatch website, which is advertised as "Your Guide to Quackery, Health Fraud and Intelligent Decisions."

"I've been astounded over the years at the outlandish claims made by many body workers. It's wonderful to get a great massage. It does increase circulation, gives temporary relief to pain, provides a sense of well being, and promotes relaxation, but I don't know of anything (other than the blues) that it has ever cured.

"People need to realize that just because it is a wonderful pleasure that does not make it good medicine."

If you want to try shiatsu yourself, make sure you get a trained practitioner in a safe and clean environment. But remember that this type of complementary therapy should not be intended to replace conventional medicine, and that if a shiatsu practitioner tries to diagnose a specific health problem or prescribe medicine, they are breaking the law. Apart from that, lie back and enjoy it!