Shiatsu massage uses fingers, elbows, palms or feet to apply acupressure points in a continuous pattern. Originating in Japan, this therapy integrates traditional manual therapies and modern medical knowledge. Shiatsu has both preventative and remedial effects and can be used in the treatment of internal, musculoskeletal, and emotional conditions. It can reduce muscle stiffness, stimulate the skin, aid digestion, and influence the nervous system. Chronic conditions such as headaches, PMS, digestive disorders, fatigue, insomnia, fibromyalgia, stress, anxiety, and musculoskeletal pain, including low back, neck, and joint pain can be improved with Shiatsu massage.