LSSM F.A.Q.

Frequently Asked Questions

Massage is Massage!

All massage is based on four fundamental hands-on techniques:

Effleurage (stroking)

Petrissage (kneading)

Friction techniques

Tapotement (percussion)

These core techniques can be applied in countless ways to meet a wide range of physical needs. Their primary purpose is to improve the health of soft tissues and support the body's natural recovery processes.

Sports Massage

Sports Massage is the term commonly used when massage techniques are applied to meet the needs of athletes and people with physically demanding jobs or active lifestyles.

Ideally, Sports Massage should be a regular part of a training and performance programme, with the aim of:

Improving post-exercise recovery Helping to prevent injury Maintaining healthy soft tissues Enhancing performance

Sports Massage is primarily focused on healthy, uninjured people. It is generally a preventative and maintenance-based approach and does not usually require the same level of clinical assessment, diagnosis and reasoning as remedial therapy.

Remedial Clinical Massage

This is not a separate therapy from Sports Massage. Rather, it is an advanced progression that builds upon the same fundamental massage techniques and principles. There is no clear dividing line between the two, and remedial treatment will often incorporate elements of Sports Massage where appropriate.

The difference lies in the level of assessment, clinical reasoning and treatment skills required.

Remedial Clinical Massage is concerned with providing a remedy for people suffering from chronic musculoskeletal pain, soft tissue dysfunction and minor injuries arising from sport, work, daily activities or medical conditions.

The therapist carries out a detailed assessment to identify the factors contributing to pain and dysfunction before developing an appropriate treatment plan. This process requires a high level of clinical reasoning and an understanding of how the body functions, adapts and recovers. Treatment may include rehabilitation exercises and self-management advice tailored to the individual's needs.

In addition to traditional massage techniques, Remedial Clinical Massage incorporates a range of advanced techniques, including:

  • Soft Tissue Release (STR)
  • Neuromuscular Techniques (NMT)
  • Muscle Energy Techniques (MET)
  • Myofascial Release Techniques (MFR)

These go far beyond basic massage techniques and are designed to produce more significant and longer-lasting improvements in musculoskeletal health, movement and function.

Soft Tissue Therapy

Soft Tissue Therapy is the title we give to therapists who have completed our higher-level training and are qualified to assess and treat more complex musculoskeletal conditions.

Building on the skills of Sports Massage and Remedial Clinical Massage, Soft Tissue Therapists develop advanced assessment, clinical reasoning and treatment skills that enable them to work with a broader range of clients and conditions.

Their training includes advanced techniques and approaches such as:

  • Joint injury assessment
  • Postural assessment
  • Functional movement assessment
  • Deep myofascial techniques
  • Joint mobilisation techniques
  • Positional Release Technique

These additional skills allow the therapist to gain a deeper understanding of the factors contributing to pain and dysfunction and to develop more effective treatment strategies for complex musculoskeletal conditions.

Soft Tissue Therapy represents the highest level of hands-on clinical training within our educational pathway, combining advanced assessment skills with a wide range of evidence-informed treatment techniques to help clients achieve lasting improvements in comfort, movement and function.

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Practical Skills Learning

You cannot learn the practical hands-on skills of Massage or Soft Tissue Therapy online. These skills must be developed in a classroom environment through face-to-face training with experienced tutors and fellow students.

Every student therapist is different, with their own strengths and physical charecteristics. A technique that suits one person may not be the most effective for another. Our tutors have many years of clinical experience and understand how to work safely, effectively and efficiently. This enables them to provide individual guidance, helping each student develop techniques that work best for them.

Just as importantly, experienced tutors can identify and correct poor habits before they become established. This helps students to avoid unnecessary strain, fatigue and potential injury throughout their careers.

The classroom environment also provides invaluable opportunities to practise with a variety of people, receive feedback, observe different approaches and learn from the experiences of both tutors and fellow students. Many lasting professional relationships and friendships begin during training.

To support your learning, we have an extensive online video library covering most of the practical elements of the programme. These videos are designed to reinforce and support classroom teaching, not replace it.

Theory and Knowledge

To maximise the amount of valuable hands-on training time in the classroom, most of the underpinning theory and knowledge is delivered through structured online assignments.

These assignments have been carefully designed to make learning accessible and engaging without being overly academic. Each question includes guidance notes, recommended resources and references to help you find and understand the information you need.

This blended approach combines the flexibility of online learning with the essential face-to-face practical training needed to become a safe, skilled and confident Therapist.

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Why We Do Not Run Short Intensive Courses

Learning effective hands-on therapy takes time.

Good practical skills cannot be acquired simply by attending a classroom for a few days or weeks. Students need time to learn new techniques, practise them repeatedly, gain confidence and develop competence.

Our approach is to teach new skills in the classroom and then give students time to go away and practise them before returning to learn the next stage. This process of learning, practising and consolidating is essential for developing high-quality clinical skills.

The foundation massage techniques taught at the beginning of the course can achieve excellent results, but they also have limitations. As students begin treating real people, they naturally encounter problems that cannot always be resolved using basic techniques alone.

This is an important part of the learning process.

When students later learn more advanced assessment methods and treatment techniques, these are not simply additional skills to memorise. They are practical solutions to problems they have already experienced for themselves. This allows clinical understanding to develop naturally and progressively, building knowledge and confidence in the right order.

The practical skills are only one part of the qualification. Students must also develop a thorough understanding of anatomy, physiology, pathology, assessment and rehabilitation. This requires the completion of substantial online learning, written assignments and supervised case studies.

For these reasons, we do not run short intensive courses. While they may be attractive to people looking for a quick qualification, they do not provide sufficient time to develop the depth of practical skill, clinical reasoning and underpinning knowledge required to become a competent therapist.

Our goal is not simply to issue certificates. Our goal is to produce therapists who are confident, competent and capable of achieving consistently good results for their clients.

Why We Do Not Offer a Level 3 Course

A Level 3 qualification is broadly equivalent to an A Level and provides a good foundation for learning basic massage skills to support general health and wellbeing. It can also provide an introduction to Sports Massage.

However, treating people with chronic musculoskeletal pain and minor injuries requires a much higher level of knowledge, understanding and practical skill. This is why professional clinical massage qualifications are normally delivered at Level 4 and above.

Many training providers offer a Level 3 qualification followed by a separate Level 4 upgrade. The difficulty with this approach is that progressing from Level 3 to Level 4 is not simply a matter of learning a few additional techniques. To reach Level 4 standard, students need to revisit much of the same subject matter—including anatomy, physiology, assessment and treatment principles—but in considerably greater depth.

As a result, students often spend additional time and money studying material that will later need to be relearned and expanded upon.

Our aim is to train therapists who can safely and effectively help people suffering with chronic musculoskeletal pain and minor injuries. For this reason, we take students directly to Level 4 from the outset, allowing them to focus on developing the knowledge, clinical reasoning and practical skills that are genuinely required for professional practice.

If your goal is to work with clients experiencing pain, dysfunction and injury, it makes more sense to start with a Level 4 qualification rather than taking a longer and more expensive route through Level 3 first.

Your Pathway to a Rewarding and Stimulating Lifelong Career

This qualification teaches you how to become a professional therapist who can safely and effectively treat people of all ages and backgrounds who are suffering with chronic musculoskeletal pain and minor injuries.

The Market

Traditionally, these conditions were treated by Physiotherapists using hands-on treatment techniques. Over time, Physiotherapy has evolved into a profession focusing on exercise-based rehabilitation and hands-on treatment from them is becoming far less available. But the need and demand for it remains the same and we train our therapists to fill this gap in the musculoskeletal therapy market within the private sector.  

The Pleasure

  • In this profession you can see clients of all ages, occupations and lifestyles with the widest range of musculoskeletal issues so it never gets boring.
  • There is great satisfaction in helping people reduce pain, improve movement and enjoy a better quality of life.
  • As healthcare becomes increasingly influenced by technology and AI, the value of skilled human hands-on treatment in a calm, caring and professional environment should become even more valued.

 The Profit

Most therapists are self-employed with the freedom to create a working pattern that suits their lifestyle.

Therapists may choose to work:

  • From home
  • Providing home visits
  • Renting treatment rooms within gyms, health clubs or wellness centres
  • Alongside Physiotherapists, Osteopaths and other healthcare professionals in private clinics
  • With sports teams, dance companies and performing artists

What Can You Earn?

Income varies depending on location, experience, fees and the number of clients treated.

As an example, a therapist earning £50 per hour treatment (after expenses), seeing four clients per day, five days per week (a 20 hour working week) would make approximately £50,000 in a year.

Why We Do Not Teach Routine Treatments

No two people are the same, and neither are their soft tissues.

Even when two clients present with similar symptoms, the underlying causes, tissue condition, lifestyle factors and treatment needs may be very different. In reality, not even two legs on the same person are ever exactly alike.

For this reason, we do not believe it is appropriate to apply a standard routine treatment to every client. A treatment sequence that works well for one person may be ineffective, or even inappropriate, for another.

Instead of teaching fixed treatment routines, we teach students to understand what they are feeling, assess what they find and make informed clinical decisions based on the individual needs of each client.

Students learn a wide range of assessment and treatment skills and, more importantly, how to select and adapt them appropriately. This allows them to create treatments that are tailored to the person in front of them rather than simply following a memorised routine.

Our goal is to develop therapists who can think for themselves, solve problems and respond to the unique needs of each client. This produces better therapists and, ultimately, better outcomes for the people they treat.

A Biopsychosocial Approach to Care

We teach our therapists to work within a biopsychosocial framework of care.

Simply put, we don't treat injuries — we treat people who have injuries.

Even when two people have identical tissue damage caused in exactly the same way, their experience of pain and their recovery can be very different. This is because recovery is influenced by far more than the physical injury alone.

Biological Factors (Bio)

The biological aspect focuses on the physical condition of the body's tissues, including injury, inflammation, healing, movement dysfunction and general health.

Psychological Factors (Psycho)

The psychological aspect considers:

  • How an injury may affect a person's confidence, mood, emotions and mental wellbeing.
  • How stress, anxiety, fear, beliefs and expectations can influence their perception of pain.
  • How psychological factors may affect motivation, engagement with treatment and recovery outcomes.

Social Factors (Social)

The social aspect considers:

  • How an injury affects a person's work, family life, hobbies and social activities.
  • How workplace demands, lifestyle factors and social support can influence recovery.
  • The practical challenges that may help or hinder rehabilitation.

Putting It All Together

Throughout our training, therapists learn to consider biological, psychological and social factors whenever appropriate. This enables them to adapt their treatment approach, communication and rehabilitation advice to meet the individual needs of each client.

By understanding the whole person rather than focusing solely on the injured tissue, therapists can provide more effective, person-centred care and achieve better long-term outcomes.

International Recognition of Qualifications

The reality is that there is no single international system for recognising professional qualifications. Every country, and sometimes individual states, provinces or regions within a country, has its own laws, regulations and professional requirements.

As a result, there is no universal qualification that automatically grants the right to practise everywhere in the world.

Some training organisations include the word "International" in their name or promotional material, but this does not mean their qualifications are automatically recognised by regulatory authorities in other countries. It usually means they provide training or have professional links in more than one country.

When our graduates move abroad, we do everything we can to support them. This may include providing detailed information about the qualification, syllabus and learning outcomes to employers, professional associations or regulatory authorities. However, the decision to accept a qualification always rests with the relevant authority in that country or region.

Different Countries, Different Requirements

Professional requirements vary considerably around the world.

For example, massage therapy licensing requirements differ between jurisdictions in the United States. Some states require substantially more training hours than others.

Canada generally requires a much higher level of training for regulated massage therapists than is common in the UK, with programmes often lasting two years full-time and including subjects that may be taught within other healthcare professions in the UK.

Many European countries have different legal frameworks governing healthcare practice. In some jurisdictions, activities such as diagnosis and injury treatment may be restricted to specific regulated healthcare professions. The extent to which soft tissue therapists can practise advanced assessment and treatment skills therefore varies from country to country.

Australia and New Zealand also have their own professional requirements, and graduates may be asked to provide additional documentation or demonstrate equivalence through local education providers or professional bodies.

Our Advice

If you are planning to work overseas, we strongly recommend that you contact the relevant professional association, regulatory authority or licensing body in the country where you intend to practise before enrolling on any training programme.

We are always happy to provide information about our qualification and support graduates wherever possible, but it is important to understand that recognition of professional qualifications is always determined by local regulations rather than by any international authority.

 

Students with Dyslexia and Other Learning Differences

Over the years we have found that many people with learning differences, including Dyslexia, often possess excellent practical and hands-on skills and go on to become highly successful therapists.

We believe these qualities are extremely important in soft tissue therapy and we are committed to ensuring that capable students are not discouraged from pursuing a career simply because they learn differently.

Having trained many students with Dyslexia and other learning differences, we have considerable experience in providing appropriate support and making reasonable adjustments where needed.

Although our qualification requires a high level of knowledge and understanding, we have designed the written assignments to be as practical and non-academic as possible. The focus is on demonstrating understanding and clinical competence rather than academic writing ability.

We recognise that students learn in different ways and, where appropriate, we provide additional guidance and support to help learners meet the required standards.

If you have Dyslexia or any other learning difference and are concerned about your ability to complete the course, we encourage you to discuss this with us before applying. We will be happy to explain the support available and help you decide whether the qualification is right for you.

Why we do not have a pass rate.

Our aim is not to fail students. Our aim is to help dedicated students succeed.

Throughout the course, tutors continually monitor each student's progress and provide guidance on areas that need further development. If we do not believe a student is fully prepared for their final practical examination, we will usually recommend postponing it until they have had more time to practise and build their confidence.

This approach helps ensure that students take their examinations when they are genuinely ready, rather than being set up to fail.

If a student does not pass an assessment, it is not the end of the road. They can re-take the examination at a later date once they have addressed the areas that need improvement.

Where appropriate, we may recommend additional tutorials, extra supervised practice, or revisiting parts of the course before re-taking the assessment.

Learning practical therapy skills is a journey, and people progress at different rates. Some students need more time and support than others, and that is perfectly normal.

We are committed to helping every dedicated student reach the required standard. We do not give up on students who are willing to put in the effort and genuinely want to become good therapists.

Beware of training centres claiming 90+% pass rate. What this means is, the course is so basic and easy that it's virtually impossible to fail, or it doesn't matter how well you perform, they will pass you anyway.

 

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