Standard massage treatments make up the primary focus of the training programs offered to massage therapists. Every massage therapist is provided training in these common modalities as they are foundational to a massage practice. They include relaxation, therapeutic, prenatal, and pediatric. Specialized massage treatments are often associated to a specific and focused ideology that addresses a client’s health issues from a different perspective or in a more creative way. Practitioners who obtain experience in these extended modalities do so by taking additional training and courses. Specialized modalities can include unique tools such as silicone or glass cups, lava stones, or crystal sound bowls. They are also known to employ techniques that can be much more evasive or much less evasive than standard therapeutic treatments.