One does not exclude the other, so you can use both manual massage tools and powered massagers in your practice. The main advantage of electric massagers is that they can provide deeper treatments while giving your wrists and hands a much-needed break. Choose a powerful, versatile unit, like ScripHessco Muscle Master Power Massager 2.5 AMPS, 3500-2800 RPM, but don't cast aside wooden, thermoplastic, or solid silicone massage tools.