Thai Bodywork

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What is Thai Bodywork?

Thai Bodywork is a traditional form of therapeutic bodywork that combines rhythmic compression, acupressure, assisted movement, and stretching. Sometimes referred to as Thai massage or Nuad Thai, the practice developed in Thailand and incorporates principles and techniques that have evolved through centuries of traditional healing practice.

Unlike traditional table massage, Thai Bodywork is performed fully clothed on a comfortable floor mat. The practitioner uses their hands, thumbs, forearms, elbows, knees, or feet to apply compression and guide the body through a variety of movements and stretches.

Traditional Thai Bodywork also works with Sen, pathways described within Thai medicine through which vital energy is understood to flow. Treatment is individualized rather than performed as a fixed sequence, with techniques selected and adapted according to your body, mobility, comfort, and goals.

An important principle within traditional Thai practice is metta, often translated as loving-kindness. This reflects the attentive and compassionate quality of the work and the intention to meet each person where they are rather than forcing the body into a particular position or stretch.

What Can I Expect with Thai Bodywork?

Thai Bodywork is performed on a padded floor mat while you remain fully clothed. Comfortable clothing that allows you to move freely is recommended.

During the session, your practitioner may use rhythmic compression, acupressure, rocking, gentle mobilization, and assisted stretching. You may be positioned on your back, side, stomach, or in a seated position depending on your comfort and the techniques being used.

Thai Bodywork is sometimes described as passive or assisted yoga because the practitioner helps move the body through different positions and stretches. However, you do not need to be flexible or experienced with yoga to receive Thai Bodywork. Each movement is adapted to your mobility and comfort.

Stretching should not be forced. Your practitioner will work with you to find an appropriate “edge”—a point at which you can feel the stretch or movement without pushing beyond what feels comfortable or appropriate for your body.

Hot Herbal Compress Therapy

Hot herbal compresses may be incorporated into a Thai Bodywork session to provide warmth and another dimension of therapeutic touch. The heated compresses contain a blend of traditional aromatic herbs and are applied to the body using gentle pressing, rolling, and compressive techniques.

The combination of heat, herbal aromatics for pain and inflammation, and compression can be especially comforting over areas of muscular tension and stiffness and may be used alongside the rhythmic compression, acupressure, movement, and stretching of a Thai Bodywork session.

The temperature and application of the compresses are adjusted for your comfort, and they may be used more broadly or focused on particular areas depending on your needs and goals for the session.

Herbal compress therapy has a long history within traditional Thai healing practices and is often used in combination with Thai bodywork. At Journey to Wellness, it may be incorporated when appropriate as part of an individualized Thai Bodywork session.

Should I Receive Thai Bodywork?

Thai Bodywork may be a good option for people who enjoy movement and stretching as part of their bodywork or who prefer to remain clothed during treatment. People may seek Thai Bodywork for muscular tension and stiffness, mobility concerns, stress and relaxation, recovery from physical activity, or general wellness.

You do not need to be particularly flexible or physically active to receive Thai Bodywork. Sessions can be adapted considerably, and techniques or positions can be modified according to your mobility, comfort, health history, and individual needs.

Thai Bodywork may need to be modified or postponed depending on recent injuries or surgery, joint instability, osteoporosis, pregnancy, certain cardiovascular or vascular conditions, acute illness, or other health considerations. Please share relevant health information with your practitioner so your session can be adapted appropriately.

What Does the Research Say?

Research specifically examining Traditional Thai Massage or Thai Bodywork is considerably smaller than the research base for more broadly studied forms of massage therapy. Existing studies have explored its use for concerns such as musculoskeletal pain, muscle tension, mobility, flexibility, stress, and related outcomes, with some reporting promising results.

However, the number of well-designed studies remains limited, and studies may differ in the techniques used, treatment frequency, practitioner approach, and populations being treated. These differences make it difficult to draw broad conclusions about Thai Bodywork as a whole or to determine how well results from one treatment protocol apply to another.

Additional high-quality research is needed to better understand the potential benefits, appropriate treatment frequency, and longer-term effects of Thai Bodywork.

Research and Evidence on Thai Bodywork:

  1. MacSween A, Lorrimer S, van Schaik P, Holmes M, van Wersch A. A randomised crossover trial comparing Thai and Swedish massage for fatigue and depleted energy. J Bodyw Mov Ther. 2018 Jul;22(3):817-828.

  2. Chantip Juntakarn, Thavat Prasartritha, Prapoj Petrakard. The Effectiveness of Thai Massage and Joint Mobilization. Int J Ther Massage Bodywork 2017 Jun 30; 10(2):3-8

  3. Wamontree P, Kanchanakhan N, Eungpinichpong W, Jeensawek A. Effects of traditional Thai self-massage using a Wilai massage stick(TM) versus ibuprofen in patients with upper back pain associated with myofascial trigger points: a randomized controlled trial. J Phys Ther Sci. 2015 Nov;27(11):3493-7

  4. Chatchawan U, Eungpinichpong W, Plandee P, Yamauchi J. Effects of thai foot massage on balance performance in diabetic patients with peripheral neuropathy: a randomized parallel-controlled trial. Med Sci Monit Basic Res. 2015 Apr 20;21:68-75

  5. Keeratitanont K, Jensen MP, Chatchawan U, Auvichayapat P. The efficacy of traditional Thai massage for the treatment of chronic pain: A systematic review. Complement Ther Clin Pract. 2015 Feb;21(1):26-32.

  6. Chiranthanut N, Hanprasertpong N, Teekachunhatean S. Thai massage, and Thai herbal compress versus oral ibuprofen in symptomatic treatment of osteoarthritis of the knee: a randomized controlled trial. Biomed Res Int. 2014;2014:490512

  7. Chatchawan U, Eungpinichpong W, Sooktho S, Tiamkao S, Yamauchi J.Effects of Thai traditional massage on pressure pain threshold and headache intensity in patients with chronic tension-type and migraine headaches. J Altern Complement Med. 2014 Jun;20(6):486-92