Lisa wrote a post last week about lifestyle changes adopted by middle-class America in order to survive an economic slowdown. Among these changes she listed personal luxuries, such as getting our hair or nails done, going to the spa, or getting a massage.

As a massage therapist, I have to comment! For many people, getting a massage is most definitely not a luxury. (See my previous article, Massage: Good Investment or Frivolous Luxury?) Sure, I know people who view massage as something only rich people get, or something always involving scented oils and New Age music, or only as part of a “spa day” including facials and salt scrubs.

Don’t get me wrong ‘” I don’t think there’s anything wrong with spas and salons. I adore herbal wraps. I’ve grown to love fancy-pants pedicures with chocolate-scented scrubs. And it’s such a pleasure to get a scalp massage while getting shampooed. I have so much respect for the work of estheticians and hair stylists.   (On a related note: I had an anxiety dream last night in which a salon owner wanted me to give a client a haircut ‘” assuming that I knew what to do with scissors and a comb because I’m a massage therapist. How weird is that?!)

Of course, some reports like this one on NPR have suggested that some people are getting massage instead of going on big expensive trips. They’re spending money on small, affordable luxuries that make them feel extra-special.

But as a massage therapist in private practice, luxury is just not what I do. Oh, it feels like an indulgence when you’re on the table, all right. But in order to survive as a new business in this economy, I have been working hard to market myself as someone you might see for pain relief in addition to your doctor, osteopath, chiropractor, or physical therapist. I’ve been positioning myself as part of an overall medical team. And this is not overreaching! More and more, massage therapists are seen as legitimate by the medical establishment. I’m not diagnosing, I’m not prescribing ‘” but I am offering an additional option that can complement what you’re already trying.

Here are a few things I’ve done to make sure my services are perceived as a necessity rather than an indulgence. Hopefully, these things will keep massage off of the budgetary chopping block when times are tight.

I take a short medical history whenever I see a new client, and write a detailed summary of each session that goes in the client’s file. In addition to providing useful information for me, and a memory jog for when they return, it lets the client know that I’m approaching the session from a health perspective. And should they need to submit documentation for insurance reimbursement, I have notes available.

I’m taking seminars on orthopedic massage techniques focused on pain relief from injury. I see massage as part of an overall medical approach to addressing pain, and I want my clients to know it. Even though I’d like to learn more about Reiki, Hawaiian Lomi Lomi massage, and other modalities, an orthopedic approach gives me legitimacy within the existing medical establishment.

When friends ask me what it’s like to be a massage therapist, I say “I love my job ‘” it’s so gratifying. People come into my office in pain, and they leave with less pain.” The more I mention being pain-free, the more clients show up! No one likes pain.

I encourage active participation from my clients. I email them links on getting the most out of your massage, and during the session I might have them do some active assisted stretching or breathing techniques. I want my clients to be engaged, active participants in their own health.

My point here is not to disparage luxury, or to say that it’s wrong to love indulgences. But so far, branding my services in this way has really helped attract clients when many businesses are failing ‘” especially here in super-practical Maine.

Those of you who are small business owners, how are you planning to survive the downturn? Are you engaging in niche marketing, or specializing in a certain way? What distinguishes you?

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Jan lives in Portland, Maine with her partner of nearly ten years. She graduated from massage therapy school in July, and is looking forward to writing more for Queercents now that her life is calming down. In addition to being a massage therapist, she is a belly dance teacher and computer programmer, and enjoys balancing these three very different occupations!

Photo credit: stock.xchng.