The Realms of Massage

by | Feb 27, 2012 | Business

The first professional massage I ever received was around 1970 in an old Russian Banya on the near-North Side of Chicago called the Luxor Baths. The clientele was a mix of the old Jewish expats who had moved to the suburbs (Nelson Algren used to hang out here) and the new Hispanic locals. Luxor was an artifact from an earlier time complete with swimming pool, wet and dry saunas, a steam room and metal tables where friends would beat and brush each other with soapy oak leaf brooms.

Luxor also had a massage room and, with some encouragement from my friends, I finally gave massage a try. It was a memorable experience and I have been hooked ever since.

Notably, I didn’t get my first massage because something was wrong with me. I got a massage because it made me feel great and that is the experience I have been seeking to share with the world ever since.

Traditionally, within most cultures, professional massage has operated in two very discreet economic realms: the personal care services industry and the health care industry.

  • As a personal care service, massage is found in saunas, spas, hair salons, in the foot massage services provided in the streets of near- and far-Eastern Asian countries as well as neighborhood bathhouses and as various forms of seated massage now throughout the world. This is the kind of massage I received at the Luxor Baths.
  • In the health care industry, massage evolved through a variety of healing modalities, such as osteopathy and chiropractic, orthopedic practice, nursing and physical therapy (called physiotherapy in many countries).

These two domains were easily distinguished from one another both by terminology (customers vs. patients) and by intention (relaxation vs. treatment) and there was generally little confusion or overlap.

That clarity started to dissolve in the 1970s as a new economic arena began to emerge. It was called “health promotion” or “wellness” and was a reaction to the dominant health care paradigm, which in fact did not focus on health care, but rather sickness care.

The counterculture that emerged from the sixties first manifested this new approach by embracing such practices as natural childbirth, organic and vegetarian diets, supplements and herbs, and varieties of personal growth dubbed the “human potential movement.” Books such as Our Bodies Ourselves began to advocate rejection of the cult of experts in favor of personal responsibility and control. The goal became prevention, not treatment, and creating a balance that integrated the mind, body and spirit into a unified whole.

Inevitably, business began to capitalize on this cultural trend and the fitness industry was born. Health clubs replaced gyms, Nike shoes replaced sneakers, wellness centers replaced spas and self-help programs replaced the confessional. Also about this time, corporate wellness programs started to get a foothold as companies began to suspect that the only way to reduce their ever-rising health care costs was by encouraging employees to maintain good health through proper exercise, diet, and emotional balance.

Massage slipped easily into this new and exciting economic domain. The Esalen Institute in California championed new approaches to massage that focused on mind/body integration as well as a new category called “bodywork” that included innovative modalities developed by Ida Rolf, Milton Trager  and Moshe Feldenkrais.

The advent of this new wellness arena, however, has muddied the once clear distinction between personal care services and health care services as both try to carve for themselves a slice of the wellness pie.

And where has that left the massage industry? Also very muddied. According to the massage schools, associations and regulators, massage is no longer a personal care service, it is a health care service. I can no longer get a massage like I did 40 years ago at the Luxor Baths. Now I have to get massage therapy. But I don’t want a health care massage. I don’t even want a wellness massage. I just want to lie down and bliss out in the hands of someone who makes me feel good. I don’t care if the practitioner has 50 or 500 hours of training. If I like the massage, I will go back. If I don’t, I won’t.

We need to bring back and validate the personal care massage realm. That is where the most growth is happening (chair massage and franchise table massage), that is where the jobs are, and that is where I want to get my massage.

Do you believe massage should reclaim its identity as a personal care service? Does defining massage exclusively as “therapy” confuse the public and needlessly restrict our growth?

Change-ability: Mastering the Inevitable

by | Feb 5, 2012 | Business

Note: This is the fourth and last of a series of articles called “C”-ing Your Way to Success about  the value of Conviction, Clarity, Consistency and Change-ability in business.

The first three “C”s discussed in this series (Conviction, Clarity, Consistency) are paths, not destinations. While the successful development and execution of a business plan may use these guideposts, it is a mistake to think that the ultimate goal is 100% conviction, clarity or consistency in your operation. That is because other than death, change is the only certainty. In fact, the one often defines the other. When something ceases growing or responding, it is considered dead.

Our job then, is to become experts at understanding the nature of change, the patterns of growth.

While the quality of consistency gives your business stability, nurturing “change-ability” gives your business flexibility. Both are essential. One of the best books you can study on the subject of change is not a business book at all. It is a philosophical treatise disguised as a book of divination. The I Ching, or Book of Changes, is one of the classics of Chinese literature and is at least three thousand years old. The I Ching catalogs sixty-four aspects of change, in the same number of chapters, which are essentially meditations on the patterns of growth in the universe.

Mastering change-ability is important in two ways. It makes you increasingly skillful at predicting what will happen next in your business, and it makes you flexible in your ability to respond to change.

Predictability

When you study the nature of change you become expert at seeing the larger patterns in which your business operates. The most common example of these patterns are business cycles. This is the normal ebb and flow of the activity in your business. These patterns repeat daily, weekly, monthly, yearly, or over even longer periods of time. The more skillful you are at recognizing these patterns the more accurately you will be able to create reliable forecasts in your business plan.

Let’s look at some examples of business cycles.

  • The street fairs you work at tend to be slow in the morning, busy through the afternoon, with a late rush of customers, mostly people who worked in the other booths at the fair. Knowing that you will be about the last one to pack up and leave, you make certain that there is adequate staff and energy, for this final wave of business.
  • You notice that when you provide chair massage in the workplace certain types of clients prefer to have a massage at the beginning of the week, others in the middle, and still others at the end of the week. Because you also have a table massage business on Mondays and Tuesdays, you can more easily target your marketing to the mid and late week groups.
  • Your business increases the first and third week of every month because that is when you client base tends to get paid and can afford a massage. Consequently you plan your marketing and administrative chores for the second and fourth weeks of the month.
  • You anticipate that you will always sell more gift certificates around holidays and special occasions and you know you have to begin your promotion plans at least two months in advance.
  • Perhaps your business focus is on relaxation massage and you anticipate that most of your customers, after a year or so of allowing touch into their lives, will seek out other types of bodywork. To plan for that transition you establish mutual referral relationships with remedial therapists, Rolfers, Feldenkrais practitioners, sports massage bodyworkers, and the like.

The greater your ability to understand the processes of change, the more refined and accurate your business forecasts will be. As you become increasingly expert at recognizing the patterns inherent in your business you will develop an intuitive sense of what steps are needed at any given moment to keep your business healthy. Intuition, despite what some people claim, does not come from the cosmos. It is most often the result of awareness–paying attention to the smallest shifts in the world around us–and experience, lots of experience, over many years. The more we consciously accumulate business experience, the better we become at asking the right questions when faced with a business decision, and the more likely we are to arrive at the right answer.

Flexibility

Change-ability also means the ability to respond to the constantly changing business climate. When external and internal conditions alter, do we resist modifying our plans and actions, or do we smoothly adapt to the new circumstances? Developing flexibility in business is essential to long-term survival. There is no hiding from rapid change in our world. Being conscious of change makes it more predictable and being prepared for change makes it more manageable. Flexibility is the key to preparedness.

Practicing flexibility starts with exercising a flexible mind. Hopefully, the older we get, the more we appreciate the importance of accepting that what we believe is not always the way things are. Prejudice has no role in a flexible mind. When you start saying things like, “I can’t stand Republicans/Democrats/Jews/Mormons,” be careful. Not only are you limiting your options, but the world has a funny way of creating circumstances that may turn exactly those people into your next market.

A flexible mind also sees opportunities where other people see only problems. When circumstances in the business climate change it is always an opportunity for you to learn something new about your market, your service, the nature of business, or yourself. Don’t resist change, embrace it. Without change the world would be a very dull place. With change our businesses remain fresh, vibrant, and exciting places to spend our time.

Moving Massage from Acceptability to Accessibility

by | Jan 9, 2012 | Bodywork, Politics

Acceptability-to-Accessibility ImageFor as long as people have been paying for therapeutic massage services, practitioners have feared being mistaken for prostitutes. That fear was the primary driving force that, in 1983, led the American Massage Therapy Association to re-brand “massage” into “massage therapy” in an attempt to define it as the health care profession. [Related article] I call this quest for professional legitimacy the “acceptability” strategy.

Within a decade this strategy was almost universally embraced by massage schools, educators, associations, regulators and vendors serving the industry. It seemed like an obvious strategy and the perfect solution. In point of fact, it was remarkably successful at validating therapeutic massage in the public mindset.

Unlike 20 years ago, nowadays no one blinks twice when a young woman announces her desire to attend massage school–no snickers, no raised eyebrows. The public generally perceives that there is a clear distinction between adult entertainment massage and therapeutic massage. The battle for acceptability has, for the most part, been won.

But now there is another front that needs our attention. What I call the “accessibility” problem.

While we have steadily increased the numbers of people who want a massage, the number of people who actually can get a regular massage has barely budged from less than 5% of the US adult population [see related article]. The reason is painfully simple. Massage therapy is  too expensive.

Since I am writing to a primarily professional audience, let me do a quick reality check. How many readers pay full price for at least one massage every two months? How many of your friends do? If you are at all like the typical massage practitioner in my continuing education classes, you can’t afford to pay $65 for a regular table massage, and neither can your friends. The primary reason people don’t get a massage is because they can’t afford it.

The only two significantly expanding models for massage services are the pay-by-the-month model pioneered by Massage Envy and chair massage in malls delivered by Chinese immigrants. What they both have in common is that they are lowering the price of massage.

Those of you who have experimented with online coupons also know what I am talking about. Discount massage shoppers rarely turn into full price regular customers. The only people who pay full price for regular table massage are the very wealthy, the very fanatical, and the very desperate people in pain.

While turning “massage” into “massage therapy” made our services more acceptable, it did little to make them more accessible. In fact, there is a case to be made that the effort to make massage into a health care profession has actually limited its growth.

Massage as health care

When you define massage as massage therapy in a health care context you are defining it as a treatment. The problem is that most massage is not performed as a health care treatment. Most massage, according to consumer surveys, is done for health promotion and relaxation. That has resulted in a huge disconnect between what massage practitioners think they are selling and the general public is looking to buy.

Massage schools graduates are encouraged to believe that they are training to become a health care professional–sort of junior physical therapist. [Indeed, I just searched “Physical Therapy Training” in Google and one of the three sponsored ads at the top was for a massage school.] But the reality is that the vast majority of graduates, if they are lucky enough to be working at all, will be doing massage, not massage therapy. While it may increase school enrollment to have them think otherwise, it does nothing for their level of frustration when the inner image of practitioners does not jive with their outer experience.

For massage customers, particularly new ones, defining massage as therapy often leads them to believe they have to have something wrong in order to get a massage. Every day that I work in a chair massage studio new customers invariably feel obligated to have a physical problem before they step through the front door.  “I woke up with a pain in my neck/back/shoulder,” being the most common statement.

Massage as personal care or fitness

If we want to make massage truly accessible, we need to recognize the difference between massage as a health care service and massage as a personal care service.

Defining massage as a health care profession only makes sense for that small, highly trained and experienced segment of practitioners that actually performs massage as treatment and for that small fraction of the public that actually needs and wants to pay for that service. Massage therapy should be defined for what it actually is–medical massage–and we should require far more than the standard 500 hours of training. Something closer to 2,300 or 3,000 hours of the Ontario and British Columbia models would be appropriate.

I admit that I am very conservative on the issue of training but, in my experience, 500 or 600 hours of training to become a massage therapist is totally inadequate, does nothing for creating credibility as a health care profession and sets totally unrealistic expectations for massage school graduates, the vast majority of whom will never make even a part-time living doing massage.

“Massage therapy” should never have been defined as entry-level into the profession. It is not. Plain old circulation/relaxation/prevention-oriented “massage” is entry-level. Let students focus on learning how to touch and be touched [Related article].

Massage has always rested comfortably in the personal care services arena along with spas, hair salons and nail studios. Over the past twenty-five years, massage has also grown up with the wellness and fitness industries. These two economic sandboxes are where the majority of massage practitioners should be playing and it is the kind of massage that massage schools should be selling and teaching.

Radically reinventing an industry

Knowing what we now know, if I was creating the U.S. massage industry from scratch, here is how it would be structured:

  • Entry-level into the field should be a 200-hour course in chair massage.
  • Table massage would be a second, optional level of training. Add on another 300-hours to make the current 500-hour standard and have the focus be on training practitioners to be wellness educators as well as table practitioners.
  • Massage Therapy would be true medical massage and require at least a masters level program.

There are some strong arguments for making chair massage entry-level. For the industry, chair massage provides a strong foundation:

  1. Chair massage is what the general public can afford and, because there is no disrobing or private rooms required, is more likely to try.
  2. Because it is affordable, people will get massaged more regularly.
  3. People who have had a chair massage are more likely to consider having a table massage or massage therapy.
  4. The net result will be far more work, more jobs, more successful students, and more sales for chair and table manufacturers.

For the budding massage practitioner, starting with chair massage will eliminate a lot of needless heartache and financial burden:

  1. Since there is really no way of knowing whether you will like doing massage professionally until you get into massage school, a 200-hour tuition mistake is a lot less painful than a 500-hour mistake.
  2. More students will be able to afford to go to massage school without going deep into debt and actually make a living doing upon graduation.
  3. After they are making a living doing chair massage, chair practitioners can save up money to pay for table massage school without taking out loans.
  4. It is easier for entrepreneurs to open chair massage businesses than table massage establishments resulting in more jobs.

The bottom line

Can my ideal industry model become real? Realistically, I doubt it. The massage schools, associations and regulatory agencies are far too entrenched to consider reforming the profession so radically. The quest for acceptability as a health care profession continues to be seen as the primary goal. Too bad. A lot of people just need to feel better through touch.

Make Your Business Persistent with Consistence

by | Dec 19, 2011 | Business

Note: This is the third in a series of four articles called “C”-ing Your Way to Success about  the value of Conviction, Clarity, Consistency and Change-ability in business.

In a sense, consistency is the practical result of a commitment to clarity in your business. As you become clear about the complex nature of the services you provide and the market you have targeted, each small component of your business will add to and reflect the overall purpose and function of your business as a whole.

Consistency has something to do with integration. When anyone encounters a small part of your business, they encounter the whole. Each component reflects the larger service vision. Let’s briefly examine some of these elements.

  • Language: How you talk about your business needs to be consistent with the overall intention of your work. I once saw a flier advertising a massage chair that was comfortable and easy for the “patient” to use. Since the rest of the text did not lead me to believe the business was targeting their chair exclusively for use with sick people, the choice of that word was clearly inconsistent.
  • Marketing tools: Your brochures, business cards, letterhead, advertising, and even phone manner should all present the same image and message about the conviction and intention of your work.
  • Professional tools: Do you use the right equipment in the right way for the market and service you have chosen? Do you use paper towels, disposable face cradle covers or linens for you head rest? Each has a place in the appropriate practice.
  • Environment: Does the environment you create for your practice support or detract from your service goal? If customers find parking a hassle to find, they may feel the frustration is not worth the effort. Or perhaps they don’t feel safe walking in your neighborhood and it makes them nervous to think about leaving your office. For the internal environment, make certain that the flowers and air are fresh. Walk into your bodywork environment with beginner’s eyes and see what type of impression it makes. What do they see, hear, or smell? Get a massage on your table to see what the client will be looking at and experiencing for the length of the massage.
  • Personal style: Some people simply, who function well doing chair massage in the workplace are like fish out of water at a convention center. A New Yorker  may have to be toned down his or her personality a bit to be effective in California. What is your personal style? Does it fit well with the overall focus of your business?

Thomas Alva Edison portraitConsistent persistence
 According to Thomas Alva Edison, “Genius is one percent inspiration, ninety-nine percent perspiration.” That perspiration is what I call persistence and persistence is just another facet of consistency and is an essential element for business success.

Consistency brings an essential level of stability and predictability to your business operations for yourself and your clients. Without consistency clients wouldn’t know when to call for an appointment or how to budget their time and money to make certain your service is a regular part of their lives. They also wouldn’t feel comfortable referring your service to a friend if they thought you were unreliable. Consistency means creating and sticking close to a business plan. How many clients can you expect to have this month? What will your expenses be? What type of referral network do you need to set up?

If you know you need to send out appointment reminders every week or make a presentation to the local nursing group in order to keep clients coming in, then do it. There are no shortcuts to doing what needs to be done. If you pay strict attention to accomplishing the small details of your marketing strategy, you will find yourself worrying less and less about cash-flow crises. If you take care of your bookkeeping every week, you will have little to fear from the IRS or the phone company.

When you operate a business with consistency it is easier to make changes and know whether or not they are effective. If everything is done differently every day, it is impossible to develop true expertise or intuition because you never know which actions cause which results. In a similar sense, consistency puts the qualities of conviction and clarity into a feedback loop. If a particular marketing approach does not seem to be working, perhaps it is because it is inconsistent with your overall vision or is not being communicated clearly to your market. Consistency provides a check and balance system for your business.

A good recourse policy is the best guarantee of consistency. Having a recourse policy, such as a money-back guarantee, says that you believe in the quality of your service and trust that the client will appreciate it. When you trust a client, particularly a new one, it is easier for them to trust you. If you don’t have a recourse policy there is no way for client feedback to alert you to problems with your business.

The impact of consistency on the success of your business is undeniable. Consistency provides the nuts and bolts, day to day operational stability that keeps you going in the direction intended. It is a type of consciousness that brings together the motivation provided by conviction and the communication provided by clarity into an organized plan of action. Without consistency your business is merely a ship without a rudder, tossed about by the waves and going in no particular direction.

“How often should I get a massage?”

by | Dec 19, 2011 | Business

This is one of the most common questions I hear from customers. It’s an important question and the response needs to be considered carefully because the answer will set the character and tone of all future interactions with that customer. I am going to offer a response that I have found creates the healthiest relationships with my customers.

The real question

Any question containing the words “should I” is always directed toward someone the inquisitor thinks is an “expert,” that is to say, someone more qualified then himself or herself to offer an answer. And, while some of my egocentric, “Dear Abby” parts just love it when people ask my advice and treat me as an expert, the truth is, in this case I am not.

I actually feel totally unqualified to tell someone else what his or her needs are in the way of massage or touch.

Perhaps I would feel differently if I were a massage “therapist” treating a particular problem or condition and could guarantee that a fixed number of sessions would result in the problem being resolved. But I am not a therapist. I am a simple massage practitioner providing structured touch to people who are seated in a chair or laying on a table and want to feel better.

From that perspective there is only one, quite definitive way to respond to the question, “How often should I get a massage?” and that is by asking for more information.

“If time and money weren’t considerations,” I query the customer, “how often would you like to feel this way?”

While this reply often engenders momentary confusion, the reply, often accompanied by a little laugh, is most often something along the lines of, “Why, every day, of course.”

Thus, the customer arrives at the best answer to their original, literal question, but we are not quite done yet. We still have to find the answer to the underlying question that they were also asking. “So now we know how often you should get a massage.” I say. “Now factor in time and money and you can figure out how often you can get a massage.”

Don’t miss the moment

Since skilled touch practitioners are primarily educators, let’s not miss this significant “teachable moment.” By not answering their question directly, we teach people some important lessons:

  1. They are the ones in charge of their bodies, not some perceived expert.
  2. For better or for worse, they are in charge of the feelings inside their bodies.
  3. They can change how they feel for the better at any time utilizing a simple tool called “massage.”

Realizing that, to a great extent, how one feels physically and mentally is a choice can be transformative. The pace of change in the external world is so fast that literally no one can keep up with the flow of information and innovation that surrounds us leaving most of us feeling powerless and out of control.

But, what we do have control over is our internal, subjective world. Massage is an effective tool for managing our inner experience in a way that almost always effects our external world for the better. Structured touch reduces stress, induces the relaxation response and allows us access to states of awareness that enhance our coping, caring and problem-solving abilities.

Don’t tell your customers how much massage they need. Let them tell you and you will probably end up with more frequent visits from people who understand the true, personal value of massage.