
Decrease Your Pain
While Increasing Your Quality of Life
With Massage Therapy

by Susan Walker, LMT 104431
Why Communication is the Key to an Effective Massage

The most essential key to both giving and receiving a great massage is communication. Open dialogue between client and therapist is vital for every session and sets the foundation for a safe, effective, and personalized experience.
In Texas, massage therapy is recognized as a medical profession. As with any healthcare practice, massage therapists are required to follow the rules and regulations set forth by the Texas Department of Health and Human Services. One of these requirements is that every client complete a health assessment form before their first session. This form includes your name, contact information, date of birth, and a detailed medical history. You’ll also sign and date a release. While sections on preferences such as technique, pressure, or aromatherapy are optional, they help me better tailor your massage.
Alongside your written intake, a verbal health assessment is also performed. During this, we’ll discuss areas of localized pain, possible contraindications, and specific goals for your session. Notes are kept in your file to monitor your progress over time.
Communication doesn’t end there—it must be present before, during, and after the massage. You play an active role by letting me know if the pressure is too much or too little, if you feel referred pain, or if something feels uncomfortable. Throughout the session, I may ask for feedback to ensure your comfort, and I may remind you to breathe deeply, since breathwork helps circulation and relaxation, especially for clients new to massage therapy.
A skilled massage therapist pays close attention to body language and physical responses, such as irregular breathing, muscle tension, or reactions to specific trigger points. If I encounter a tender area, I’ll always check with you before continuing or adjusting techniques.
It is imperative for the therapist to listen to your massage needs and goals. To the best of my ability, I will address any questions or concerns you may have. The client–therapist relationship is reciprocal; both of us work as a team to achieve your desired outcome. Without communication, massage cannot be truly effective. With it, you’ll experience the greatest possible benefits.
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