The Key To Ethical Practice: Cultural Competency in Massage Therapy
- Kirby Clark, MMT
- May 12
- 2 min read
In the ever-evolving profession of massage therapy, fostering a culturally competent practice is essential. As massage therapists, our ability to understand, respect, and accommodate diverse cultural backgrounds enhances both our professional ethics and the overall client experience.

Understanding DEI and Cultural Competency
Diversity refers to the broad spectrum of psychological, physical, and social differences among individuals, including race, gender, ethnicity, socioeconomic status, and more.
Inclusion involves creating an environment where everyone feels welcomed and valued. Equity ensures fair access and opportunities, recognizing that different individuals may need different levels of support to thrive.
Cultural competency is the ability to acknowledge, understand, and respect diverse cultural values and beliefs while adapting professional practices accordingly. Without this awareness, unconscious bias may negatively impact client care.
Bias, Privilege, and Intersectionality in Massage Therapy
Bias—whether implicit (sometimes called "unconscious") or explicit (or "conscious")—can shape our interactions and treatment approaches. Recognizing personal biases and addressing them helps create a non-judgmental and welcoming space. Understanding privilege and intersectionality—how different aspects of identity overlap to create unique experiences—can further enhance empathy and effective communication with clients.
Why DEI Matters in Massage Therapy
Healthcare Accessibility: Historically, massage therapy has not been widely accessible to all racial and socioeconomic groups. Addressing disparities ensures better client care while also introducing the profession to populations that may not have ever considered massage therapy before.
Business Growth: Inclusivity fosters a broader client base, encouraging trust and loyalty among diverse populations.
Ethical Responsibility: A culturally competent practice aligns with ethical standards, reinforcing professionalism and respect.
Key Considerations for an Inclusive Practice
Race, Ethnicity, and Racism: Recognizing the impact of racial disparities in healthcare and adjusting services accordingly.
Sex and Gender Sensitivity: Using inclusive language, respecting pronouns, and acknowledging the unique health concerns of LGBTQIA+ individuals.
Religious Sensitivity: Understanding how different religious beliefs may influence a client’s approach to massage therapy. In particular, holding the faith practices of others in respect and not using their features as decorations.
Disability Awareness: Providing accessible services and understanding the specific needs of clients with disabilities. Utilizing person-first language and recognizing that accommodations are not a burden to provide but instead benefit everyone. Considering the concept of being temporarily able-bodied.
Creating Safe/Brave Spaces: Establishing clear boundaries and guidelines to ensure all clients and therapists feel respected and comfortable.
Practical Steps to Implement DEI in Your Practice
Offer intake forms that allow clients to specify pronouns and preferences.
Use inclusive marketing materials that reflect diverse populations.
Participate in DEI training and workshops to continuously improve cultural competency.
Establish clear policies against discrimination and bias in your practice. And enforce the policies!
Engage with diverse communities through outreach and partnerships. Meet them where they're at!
Cultural competency is not just an ethical practice—it is a cornerstone of effective massage therapy and makes good business sense. By embracing DEI principles, massage therapists can build a practice that is not only inclusive but also enriches the therapeutic experience for every client. As the industry continues to grow, prioritizing equity and cultural awareness ensures that massage therapy remains a healing and welcoming space for all.
Peace and Healing,
Kirby Clark Ellis, MTI, BCTMB
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