Thai Massage Tools and Techniques | An Overview

Published: Apr 14, 2020 | Updated: Feb 17, 2023
Written by: Marce Ferreira

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Thai Massage Tools and Techniques

© Image from Roberto Faccenda

Thai Massage is one of the most complete types of bodywork for both the therapist and the receiver. In fact, there’s perhaps no other kind of massage work where the practitioner can use his or her complete body being the tool to apply the treatment, while using a broad variety of manual Thai Massage techniques and additional external appliances.

Thai Massage Tools

The tools used while giving a Thai massage session can be divided into those used by the therapist and those needed by the client.

For the Therapist

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A Thai Massage therapist can use almost all body parts to give a treatment session, that is, to apply pressure, acupressure or perform assisted stretches. Typically a masseur uses the hands (thumbs, fingers, palms and fists), forearms, elbows, knees, shins, the feet (arc, heels and toes), shoulders, the belly i.e. abdominal area, and buttocks, to name the most commonly used parts of the body.

Apart from that, a Thai Massage practitioner can also bring in other (external) tools, such as herbal compresses in Thai Herbal Compress Massage, scarfs in Thai Scarf or Loincloth Stretching Massage, hammer and chisel in Tok Sen Massage, and sticks, for instance, small wooden tools for Foot Massage and Reflexology, large sticks in Thai Barefoot Massage to keep balance, or long poles and appliances to apply acupressure in Thai Amatarot Massage.

Although an authentic Thai Massage is not given with oils, a massage therapist may use creams, balms or oils to open-up or soothe a certain area of the body (to be) worked on.

For the Client

The client needs to wear loose-fitting clothing and have a comfortable Thai Massage mat or mattress to lie or sit on. Usually a therapist also supplies small pillows or large (folded or rolled-up) beach towels to accommodate the patient’s head or neck when necessary, or to use with some Thai Massage techniques.

Sometimes blankets are supplied for when the client gets cold, or a little heater, or by contrast if it’s warm, an air-conditioner or ventilator. Additionally, other props (supports) can be used also, like for instance the typical triangle-shaped Thai pillows (available in many sizes) to use under the legs (knees) of the client, which can come particularly handy when working on the client’s abdominal area.

And finally, a set of paper-tissues to wipe of the client’s tears in case of strong emotional release (I’m not joking, by the way).

Thai Massage Techniques

Now, let’s take a look at the Thai Massage techniques most frequently applied during treatment sessions.

Pressure & Acupressure

Pressure and acupressure is primarily used to press on/along the Sen energy lines and on acupressure points i.e. to open-up or unblock the Sib Sen lines. Sustained pressure is also used to soften up contracted locations of the body, such as knots, tangles and adhesions, notably those found in muscle and connective tissues.

Tools typically used are the hands (thumbs, palms, fingers), forearms, elbows, but the knees and feet may be used also depending on the goal and specific technique. As already mentioned in our previous paragraph “Thai Massage Tools,” in some cases extra appliances may be brought in to give pressure or acupressure, such as wooden sticks or compresses.


Mobilization of joints i.e. articulations and muscle-tissue is commonly done in Thai Massage, usually in order to promote more range of motion for the client. Typically, mobilizations consists of rotating or repeated movements going forth and back in a certain direction.

Assisted Stretches

Thai Massage knows many types of assisted Yoga-like stretches, hence the name “Yoga for lazy people” with the primary goal to open-up the Sen lines, but, for instance, also to stimulate better range of motion, improve blood circulation, and/or to prevent sports injuries by promoting more flexibility.


Controlled breathing is an essential tool in Thai Massage. Typically, the client first breathes in, then when applying pressure or performing an assisted stretch, the client breathes out to be able for the therapist to go deeper into a stretch or pressure point.


Massage techniques range from rubbing, kneading (petrissage), gliding (effleurage), tapping, vibrating, pinching, circling, grabbing, pushing, plucking, rolling, and so on, basically using any means available to manipulate body tissues.

Rhythmic Movements (Harmonics or Rocking)

Rhythmic, gentle repetitive rocking movements may be used to induce a deep state of muscle relaxation and “letting-go” for the client. It can be used to prepare a client for deeper work.


Percussion, also called tapotement or drumming, is generally used by the masseur to stimulate blood circulation, promote pain relief and/or to relax the body parts worked on. It’s a series of rapid blows that penetrate into the soft tissue.

There are various percussion techniques which usually are done with the hands, side of the hands, fingers or fists, to name some methods.

Chiropractic Realignments

Structural realignment is usually not a goal in itself in Thai Massage but happens rather automatically as a result of muscles and tendons being in a relaxed, non-contracted state or with certain techniques, notably so-called spinal twists.

In fact, while giving a treatment, joints, bones or vertebrae can re-position themselves in their proper place, although realignment can also be a deliberate action using chiropractic techniques, commonly called “cracks” in Thai Massage.

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