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No, you do not have to be naked. You can wear underwear, but women do need to be topless.

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Q: When you're in the massage therapy room do you have to be naked?
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When you're in the massage therapy room what do you do while the therapist massages you?

Relax and enjoy. Some people fall asleep and others just breath deeply and let go of their troubles for a little while.


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Can you still do massage therapy with bad hands and wrist?

First of all, a better word to use besides 'bad' is 'compromised.' It sounds less judgmental and leaves room for improvement.Yes. It is quite possible to do massage, depending on the modality. There are some that only use the feet, like Ashiatsu. There is also Zen Shiatsu and Thai Massage that uses the feet, knees, and forearms, in addition to the hands. Then there is Reiki and Therapeutic Touch which does not require contact with the body at all.The only modalities that you may have trouble with, and need to be very cautious about are Swedish, Deep Tissue, and Neuromuscular Therapy. These can be very demanding on your hands, so do them sparingly, or adapt other parts of your body, besides your hands, to do them. For example; there is a variation of Ashiatsu where you can do Swedish Massage with your feet.