Ultraviolet Rays:

Okay, so it's not technically a spa term, but given that the effect of ultraviolet (UV) rays is one of skincare's biggest concerns, we thought we'd better take a look at what exactly those invisible zappers are all about.

Simply put, UV light (named "ultra violet" because the rays are shorter than those of the color violet—so, it's "beyond violet") is part of the radiation that's sent to Earth from the sun. The term "UV" actually encompasses three types, or bands, of rays: UVA, the longest; UVB, or medium waves; and UVC, the shortest. While man-made contraptions like black light and certain fluorescent bulbs also emit low-level UVA waves, the sun is the main UV source since it radiates all three bands—though the Earth's atmosphere blocks all UVC rays and over 98% of the UV in general from ever reaching us.

On the plus side, limited exposure to certain UV rays can be a good thing; UVB, for example, stimulates the production of Vitamin D in the skin, which is beneficial to bone health, and some UV radiation is used in the treatment of skin conditions like vitiligo and psoriasis. And while moderate levels of UVB rays—which vary depending on skin color—can cause limited DNA damage to the skin, the body self-repairs this by increasing melanin production, which is what leads to a tan.

However, too much UV exposure can cause more harm than good, including sunburn, DNA damage, decreased skin elasticity and, in the most serious instances, skin cancer. Though UVB was thought to be the most harmful to our health because it can cause sunburn, penetrate deeper into the skin and lead to direct DNA damage, recent studies have shown that UVA exposure should also be controlled, since it can cause indirect DNA damage by stimulating the production of cancer-causing free radicals. Both UVA and UVB waves can also damage the collagen in the skin, which leads to premature signs of aging.

So what can you do? Of course, make sunscreen a part of your life all year-long, but be sure to check that whatever type you're using blocks both UVA and UVB rays. Since UVA exposure doesn't make skin red it can't be monitored by SPF tests, so the SPF ratings typically only refer to UVB protection. For the best coverage, check that your lotion also contains UVA-blocking ingredients like titanium dioxide, zinc oxide or avobenzone.

--Sandra Ramani

Thalassotherapy:

Based on the Greek work thalassos, meaning "sea", thalassotherapy is the therapeutic use of seaweed and seawater to heal the body both inside and out. Many of the water-based treatments and body wraps found on spa menus today are rooted in thalassotherapy, a school of treatment was officially developed in the 19th century in the coastal town of Brittany, France.

Though ancient cultures have long-incorporated the sea into their health and wellness practices, it wasn't until a couple hundred years ago that science started investigating why. Research found that ocean water and seaweed contain the same minerals and trace elements as human blood plasma, including magnesium, calcium, sodium and potassium. Seaweed in particular is high in these vital elements-- certain seaweeds are up to 30 times higher in minerals than land-grown vegetation--and because the organic material is also easily broken down and integrated by the body, it also provides a more highly concentrated boost to the system. Cultures from Japan to Peru have benefited by incorporating seaweed into their diets, and many fans believe regular ingestion can help lower high blood pressure and cholesterol, eliminate toxins, kill bacteria and invigorate the immune, lymph and circulatory systems.

The nutrients from seawater and seaweed can also be easily absorbed though the skin, which has led to the spa practice of thalassotherapy. Back in the 19th century, French coastal spa towns would use local seaweed and ocean water in warm soaks, cold pools, mud baths and steam rooms, and today the basic methods remain the same, with the addition of a few technological advances. Powerful hydro-therapy jet tubs and "underwater showers" help soothe the muscles and work in the minerals, while inhalation chambers transport the goodness in via the lungs, and body wraps rich in seaweed, algae, ocean mud and even sand help detoxify, tone and rejuvenate the skin. Thalassotherapy has also proved useful in treating joint troubles, insomnia and asthma.

Thalassotherapy was officially recognized as a therapy in the last century, and for many years, it was rare to find a true thalassotherapy center outside of France; now, though, they are popping-up around the globe. Regulations dictate that in order to call a place a "thalassotherapy spa" it must meet certain criteria: it can't be more that 1,000 meters from the sea; it must use natural sea water that's not heated to more than 50 degrees Celsius, so as to keep its nutrient value; and it cannot re-use any mud or seaweed. Search spa sites online for the closest practitioner to you or to find a destination spa that specializes in the method.

--Sandra Ramani

Shiatsu:

It’s on pretty much every massage menu, right there between Hot Stone and Swedish, but what exactly is Shiatsu—and who might benefit from it? Born in Japan—translated, it means “finger” (shi) and “pressure” (atsu)—the traditional technique can be traced back to 1912, when a 7 year-old boy named Tokujiro Namikoshi helped ease his mother’s arthritis using a massage done only with his thumbs and palms. He named the style “Shiatsu.”

In 1925, Namikoshi opened his first Shiatsu clinic, followed by a larger school in Tokyo in 1940; here, the method was formally defined, and principles of Western anatomy and physiology were integrated into the system. By the ‘50’s, the method was officially recognized by the Japanese government and today, societies and school exist all over the world.

At its core, the technique emphasizes a combination of diagnosis and therapy. Using just their palms and fingers—in particular the thumb—trained practitioners are able to identify trouble spots on the client, including blocked toxins and muscle distress. By applying deep, rhythmic pressure to trigger points and meridians using a combination of tapping, squeezing, rubbing and finger pressure, therapists are able to release muscle tension as well as stimulate the immune system, increase circulation and boost the nervous system.

Traditional Shiatsu is performed with the client lying on a low futon, and while the sessions may not feel as “relaxing” as an aromatherapy or Swedish massage (meaning, you probably won’t fall asleep), the results are deeply-felt, making it perfect for clients that like deeper bodywork and those looking for long-term relief. Among Shiatsu’s many proved benefits are deep-tissue relaxation, detoxification, increased flexibility, reduced blood pressure, calmed nerves and improved mental clarity.

For more on Shiatsu, visit http://www.shiatsu.org.

--Sandra Ramani

Rolfing:

Though it sounds like something you might do after a meal of bad clams, Rolfing is in fact a highly-effective form of therapy that helps both ease sore muscles and yield long-term structural results. Using a unique, holistic form of muscle manipulation, Rolfing aims to balance the body in gravity, creating proper alignment, relief from chronic conditions and a better posture.

Performed by certified therapists around the country, the practice is based on the teachings of Dr. Ida P. Rolf, a biochemist who graduated from Columbia University in 1920. Combining her interest in alternative forms of healing (like yoga, chiropractics and homeopathy) with her desire to find a solution to her own health issues, Dr. Rolf began studying the connection between alignment, physiology and anatomy. Understanding that the body functions best when properly aligned—and that any imbalances can cause soft tissues like muscles, tendons and fascia to overcompensate or become immobile—the doctor focused her investigation on how gravity affects alignment.

The result of Dr. Rolf’s studies was a method of muscle manipulation called Structural Integration—better known by its nickname of “Rolfing”—that began gaining popularity in the 1970s. In a typical session, the client lies down while a practitioner works on the fascia until muscles are “unlocked” and restored to normal length. For best results, a program of ten sessions, known as the Ten Series, is recommended to start; each session focuses on a specific goal so that by the end, the entire body has been treated. After a Ten Series, shorter maintenance programs are also available.

Today, Rolfing is a favorite with everyone from dancers and athletes to frequent travelers and desk jockeys—anyone looking to balance their posture and alleviate pain. Studies have also shown that Rolfing can help reduce stress and help the body use energy more economically.

For more, visit www.rolf.org.

--Sandra Ramani

Qi:

Pronounced “chi” in English, Qi is one of the fundamental principles of Chinese philosophy. At the most basic level, qi means “breath”, and it can also refer to larger concepts like “life force” or “spiritual energy.” Though the word has been applied to an array of concepts since it was first coined centuries ago, qi is typically used to refer to the spark or flame that’s in every living thing—the very essence of life.

Along with its philosophical and metaphysical uses, qi is also a key element in Chinese healing and wellness traditions. Chinese medicine is based on the idea that body has natural patterns of qi that circulate in specific channels or paths, called meridians. When a person is ill, it’s believed to be because the qi flow has been interrupted, or because the energy of a particular organ is imbalanced. To help fix this, practitioners employ everything from herbal remedies and custom diets to different massage techniques (like acupressure and cupping), acupuncture, and physical activity like Qi Gong.

The concept of qi has also migrated to the spa world. Along with traditional Chinese healing centers, which typically pair acupuncture and massage with their herbal prescriptions, a number of fusion or “Western” spas have incorporated the concept into their services. Qi Facials, for example, aim to rejuvenate the skin and tighten muscle tone using herbal ingredients and targeted massage techniques. On a bigger scale, entire qi-themed spas and salons are popping up all over the world, offering services that focus on touch and healing to bring forth relaxation.

--Sandra Ramani

Paraffin:

It’s one of the most common spa menu terms, a staple ingredient in both mani/pedi services and body treatments. But what exactly is paraffin—and what are its benefits? In general, the word “paraffin” refers to a type of wax—a typically white, odorless form that, due to its particular chemical makeup, is a good conductor of heat, burns steadily and is insoluble in water. Though not as soft and pliable as, say, beeswax—a preferred wax for candles-- paraffin is available in many different forms, and is used in a wide array of capacities. Food-grade paraffin, for example, turns up as candy coating, shells for hard cheeses like Edam, jar sealants, and even as an ingredient in Magic Shell chocolate coating. In a thicker form, paraffin is used to wax surfboards and snowboards, and in liquid form, it can even be ingested to help ease digestive issues.

But it’s as a soft, liquid wax—plain, or juiced-up with essential oils-- that paraffin pops up in spas. Because of its heat-conducting and moisture-retaining properties, the ingredient is most commonly used to hydrate, soften and relax dry skin, or prep hands and feet pre-mani or pedi. In these treatments, warm liquid paraffin wax is typically brushed over the target area, then left to cool. Once the wax solidifies, it forms a vacuum that draws out the dirt from pores and exfoliates dead skin, while the heat of the wax helps to relax muscles and detoxify. The result is soft, moisturized skin devoid of cracks or dry patches.

--Sandra Ramani

Oxygen:

Obviously, we know what oxygen is—the fact that we're sitting here shows we've got that whole breathing in-and-out thing down. But while we're clear on the basics, the increased use of oxygen in beauty and wellness over the last few years—in everything from skin products and facials to full-fledged “oxygen bars”—got us thinking: Don't we get enough oxygen naturally? (And for free?)

Turns out, not so much. Found in the Earth's atmosphere, nutrient-rich oxygen is essential for sustaining human life—it's one thing with literally can't live without. But while most of us inhale enough to keep the body functioning, the quantity, and quality, may in fact be a lot lower than is optimal. Studies suggest that over the last few thousand years, the levels of pure oxygen in the air have dropped to around 21 percent, with some of the more polluted cities registering as low as 12 percent (any lower than 7 percent, and human life is toast.) In addition to these drops in available O2, a number of factors—from sedentary lifestyles, stress and poor nutrition—lead us to take shallower breaths, which in turn leads to lower amounts of oxygen in the body. Fatigue, frequent illness, low energy and even more serious conditions can result from a lack of proper oxygenation, since harmful bacteria and viruses and may thrive in low oxygen environments.

Luckily, a number of oxygen-boosting therapies are now being offered from a variety of wellness and beauty experts. To help improve general health, some practitioners are offering instruction on “better breathing”, while workouts like yoga and Pilates count proper deep-breathing techniques as an important part of their regimes. Oxygen bars—at which clients can hook-up to an oxygen delivery system similar to what's used in hospitals—are also popping up all over the world; after a 15- or 30-minute session, clients report feeling a caffeine-free boost of energy, while the direct-delivery has helped to stimulate detoxification of all the internal organs.

Oxygen is also key on the beauty front, since those nutrients are vital for healthy, youthful skin. (Scarily, one report cited by Bliss Spa states that by the time we're 30 years old, the oxygen levels reaching our facial tissues via natural blood circulation can drop by as much as 70 percent.) Many beauty lines have introduced O2-rich skincare products to help detoxify and rejuvenate, while spa-grade oxygen facials work to kill bacteria and increase cell regeneration. The result is very often that coveted “glow” that's associated with being happy—and healthy.

--Sandra Ramani

Naturopathy:

Also known as naturopathic medicine, naturopathy is a type of medical practice that aims to alleviate symptoms, target illness and improve general health without the use of invasive methods or synthetic drugs. If that sounds a bit general, it is: the term "naturopathy" is also something of an umbrella label for a host of alternative wellness modes, including homeopathy, nutritional counseling, aromatherapy, hydrotherapy, herbalism and acupuncture. In addition, "naturopathy" can refer to a number of international (and indigenous) practices, such as Chinese herbal medicine and India's Ayurveda.

By eschewing synthetic drugs and treatments in favor of nature-based remedies, naturopathy is able to work with the body's own immune system and boost its ability to heal itself. At the same time, the use of natural ingredients like herbs, oils and specifics foods means that for the most part, naturopathic treatments have not been scientifically evaluated or certified; as a result, in many countries naturopathic practitioners cannot make direct claims about what their services are for. This is slowly changing though, as more and more people in the so-called "Western" or "conventional" medicine world are acknowledging the positive benefits of many of these alternative modalities.

Despite being practiced for thousands of years in Eastern countries, the term "naturopathy" is thought to have been first coined in the late-1800s by a man named John Sheel, then officially adopted soon after by Bernard Lust, a disciple of German monk Sebastian Kneipp, founder of the Kniepp cure. Lust was charged with bringing Kniepp's herb-based philosophies to America, and in 1905, her opened the American School of Naturopathy in New York. Though this wasn't a particularly well-respected institution, this seems to be the first concrete use of the term.

As within any discipline, the tenets of naturopathy differ depending on what school you follow. Today, the title of "naturopath" is used by both naturopathic physicians-primary-care doctors who have a background Western medicine, diagnosis and treatment, but who boast additional expertise in natural therapies-as well as traditional naturopaths, who practice their healing and wellness techniques as alternatives or complements to other treatments. In addition to this basic difference, the important distinction to make in the US is that naturopathic physicians must pass various licensing and training requirements (which vary from state to state) and must be certified by the North American Board of Naturopathic Examiners, while, as of now, traditional naturopaths do not have any government-overseen requirements or regulations.

--Sandra Ramani

Myofascial:

Also known as Myofascial Release, this effective-but-gentle form of massage therapy has become a spa menu favorite. Though there are different schools of the practice-which in its most common form was developed by a US physical therapist-standard spa-level myofascial work concentrates on eliminating pain and tension using a targeted, hands-on technique. Along with an all-over feeling of relaxation, results often include increased flexibility, range of motion and strength, and an improved posture.

Latin for "muscle" ("myo") and "band" ("fascia"), the method is based on the manipulation of the fascia, the body's network of connective tissue. Resembling a densely woven spider's web, the fascia system connects and supports every part of the body, from bones, muscles and veins to the vital organs; think of it as the body's "wiring", or the net that holds it all together and helps keep us intact and upright. When healthy, the fascia can easily stretch and move to keep the body comfortable, but trauma like scarring, inflammation, bad posture or repetitive motion can lead it to become tense and restricted-which can then cause pain and stress, and increase the likelihood of further injury.

 

In myofascial sessions, therapists use a gentle mix of massage techniques to relax tightened fascia and unblock congestion in the network. Kneading strokes and a repeated stretching move-in which the therapist locates a restricted area, slowly stretches the tissue around that tense muscle, then holds that stretch until the tightness softens or relaxes-allow even injured areas to be treated in a safe, non-invasive way. After multiple sessions, clients have reported an alleviation of the symptoms of such issues as chronic back pain, frozen shoulder, fibromyalgia, carpal tunnel, menstrual pain, chronic fatigue syndrome and headaches-many of which are slow to respond to traditional massage styles.

 

--Sandra Ramani

Lymphatic Drainage:

Along with massage styles like Swedish, shiatsu and hot stone, lymphatic drainage has become a familiar option on spa service menus. But what does the technique—which sounds like some kind of medical procedure involving tubes—really do? In fact, this gentle, rhythmic massage is not only one of the more relaxing rub-down styles, but, when done right, it can also be one of the most effective and therapeutic.

Developed in France, the purpose of this technique is to stimulate the lymphatic process, which is an integral part of the body’s immune system. To help fight infection, the lymph carries antibodies and white blood cells to the organs and tissues, while also helping to flush out the toxins built-up by poor diet, pollution, alcohol, medicine and illness. When working properly, the lymph system keeps us healthy, but it, too, can become sluggish and overworked, resulting in reduced immune functions, toxic build-up and a weakened overall state.

To help keep the system working, lymphatic drainage massage uses thumb pressure and long, gentle strokes on the full body, beginning with the feet up, to increase circulation and stimulate proper lymphatic flow. Though the pressure can be deep and the strokes targeted, the rhythmic nature also makes it quite relaxing; clients often emerge feeling both rested and refreshed. Since the massage also increases the elimination of toxins, it is more important than ever to drink lots of water post-treatment, as the effective therapy can really work to flush things out.

Other benefits may include reduced water retention, the diminished appearance of cellulite, a boost fighting infection and illness, quicker healing time for scars and stretch marks, a reduction in pregnancy-related swelling, and skin that looks healthy and de-puffed. Though muscle tension is also eased with lymphatic drainage, this technique is less about soothing sore shoulders and more focused on promoting healing and wellness from the inside out.

--Sandra Ramani

Kneipp:

Whether you get your beauty products at the department store or the health food aisle, you’ve undoubtedly seen the name “Kneipp” staring back at your from those distintive herb-covered boxes. But while the sweet-smelling products have helped make the brand a bathroom cupboard-staple, the word “Kneipp” has a much deeper meaning in the beauty lexicon. Named for its founder, Kneipp is synonymous with therapeutic hydrotherapy—the truly healing kind that targets specific ailments with a combination of aromatherapy and herbal ingredients—and is also used to invoke a well-rounded wellness lifestyle.

These associations can be traced back to Sebastian Kneipp, a 19th-century Bavarian priest who’s considered to be one of the founders of the Western naturiopathic movement. Kneipp’s popular wellness philosophy—which encouraged a balanced, holistic lifestyle—was based on five tenents: Herbalism, or the use of botanical remedies; Exercise, particularly non-competetive activities like hiking, walking or swimming; Nutrition, including a diet of fruits, veggies and whole grains; Spirituality, for a healthy mind and body; and Hydrotherapy, or the healing use of water.

It’s the last one for which Kneipp became best known. Patients from all over the world flocked to his base in Bad Wörishofen, Germany to take his “water cures”, which increased circulation, stimulated the body’s natural healing systems, and used specific plants and herbs to combat issues both physcial and mental. The typical Kneipp therapy used water at body temperature, though illness-fighting ones were sligtly warmer and sleep-inducing ones were a bit colder. Kneipp also authored many books (including “My Water Cure” and “Thus Shalt Thou Live”), and created other wellness products (his whole wheat Kneipbrød, or Kneipp Bread, is still very popular in Norway!)

Today, the Kneipp name lives on in a vast range of scientifically-proven herbal bath products that help bring the famous “water cure” to our homes. (Products are available at stores like Nordstom and Bath and Body Works, and on www.kneippus.com.) Visitors to the spa-town of Bad Wörishofen, in the Bavarian Alps, can also enjoy “Kneipp Cures” at local facilities and meet with doctors who practice Kneipp Naturopathy. Over a hundred years later, the visionary healer’s lifestyle philiosphy—which encourages balanced, holistic living and an awareness of our daily practices—has proved to be ever-relevant.

--Sandra Ramani

Jin Shin Do:

A unique form a therapeutic massage, Jin Shin Do combines elements of Japanese acupressure, Chinese acupuncture, Qigong breathing techniques and—in and interesting twist—Taoist philosphy and Reichian segmental theory. Developed by psychotherapist Iona Marsha Teeguarden, and first outlined in her 1978 book, “The Acupressure Way of Health: Jin Shin Do”, the modality is similar to other Asian techniques in that it aims to unblock and release the energy (or “qi”) that is stagnant throughout the body. To do this, the technique targets both the body and mind to ease clients into a relaxing, Zen-like state, from where they’re encouraged to unlock hidden feelings and release inner strength.

Meaning “the way of the compassionate spirit," Jin Shin Do sessions pair deep finger pressure on acu-points (performed while the client is clothed) with guided breathing, gentle exercises and verbal “body focusing” techniques. Therapists zero in on specific tension points that are connected to both physical symptoms and feelings like anxiety, depression, anger and guilt; they tap into these powerful areas by pressing one or more "distal points" while, at the same time, working a tension, or "local”, point. By unblocking these points, the treatments ecourage clients to acknowledge and release negative feelings rather than repress them to the point of where they’re manifesting as physical pain. The result is pain relief, increased energy, a greater sense of wellbeing and an improved mind-body connection.

Jin Shin Do is performed by trained practitioners across the country; see www.jinshindo.org to find one near you.

--Sandra Ramani

IPL:

Short for Intense Pulsed Light, IPL treatments are becoming something of a regular offering at spas and dermatologist offices around the country. Pioneered by doctors, and FDA-approved since the 1990’s, the service uses a series of high-intensity light pulses—which are more gentle and non-invasive than lasers—to treat a number of skin concerns, from basic hair removal to rosacea, hyper-pigmentation, wrinkles and sun, age and acne spots. IPL technology is available under a variety of names, including PhotoFacial, PhotoDerm and EpiLight.

How does it work? In the case of hair removal, technicians use a small wand to administer short bursts of the IPL to the skin. The light travels through the skin’s layers to the root of the hair shaft, which holds the highest concentration of melanin; once there, the light turns to heat and zaps both the root and the majority of the hair follicle, destroying them both. When treating skin conditions, the penetrating light heads right to the damaged areas to stimulate collagen production and increase deep healing, while leaving healthy skin untouched and un-irritated. The result is often like that of a chemical peel, minus the chance for blisters or redness, and with less recovery time.

Since the light pulses are quick and fast, IPL is gentler on the skin than many laser treatments; the light concentration can also be calibrated based on such variables as skin color and hair thickness to make it even safer and more customized. IPL works best on people with lighter skin and darker hair, while some types of ethnic skin many run the risk of becoming pigmented; trained therapists will be able to do a personalized consultation and determine success levels. People with some medical conditions or those taking certain medications should also consult therapists and doctors before undergoing the treatment.

--Sandra Ramani

Hydrotherapy:

Water: it’s the basis for our modern-day spas, and the key to all healing therapies. For centuries, water “cures”—or hydrotherapies—have been prescribed by everyone from medicine men to Western doctors to help tackle symptoms both physical and emotional. In fact, the very word “spa” comes from the Latin phrase “Saludis Per Aqua”, or “Healing Through Water,” and numerous notable cities around the world—including Bath, England and Baden-Baden, Germany--were originally established because of their proximity to healing waters.

Back in those days, hydrotherapy was centered on the curative properties of natural mineral springs, where soaks in the bubbling, sulfur-rich liquid would help those suffering from muscle and joint pains and skin conditions. The ancient Romans in particular cultivated the idea of a central public “spa” gathering space, creating multi-level bathhouses that doubled as places of worship and sites for ceremonies and rituals. In the following centuries, the neighborhood bathhouse concept flourished around the world, and can still be experienced today in staples like Russian banyas and Moroccan hammams. In ancient Egypt, oils and flowers were added to water to make baths even more potent.

While those original spa-goers where content to just soak, hydrotherapy was further developed in the early-1800’s to comprise different forms of water treatments. Today, the choices include eucalyptus-scented steam rooms, whirlpools, hot and cold plunge pools, multi-head showers, flotation tanks, compresses, and a variety of massaging jet-equipped baths. Many top destination spas offer water circuits in which clients move from one chamber to another in a specific order that’s designed to relax and nourish the body and prepare it for further treatment. Certain types of hydrotherapy are even used to help alleviate the symptoms of arthritis, spinal cord injury and other muscle- and joint-related conditions.

--Sandra Ramani

Gyrotonics:

 

There’s been a lot of buzz recently about Gyrotonics, a fitness regime that’s being called the “next Pilates.” But in fact, the system has been around since the 1980’s, when ballet dancer Juliu Horvath came up with the integrative workout at New York City’s White Cloud Studio. After an Achilles tendon injury put an end to his dance career, Horvath (who immigrated to the U.S. from Romania), began to regularly practice yoga; this led to the development of his “Yoga for Dancers” method, a forerunner of what’s now Gyrotonics.

Using elements of yoga, swimming, gymnastics, dance and tai chi, Gyrotonics works to increase muscle strength, balance and overall flexibility. A series of exercises—50 basic sets, with around 130 variations--are performed on the Horvath-designed Tower/Handle machines, which feature rolling bases and suspended pulleys. By twisting, stretching, and bending using weight resistance, participants are able to improve their range of motion and coordination while addressing all the major muscles. Use of controlled, synchronized breathing patterns helps to intensify the workout and up the cardiovascular and aerobic factors.

Thanks to its combination of low-impact and high-results, particular in the areas of flexibility and strength, Gyrotonics is popular with athletes, performers and patients undergoing physical therapy, along with those just looking for general conditioning. Check with your local Pilates or yoga studios to see if they offer the workout.

--Sandra Ramani

Feldenkrais:

 

A complementary healing method based on how the body moves, Feldenkrais is popular with everyone from dancers and athletes looking to improve their performance to those seeking relief from chronic pain. The method—which, practitioners are careful to say, is more a path to mind-body development than a one-off “treatment”—was developed in the late-1960’s by Israeli physicist Dr. Moishe Feldenkrais. In his book, “Awareness of Movement,” the doctor set forth his theories on how improving the connection between the mind and the body can lead to better overall functioning and flexibility, both physically and mentally.

In a typical Feldenkrais session, practitioners lead clients through a series of exercises and postures (there are more than a thousand in the discipline) designed to draw awareness to how the individual moves; this is also done by “functional integration” lessons, in which the therapist will use move the client into various postures while he or she is lying down. By becoming conscious of everyday physical patterns—our “default” stance, how we carry bags, how we sit—through these exercises, clients lean to correct bad habits that have become too deeply entrenched, and will gain a greater understanding of how their individual body best functions. This awareness eventually leads to an improved connection to our bodies, allowing us to become more in touch with our physical self and, often, develop a healthier self-image. Most beneficial for those with chronic pain--and those of us with aches from repetitive movements like mouse-moving or tote-carrying—Feldenkrais teaches clients how to best align themselves and move in the most economical and stress-free way.

Feldenkrais is practiced in healing centers and private practices all over the country. For more information and a list of practitioners near you, visit www.feldenkrais.com.

--Sandra Ramani

Endermologie:

 

Offered in spas across the country, endermologie helps to target cellulite and it’s telltale cottage cheese-like appearance on the skin. But this popular and effective excess-baggage-buster—which is performed with a non-invasive, roller-headed machine—actually has roots in a more medical use.

Developed in France over a decade ago, the first LPG Cellu M6 endermologie machine was invented by engineer Louis Paul Guittay for use on burn victims and others with damaged muscle tissue. The original machine mimicked the physiotherapy exercises that were used on such patients; after regular use, patients were displaying improved skin and muscle tone and an increase in flexibility and range of motion, resulting in an accelerated rehab rate. But in addition to serving its intended purpose, use of the machine also resulted in a few surprising, positive side effects, including some weight- and inch-loss, a diminished appearance of cellulite and a more sculpted, toned look to muscles.

Since these discoveries, the service has been tweaked and improved to better target these aesthetic results. Now an international spa menu-standard, endermologie typically requires a series of sessions to achieve the desired outcome. In these sessions, which often require the client to don a full-body stocking, the machine’s multi-roller treatment head is gently run all over the body, then re-applied to target areas. The rolling motion and a simultaneous controlled suction work to lift and massage the skin, stimulating the lymphatic and venous systems in the process. (Some studies have indicated that the treatment helps increase blood flow to the skin and lymphatic flow by 300-400 percent.) As a result, toxins and fluid build-up are flushed out, fibroblasts are stimulated to produce more collagen and elastin, and connective tissue is strengthened—all of which helps keep skin toned and cottage cheese-free.

--Sandra Ramani

Detox:

 

Along with “luxurious,” “relaxing” and “rejuvenating,” the word “detox” is surely among the more popular spa menu adjectives. Nearly every treatment seems to have a “detoxifying” effect; every spa stay claims to help “detox” the system. So what exactly does this favored phrase mean?

In medical terms, the definition is clear: In the body, the detoxification process happens in the liver and kidneys, where toxins—harmful or poisonous elements taken in by everything from food to pollution and infection—are separated and sent on their way out. But sometimes, the body needs a little help cleaning up. The most common example of assisted purging is with people addicted to alcohol or drugs, who undergo detoxes to help clear their bodies of chemical substances and make a break with their addiction. This type of detox typically involves abstinence, counseling and, in some cases, medication or alternative therapies like acupuncture.

In the spa world, the detox concept is similar, though it’s applied in a broader sense. To help flush out impurities, spa menus often feature targeted body services like lymphatic drainage massage, a French technique that uses specific wave-like movements to stimulate stagnant fluid build-up and improve circulation; the results range from a general release of toxins and a boost to the immune system to alleviation of insomnia, relief from chronic pain and anti-aging effects on the skin. Essential oils like Fennel, Lemon and Juniper Berry and natural ingredients like Seaweed can also help jump-start both internal and skin detoxification, the latter being effective against the appearance of cellulite.

And for those looking for something a little deeper, health spas and nutritionists can oversee full internal detox programs involving a combination of custom-developed fasts or flushes and vitamin and mineral supplements. Ranging in length, this type of detoxification can act as a system re-boot for the body, helping those who might have recently over-indulged in food, partying or alcohol, or who have been under a lot of stress. Results can include a general all-over feeling of health and well-being, increased energy, improved bodily functions and, in many cases, some weight loss or metabolism boost

--Sandra Ramani

Aromatherapy:

 

From spa menus to product labels, the word “aromatherapy” is everywhere. But what does it really mean—and does it always mean the same thing?

The basic term refers to the therapeutic use of essential oils—based on the specific healing property of each oil—in such treatments as massage, diffusions, body wraps and soaks. Though this practice has been going on for centuries, legend has it that the term “aromatherapy” was coined in the 1920’s by a French scientist named Gattefosse, who discovered that lavender oil helped heal a severe hand burn.

Essential oils are highly concentrated liquids extracted from leaves, flowers, roots, buds, seeds, bark—basically any part of a fruit or plant. From sore muscles and bruises to anxiety, depression and PMS, there is an essential oil for every condition, and knowledgeable aromatherapists can create custom blends for specific concerns. Oils vary in quality, but most are quite strong and should be diluted with a vegetable-based carrier oil. A few, though, can be taken internally or inhaled; peppermint oil is great for stomach ailments, and cinnamon oil can be used in teas. Some essential oils should be avoided by pregnant women, so check with a doctor before treatment.

There are a number of accredited schools and organizations for aromatherapists, and countless books and websites about related products and home remedies. While at this time there are no state requirements to be certified as an aromatherapist, most states do require that anyone using essential oils topically should have at least one related professional license, such as Massage Therapist, Naturopath Physician, Licensed Acupuncturist or Registered Nurse. Most top spas have estheticians and massage therapists on staff who are trained in the use of these healing oils.

Rules for claiming a product is aromatherapeutic vary from country to country, but as a rule, if the essential oil is not listed as one of the first few ingredients on the label, the product is probably more about smelling good than about solving any real issues—though every little bit can help.

Botox:

 

It’s one of the most talked about recent developments in beauty—and one of the most popular. By now, you’ve undoubtedly seen the effects of Botox on the faces of friends, not to mention countless smooth-skinned celebrities, but what exactly is this so-called miracle formula?

Let’s start with the name. “Botox” and “Botox Cosmetic” are actually the brand names for botulinum toxin type A, an injectable neuro-toxin that paralyzes muscles, making it impossible for them to contract. The Botox version is used medically to treat neck pain, muscle spasms, eye disorders like lazy eyes or uncontrolled blinking, neurological issues and even migraine headaches. Botox Cosmetic is the more well-known dosage, and is predominantly used by dermatologists and an increasing number of spas to minimize the appearance of facial wrinkles and “frown” lines, and, to a lesser extent to curtail excessive sweating when injected into the armpits. Both types are approved for usage in a number of body parts, including the face, neck, underarms and legs.

Now for the “eww” part: Botulinum toxin type A does contain botulism, the same toxin that causes food poisoning. When injected, this bacterium effectively “freezes” muscle movement for around 3-4 months by blocking the signals from the nerves to the muscles. So is it safe? The FDA approves of the formula’s current usage, and physical discomfort from the injections is minimal. Risks are minimal, too: In some cases, patients might experience temporary redness, bruising, headaches or flu-like symptoms; in more serious instances, short-term paralysis of the muscles might occur, or the patient might develop a resistance to the drug. But most of the time, the only real danger for clients is going overboard with the treatments: When it’s hard to tell if you’re having an emotion, it’s probably time to stop.

--Sandra Ramani

Chocolate:

You’re probably wondering why we’d think you need a definition for chocolate—if you’re anything like us, you’re already on intimate terms with the sweet, sweet stuff—but in this case, we’re actually talking about the growing use of chocolate in spas. And not as snacks in the lounge, either: Thanks to studies touting its healing properties, cocoa is making an appearance in skin services all across the country.

Chocolate-infused beauty treatments may sound like a Willy Wonka-inspired gimmick, but the concept is actually rooted in science—and history. “For centuries, all parts of the cocoa plant—beans, bark, leaves, flowers and oils—have been used to treat skin ailments, burns, headaches and even bowel distress,” explains Dr. Doris J. Day, Assistant Professor of Dermatology at NYU.

Dr. Adam Bodian, a partner at the Bodian Dermatology Group and Medical Spa in New Jersey, recently conducted a study on the topical uses of chocolate, and breaks down its effectiveness to three elements: Fat, theobromine, and anti-oxidants. Otherwise known as cocoa butter, the fat from the cocoa seed contains skin-friendly acids and acts as a natural emollient; applied while the body is damp, the butter traps water in the skin, turning dry into dewy and improving elasticity. Theobromine, a mild, non-addictive stimulant found only in cocoa, functions similar to caffeine, minus many of the negative side effects. When taken internally or absorbed through the skin, theobromine works as a diuretic (flushing-out impurities, reducing swelling and cellulite, and improving circulation) and helps stimulate cell regeneration. It also accelerates the absorption of the powerful, free-radical-catching anti-oxidants—including skin cancer- and heart disease-preventing catechins and phenols—that are four times more present in chocolate than in black tea or red wine.

Of course, doctors stress that these elements would have to be absorbed in large amounts, over a consistent period of time and in the purest form possible (the darker and less-processed the chocolate, the better) to have any dramatic effects. “Chocolate spa services aren’t a substitute for using sunscreen everyday,” laughs Dr. Day, “but if it feels good and smells delicious, do it.’ Stellar examples include the Hot Chocolate treatment at the Haven Day Spa in New York City, which includes a warm milk body mask, cocoa powder-and-salt scrub and chocolate-scented moisturization; the lactic acids found in pure cocoa powder help exfoliate dead skin, while the theobromine keeps skin calm and inflammation-free during the scrub. At the luxurious Spa at the Hotel Hershey, in Hershey, PA, the menu includes decadent services like a Chocolate Fondue Wrap, Whipped Cocoa Bath and Chocolate Bean Polish; a vast array of sweet smelling cocoa spa products are also available for purchase.

--Sandra Ramani