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Fascia Stretching: A Therapy Style That’s Gaining Popularity 

This type of therapeutic stretch, used by athletes since the 1990s, is a cousin to myofascial massage, but with less pain and more focus on joint flexibility and connective tissue around muscles.

massage therapist stretching patient shoulder
massage therapist stretching patient shoulder

Written and Reported by Lisa Schuetz
Contributing Writer

Finding a specialty in massage that best fits your skills may lead you beyond kneading muscles into relaxation. Fascia stretching is a specialty in which practitioners gently assist clients with stretching to relax the connective tissue around muscles.

Fascia stretching is used to increase flexibility, mobility, and range of motion in a manner that’s relatively pain free. In fact, stretch studios are popping up all over the country now that it has a reputation for speeding up recovery and improving athletic performance.

Therapy Overview

Fascia stretching therapy, similar to myofascial release therapy, focuses on fascia, the connective webbing surrounding all muscles and nerves. Therapists use sustained pressure on their clients to loosen and lengthen fascia and free up muscle tension. Some practitioners use gentle assistance to stretch the fascia and manipulate the joints around the muscles to create an enhanced state of relaxation. Often, practitioners will use a table with straps to help stabilize the client while using their body to gently help their clients stretch.

Fascia stretch therapy is said to decrease pain and stiffness and increase flexibility, mobility, and range of motion.

The therapy is said to be a game-changer when added to the toolbox of competitive athletes. In fact, stretch practitioners are often found working with Olympians, professional sports players, and competitive amateurs, using the technique to enhance their clients’ performance and recovery. Fascia stretching is relatively pain-free and is said to decrease pain and stiffness and increase flexibility, mobility, and range of motion with better posture and recovery time.

Massage therapists specializing in fascia stretching can find themselves working in gyms, physical therapy offices, and sports medicine clinics.

Fascia stretch therapy seems to be having its moment, says Lisa McNeil, M. Ed, CFSS-M, a Wisconsin-based licensed massage therapist at the Momentum Movement Clinic. She works with athletes for the U.S. Olympic Committee as well as amateur athletes.

“Currently there’s a strong trend in bodywork towards stretching,” says McNeil. “In fact, if you notice, there are more boutique stretch and flexibility companies popping up.”

What are Employers Looking For?

Ann Frederick, co-director of Stretch to Win Institute, a fascia stretching training center in Chandler, Arizona, says the following skills impress employers most:

Being able to assess a client’s condition and goals

Creating a treatment plan customized to the client

Being able to suggest a home stretch program that will allow the client to maintain results after your treatment

Knowing when stretching may not suit the client given other underlying conditions

Training and Education

Fascia stretching therapy training can take the form of continuing education through an accredited massage school or a specialty certification program through a school or business that focuses on this type of training. The practice is increasing in popularity for licensed massage therapists, physical therapists, sports medicine practitioners, and athletic trainers.

The American Massage Therapy Association, a nonprofit trade association for massage therapist practitioners, students, and schools, suggests that participants have accomplished the following before studying fascia stretching therapy:

  • Graduated from a massage therapy school with a minimum of 500 in-class hours of entry-level massage training
  • Have three or more years of massage therapy experience
  • Proof of current state licensure, if required, or certification by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB)
  • A strong understanding of anatomy, physiology, and research

Experience as a general massage therapy practitioner is recommended before enrolling in a fascia stretching therapy program

The type of training you choose will depend on what you want to do in your career, says McNeil.

“If (massage therapists) desire to work with pro teams and elite athletes, they need to understand (that) experience and reputation are important,” she says. “If they desire a more medical setting, they need to have a solid understanding of anatomy and gain training in science-based modalities that can be used with Western medicine clinicians.”

Do I Need a Specialty Certification?

While a specialty certificate in fascia stretching is not required to practice, the skills learned in a certification program will make you more knowledgeable about the therapy and more marketable as a practitioner. You will more than likely be required to hold some sort of state license that allows you to put your hands on a client, however. (Most—but not all—states require such a license). If you are already a licensed massage therapist, that will likely fit the bill, and taking continuing education classes can give you some knowledge to determine if that type of therapy will help your clients’ particular needs.

You can contact your state’s professional board, association, or organization to determine if they regulate stretching in your state.

What You’ll Study in a Fascia Stretching Program

massage therapist stretching patient arm and torso

Most certification or continuing education programs for fascia stretching will include basic courses on the science of fascia and how it works. You’ll probably also learn how to assess clients and create therapy plans. You’ll focus on various fascia stretching techniques and when to use them. Most programs also include a hands-on component that allows the student to practice the therapy on other students or instructors.  

Average Length of Study

Continuing education classes can range from several hours for one class, to several classes over several days. If you are looking for certification from a specialized school, then your training may take a week or more of in-person learning with additional hours of hands-on practice with clients.

Average Tuition

Again, the cost of your classes will depend on the level of training you intend to pursue. Continuing education classes—both online and in person—on fascia therapy can range from $75 for a single class to a complete course costing just over $600. A more in-depth specialty certification program at a specialized school can cost upward of $2,100. Tuition for basic massage school also varies, depending on the institution and the depth of study.

Salary Opportunities

The BLS indicates that salaries for massage therapists can vary widely, depending on where you work, your client load, and other factors. Many therapists work part time (averaging about 27 hours a week) and, if self-employed, don’t get paid for the non-massage activities involved in running a practice. Here is the median national salary and salary information by state.

Massage Therapists

National data

Median Salary: $43,620

Bottom 10%: $22,580

Top 10%: $79,150

Projected job growth: 20.6%

State data

State Median Salary Bottom 10% Top 10%
Alabama $36,300 $18,550 $52,970
Alaska $82,600 $22,140 $132,950
Arizona $43,240 $26,740 $66,690
Arkansas $47,200 $25,210 $63,410
California $34,400 $27,230 $80,940
Colorado $46,020 $25,170 $65,170
Connecticut $42,460 $24,340 $81,100
District of Columbia N/A N/A N/A
Florida $36,360 $19,770 $66,090
Georgia $23,490 $16,770 $69,490
Hawaii $55,700 $25,330 $89,120
Idaho $44,860 $23,520 $78,050
Illinois $49,940 $20,450 $76,900
Indiana $44,780 $27,060 $72,470
Iowa $36,120 $20,290 $68,740
Kansas $29,210 $17,770 $80,830
Kentucky $49,930 $18,710 $75,440
Louisiana $23,890 $17,000 $57,630
Maine $53,430 $27,910 $87,240
Maryland $41,440 $23,140 $83,190
Massachusetts $61,790 $41,880 $112,470
Michigan $49,840 $23,570 $75,540
Minnesota $54,400 $22,680 $83,810
Mississippi $34,870 $17,570 $50,860
Missouri $37,080 $20,050 $67,500
Montana $40,070 $19,230 $68,250
Nebraska $57,390 $31,290 $79,390
Nevada $28,260 $18,000 $85,180
New Hampshire $49,590 $32,070 $83,930
New Jersey $45,490 $23,420 $68,620
New Mexico $46,050 $24,320 $83,750
New York $52,560 $27,200 $89,200
North Carolina $41,220 $19,150 $67,460
North Dakota $45,790 $18,300 $65,590
Ohio $48,000 $20,150 $79,750
Oklahoma $38,030 $20,950 $52,940
Oregon $61,220 $26,010 $96,720
Pennsylvania $41,620 $21,460 $85,640
Rhode Island $28,110 $23,370 $55,690
South Carolina $36,170 $18,110 $60,240
South Dakota $30,550 $22,430 $48,450
Tennessee $42,560 $18,940 $83,240
Texas $41,820 $21,560 $63,430
Utah $44,250 $18,550 $73,450
Vermont $38,730 $24,650 $77,510
Virginia $43,690 $18,780 $63,630
Washington $65,140 $40,480 $86,640
West Virginia $39,660 $20,620 $75,740
Wisconsin $48,190 $19,300 $68,730
Wyoming $49,760 $28,510 $76,090

Source: U.S. Bureau of Labor Statistics (BLS) 2020 median salary; projected job growth through 2029. Actual salaries vary depending on location, level of education, years of experience, work environment, and other factors. Salaries may differ even more for those who are self-employed or work part time.

Career Outlook

According to the U.S. Bureau of Labor Statistics’ (BLS) current Occupational Outlook Handbook, it’s predicted that massage therapist careers will grow faster than most others at a rate of 21% through 2029. The public’s increasing belief that holistic wellness, massage, and now stretching support longevity and health are behind the growth in massage therapy jobs over the next decade.

Massage Therapist Job Growth Through 2029

21%

much faster than average for all careers, says the BLS

McNeil advises that students should plan to use cupping therapy as an additional modality in a massage practice rather than as a sole focus, which is what she does.  


With professional insight from:

Lisa McNeil
Massage health professional

Ann Frederick
Fascia stretch therapy trainer