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A Practical Guide to Achieving Success as a Massage Therapist

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Massage therapy is becoming increasingly popular as a promising and profitable profession. After obtaining the necessary qualifications, massage therapists can explore various industries for job opportunities. With certification and licensing, they can pursue a career in the medical field, working at hospitals, physical therapy clinics, or chiropractic offices.

Alternatively, they can enter the hospitality industry by securing a position at a spa, resort, or cruise ship. Massage therapists may also find opportunities in the sports world, assisting elite athletes in maintaining optimal physical conditions.


Massage therapists are extensively trained in anatomy, musculature, and pressure points. This enables them to manipulate and massage different body parts skillfully, providing various therapeutic benefits such as stress relief, injury recovery, and muscle relaxation. Unsurprisingly, massages are widely recognized for their positive impact on physical and mental well-being.

A few common specializations within the field are acupressure, deep tissue massage, reflexology, sports massage, and therapeutic massage, and each has its own specific approaches and techniques.

If you are wondering if now is the right time to pursue a career in massage therapy, you’ll want to know that The Bureau of Labor Statistics (BLS) rates the job outlook for massage therapists as highly favorable, with the industry set to grow at a healthy rate over the coming decade.

A massage therapist career can be physically and emotionally rewarding but requires dedication and ongoing education to maintain success. According to this U.S. News job market report, most massage therapists enjoy excellent job flexibility and a stress-free work environment.

However, like any profession, success in this field requires more than just skill and passion. It also demands a clear understanding of the industry, effective marketing strategies, and a strong entrepreneurial mindset.

This practical guide will explore the essential steps you must take to succeed as a massage therapist. Whether you are just starting out in the field or looking to take your practice to the next level, this guide will provide you with the tools and knowledge you need to succeed in this rewarding career.

Education & Training Required for Massage Therapists

Since massage therapy is acknowledged as a healthcare service in all 50 states, the prerequisites, guidelines, and procedures to acquire a license to operate differ based on the state.

Enrolling in a massage therapy program at an accredited and reputable massage school approved by the state is advisable to embark on this career path. A quality massage program will equip you with the necessary skills to apply massage therapy effectively, covering subjects such as medical terminology, anatomy, and physiology.

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Once you have met the necessary qualifications, you can apply for a massage therapy license. If you plan to become a self-employed massage therapist, you may want to complete marketing and business management courses while obtaining the necessary credentials.

Massage therapy programs typically have a duration of approximately six months for those attending full-time, but completion may take longer for students studying part-time or in states with rigorous licensure requirements. The primary objective of these programs is to equip students with the necessary skills and knowledge to pass board certification and licensing exams, which demonstrate their ability to deliver quality treatment and care to clients.

Massage Therapy Programs

Different programs and different massage schools focus on various disciplines within the field of massage therapy.

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You could specialize in one or several domains based on your specific area of interest.

  • Deep Tissue Massage
    This type of massage relies on slow yet firm pressure on affected areas to relieve injuries and conditions resulting in chronic pain.
  • Therapeutic Touch Massage
    This massage involves gently placing one’s hands over specific areas of a client’s body to repair imbalances in their energy field. Touch therapy is known to help with relaxation and provide pain relief.

Certification and Licensing Requirements

After finishing your training program and obtaining certification from a reputable massage school, you must obtain a state license to work as a massage therapist. To do so, you will need to pass an exam given by the Federation of State Massage Therapy Boards (FSMTB). This state exam covers the following areas:

  • Anatomy and Physiology
  • Pathology, Contraindications, Areas of Caution, Special population
  • Kinesiology
  • Client Assessment, Reassessment, and Treatment Planning
  • Benefits and Physiological Effects of Techniques that Manipulate Soft Tissue
  • Ethics, Boundaries, Laws, and Regulations
  • Guidelines for Professional Practice

While you can begin practicing immediately after passing the state exam, most states require massage therapists to join a reputable professional organization, such as the American Massage Therapy Association (AMTA).

Career Options for a Qualified and Licensed Massage Therapist

After obtaining certification and licensure as a massage therapist in your state of choice, there are several pathways available to secure employment and establish a successful career. Let us explore some of these possibilities.

Traditional Massage and Wellness Centers

Spas and wellness centers offering massage facilities are widespread across the United States. Licensed massage therapists are always in demand, and if you’re qualified, securing a job at such an establishment in your hometown shouldn’t be too hard.

Hospitals and Doctor’s Offices

If you’re inclined towards healing people, you might consider employment in a hospital or medical office that offers their patients the option of on-site massage therapy.

Gyms and Health Clubs

Several high-end gyms offer their patrons post-workout massages to relax sore muscles. You could look for job openings at gyms that provide such services, and if they don’t, you could offer to set up a practice.

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Chiropractic offices

Massage therapy and chiropractic services are closely related, and working at a chiropractic office is a great way to network and expand your own client base.

Nursing Homes and Hospices for the Elderly

Providing care and healthcare services for older adults is a noble and lucrative vocation. A nursing home is an excellent place for a qualified massage therapist to secure a position and use their skills to help elderly clients relax.

Hotels and Holiday Resorts

Spas are typically present on-site at large hotels and resorts, providing their guests with soothing massages. Seeking employment at one of these establishments may lead to a fulfilling job in a picturesque setting.

Sports Teams and Events

Working with a sports team can be thrilling for a young massage therapist. At all levels, from amateur to professional, sports teams often employ their own massage therapists to maintain their athletes’ flexibility, agility, and optimal physical condition. Therefore, it may be worthwhile to explore job openings in this area.

Private Practice

If you want more freedom and flexibility than a job can give you, starting your private massage therapy practice might be a good idea. You could open your own massage center and have clients come to you, or choose to offer your clients massages at their premises. Consider offering on-site massages at airports, malls, offices, or large events.

The Job Market

The outlook for massage therapist jobs is favorable, with the Bureau of Labor Statistics predicting a much higher-than-average growth in the industry over the coming decade. The rising demand for massage therapists could result from the expanding healthcare industry. The profession has grown significantly and presents numerous avenues for fulfilling careers in various sectors.

Growth Opportunities

After gaining several years of experience as a massage therapist, you may wish to explore opportunities beyond your current job or private practice. One option is to secure a business loan and leverage your skills and experience to establish your own health club or spa.

Alternatively, you could transition into a related career within the healthcare industry. Upon obtaining the necessary certification, you could pursue roles such as a recreational therapist, physical therapy aide, or rehabilitation therapist. You may also consider administrative positions within healthcare or a career in medical supplies sales.

Salary and Compensation

In 2022, according to the Bureau of Labor Statistics, massage therapists across the United States earned between $35,000 and just over $60,000. The average annual wage for massage therapists in California was $64,350. This figure applies to massage therapists working jobs, while self-employed massage therapists can earn much more.

The Skills Required for Massage Therapists

By utilizing their exceptional skills, commonly known as the “magic touch” and “magic hands,” massage therapists relieve pain, alleviate stress, loosen tight muscles, and ultimately enhance the overall well-being of their clients.

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While acquiring the necessary qualifications and licenses is the first step toward building a career in massage therapy, specific skills are required to succeed. You need technical, interpersonal, and business skills to excel as a massage therapist.

Technical skills include a thorough understanding of various massage techniques, including their benefits and contraindications. Also, massage therapists must know anatomy, physiology, and kinesiology to assess client needs and deliver effective treatment.

Interpersonal skills are essential for building rapport with clients and fostering a positive therapeutic relationship. Good communication skills, empathy, and active listening are necessary to ensure client comfort and satisfaction.

Business skills are vital for establishing a successful private practice or running their own spa. These skills include financial management, marketing, and customer service.

Massage therapists work by physically manipulating their client’s muscles and joints, and they also might need to spend long periods standing. It can be physically demanding work at times, so massage therapists must be physically fit and capable of assisting their clients as required. Therefore, physical stamina and dexterity are crucial for massage therapists.

Other skills that may prove valuable for massage therapists include time management and the ability to adapt to different client needs and preferences.

Building a Rewarding Massage Therapy Career

To build a successful career as a massage therapist, consider the following steps:

  • Obtain the necessary education and certification: Ensure you complete a reputable massage therapy program and obtain certification and licensure from relevant regulatory bodies.
  • Build a strong foundation: Focus on building your technical, interpersonal, and business skills to establish a strong foundation for your career.
  • Develop a niche: Consider specializing in a specific massage technique or clientele, such as sports or prenatal massage, to differentiate yourself and attract clients.
  • Network and build relationships: Attend industry events and join professional organizations to network with other massage therapists and potential clients.
  • Maintain professionalism: Ensure you maintain a professional image and provide exceptional customer service to create a positive reputation and gain referrals.
  • Consider advanced training: Pursue advanced massage therapy training and certification in specific massage techniques or related fields such as aromatherapy or acupuncture to broaden your skillset and expand your career opportunities.
  • Build a strong online presence: Establish a professional website and social media presence to reach potential clients and showcase your massage services and expertise.

Challenges and Rewards

As with any line of work, massage therapy comes with its own set of challenges and rewards.

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  • Physical demands: The work of a massage therapist can be physically demanding and may require long periods of standing or repetitive motions, which can result in strain or injury.
  • Emotional demands: Massage therapists may encounter clients with emotional or physical trauma, which can be emotionally challenging and require additional training to handle effectively.
  • Variable income: For those who operate their own business or work as independent contractors, income may be unpredictable and fluctuate with demand.
  • Regulatory requirements: Obtaining and maintaining the necessary licensure and certification requirements can be a complex and time-consuming process.


  • Helping others: Massage therapists can help others alleviate pain, reduce stress, and improve their overall well-being.
  • Flexibility: Many massage therapists have the flexibility to work for themselves, set their own schedules, and work in various settings such as spas, hospitals, and sports facilities.
  • Professional growth: The massage therapy industry is constantly evolving, providing opportunities for continued education and professional growth.
  • Positive impact: Massage therapy has been shown to positively impact both physical and mental health, providing a sense of fulfillment and purpose to those in the profession.


Becoming a successful massage therapist requires dedication, hard work, and a commitment to ongoing learning and growth. You can establish a fulfilling and rewarding career as a massage therapist by completing a reputable education program, building strong technical, interpersonal, and business skills, networking, and pursuing advanced training.

While the profession comes with its own set of challenges, the potential for positive impact, flexibility, and professional growth make it a compelling choice for those with a passion for helping others and a dedication to wellness.

As the healthcare industry continues to evolve and recognize the benefits of massage therapy, the future of this profession looks bright, providing a promising path for those looking to build a meaningful and successful career.

With the demand for massage therapists expected to grow over the coming decade, now is a great time to sign up at a reputable massage therapy school, learn the trade, and get licensed to practice.


What is the average salary of a massage therapist?

According to the United States Bureau of Labor Statistics (BLS), the median annual wage for massage therapists was $46,910 as of May 2021. However, the actual salary of a massage therapist can vary widely based on several factors, including their level of experience, location, and the type of employer they work for.

For example, massage therapists who work in higher-end spas or for sports teams may earn more than those who work in a clinical or medical setting. Similarly, those who have established a private practice or work as independent contractors may have a more variable income based on the demand for their services.

It’s worth noting that their level of education and certification can also influence the salary of massage therapists. Those with advanced training and certifications, such as in specific massage techniques or medical massage, may be able to command higher wages or specialize in a particular area of massage therapy.

What is the job outlook for massage therapists in the next few years?

According to the United States Bureau of Labor Statistics (BLS), the job outlook for massage therapists is positive. Employment of massage therapists is projected to grow 20 percent from 2021 to 2031, which is much faster than the average for all occupations.

The increasing demand for massage services from healthcare providers and spas, as well as the growing recognition of the benefits of massage therapy, is driving this growth. Additionally, as more people seek non-invasive and drug-free methods of pain management, the need for massage therapists is expected to continue to increase.

Furthermore, the BLS notes that as the baby boomer generation ages, and requires more healthcare services. There will be an increased demand for massage therapists who can provide therapeutic benefits for pain management, injury rehabilitation, and stress reduction.

What type of education is required to become a massage therapist?

The specific education and training requirements to become a massage therapist can vary depending on the state or jurisdiction in which you plan to work. However, massage therapists are typically required to complete a postsecondary education program that includes both classroom instruction and hands-on training.

Many massage therapy programs are offered at vocational schools, community colleges, and private institutions. These programs may range from a few months to two years, with the majority falling somewhere in between. Students in these programs typically learn about anatomy and physiology, massage techniques, business practices, and ethics.

Upon completing a massage therapy program, graduates must typically pass a certification exam or meet other licensing requirements, such as completing a certain number of hours of hands-on practice or obtaining liability insurance. These requirements can vary by state or jurisdiction, so it’s important to research the specific regulations in your area.

In addition to formal education and certification, ongoing training and professional development are important for massage therapists to stay up-to-date with new techniques and advances in the field. This may include attending workshops or continuing education courses, participating in professional organizations, and pursuing specialized certifications.

How do you build a client base as a massage therapist?

Building a client base as a massage therapist can take time and effort, but there are several strategies you can use to attract new clients and keep them coming back. Here are a few tips:

Network: One of the most effective ways to build your client base is by networking with other professionals in related fields, such as chiropractors, physical therapists, or fitness trainers. Attend networking events, offer free massages at health fairs or charity events, and ask satisfied clients for referrals.

Build an online presence: In today’s digital age, having an online presence is essential. Create a website, set up social media accounts, and encourage clients to leave reviews on platforms like Yelp or Google My Business. This can help potential clients find you online and learn more about your services.

Offer promotions: To attract new clients, consider offering promotions or discounts on your services. This can be a great way to get people in the door and demonstrate the value of your services.

Provide exceptional service: The best way to build a loyal client base is by providing excellent service. Focus on delivering a personalized experience that meets your client’s needs and preferences. This can help build trust and foster long-term relationships with your clients.

Stay in touch: Don’t forget to stay in touch with your clients after their appointments. Follow up with a thank-you note or email, offer them incentives for referring friends or family, and keep them informed about any new services or promotions.

By following these strategies, you can build a solid client base that can help sustain your massage therapy practice over the long term.

What are the most common types of massage therapy?

The most common types of massage therapy include Swedish massage, deep tissue massage, stone therapy, and acupressure.

What are the risks associated with being a massage therapist?

Massage therapy is a physically demanding profession. As a massage therapist, you’ll be using your body to manipulate your clients’ muscles and joints, which can be physically demanding and may result in strain or injury. Practicing good body mechanics and taking care of your physical health to avoid potential injuries is important.

Massage therapy can also be emotionally demanding, as therapists may be exposed to clients dealing with pain, trauma, or emotional distress. Therapists need to practice self-care and seek support if necessary to avoid burnout.

What is the difference between a licensed massage therapist and a certified massage therapist?

A licensed massage therapist has been granted a license by a state licensing board, indicating that they have met the state’s specific requirements for education and training.

On the other hand, a certified massage therapist has obtained a certification from a professional organization, indicating that they have met specific standards and passed an exam. While both types of therapists have undergone some training and evaluation, the requirements and regulations may vary depending on the state or organization.

How do I maintain my physical health as a massage therapist?

As a massage therapist, taking care of your physical health to avoid injuries and maintain your ability to provide effective treatments is important. Here are some tips for keeping your physical health:

  • Practice good body mechanics: Use proper posture and body mechanics when performing massages to avoid strain and injury.
  • Stretch regularly: Stretching helps keep muscles flexible and reduces the risk of injury. Incorporate stretching into your daily routine, especially before and after giving massages.
  • Take breaks: Take regular breaks during long massage sessions to give your body a rest.
  • Exercise regularly: Engage in regular exercise to maintain overall fitness and reduce the risk of injury.
  • Get regular massages: Schedule regular massages for yourself to relieve muscle tension and maintain flexibility.
  • Maintain a healthy diet: Eating a balanced diet with plenty of fruits, vegetables, and lean protein can help support overall physical health.
  • Stay hydrated: Drink plenty of water throughout the day to stay hydrated and prevent muscle fatigue.
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