Different spas use the foundation of a traditional head massage and create a wide variety of treatments from it, incorporating different oils (or hot oils) and elements to enhance the experience. Most treatments use a combination of strokes, kneading, friction and acupressure. At its core however, scalp massage hinges on two types: effleurage and petrissage. - Effleurage is a massage method that uses circular motions and stokes to increase circulation to the head and relieve tension. - Petrissage uses more of a kneading technique. Head massage is often incorporated into other treatments, like a full body massage or Shirodhara. There are also other scalp treatments that some spas offer. For example, cranial osteopathy, which is extremely gentle and is designed to rebalance the body and strengthen it by using that energy and fluid flow in the skull.