With their focus on indulgent self-pampering, spas are usually associated with high-spending tourists, but the treatments on offer at Thailand’s five-star hotels are often little different from those used by traditional medical practitioners, who have long held that massage and herbs are the best way to restore physical and mental well-being.

Thai massage (nuad boran) is based on the principle that many physical and emotional problems are caused by the blocking of vital energy channels within the body. The masseur uses his or her feet, heels, knees and elbows, as well as hands, to exert pressure on these channels, supplementing this acupressure-style technique by pulling and pushing the limbs into yogic stretches. This distinguishes Thai massage from most other massage styles, which are more concerned with tissue manipulation. One is supposed to emerge from a Thai massage feeling both relaxed and energized, and it is said that regular massages produce long-term benefits in muscles as well as stimulating the circulation and aiding natural detoxification.

Thais will visit a masseur for many conditions, including fevers, colds and muscle strain, but bodies that are not sick are also considered to benefit from the restorative powers of a massage, and nearly every hotel and guesthouse will be able to put you in touch with a masseur. On the more popular beaches, it can be hard to walk a few hundred metres without being offered a massage – something Thai tourists are just as enthusiastic about as foreigners. Thai masseurs do not traditionally use oils or lotions and the client is treated on a mat or mattress; you’ll often be given a pair of loose-fitting trousers and perhaps a loose top to change into. English-speaking masseurs will often ask if there are any areas of your body that you would like them to concentrate on, or if you have any problem areas that you want them to avoid; if your masseur doesn’t speak English, the simplest way to signal the latter is to point at the offending area while saying mai sabai (“not well”). If you’re in pain during a massage, wincing usually does the trick, perhaps adding jep (“it hurts”); if your masseur is pressing too hard for your liking, say bao bao na khrap/kha (“gently please”).

The best places for a basic massage are usually the government-accredited clinics and hospitals that are found in large towns all over the country. A session should ideally last at least one and a half hours and will cost from around B250. If you’re a bit wary of submitting to the full works, try a foot massage first, which will apply the same techniques of acupressure and stretching to just your feet and lower legs. Most places also offer herbal massages, in which the masseur will knead you with a ball of herbs (phrakop) wrapped in a cloth and steam-heated; they’re said to be particularly good for stiffness of the neck, shoulders and back.

The science behind Thai massage has its roots in Indian Ayurvedic medicine, which classifies each component of the body according to one of the four elements (earth, water, fire and air), and holds that balancing these elements within the body is crucial to good health. Many of the stretches and manipulations fundamental to Thai massage are thought to have derived from yogic practices introduced to Thailand from India by Buddhist missionaries in about the second century BC; Chinese acupuncture and reflexology have also had a strong influence. In the nineteenth century, King Rama III ordered a series of murals illustrating the principles of Thai massage to be painted around the courtyard of Bangkok’s Wat Pho, and they are still in place today, along with statues of ascetics depicted in typical massage poses.

Wat Pho has been the leading school of Thai massage for hundreds of years, and it is possible to take courses there as well as to receive a massage; it also runs a residential massage school and clinic in Nakhon Pathom province (wwatpomassage.com). Masseurs who trained at Wat Pho are considered to be the best in the country and masseurs all across Thailand advertise this as a credential, whether or not it is true. Many Thais consider blind masseurs to be especially sensitive practitioners.

While Wat Pho is the most famous place to take a course in Thai massage, many foreigners interested in learning this ancient science head for Chiang Mai, which offers the biggest concentration of massage schools (including another satellite branch of the Wat Pho school), though you will find others all over Thailand, including in Bangkok and at southern beach resorts.

All spas in Thailand feature traditional Thai massage and herbal therapies in their programmes, but most also offer dozens of other international treatments, including facials, aromatherapy, Swedish massage and various body wraps. Spa centres in upmarket hotels and resorts are usually open to non-guests but generally need to be booked in advance. Day-spas that are not attached to hotels are generally cheaper and are found in some of the bigger cities and resorts – some of these may not require reservations.

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