All I can say is, OW. I've worked in the medical field for almost ten years and currently work with physical therapists. These people do not study anatomy. The woman was literally pressing her elbow into my spine for ten minutes. The room is full of people and out of common curtesy I didn't yell. You get what you pay for coming here because I usually can handle deep tissues massages with hard pressure and after this debacle... I felt like I was hit by a car. Never again.