As a professional massage therapist in a casino spa, I usually worked with different people every day. Many of them were new to massage and didn't know exactly what to expect. As a matter of practice, I always made sure that my client felt comfortable with what was going to happen during the session and had a chance to ask any questions before we got started. After a while, I began to recognize the same concerns in nearly all of my new clients.

Photo by James P. Wells
Besides just telling your massage therapist about any painful or stiff muscles, be sure that you know the answer to these five questions before you start the session. Once all of them have been discussed, your therapist will have a better idea of how to work with you and your particular issues. This leads to a more effective, relaxing massage.
I have a medical condition or take a prescription. Is it ok to receive massage?
It is extremely important to tell your therapist about any medical conditions and prescriptions, whether on a written form or verbally. Some conditions can benefit by massage, while others may indicate an avoidance of the affected area, or the requirement of a doctor's recommendation. Even little things like varicose veins or bruising should be brought to the therapist's attention.What sort of training do you have? What techniques do you use?
The practice of massage isn't regulated everywhere. In some places, people call themselves a "Massage Therapist" without any training of any kind. Other areas require extensive schooling and for the student to pass a nationally regulated test to practice. It's ok to ask your therapist what sort of program they attended or to explain the techniques that she is planning on using during the session. If the therapist is offended or has trouble explaining, this may be a red flag that she hasn't had appropriate training.What kind of draping do you use? Am I going to be covered by a sheet during the session?
Again, this is a question of regulation. Some areas have very specific laws about what must stay covered during a session, while other areas have no laws at all. A responsible therapist will always work within the confines of both the law and your comfort level. You should never be asked to disrobe beyond what you feel is acceptable, and you should always be given the option to be fully covered by a sheet, large towel or blanket.How much feedback do you want during the massage?
Some styles of body work require a constant flow of feedback from the client, while others work just as well if you happen to fall asleep on the table. Usually, the more stretching or deep pressure a therapist uses, the more she will want to verbally monitor your comfort. But, if the purpose of the massage is for relaxation or stress relief it may be alright to not say anything at all during the session. Always speak up, though, if the therapist does anything that is uncomfortable or painful. This can be an indication of an injury or the inappropriate use of a technique.Can you tell me anything that I can do at home to help extend the benefits of my massage?
Massage therapists are not doctors and they can not prescribe any stretches or supplements. But, they can share with you information that they have learned through their training. You may even be able to schedule some extra time with your therapist for her to show you some ways to help relieve muscle tension or pain at home. Remember to consult your doctor if you feel her recommendations may not be right for you.