08/08/2025
To the Maryland Department of Health and the Board of Massage Therapy Examiners:
I am extremely concerned to learn that the Department of Health
and the Board of Massage Therapy Examiners are proposing new
burdensome, culturally insensitive regulations regarding a topic they do not understand.
Gua sha is a method of Asian bodywork which has been in use as both a professional treatment by bodywork therapists and acupuncturists, and a folk treatment, for thousands of years. It is sometimes called "coining" or "spooning" from the use of these items as tools for self or family care.
I was trained in gua sha in my studies in the Baltimore School
of Massage's Shiatsu and Asian Bodywork program more than 20 years ago, and have taken several continuing education classes using it since then.
In recent years, some enterprising teachers have repackaged this ancient treatment under names like "Graston technique" or
"instrument-assisted soft tissue mobilization", but it is nothing new.
However it seems that some of these entrepreneurs have bamboozeled Maryland regulators into proposing that massage therapists in Maryland who wish to use this ancient technique -- and in some cases have been using it for decades -- must take their specific class and pay additional fees to the board.
Besides being a corrupt, expensive, and burdensome regulation
places on Maryland massage therapists, already dealing with hostile economic conditions, this proposed regulation is rooted in cultural ignorance about the origin of this therapy. In the past gua sha occasionally led to confusion among culturally ignorant teachers who wrongly believed the marks it leaves were evidence of child abuse. I thought that we were past the point were it was viewed as something dangerous, but this proposal to regulate it even more strongly than massage shows that ignorance abides. This is not a new therapy, we have been practicing it for centuries.
Even more stunning is the fact the Board made no mention of
this proposal to therapists! No notification was sent to us. We found
out about it only via social media.
This proposal is one of the worst regulatory ideas I have ever
heard proposed, and I cannot urge you strongly enough to abandon it.
Thank you.
Tom Swiss
Dipl. ABT (NCCAOM), CP (AOBTA), LMT (Maryland)