Massage therapists in Australia: qualifications, rebates and how to choose safely

Therapists use hands-on techniques on muscles and soft tissue. Relaxation massage is for comfort. Remedial massage and myotherapy target specific muscle problems and can include trigger point therapy, stretching and exercise advice. Better Health Channel describes myotherapy as a form of physical therapy for soft tissue pain and restricted joint movement.

Healthdirect states that massage therapists in Australia are not legally required to have formal qualifications and that anyone can offer massage services. Massage and myotherapy are not registered through Ahpra. Voluntary associations, such as Massage & Myotherapy Australia and the Association of Massage Therapists, set standards that members agree to. Some states have a code of conduct for unregistered health practitioners, but it is not applied the same way everywhere.

That makes it sensible to choose a therapist with a recognised qualification, association membership, insurance and clear boundaries about consent and privacy.

• A health history and a conversation about what you want.
• Clear explanation of the treatment, draping and your right to stop at any time.
• Pressure that is firm but not painful.
• Advice on self-care afterwards, and referral if something needs medical assessment.

Healthdirect says Medicare does not cover massage therapy, and some private health funds may give a rebate under extras cover. Rebates usually require the therapist to be registered with the fund. Ask before you book. We do not quote typical prices; ask for the fee by session length.

You are entitled to a clear explanation of what will happen, to be properly draped, to ask for more or less pressure and to stop at any point without giving a reason. The therapist should ask for your consent before each new area and should not touch you in ways you have not agreed to. If anything makes you uncomfortable, say so or leave.

If you have a concern, raise it with the clinic first. You can also contact the therapist's professional association, if they have one, or your state or territory health complaints body. Some states can prohibit unregistered practitioners who breach the National Code of Conduct.

• Relaxation massage: general comfort and stress relief.
• Remedial massage: focused on specific muscle problems, often with assessment and aftercare advice.
• Sports massage: aimed at training or event preparation and recovery.
• Myotherapy: assessment-based soft tissue treatment, sometimes including dry needling.

It is common to feel a little sore for a day or so after firm work, or sleepy and relaxed after a gentle session. Drink water, move gently and avoid heavy exercise if you feel tender. Contact your therapist or doctor if you have severe pain, swelling, bruising that spreads, a fever or numbness that does not go away.

1. What qualification and association membership do you have?
2. Do you carry professional insurance, and are you recognised by my health fund?
3. How do you obtain consent and handle privacy?
4. What is the treatment plan and number of visits?

• 'Massage flushes toxins.' Be cautious of this claim; it is not a reason to book or to expect medical benefit.
• 'It must hurt to work.' Treatment should be tolerable; tell the therapist if it is too much.
• 'Massage replaces medical care.' It does not.

Check with a professional first. Speak to your GP before massage if you have a suspected blood clot, deep vein thrombosis, fever, skin infection, cancer, bleeding disorders, osteoporosis or are pregnant. Report new lumps, severe or unexplained pain or numbness to your doctor.