Segment-Reflex Massage

It is a highly therapeutic massage. It’s main objective is to elaborate each of reflexive changes in tissues. It consists a series of grips with strictly defined technique and precise execution, taking into account many various principles of dosing.

It allows to detect and remove lesions and treats the consequences of incorrect involuntary reflexes. Unlike a classical massage, segmental massage has particular role in the treatment of internal diseases. Indications for using segmental massage:












  • functional and suspected internal organs diseases,
  • circulatory disorders,
  • functional, degenerative and chronic rheumatic diseases of the spine, joints and soft tissues,
  • post-traumatic disorders (sprains, dislocations, fractures),
  • vegetative disorders of the nervous system,
  • disturbances in the functioning of the endocrine glands,

Contraindications to the use of segmental massage:

  • lack of reflexive changes,
  • all acute bacterial inflammation of tissues and organs that require surgical intervention,
  • all general infections with fever,
  • acute inflammations,
  • cancer,
  • bleeding, hemorrhage
  • tuberculosis

 Segment-Reflex Massage work?

Central to the ideology behind SRM is that there are number of zones in the human body where somatic and visceral components are connected by the same innervations. Such zones are called reflex zones. By eliminating abnormalities in reflex zones at somatic components a therapist can positively affect inner organs that share common spinal segment level of innervation. That’s why massage plays such a significant role in treatments of various back and limb disorders, internal organs diseases and even emotional disorders.

Manual therapy is a field of physiotherapy dealing with motor system disorders through the improvement of the patient’s body biomechanics. The term stands for diagnosis and treatment with the use of the therapist’s hands. Modern manual therapy, as a medical field of study, is a specialization with the 150-year history, it actually originated in antiquity. In Poland, manual therapies are often confused with the so-called chiropractic. Doctors of Chiropractic are people with no medical education. A vast majority of them lacks even an elementary knowledge about anatomy. On the flip side, however, they know the manipulative techniques (adjustments). Nevertheless, they are not able to predict when such a therapy is contraindicated. There will always be a group of patients requiring further diagnosis, a follow-up visit or even a surgery. When the therapy is taken despite the contraindications, it threatens a patient`s life. Worldwide, manual therapy involves physiotherapists and doctors with appropriate, post-graduate education in this field. Frameworks of such an educational program were prepared by the International Federation of Orthopedic Manipulative Physical Therapists (IFOMPT) in the 1970s and are updated every few years on the basis of scientific researches. This is a postgraduate education providing 1000 hours of training within 6-7 years. According to IFOMPT, the standards in this field of study are the same in the United States, Australia and Europe. Such a long time of further education is required to help patients in a safe and an effective way. There are following fields related to the manual therapy, for instance, osteopathy and chiropractic. In Norway, the therapist is educated in accordance with the IFOMPT standards, still having a lot of independence. Furthermore, s/he is the first person to contact with in the event of any problems with motor system. In this way, diagnostic and therapeutic solutions are shortened because the vast majority of patients will be able to examined by this therapist. If such a solution is impossible, the group is directed to a particular medical specialist for further assessment.

What does the diagnosis and treatment look like?

The test begins with an interview and symptoms analysis. The problem can be related to the joint, muscle, nerve, or all of these structures simultaneously. That is why, the next element is neurological and manual examination to selectively evaluate where the problem is. When performing the treatment, we do not concentrate on the same symptoms but on the disorders that may be the cause. A great advantage of this form of therapy is searching for and treating the cause, not just the effect. The goal of the therapist is to improve the patient’s body biomechanics. The tools used for this purpose are articular techniques (mobilizations and manipulations of joints), myalgic techniques (relaxation, stretching), and neural techniques, known as neuromobilization. Integral parts of the therapy are exercises and training. After each visit, patient receives recommendations for exercises which should be done and what activities are allowed.

 Reflex zone therapy







Reflex zone is the region in the zone therapy that illustrates its interconnection with the whole parts of the body. Pressure applied to this region will help specific organ or particular part to alleviate the pain and symptoms of a disease. According to the theory, there is an invisible pathway that runs along the body in a vertical form based on the lines instead of reflexology maps in which each point on the soles of hand and feet correspond to a specific organ. Reflex zone therapy (Fig. 9) represents five zones in both sides of the feet.12 This zone is running along the whole body parts from top of the head until the tips of the toes and fingers and the whole body is divided into ten reflex zones.12 Each zone interconnects with different parts of the body.10 Reflex zone therapy-specific organ relationship is presented in Table 1 and Table 2.

What is a reflex zone?
Reflex zone therapy is a holistic treatment that can help to promote deep relaxation and well-being by reducing stress and helping to restore balance to your body. It works by stimulating the reflex points on the feet to encourage relaxation and release stress or tension in the area.
Where are the reflex points on the body?
Practitioners access these points on the feet and hands (bottom, sides, and top) and the ear (both inside as far as the finger can reach and outside) to affect organs and systems throughout the entire body.


















Table 1. The relationship of left side of reflex zone with its corresponding organs.13

Meridian Reflex zone Corresponding organs
Line 1 Left thumbs and big toes Pituitary, pineal, brain, hypothalamus, thyroid, sinuses, larynx, nose, trachea, tongue, oesophagus, thymus, heart, spine, pancreas, breast, small intestine and large intestine, prostate
Line 2 Left index finger and second toe Brain, eye, adenoids, lungs, heart, stomach, spleen, pancreas, breast, small and large intestine
Line 3 Left middle finger and third toe Brain, eye, lung, breast, stomach, spleen, pancreas, kidney, adrenal gland, small and large intestine
Line 4 Left ring finger and fourth toe Brain, eye, lungs, breast, large intestine, ovaries
Line 5 Left little finger and fifth toe Ear

Table 2. The relationship of right side of reflex zone with its corresponding organs.13

Meridian Reflex zone Corresponding organs
Line 1 Right thumbs and big toes Pituitary, pineal, brain, hypothalamus, thyroid, sinuses, larynx, nose, trachea, tongue, oesophagus, thymus, heart, spine, pancreas, breast, small intestine and large intestine, prostate
Line 2 Right index finger and second toe Brain, eye, lung, breast, liver, small and large intestine, adenoids
Line 3 Right middle finger and third toe Brain, eye, breast, liver, gall bladder, kidney, small and large intestine, adrenal gland
Line 4 Right ring finger and fourth toe Brain, eye, main lymphatic duct, breast, liver, lung, large intestine, ileo-cecal valve, appendix
Line 5 Right little finger and fourth toe Ear
more info at:,both%20sides%20of%20the%20feet.&text=This%20zone%20is%20running%20along,divided%20into%20ten%20reflex%20zones.&text=Each%20zone%20interconnects%20with%20different%20parts%20of%20the%20body.









Therapeutic Deep Tissue, Swedish Massage, Sports Injury Massage Therapy in Santa Barbara, Goleta, Ca.

*Disclaimer: This information is not intended to be a substitute for professional medical advice. You should not use this information to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider. Please consult your healthcare provider with any questions or concerns you may have regarding your condition. The information provided is for educational purposes only and is not intended as a diagnosis, treatment, or prescription of any kind. The decision to use, or not to use, any information is the sole responsibility of the reader. These statements are not expressions of legal opinion relative to the scope of practice, medical diagnosis, or medical advice, nor do they represent an endorsement of any product, company, or specific massage therapy technique, modality, or approach. All trademarks, registered trademarks, brand names, registered brand names, logos, and company logos referenced in this post are the property of their owners.