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The therapist will work around the clothes you left on as best as he/she can. However, if you will be more comfortable during the session if you leave your underwear on, that's fine.
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For a full body massage, most get completely undressed. You should undress to the level you are comfortable. It is also important to list any allergies so the therapist is aware if he/she needs to use a different oil or lotion during the session. It is important to list all health concerns and medications so the therapist can adapt the session to your specific needs without doing any harm. Your massage therapist may perform certain assessments and testing to evaluate your condition and to see if you have any presenting complaints. Afterward the therapist will begin by asking you general questions to establish what areas you would like worked on, if there are any conditions needing to be addressed, and to determine if massage is appropriate for you. Your massage therapist may require you to fill out a health history form. What should I expect during my first massage therapy visit? You will enjoy your sessions so much more! If you had a full body massage last time you had a session, but this time you only want your back/neck/shoulders/arms worked, it's perfectly fine to ask. Also, what you requested in one session may be different in another. Your therapist wants this to be the best experience for you to relax and enjoy. You will not hurt the therapist's feelings by asking for something that will make you more comfortable. Why is this so important? If you want anything changed: pressure, areas worked, position or if you are too hot or too cold.