The range of methods available today within the field of massage is so large that even a knowledgeable consumer can feel daunted. What they all have in common is manipulation of the soft tissues for healing and relaxation. The practitioner evaluates each client's needs and medical history, and matches the modality to the client's special circumstances. Many practitioners utilize multiple techniques and continue to acquire training in new methods throughout their professional lives. Regulatory Scope Massage therapists are regulated in 29 states and the District of Columbia.
Some states require national certification as part of the law.
Massage therapists may not diagnose or treat disease, order laboratory tests, or engage in any other activities which may be construed as the practice of medicine. In many states, massage has begun to participate in third party reimbursement, generally requiring a referral from a primary care provider, but in some cases available by self-referral. Massage practitioners who have been credentialed by a managed care organization have undergone in many cases a more thorough review than that required for licensure. Although the statutes vary from state to state, most of the regulated states require a minimum of 500 hours of classroom instruction. Many well-respected programs offer considerably more hours, up to 800 or even 1000.