What Is Ashiatsu Massage?

Published | Updated August 5, 2019


Ashiatsu – also known as Barefoot Shiatsu, Back Walking, or Gliding Feet Massage – is a type of barefoot bodywork where the practitioner uses the heel, sesamoid, arch, and/or whole plantar surface of the feet to give the massage. The name comes from the combination of two Japanese words: ashi, meaning “foot” and atsu, meaning “pressure.”

The technique uses deep strokes from the massage therapists’ feet and it is considered to be less stressful for the patient’s body than many other massage techniques because pressure from the feet is spread out over a wider area than it would be if applied by the fingers, heel of the hand, or elbow. Ashiatsu stimulates the circulatory system and targets the deepest layers of muscle, joints and bone, in order to provide the relief of pain.

Ashiatsu barefoot massage is a holistic treatment that works with the mind, body and spirit, stimulating the body’s energy and enhancing one’s natural ability to heal themselves. It is commonly used to treat dense muscle tissue problems and chronic pain, back and hip issues, as well as for deep relaxation.

A treatment is usually performed on a massage table. The therapist massages with their bare feet while hanging from bars on the ceiling. Depending on the type of Ashiatsu practiced, it can be given with or without the use of oils or lotions, and with the receiver clothed or unclothed.


Ashiatsu developed from the combination of Japanese Shiatsu massage and the ancient knowledge of barefoot massage. The specific origin or background of barefoot massage is difficult to pinpoint, but studies have traced it back to ancient India, China, Japan, and other Asian countries.

The first record of a bodywork modality that uses the feet to give massage comes from the Kerala region of India, where a practice known as Chavutti Thirumal (“Chavutti” means foot or leg, and “Thirumal” means massage) was developed among practitioners of martial arts and classical dance to help their bodies heal from injury and remain flexible. The practice soon spread to other areas of Asia.

In Japan it  was combined with the study of pressure points and meridians, so being a development of Shiatsu massage – which in its turn, is a development of Anma massage, based on the Traditional Chinese Medicine (TCM).

Ashiatsu nowadays

In the last decades Ashiatsu is becoming more and more popular in the West. Especially in the United States, where since the mid 1990’s when Ruthie Piper developed a trademarked form of Ashiatsu called Ashiatsu Oriental Bar Therapy™.

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Article Categories: Japanese Massage and Bodywork, Other Bodywork Training
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