Thai Reflexology (often called Thai Foot Massage) can be done with the help of a wooden massage stick, or it can be done without it, just using hands and other body parts.
What are the reasons for and against using such a stick? And what are the benefits or disadvantages of those sticks?
After living in Thailand for 20 years, receiving hundreds of foot massages, and teaching Thai Massage courses to thousands of students since 2001 I have a pretty good understanding of this issue.
There are two points of view to consider:
1. The foot massage CLIENT perspective:

From personal experience, I can say that I don’t like the foot massage sticks at all. They feel pokey and often quite painful to me.
Since they are rigid and hard, they lack the soft and sensitive quality of the human hand. There is no feeling transmitted through them.
On the other hand, let’s say you are in Thailand and walk into a foot massage shop. You have large and strong feet, and you end up with a female therapist who has small hands and not much power. In this case, you might appreciate the added intensity of the stick.
2. The foot massage THERAPIST perspective

For the therapist, the stick is a way to use more pressure with less effort. It makes it easy to apply deep pressure on one point without overusing the thumbs.
It also allows more pinpoint precision work when using the sharper end of the stick.
However, just from looking at it, it is hard to imagine how this could possibly be enjoyable.
Read more: thaihealingmassage.com
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