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Ideas, Do's, and Don'ts for Spa or Massage Therapy Establishment Virtual Online Operations

Ideas, Do's, and Don'ts for Spa or Massage Therapy Establishment Virtual Online Operations

Before the COVID and especially now post-pandemic, it's more important than ever to use online tools for day-to-day business operations. Online operations allow spas and massage therapy establishments to reach a greater population and streamline business operations too.

ONLINE SCHEDULING

Customer convenience may improve if/when online scheduling is offered, especially for spa or massage establishments that do not have a large admin staff to  expediently answer every inquiry.  The keyword here is “easy”.  Online scheduling should be clear, have minimal steps with essential information, including prices of available services with cancellation or business policies clearly defined prior to payment.  

Ensure Online Scheduling is Secured and Functional

Even at the most prestigious spa establishments in the world, including the spas at George V in Paris and Claridge’s in London, I found security site errors when trying to use their online services.  In fact Claridge’s REQUIRED online reservation deposits to secure an appointment; however, I received a secure/connection error when trying to pay it.  It can be offputing, annoying or even concerning to receive the following error messages in the screenshots below while providing personal details and credit card information online.  When setting up your online scheduling and payment options at your spa or massage establishment, try to find compliant software that’s properly programmed and up-to-date to avoid customers encountering these types of errors:

 

Online Scheduling is A Great Time to Offer Add-ons

When programming online scheduling for your spa or massage therapy establishment, we recommend offering add-on services too.  Add-on services can:

  • Enhance the appointment and make a greater or more enjoyable experience for the client

  • Add income to the establishment and practitioners

  • Diversify the practitioner’s work to help avoid burnout

  • Turn over supplies to help keep them from expiring on your shelves

  • Maximize of fill your calendar space/time that might not fit a longer or regular service time

Add-on services make great business, and should always be offered whenever available.  Here are some screenshots of add-on services that I was brilliantly offered for spa and massage appointments in London and Paris:

 

 

Improve Your Customer’s Experience with Virtual Outreach

Requesting client preferences during virtual online scheduling or the customer intake process is a brilliant approach to enhance their experience.  Here are some examples of appropriate questions to ask your client online during these processes for better business practices, which includes scents and music choices:

Please make sure that the information sought to enhance your client’s visit is appropriate for their appointment; otherwise, this could lead to disappointment.  Those are questions that were asked of me for a manual lymphatic drainage (MLD) appointment; however, MLD is applied dry, without oils, so asking which scent of oil I would prefer is irrelevant, and could create a customer expectation that can sorely lead to disappointment when they learn that they will not receive any aromatherapy during their MLD.  Offering choices or enhancements that cannot be provided is bad operations that could be avoided with appropriate choices/disclaimers or better online programming.

 

Failure to Accommodate with Online Appointment Scheduling

I tried visiting this Tibetan spa in Paris (pictured below) on FOUR separate dates.  It semed whenever I arrived they were closed, including one Sunday there were gates over windows. Due to language barriers, I only tried for a walk-in appointment given it was only 15 minutes from my hotel, and across the street from Notre Dame and the Seine river which is always a nice walk.  On my FORTH attempt to visit, I went during normal daytime/weekday business hours only to find their door locked, again!   The business didn’t have its metal cage over the windows so I knew they were open for business versus how I had seen the business closed during other nonoperational times, so I rang the doorbell twice and waited about 10 minutes at the door, but no one answered.  Then I saw the option to book appointments online, and I thought, if this spa is so busy that they can operate in such a prime location for such minimal hours, then I MUST see and experience their services!  So I tried to use their QR code to schedule an appointment online rather than attempt to schedule with walk-in service, and would you believe that in the heart of Paris I received an error message that said it could not accommodate customers from my area (I was using a cell phone from the United States).  

Paris has an estimated population of about 2 million people with an estimated annual tourist population of 30 million.  So when working in such a highly touristed area, wouldn’t it be wise to use an online app or software that accommodates your largest market which in this case would be out of country tourists?  If you’re in a similar, highly touristed area such as LA, New York, Boston, Miami, etc., where you have a lot of international tourists or even students for customers, you should use online software that not only accommodates international customers, but it should also translate into various languages as well.

In the images immediately below, you will see this Tibetan establishment’s app failure where I repeatedly visited without success. Needless to say, I did not go back and they lost a potential customer and services payment too.

Better Business Practices

Treatment contraindications should be discovered BEFORE your client reaches your establishment.  Learning the client is contraindicated for their scheduled service after the client has arrived is a waste of both your and the customer’s time.  You’re also probably not going to be paid when you cannot provide a service due to an unknown contraindication that prevents you from working.  Screening for contraindications prior to the client arriving is essential to good business for both you and your client. Screening for contraindications and precautions can also be achieved online, but make sure you have secure online practices to do so to avoid a HIPAA violation. 

Another recommendation would be to provide clear policies and business requirements to patronize the establishment, BEFORE the client pays for service.  Many spas, especially those that include massage therapy are including no harassment policies as part of their business practices.  I was required to agree to this no-harassment policy to receive my MLD appointment at George V in Paris:

There are many other recommendations that can be made for online operations for both spa and massage therapy businesses.  These are just a few.  If you haven’t already implemented some of these practices, please think about how or if they would work for you.

 

 

 

How to Partially Reinspire Your Massage Therapy Practice Through Music

How to Partially Reinspire Your Massage Therapy Practice Through Music

by Selena Belisle, Founder/Instructor, CE Institute LLC

Are you sick of hearing the same massage music over and over again?  Do you remember when you first heard it though? Wasn't it the most amazing thing you had ever heard? 

When I entered the world of massage, I was only a teenager. I had a fairly chaotic life all the way up to winning my first world title in arm wrestling in the Athens Greece Olympic stadium, and then moved to a new state by myself at 19 years old, so I could train with other members of Team USA.  I was young, alone, fearless in a world moving very fast, so being in a dark room with ethereal music plus stillness, comfort and care was a great attraction for me. There were some days that I wanted to stay in that massage room and never leave it! While the specifics of my story are different to others, I believe many massage therapists find appeal in the massage industry because of the wonderful peace, calmness and comfort that our work world can provide.

Fast forward after many years of practice, and most of us could probably hum any Enya or Clannad song ever released, without the music playing.  That’s because massage therapists usually listen to the same songs repeatedly to no end.  The music, our surroundings and the massage itself can become extremely redundant over time, especially if you're practicing the same modality instead of holding a well diversified practice.

So how can we break up the monotony of our massage therapy practice? Especially when facing burnout?  One of the answers is to change HOW we hear our music.

I recently went to see the Lion King theatre production at the Lyceum Theatre in London, England.  Many songs from the Lion King soundtrack are used in online radio stations for massage or spa practice. And now, whenever I hear one of those songs, I don't think about how boring it is to hear that same sound for about the 5,000th time.  I instead reflect on my time in London with a smile, and that wonderful theatre show and the story they sang and told with it.  

Now it's important that your focus remains on your client at all times during your massage or bodywork treatment.  But it is okay to fondly and momentarily reflect on your positive new experiences with your work music.  Allowing yourself to feel something new and different can break up your daily routine and reinspire new feels with your career.

A lot of the music we hear at work was born from movie soundtracks, or later added to them. Being able to add new experiences with any aspect of your work, including exploring the roots of various songs to see and hear them in a new light is a great way to create a new joyful experience out of something old and tired.

So if you're looking for new ways to inspire or reinvigorate your massage therapy career, and you don't want to diversify your hands-on skills, redecorate your workplace or other things that may switch-it-up for you, then try to find new ways to appreciate the music you listen to all day. Take a mental vacation and go enjoy a movie, concert or theatre show where you can might be able to hear that same music - differently - with an alternative and hopefully happy application of it, similar to watching the Lion King theatre production.

While you could try to find new music to play at work which is always advisable, it isn't a bad idea to view the old music in a new light, especially if your clients love the music too.  

 

 



Is your massage therapy establishment, spa or medical practice prepared for the next airborne pandemic?

Is your massage therapy establishment, spa or medical practice prepared for the next airborne pandemic?

We know now that COVID-19 was airborne, spread through droplets, aerosol and through contaminated surfaces.  So, the best course of action to protect yourself from this airborne contagion was to avoid others who could be infected.  We called this social distancing, where the virtual workplace became prevalent, and physical hands-on practices like hands-on medical treatment, massage therapy and spa services were not included.  These hands-on client practices were practically abandoned if you wanted to truly keep yourself safe.

There were many things that could be done to create a safe work environment, through improving your air quality at work, where outdoor workspace might be considered the best option of all.  The best, safest and most reasonably available overall air quality during an airborne pandemic (that we know of to date in this highly evolving time), can be achieved by practicing your hands-on services, where there is an unlimited amount of air ventilation.  Outdoor practice allows infected individuals to exhale their contaminants into unlimited amounts of air, which will disperse the contagions and lessen the viral load exposure to others in the area.

A cabana, rooftop, balcony or working underneath an outdoor trellis could be a better option than most indoor treatment rooms during an airborne viral pandemic. To achieve outdoor workspace for spa, massage and medical practice, you should ensure that your treatment space has privacy and is protected from direct sunlight to avoid sunburn. Use outdoor fans to cool yourself and your client if needed. When setting up fans, you would want to make sure that the air or wind is not blowing directly onto you. 

The next picture is an example of an existing trellis at the Michelin Star Relais Christine Hotel in Paris, France.  It is unfortunately at the entrance of the hotel in public view of all the hotel guests; however, this is an excellent example of creating outdoor treatment space to use during an airborne contagion concern.  Growing additional plant material including vines could help reduce the visible exposure of the spa or massage therapy treatment that could be provided inside of it.

The trellis in the back of the picture shown below would be a more ideal position for a spa station, medical treatment or massage table to protect yourself and your client from the sun and other natural disruptions such as birds doing their business, etc.  Planting natural climbing vines and plants along the trellis will take time to grow, so it would be best to start preparing any available workspace you have for this outdoor practice option.

Massage therapists, occupational therapists, physical therapists and other rehabilitative professions should start preparing plans now. Think about how would you work in another airborne pandemic? 

In this video below, we’ll show a trellis that's already setup in England that could support outdoor massage, spa and medical practice where it would likely be safer from airborne contaminants than attempting to practice inside where air quality would likely be poorer. If you have available or similar space to this, it's time to plan on how you would or could use it to create safer practices for all.

 

 

The Acoustic Healing Sounds of Water

Would you like to add another dimension of healing to your spa, medical or massage therapy practice?  Chances are, you’re already playing enjoyable music which helps set the tone or mood within your business.  Providing music can soothe the mind and tension, especially when service providers are running behind or there’s a period of wait time between appointments and for all other reasons that physically host a customer within your establishment.

Our customers are usually pretty busy, and sometimes they’re even in pain while waiting, which is not a great way to start at your medical or massage practice.  They do not have extra time to sit around and wait for others.  Have you thought about how you can ease a client’s stress or wait time with acoustic pleasures?  

Below is a video of an extremely large sculptured waterfall in front of The Church of Saint-Sulpice in the heart of Paris, France.  It’s bustling with tourists, children, traffic, dogs, trains and the general noise of a major European city.  But what do you hear next to this water feature?  Do you hear the city racket or noise?  Or is that water fountain something that would provide acoustic pleasure or peace? 

 

 

Many people are attracted to, sit and stand around this water feature in front of Saint Sulpice's church here in Paris.  And while it’s visually spectacular, the sound itself is also soothing and comforting.  Ask yourself, what image would you like to project with your business or practice?  Would you like to provide something that feels comforting or peaceful to all senses for your client?

On the downside, some may say the sound of running water may make them feel like they have to go to the bathroom, and that is true.  So if you have limited bathroom facilities within your practice, then this might not be the right investment for you.  However, if that’s not a concern, then set up a water bubble where clients can replenish themselves, then let the amazing soundful natural enjoyment begin.

Many of us play music within our own establishments.  However, hopefully now you can consider a waterfall, fountain or some other device that allows for the sound of the flowing of water, that’s if you don’t already have one!  There are many different sizes, price points and types of commercial waterfalls and fountains. Some are very small and can sit on a massage reception area desk or coffee table.  Some are very thin and can hang on the walls in a treatment room, hallway or office.  Some are larger and are made for centerpieces.  The choices are fairly endless.

Sometimes at trade shows, you’ll find a booth by a wholesaler who exclusively sells these to your market.  Why?  Because it’s a great investment to treat your clients to something that’s easily enjoyable with minimal effort.

 

 

 

The Origins of Spa

The Origins of Spa

Have you ever wondered where spa’s come from?  Who thought of this concept?  When? How? Why?  Modern day spas today are most closely related to ancient Greek practices with an eventual Roman evolution of bath houses from thousands of years ago.  Our earliest known spa use is tainted by muddled history stories, with whatever evidence feels strongest for one to follow or believe. 

In ancient Greek and Roman times, bath houses were frequented amongst multiple classes of society. While the wealthiest may have had a private bath within their own home, they would still frequent the public bath houses as a way of life. They were places for recreational, health and social activities, in addition to the most obvious use of bathing for personal hygiene and sanitation.  

Detoxifying and Vasoconstriction with a Cold Plunge and Contrast Baths at the Spa

Did you know that Roman bath houses had different baths, usually at different levels and with different temperatures? Public bath houses could be heated with fire under the floors, and cold baths or cold plunges would usually be the lowest level of the bath house, where they are dug deep into the ground to preserve a chilly temperature.  

So, while today, cold plunges are all the rage as it can vasoconstrict soft tissues which helps eliminate waste products held within the body in an ultimate detoxification, it’s likely this cold plunge process started in Roman public bath houses, with its multi-temperature baths which would also known as contrast baths. An ancient Roman bath house is where these multi-temperature baths were collected and housed or used together in one establishment.

Muscular Soft Tissue Healing, Recouperation and Vasodilation at the Spa

Today’s modern day spas will offer a variety of bodywork and massage services that will manually increase circulation whether it’s pressing the soft tissue to create an ischemic effect, then releasing the soft tissue which will in turn produce a resurgence of blood and nutrients to the affected area.  This increases circulation and all the riches of newly oxygenated blood to an area for increased cellular metabolism and healing.  By contrast in ancient Roman bath houses, participants would exercise in a yard or dedicated area to sport to increase their circulation.  

We have gone one step further today by creating machinery and electrical devices to increase circulation within the spa business.  This is anything between pressotherapy garments that even hospitals use, with air pressurized balloons gently squeezing the soft tissue then releasing it, which will help increase cardiovascular circulation as well as help prevent blood clots if an individual is sedentary.  We also have massage chairs that we can sit in to help increase circulation with pressing and releasing soft tissues, as well as hand held devices and much more.

Do Any Ancient Spa Establishments Still Exist?

Yes, many old bath houses which might also be known as the world’s first spas still exist, although most fell into a period of disrepair until being rehabilitated or repaired for mostly tourism attractions today. For example, it’s the Musee de Cluny at 28 rue Du Sommerard, 75005 Paris, France which is the ancient Roman spa that is mostly pictured throughout this article. 

Today’s modern Paris Museum which is called the Mussee de Cluny was built on an approximate 2,000 year old ancient Roman bath house which was actively used for approximately 200 years. The museum’s curators suggest that any Roman city conquered was fairly worthless without a set of Roman baths, and in this particular area, there were three of them.  The bath house we have pictured throughout this article at the Musee de Cluny was the center of the area’s social activity, where people came to relax, exercise, have their hair cut and read.  Some ancient Roman baths had a public library. That’s fairly similar to what is practiced today, where magazines and travel books are shared common fare in a modern day’s spa reception area.

The Musee de Cluny’s ancient Roman bath or spa was split into three different levels.  This included an area deep underground, where hydraulics and drainage were routed.  

 


The ground floor entrance was an open exercise area.  This ground level area consists of both indoor and outdoor rooms with more rooms above.  

 

The museum curators suggest that bathers would start at the bath house with a hot bath, which was also called the caldarium. Then bathers would move onto the warm baths with tepid water in a tepidarium.  The last place the bathers would go in their spa ritual would be the frigidarium which is also known as the cold room.  

 

The Archaeological Crypt from the Ile de la Cité, just in front of Notre Dame Church, has another ancient Roman Bath in ruins available for public display with the purchase of a ticket, similar to how one would view the Musee de Cluny.  The crypt's Roman bath was believed to have been in use until the 4th century. Below shows a map of how this 2nd Roman Bath was configured. 

 

 

The following video without narration shows the Roman bath ruins that were buried for centuries and recently unearthed between 1965 and 1970 at the Archaeological Crypt from the Ile de la Cité.  The map showing above is flipped or in reverse to what will be shown on the video below, so the video starts at the left of the unearthed baths and starts with the entrance, then leads to the frigidarium, them moves on to the tepidarium and ultimately ends in caldarium.  

There are many other spas or bathing houses throughout the world that still remain, some in better conditions than others with one of the most popular being “Bath” in Somerset England, where many have gone throughout time to “take the waters.” And pictured below is a peasant spa in Yugoslavia where public bathing and cupping was practiced for health around the 1900s.

 

The oldest spa in the world may be in Pakistan which is dated back to 2500 BC, approximately 4,500 years ago.  But the truth is, we may never know where the oldest spa originated given volcanic eruption, time and dust has covered most of the earth’s surface as well as the loss of areas due to sea erosion and more.  What we do believe is that the ritual of spa is a centuries old practice that has evolved into a wonderful modern day marvel that continues to restore health through the ages.





A POOR BUSINESS AND CUSTOMER EXPERIENCE AT A SPA OR MASSAGE ESTABLISHMENT

This is a professional evaluation of what turned out to be a very poor experience at the YĀTRĀ Urban Spa at Montcalm Royal London House. This is merely a professional opinion of a one-time experience at this establishment.

This was supposed to be a several hundred dollar prepaid massage therapy and spa appointment with add-ons at an upscale spa in London. I arrived without a minute to spare to my 11 am appointment that I had prescheduled and paid 100% for in advance, on their website.  I emailed the spa shortly prior to my arrival to tell them that I was on my way, but uber was arriving later than their guaranteed 10:30 am arrival time.  I first tried to call the hotel where the spa was hopefully located, but the phone number on the hotel website was not configured correct for an international call and obstructing an international call on my cell phone from the U.S. The address and phone number of the spa was not listed anywhere on their spa website pages; however, you could access the spa website pages through the London hotel website, so I used the London Hotel's info as contact information for the spa.

When I arrived at the spa, I was greeted by staff that were not overly friendly. They told me to sit in their waiting area despite my appointment time was already starting when I was supposed to be on the table! Then a front desk staff member brought me a client intake form which I had already filled out half an hour earlier in my uber, on my ride over.  I told them I had already filled out their online intake form and then they took their written intake form away. 

I then asked the front desk staff if they wanted me to change into a robe or anything, and they said yes and told me to wait again.  I stood waiting for a robe, shocked that they seemed so unprepared for my arrival, which was now overlapping the time I should be on the table receiving my prepaid services.  When I asked what was going on with the robe after waiting an excessive period of time for it, one staff member went into another room where the other staff member went, and then a robe with a towel and slippers were then handed to me.  I was then told to go to the lady’s locker room to change and that there would be lockers available for my items.

I went to the bathroom first before changing.  I could only wash my hands with water because their single soap dispenser at the sink was empty.  I also had to go to a second toilet stall because the first toilet stall seat was stained with urine. After using the bathroom, I removed my clothing at the lockers and put on the most ill-fitting robe I have ever worn in my life.  The robe’s waffle weave material was of standard/good quality, but the robe was above my knees while the sleeves were almost a full foot past my wrists, and the front was barely covering me.  If I bent over in it, I was going to put on a good show!

I returned to the reception area, and someone told me to follow them into a room. When I entered the room, I saw dirty filth on the floor at the entrance way with electrical cords that anyone could easily trip over next to the entrance (screenshot below).  I was not warned about the electric cords and luckily saw them when I was examining the filthy floor.  Below is the only picture I took at the spa given the email notification I received after this business secured my payment. It said photos were not allowed to respect guest privacy.  I feel this photo is not invading guest privacy which is the only reason provided for their no photo notice after nonrefundable payment was collected.

 

The person I followed into the room did not ask or address me by name, nor provided their name or their function in the spa.  They instructed me to lie face down on the massage table and to cover myself with a towel.  It appeared they had professional spa tables with a hole cut out for the face during pronated position. The table draping was all perfectly coordinated matching brown color.  I asked the woman’s name who led me into the room, and if they were my service provider?  She told me she was going to provide my massage and her name.  I then asked her what my appointment would entail, given I was super interested in their 5-element theory services.  She then responded it was an aromatherapy appointment.  So, I asked her, what type of aromatherapy, and does she know which essential oils are being used for which element?  She responded I was going to receive zest massage oil and it was for fire (although she cited a different element before correcting herself to fire). It was then that I realized this was going to be a simple preblended oil massage, and there was no true 5-element theory being practiced here.

I pulled the towel back on the massage table as she had asked me to get onto the table in pronated position.  She then immediately took the towel from my hand and placed it back over the table sheet that was covering the entire table, with a small hole in it for my face.  When I realized that she wanted to leave that small towel over the entire table sheet to keep the table sheet covered or clean, I realized there was no sanitary barrier provided for between my face and the table sheet hole.  So, I told her I wasn’t comfortable placing my face on the table sheet if it wasn’t clean, and she responded to not worry about it because they change it once a day. I had an 11 am appointment, so I started to wonder how many clients’ faces had already breathed into that terry towel table sheet fabric before asking me to place my face directly in it too.

I then told her I really was not comfortable placing my face on the table sheet because it seemed unsanitary, so she rephrased and responded: I mean we change it after every client. Unfortunately, that’s not what she had initially said, and those are extremely expensive table sheets.  Without telling her, I realized those table sheets could run around $100+ each. I personally doubted they were being laundered and replaced with frequency between every client, because that would seriously deteriorate the table sheet’s life use, not to mention they’re extremely bulky, and I couldn’t see where they would store such bulky items to replace between every client. Without saying so, I believed her first statement was true, and the table sheets were not to normal sanitary standards if a client is breathing on them without replaceable barriers, and if that draping is only replaced on a daily basis.

She then started folding a towel to create a better barrier between my face and the terry towel facial hole of the table sheet.  Knowing that bacteria or viruses such as COVID-19 could have already contaminated the massage table sheet, I told her I was simply going to place the towel over the hole and turn my head to the side instead of place my face in the hole.  This would be much less comfortable for me, but I felt that it was better than possibly getting sick with COVID or other infectious disease.  She accepted this and left the room so I could get onto the table.   When she returned to the room, she asked if I wanted the table heated and I responded yes.  I heard a bunch of beeping which sounded like she was increasing the table temperature with a heating apparatus; however, no additional heat was ever felt. I believe their table heating apparatus was broken. She never checked in about temperature again throughout the entire massage therapy appointment.

The massage therapist’s initial contact through the towel was divine.  It was firm, confident and complete. She moved with ease over the towel with compressions prior to undraping my back to start the massage. The initial aromatherapy oil application was average and then a superior back massage followed.  My ankles were not properly bolstered while lying in a pronated flat position, so I asked if she could provide bolstering for my ankles and she did. It seemed like they had setup the table for massage with a rolled up hand towel near the ankle area which provided less than 2” of ankle bolstering prior to mounting of the table, which is not effective nor acceptable practice.

After fulfilling my ankle bolster request, she continued her back massage with superior strokes that were an excellent speed for the pressure.  She had a good variety of strokes that went from small to large, light, medium and firm pressure, fingertips, full hands, heel of the hand, palms and forearms.  It was all good with the exception that she occasionally dropped to a one-handed massage which still felt excellent.  While most therapists would maintain 2-handed contact through the massage, her 1-handed work was of such high quality that you don’t really miss the 2nd hand lack of contact. We simply believe that 2-handed contact should be maintained at all times during massage therapy practice, although if someone was to occasionally use 1-hand instead of two for full body massage therapy, we would say this was a perfect example of where that practice could be acceptable given how complete and incredible it felt.

During my back massage, the massage therapist lifted my arms that were lying on the table next to my body, and she hung them over the sides of the massage table with my elbows flexed at a 90-degree angle.  This was acceptable, until she started performing shoulder depression techniques.  Hanging my arms over the sides of the table elevated the super vertebral border of my scapula which repeatedly made bone-on-bone contact with her knuckles during her shoulder, upper back and cervical massage, which was uncomfortable.

Her posterior leg massage was wonderful.  She undraped both legs and worked on them simultaneously.  Her strokes included superior travelling lateral lower extremity massage strokes immediately followed by inferior travelling medial lower extremity strokes.  So, it was an outside inside circle of massage throughout the lower extremities leaving them feeling quite complete.  She then continued on to perform more posterior leg massage, one leg at time to complete the pronated work. The therapist appropriately redraped each area after completing the local massage.

When she finished pronated massage, she excessively tapped my shoulder despite myself being wide awake and asked me to turn over.  She left the towel flat on my back without adjusting this draping out of the way for me to move, which was awkward.  I began to turn over to supinated position, and she then quickly grabbed the towel and lifted it so I could turn more easily. She did not move the ankle bolster before she asked me to roll over either. This left the bolster in the wrong place when I rolled over into supinated position, so I had to ask her to move the bolster into an appropriate position underneath my knees so that I could be comfortable on the massage table.

Once I turned over into supinated position, she then performed similar bilateral work to the anterior lower extremities with her continued superior massage therapy strokes and contact. She performed foot massage while working the legs. She continued her massage to my upper extremities which was unremarkable when compared to the application in other areas of the body.  She finished her massage with my head neck and shoulders with continued high-quality massage.

When performing full body massage therapy sessions, especially when a client is wearing footwear that exposes their feet to the elements, such as flip flops or sandals, we would prefer to see a therapist working on the feet last or wash their hands prior to working around the face after touching the feet. This was not done in this appointment.

During the entire massage, the service provider did not check in with me about her massage pressure, areas to work on, music or temperature.  The table temperature she stated was going to increase at the beginning of the massage was never felt, and she never checked in about that adjustment either. I did not ask for adjustments for any of these measures beyond appropriate table covering and massage bolstering.

The massage therapist unfortunately suffered from halitosis, aka bad breath.  In addition to the offending odor, I suffer from an allicin allergy, and I detected what smelled like hints of garlic which made me feel slightly sick during the massage, especially during the supinated upper body work when her airway was closest to my olfactory senses. 

When my massage was finished, I could hear her washing her hands in the treatment room sink. I was then asked to get up and put my robe on and exit the treatment room.  She then asked if I liked the appointment.  It felt more like she was seeking praise rather than anything else.  If I had wanted more or less pressure, alternative music or anything different, then it was too late to make that accommodation.

I did have other services scheduled at the spa, so I put my robe on and went to the front desk to inquire about what I should do to receive the two other services I had scheduled.  The front desk staff member seemed shocked at my question and told me to have a seat in the waiting area, again. I sat, waited and watched commotion between the front desk staff and therapist who had just performed my appointment.  Several minutes later the therapist who had just completed my massage asked me to follow her back into the treatment room to perform the other scheduled services. It should be noted that this establishment had me pay for all services including the add-ons in advance, but seemed unaware that I had scheduled them, never mind the fact that I had already paid for them too.

My massage and add-on appointments were performed in a couple’s room where they were two tables with plentiful room for both. The spa itself is in the basement of the hotel and is of standard quality or layout for the potential of an upscale experience.

After my massage and add-on services were completed, I was able to enjoy the establishment’s hydrotherapy offerings including the pool and hot tub that is available for both male and female guests. Both the pool and hot tub were perfect temperatures at this establishment.  I also continued my hydrotherapy experience by showering in the lady’s locker room where there was:

  • Excellent shower pressure.
  • Perfect water temperature.
  • Aromatherapy shower gel, shampoo and conditioner provided.
  • Ceiling mounted waterfall shower and handheld shower handle available.

I also tried to go to the bathroom again a few hours after my arrival, only to find that the earlier stained toilet seat still remained. I had mentioned that the soap dispenser was empty to front desk staff once I had changed into my robe prior to my massage appointment.  The hand soap dispenser was successfully refilled and usable.

To conclude this experience evaluation, this spa has many qualities to become a superior establishment. To improve its quality, our recommendations would be:

An overhaul of the spa website, including:

  • Eliminate pre-tipping payments for services that haven’t been provided. It is not appropriate to charge a customer for tips aka as service charges prior to the appointment, especially if the client misses the appointment and is not able to receive the service due to illness, traffic issues, etc.
  • Include appropriate contact information including street address and phone number without international digits included on the spa website.
  • Publish the spa’s business policies somewhere clearly visible and accessible on the spa website.

Better therapist education including:

  • How to properly explain appointments to clients prior to providing them (this is also required from a safety perspective).
  • How to verbally check-in with a client during an appointment to ensure the recipient is comfortable and make appropriate adjustments as needed for continued enjoyment.
  • How to properly bolster and drape supinated and pronated massage clients.
  • Review the client’s health history on the intake form prior to service.

Improve front desk operations:

  • Be prepared for client arrival, especially for clients who are running behind (directing customers to sit and wait during their massage appointment time is unacceptable).
  • Coordinate proper execution of paid services to guests amongst staff.
  • Polish the guest welcoming experience.

Sanitation and safety measures that could be improved include:

  • Clean the floors and remove all visible stained/filth.
  • Cover exposed electric cords on floors where a client could trip.
  • More regular checking and cleaning of the guests’ bathrooms or overall establishment.
  • Ensure tables, equipment and supplies are all being properly sanitized.
  • Ensure table draping is being properly replaced with clean draping materials between clients.
  • Install more user friendly or cost-effective table and customer draping materials, if it is not reasonable to properly change the current table sheets between every client.
  • Continually provide  appropriate sanitation products, such as ensuring hand soap containers are not empty.
  • Provide personal hygiene education to staff, including topics such as halitosis and hand washing requirements.

Improve spa experience:

  • Do not provide uneducated services publicly.  If the staff or business is uninterested in learning about a  service to provide it, then it reflects badly on the business, especially when an educated customer is not provided proper service similar to what was experienced here. It’s probably best to cancel services with apologies due to staff or supply shortages when they cannot be properly provided rather than provide bad experiences like this one.
  • Provide a better cancellation policy.  A 7-day cancellation notice requirement without refund is excessively exploitive, punitive, and also subjects the staff and establishment to infectious disease without a more reasonable policy for sick customers.
  • Provide teas, snacks and other common offerings for customers to enjoy when they have paid hundreds of dollars for services and will be spending a decent amount of time at the establishment.
  • Wall hangings, pictures or art (of ANY value that include purchases at discount retailers) could visually enhance and improve this basement spa’s appearance. The physical space itself is acceptable but could be visually improved with little expense and effort.

 

How did I get to this unfortunate experience?

I chose to book a 60 Minute 155-pound Elemental Journey Fire Massage at this spa after seeing the hotel rated #1 on Trip Advisor. This massage alone equals $210 US with the exchange rate, plus they add a mandatory tip in addition to schedule the appointment. This establishment has really nice pictures on their website, and their 5-element theory services peaked my interest, so it looked like it would be a great experience!  Especially after that #1 online rating!  What could go wrong?

I booked the appointment online and the first thing their website did after I selected which service to schedule was it asked me for a tip (In London, they call their tips “service charges” which I believe is different from how the US defines service charges).  I hadn’t finished scheduling the service yet and their system was already asking me to prepay a tip for it!  How am I supposed to tip someone without seeing, feeling or knowing the service quality? That is a rhetorical question.  The answer is you cannot tip someone in advance, and it is poor business practice to expect  this when the customer has not experienced the service to provide the appropriate tip amount for it.  Tips should almost always reflect the level of service provided. And in some countries, tips are automatically included in the service price, so it would not be appropriate to tip even more than the tip that is already included in the price with average service.  At this spa, they provided three different percentages for service charges on their website before I could finalize scheduling an appointment with them, so I selected the service charge option in the middle of the three, hoping it would be appropriate.   I felt I could always tip more if I felt it was appropriate to do so after the service.

After I was forced to navigate through online tipping before ever seeing the spa, meeting the staff or receiving the service, I was then given the option to schedule add-ons. So, this went from a poor experience to an excellent one!  Then I saw all of their options and prices which were extremely affordable, so I’m thinking awesome, great, terrific!  I absolutely love this!  That’s great business for both the spa and customers to offer add-ons. I forgot all about that sour upfront tipping experience! I added-on a Radiance Scrub which I assumed was a full body scrub given its 15-minute advertised application.  Afterall a 15-minute scrub application wouldn’t be appropriate for the back or decollete because it would be raw after 15 minutes, and if it was only arms or legs, then it should say arms or legs.  They do advertise a 15-minute foot scrub so through obvious deduction, I assumed it was the full body.

I also added what was listed as a “Radiant Lift” to my massage appointment, which was advertised as a kombucha-infused sheet mask for the face. It takes less than 30 seconds to apply a facial sheet, so my curiosity was peaked about what they would do for the other 14-minutes of the appointment. In my past establishments and in our current school here at CE Institute LLC in Miami, Florida, we would provide scalp, hand, and or foot massage while a client is “masking”.  Seeing I was in another country at a high-end establishment, I was looking forward to seeing their methods and comparing them to ours.

Both radiance add-ons (scrub and lift) were advertised for 20 pounds and 15 minutes each.  That’s a bargain folks!  It’s also wonderful marketing focused to boost business income, keeping the practitioner busy with diversified work and possibly land even greater sales if the customer purchases retail products from the add-on services.

Their website then forced me to pay in-full, 100% in advance for all of the appointments without showing a cancellation policy for the payment!  I was happy to provide my charge card to hold or deposit the appointment.  I was even happy to provide my credit card for possible tardy or no-show charges.  So all that excitement over the add-on services was turned sour again when I was asked to tip in advance, and now I’m being forced to pay in-full to schedule it all.  It felt like I was on a rollercoaster booking this appointment.  There were lots of exciting opportunities to enjoy here, but their business practices at offering them were appalling.  So, I paid in-full, 100% in advance, and then started searching for an exact address on the spa website to navigate transportation and learn what time I should leave to allow plenty of time to arrive and check out their business.  I had looked up where the hotel was prior to scheduling and knew it was close to where I was located.  But I also know that some hotel associated spas could be across the street or in a separate building, so I wanted the exact street address to enter on my cell phone for an uber.  There was no published street address in the spa’s confirmation emails after my full payment, nor was this listed on the spa website.  This was a roller coaster experience for sure, of highs and lows, of what are we doing here? Did I just pay hundreds of dollars to an online scam masquerading as a luxury spa? Or does this place really exist?

Then when I read their confirmation email, I wanted to immediately cancel the appointment because it said that pictures were not allowed in the establishment for guest privacy.  I was perturbed  again, this time for  a different reason.  I wasn’t provided their spa policies in advance, prior to requiring me to pay and tip first with a nonrefundable several hundred dollar charge. I can’t find their spa business policies listed on any of the spa’s website pages. I felt this was really bad business but then I realized, I’m visiting for an experience, and we all learn from good AND bad experiences.  So, while I was still intrigued to see what they were doing with their 5-element massage plus add-ons, I thought, even if this was a bad experience, it’s something I could share from a teaching perspective to help others learn from it, including myself.  And even if I had wanted to cancel, there was no phone number to call for immediate action, and it was nonrefundable, so while I could email them, I deferred to my latter decision to allow this experience to happen whether it was good, bad or average.

Greater images plus the staff are purposely not named or pictured in this professional evaluation due to the constructive analysis, and to protect their privacy.  This evaluation here is purely written from an educational standpoint of what to do or not do during a massage therapy appointment.  This is a personal opinion and experience to as learning and teaching opportunities to improve overall massage therapy industry practice and spa operations. This is an extremely fair and accurate description of what was experienced .  To claim it was better would be a false representation.

 

 

Provide Better Results with Neuromuscular Therapy By Getting to the ROOT of Causation

Does anyone know what's pictured here below in this article? Or why that picture would be shown when discussing the root cause of a problem?

That is a water pump that was installed and made available for public service to London's population from over 200 years ago.  Today, it's now walled off with an iron fence, but well preserved as part of London's history.

Do you know why an image like that from London's history is significant to the definition of root cause? It's because 40 years after that pump's installation, there was a significant cholera outbreak in a consolidated area of London; and, only one doctor was able to zero in on the source that created this rapid disease outbreak. That doctor started documenting all of the cholera illnesses and deaths on a map, and found that they circled around one of these types of public London water pumps. 

England's Thames is one of the most popular rivers in the world. It was the lifeblood of England, where settlers could easily move up and down the country, and accept traders and other goods over this easily transportable body of water.  Then the Thames River became England's toilet. Before modern day plumbing was created, toilets were installed along the Thame's where residents relieved themselves, then the Thames would wash the sewage away. That was until the population grew so great, that the Thames became a literal cesspool, and that grisly sewage leaked into London's water supply. One of London's water wells/pumps became particularly contaminated to the point that it was responsible for the severe cholera outbreak of 1864.  Once the infected well was identified and it's pump handle was removed, there was a significant decline in cholera cases.

So what does that have to do with neuromuscular therapy which is also known as NMT? 

Neuromuscular therapy (NMT) attempts to discover the root cause of whatever reason placed a client in front of a practitioner.  Some clients seek massage therapy for back pain, insomnia, ambulatory issues, stress or other medical disorder.  So when a client shows up to the office and receives a general Swedish massage, would they feel better?  Probably? Definitely? We would say or claim almost anyone would feel better after a regular full body massage.  But would a regular body massage provide long lasting relief from headaches? Or back pain?  Or postural issues? The answer is no.  Regular body massage usually provides temporary relief, which is why we have neuromuscular therapy for practitioners who want to dig a little deeper to that root cause of an issue.

We will compare this to London's 1864 cholera outbreak. Could doctors provide laudanum or other medical treatment while a client was dying of cholera to ease their suffering? Sure they could. But would that really help them? Of course not. According to the Mayo Clinic, over 50% of individuals infected with cholera will die if not properly treated with today’s advance in medicine.  It's the same with body massage.  We're providing a temporary relief, but that may not address the root cause or causation of the medical issue for why the client sought treatment in the first place.  We must find the root cause of any issue to provide significant treatment to a client seeking relief.

In neuromuscular therapy, our job is to:

  • ask questions
  • assess posture
  • measure leg lengths to look for anomalies
  • visually inspect foot care and wear
  • relieve trigger points
  • determine if a client has lost range of motion
  • elongate shortened soft tissue aka increase range of motion (ROM) with massage therapy, bodywork and stretching techniques 
  • much MUCH more....

 

 

Neuromuscular therapists are looking for what could be causing the issue where a client is seeking relief.  Sometimes the issue is easy, such as your client is an athlete who just ran a marathon, and all of the strenuous exertion has made them seek pain relief.  If we only had clients that were all as easy as this scenario.

Some of our clients are seeking massage therapy because modern medicine has failed them. They have some type of pain or disorder that several doctors have already missed or dismissed, and the client is still seeking answers, and is now sitting in front of you. Neuromuscular therapists are investigators. Our job is to look for a root cause of whatever the client suffers from, and then:

  • provide skillful soft tissue manipulation as needed
  • provide recommendations within their scope of practice, such as: your shoulder would probably feel better if you didn't carry that twenty pound purse on it all day
  • provide referrals to other medical professionals as needed (i.e. From looking at your feet and then the wear pattern on your shoes, you might benefit from some orthotics. Let’s have you meet with a podiatrist to see what they think, while I simultaneously try to increase your circulation to your lower leg cramps and relax some of soft tissue restrictions.) and much MUCH more....

Here's an example of seeking a root cause with a client who is experiencing headaches with unilateral neck pain.  If you observe them turning their head every time you speak, ask them if they hear better in the ear that they are turning towards you. If yes, refer them to an audiologist for a hearing check.  If their hearing is properly restored, perhaps they'll stop constantly turning their neck to one side which might be causing that unilateral cervical pain with headache. Once you've relieved their trigger points, released soft tissue restrictions, restored range of motion or whatever else is obtainable, you will likely have addressed that client's root cause of their medical problem as well as provided some much needed relief.

When a medical issue such as chronic or worsening headaches with increasing cervical pain is presented to a doctor, they might order tests to rule out a fatal obvious problem such as blood clots. They could order MRIs, cat scans, or other life threatening potential causes, but do you think a doctor takes the time to really evaluate a client today? Most do not have the time to sit and have a meaningful conversation with a client, asking questions and watching or evaluating different soft tissue ailments, or the client’s overall body mechanics in general. That’s where a neuromuscular therapist can help.  It is our job to evaluate the client’s body mechanics and more, to try to get to the root cause of their issue and address it.

Now some might think NMT practitioners will have less clients because they resolve a root cause to the point that a client may no longer need to see them, but that's just not the case. That’s because people love to talk.  When someone shares that a therapist relieved pain that four different doctors couldn't, just get ready for massive referrals and more medical problems to present themselves with new clients at your pain relief establishment!

In today's hands-on therapeutic practices, we want to continue the work that was extraordinarily defined with this example of a cholera outbreak over 200 years ago. We need to get to the root cause or causation of medical problems to really help our clients with a more holistic approach. While most medical practice today is transactional, where one issue is treated which could cause four more issues, we want to be different.  Let's treat the root cause of medical issues with neuromuscular therapy to help our clients even more. 

 

 

 

 

 

 

 

 

Utilize Extra Space at Your Massage Establishment or Spa with Open Service Treatments

Utilize Extra Space at Your Massage Establishment or Spa with Open Service Treatments

As time goes on, real estate becomes more expensive.  Rents in the United States are not returning to prices from 20 or 30 years ago.  Our operational costs to do business, which includes rent costs are included or built into the price of our massage therapy appointments or spa services.  So that brings us to one question.  Do you think you would have more business if your services were less expensive?  Do you think more clients might try a service or appointment at your business if it was more affordable to them?  If you said yes, then cue open services.  Open services can often utilize your existing space without having to pay additional rent. Retail establishments have been providing open services for decades (Sephora of Paris on the Champs-Élysées pictured below), so why can't you add this to your establishment too?

Some businesses such as high end retail stores or airport massage establishments already set-up their treatment areas in open space to maximize the amount of treatement stations that they can include with that location.  Rents can be extraordinarily high in those busines environments to the point that services would be unafforable to build out a private treatment room for traditional private massage therapy or bodywork appointments.  But you don't have to be in airport or retail space to offer open services.  Any spa or massage establishment can add these, as long as your city or state building codes or laws allow, and you can do so with the quality expected of your establishment. 

Some massage and spa establishments have larger waiting areas, oversized treatment rooms and unused space.  If you’re lucky enough to have this, we recommend adding open services to your treatment menu to:

  • keep yourself or your staff busy
  • earn greater income
  • practice shorter or different services than regularly provided in a private treatment room
  • diversify your work to make it more interesting
  • expand your service menu with mini-treatments and other incentives to get new clients into your establishment
An open treatment service menu might include things such as a foot reflexology appointment, with the client in a reclining chair with leg rest that lifts their feet into the air where a seated massage therapist can provide the service.  In that same reclining share you can offer spa facials, scalp massage, Indian facial massage, ear reflexology or other massage and spa treatments while standing behind or to the side of a reclining chair. Even hand reflexology or massage plus manicures might be provided with a seated client in an open treatment area. 

Some open treatment establishments already have mechanical or automated massage services to lower their operating costs, which might include mechanical massage chairs or aqua jet machines for pronated clients. Adding these machines to a spa or massage establishment can:
  • incent a walk-in client to stay and wait for the next appointment time if you offer a free or discounted mechanical chair massage while they're waiting 
  • mechanical equipment over time is usually cheaper and easier than paying or employing staff
  • free mechanical chair massage can keep a client happilly waiting for any staff member who is running behind
  • can be offered for a charge which will add to your income and bottom line





There are an untold amount of options. Be creative and think about how you can diversify your practice into new concepts for better benefits.





Ruins or Basements or Somewhere in Between? What is Your Massage Treatment Space Like?

Ruins or Basements or Somewhere in Between? What is Your Massage Treatment Space Like?
by Selena Belisle, Founder/Instructor, CE Institute LLC

Massage therapists experience a very high burn-out rate amongst professionals.  We believe the redundancy and monotony of massage practice affects our burn-out rates.  As such, we're creating an educational series for massage therapists to strengthen their massage practice for career longevity, and one of the ways we can strengthen our desire to work is by changing our surroundings.

Some massage therapists change careers while looking for something different.  We would have loved for those practitioners to make a serious change in their work environment prior to exiting the industry, or starting over in a new one.  What we're seeking is a transformation.  Some LMTs are transforming their jobs into other careers, and leaving a job they wanted so bad that they spent a minimum of 6+ months in school full time just to achieve it - massage therapy!  So why not transform your surroundings to create a whole new sensation for both you and your customers?

Did you know that some of the most expensive and exclusive spas in Europe are in the basement of their building? They are dark spaces, void of windows, but still manage to help their clients feel heavenly.  So how do they do that?  It's by creating surroundings that make us feel peaceful and wonderful and everything we are seeking out of massage or spa service.  I would know, I've had massage and spa services at all of them listed here!

Below are website links to these premium spas that you can view in their basement setting.  Of course most of us do not have the budget to put a commercial swimming pool in our basement, but at least this provides the jest of ideas that we can make more out of our massage treatment space that perhaps we thought possible:
  • Four Seasons Hotel George V, Paris: (pictured next/below) https://www.fourseasons.com/paris/spa/
  • Ritz Paris: https://www.ritzparis.com/hotel/paris/ritz-club-spa
  • Claridge's Spa, London, England : https://www.claridges.co.uk/spa/

Below are images of a bombed out church from World War II in downtown London, England. Do these images make you feel the war and violence? Or do you see the peaceful and relaxing garden they made out of it, where people are enjoying the Summer sun, taking a break amongst the ruins, talking, enjoying themselves and some afternoon lunch:

That garden made out of ruins in the City of London, England is called the Christ Church Greyfriars.

We provide these examples because there are quite a few massage therapists today working in fairly dismal conditions or surroundings.  For older businesses such as a hospital or chiropractor's office, massage may have been added after the business was established, so the massage treatment room(s) might have been an afterthought and received less than quality space.  However, less than quality space does not have to be bad.  These examples here show that war ruins and the basement can be elevated to incredibly wonderful spaces, and we hope you will be inspired to improve your work space too. 

Botanicals, lighting, decorating and more can all be easily achieved with the right touch.  We don't need to hire interior designers or install a pool to make our workplace wonderful.  There's plenty of assets available today that are affordable and can inspire different feelings with a little bit of thought, time and patience to put it all together.

This year, I listened to a recording at St. Paul's Cathedral in London, which is only a block away from this garden that was made out of WWII ruins.  St. Paul's Cathedral claims to be the first church to install visual art, which shows video on four TV screens of different spiritually contexted depictions.  During St. Paul's audio recording that highlighted their unique visual art pictured below, they stated something wonderful:  "Art is a universal language."

 

Now we're not suggesting that you install TVs in your massage establishment either.  We're simply showing these out-of-the-box ideas to hopefully stimulate some of your own.

Have you ever had experiences where you didn't feel connected with your client?  Perhaps there was a language barrier?  Or maybe the client is used to a different therapist and unhappy about seeing a new one?  Maybe they are scoffing at the price you charge for your service?  Taking pride in your surroundings that might include inspiring artwork for peace and relaxation could be a new connection for you and a client. Wouldn't it be wonderful to find appealing artwork that you could enjoy everyday, and use to create new connections with new clients?

I have a personal story to add to this experience of changing your surroundings to strengthen your massage therapy career.  Many years ago after my motorcycle accident, when it was determined by the doctors who said I would never work or walk again (they were wrong), I rented a bunch of offices in an old office building to create a group massage therapy establishment and alternative health care clinic.  My friends helped me paint the offices in different pastel colors, and then we all dunked our hands in the paint and put our handprints on the walls of the back staircase from one floor to another in all the different colors of our newly painted pastel treatment rooms.  Every time I had to climb those stairs with my broken bones, I would see all those handprints and know that my friends helped me set up that practice and I enjoyed seeing that.  Fast forward 10 years where I employed a bunch of therapists that never knew how bad off I was after the accident, and they just wanted a fresh look in the office with no handprints on the walls or pastels.  I didn't listen to their requests because I was too attached to the work my friends and I did as a group to paint and decorate my new career as an establishment manager after the accident.  Then, I went away for a school trip to the far east to study ancient medicine.  When I returned a month later, I found that my general manager had taken a couple thousand dollars out of my business account and painted over my two floors of offices, and installed some new carpet and all new curtains too. I walked into my own business with complete shock, not knowing this had been done! Now most managers would be fired for spending that type of money without their boss's consent, especially when they knew their boss didn't want those changes.  But when I saw how happy my staff was with the changes, I couldn't be upset.  I didn't realize how important it was for my staff to make those changes, and I'm very glad today that my manager knew it and made them for all of us.  The thing is, my manager knew how important it was to me to keep my staff happy.  She felt that we needed to breathe new life into our group practice, and she was right.  The refresh of our establishment literally rejuvenated many of our careers, and our clients loved the new feel too.  Some of us don't want or like change, but change is often necessary. This is just one example of many to show this is true.


To transform your massage or spa business on a budget, look to your local thrift stores or salvation army.  Discount retailers such as TJ Maxx, Marshalls, Home Goods, Ross, Target and even Walmart sell wall hangings, decorations and art at low prices. Watch for sales and check the reduced price aisles too. Even eBay might be an option, especially if there's a decent return policy if you do not connect with whatever you purchase! Get some friends to help and look up your local garage, lawn and tag sales. You'll never know what you'll find in these places, but hopefully something will speak to you.  Someone's discards are another person's treasure!  Perhaps you'll make new inspiring memories like I experienced with my friends' contributions. Don't forget something as simple as a can of fresh paint, new curtains and other visuals can transform your workspace into something new too.  


The following depicts a spa and massage establishment that was built underground in the basement of a stone building in central Paris. They turned what looked like death's dungeon into a peaceful and private oasis away from busy city life.  And based upon their prices which were excellent, such as starting a mini spa package at 99 euro, it sounds and feels like they were able to keep their rent expenses quite low when you compare their prices to the rest of the St. Germain area. We did not use a flash with these pictures which are not of the best quality as to not annoy the other present guests enjoying this unique space and experience:


This is the main corridor through the main area where treatment rooms plentiful treatment rooms and showers line both sides of it:



A relaxing area sits adjacent where guests can refresh themselves with water and teas:



They have promoted retail throughout the spa with posters, and by showcasing oils in one-gallon vats:


They've put finishing touches throughout the basement by lining the stairs with no-flame candles and other unique decorations and touches:



They even built in a large jacuzzi spa with relaxation area in the basement. Please notice how they left the original stone in place, and then decorated around the existing stone surroundings:



Then for the ultimate spa and relaxation experience, they provided extensive private shower, relaxation and changing areas for guests:


So if this can be made out of a medieval basement of one-time filth, imagine what can be done with your place? The Parisian basement spa repeatedly referenced in the pictures above has a lovely shared outdoor courtyard space which is a wonderful asset to those who might be conscientious or deterred by business in the basement. Adding a foliage covered trellis could provide additional treatment service area for those who prefer outdoor services, and a better treatment option if a service provider finds themselves working during an airborne viral pandemic such as COVID-19.


There are many reasons why massage therapists should take pride in their work surroundings, and there's many things you can do at various prices to improve your work and career areas as well.  In our series where we will share information about strengthening massage careers and the overall industry, please take a moment to think about how you could improve your workspace for untold benefit. Let's make stronger connections in our careers and enjoy them too!


Mites and Parasitic Infections with Massage Therapy, Spa or Medical Practice

Mites and Parasitic Infections with Massage Therapy, Spa or Medical Practice

Many pathogens including harmful parasites can be microscopic, meaning they are not visible to the naked eye. If your client suggests they have a new unknown itch or rash, it’s always safest to have them see a doctor prior to potentially spreading a harmful infection.  Working on a client with an unknown rash or itch is too big of a risk, given the practitioner could acquire the infection themselves and/or spread it onto other clients.  Even if a practitioner wears gloves, that is not good enough, because parasites or other harmful pathogens could spread into your treatment area causing further infection later on down the road.

Different parasites commonly harbor in different areas of the human body depending on which type of infection is present.  Some integumentary or skin infections may be more prevalent between the fingers while others may harbor in areas of where clothing meets the skin, such as underwear, shirt or pant lines.  Other infections might show a “line” of parasitic infection on human skin, such as what is pictured in this article on the individual's posterior lower leg. 

It is critical to conduct a proper and thorough client intake process before a client disrobes or infects your treatment space.  This would include devising your own written client health intake form for the modalities that you offer or practice.  Most liability insurance companies provide general client health intake forms for free to their customers, and then a practitioner can determine if that form makes sense for their practice, or if it should be modified for their own practical needs with legal counsel or other options. Once the client has filled out their intake form, practitioners should take notes of each treatment provided to ensure the client’s goals are being met for overall quality and improvement measures.  Upon each new client appointment, practitioners should then ask the client if there’s anything new since their last visit, and that is when a practitioner should be notified if a client has a new itch or rash.

If the client does not disclose a new rash or itch (that developed for an unknown reason) until they are on the treatment table, it is probably best to immediately terminate the session until a medical diagnosis is determined that it was not caused by something that could be contagious.  While that may seem inconvenient, continuing the session with a possible contagion puts everyone at higher risk and is ill-advised.

It is also important to prohibit clients from bringing their own linens, cushions and other fabric type items into your work space, given they can be difficult to sanitize and can also harbor harmful pathogens beyond our clients themselves.

Would you like to learn more?  Please register for training with us at: https://ceinstitute.com/