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Do you want to provide safe, effective massage therapy for people with cancer and cancer histories?

How can a course and clinic help you offer oncology massage with confidence?

And the path can also be lonelyMore than 1.5 million new cases of cancer occur in the US alone each year. In increasing numbers, people with cancer and cancer histories seek out massage for support, symptom relief, corrective touch, and healing.

Massage therapists are often caught between the heartbreak of turning away someone who needs help, and the uncertainty of how to work with them safely.

In massage school, you might have learned that massage would spread the disease, or you might have heard later that cancer was a flat-out massage contraindication. Perhaps you were told that massage could be done with permission from the client's physician. Or maybe you figured it out on your own, but you've worked in isolation, without support or reinforcement of your skills.

Introducing "Oncology Massage Therapy: Caring for Clients with Cancer," 32.0 CE Hours

A 4-Day Intensive and supervised clinic to help you work safely and effectively with people with cancer and cancer histories.

This course gives you clear step-by-step directions for working with clients with cancer and cancer histories. You receive specific "decision tree" diagrams rather than vague verbal instructions. We show you how to use the client interview, the internet, and common cancer resources to design the safest, most effective massage.

Learn what to do for clients during cancer treatment, the years post-treatment, and even some lifelong guidelines. Leave with forms and intake questions, a "side effects table," and even a sample oncology massage care plan to share with a client's physician.

Use our principles and tools to work with people with cancer in any setting, from hospital to franchise. Even seasoned oncology massage therapists have used our strategies to practice with greater ease and success.

Our instructors have cleared a path. We know the territory well, and we've taught thousands of therapists to navigate it on their own.

I have fallen in love with my work all over again. — Hanna Eakin, LMT

Click here for the course description and logistics in a nutshell

Oncology Massage Therapy: Caring for Clients with Cancer
32.0 CE hours
NCBTMB approved, recognized by the Society for Oncology Massage


As the role of massage therapy in cancer care expands, it is an exciting time to provide oncology massage. In this intensive course, we combine the art and science of touch to create safe, effective massage sessions for clients with cancer and cancer histories. In a lively, supportive learning environment, participants learn simple, concrete ways to adapt traditional massage to cancer and cancer treatment. We practice interviewing, follow-up questions, massage planning, and adapting traditional western massage techniques to surgery, radiation, chemotherapy, bone metastasis, vital organ involvement, and lymphedema risk.

We look closely at the dynamics of cancer spread, shining new light on the old myth that massage was contraindicated, and we introduce several approaches for educating the public about this common concern. Unique positioning and bolstering techniques are introduced for pain relief, sleep support, and overall comfort. We use guiding principles and practices that can be implemented across a broad spectrum of client presentations (from robust to medically frail), in a variety of massage settings (hospital, private practice, spa or retreat center, franchise or group practice, hospice).

A balanced approach to learning blends lecture, spirited discussion, and hands-on work with client volunteers. Massage therapists leave with essential oncology massage tools: sample protocols, a client intake form, follow-up questions, visual decision tree, massage contraindications, a physician communication form, interviewing experience, supervised hands-on practice, and an extensive training manual. Because we are recognized by the Society for Oncology Massage, participants who complete the training are eligible to apply for membership.

Learning Objectives

  1. Recognize the basic steps of cancer metastasis, and help to dispel concerns that massage and increased circulation could spread cancer.
  2. Communicate clearly with consumers and other health care professionals about common massage therapy adjustments for cancer, using a Decision Tree and describing massage elements such as pressure, joint movement, site, and position in plain language.
  3. Adapt massage therapy to typical cancer presentations, including accessible primary tumor sites, bone involvement, and vital organ involvement.
  4. Adapt massage therapy to common cancer treatments, including chemotherapy, surgery, and radiation therapy


  • Benefits of Massage Therapy for People with Cancer
  • Cancer, Metastasis, and Massage
  • Using a Decision Tree to Describe Massage Contraindications
  • The Massage Therapy Pressure Scale
  • Communicating with a Client's Physician
  • Massage Adjustments for Active Cancer
  • Adapting to Client Presentations: from Frail to Robust
  • Positioning and Bolstering for Comfort and Symptom Relief
  • Chemotherapy and Massage
  • Radiation Therapy and Massage
  • Massage, Surgery, and DVT
  • Lymphedema and Lymphedema Risk
  • A Non-Circulatory Massage Protocol
  • A Low-Impact Massage Protocol
  • Massage Protocol for Thrombosis Risk
  • Massage Protocol for Lymphedema Risk
  • Other Cancer Treatments (Hormone Therapy, Targeted Therapy, Stem Cell/Bone Marrow Transplant)
  • Interview Questions for Oncology Clients
  • Language Scripts to use with Oncology Clients
  • Hands-On Clinic with Client Volunteers (with Cancer and Cancer Histories)
  • Roundtable Discussion of Clinic Cases

Teaching Methods

Hands-on practice is artfully mixed with discussion and lecture. Varying approaches to the work — meditative, cognitive, kinesthetic, visual, emotional, auditory, intuitive — are honored throughout the course. A safe learning setting allows therapists to build lasting knowledge and skills.

A highlight of the course — hands-on work with volunteer clients on the last day — offers a chance to practice skills in a supervised clinic setting. The goal is to create hands-on sessions that soothe, heal, and reduce pain and isolation.

This is an intensive course, packed with information. We make it manageable by varying our format, teaching style, classroom setup, and pacing. We are sensitive to students of all backgrounds and levels, and encourage questions and discussion. Massage therapists from varying backgrounds give the course outstanding reviews.

To register, see our Training Schedule.

So that's the brief version. And we encourage you to read on. Check out the rest of this page and the FAQs below. That way you'll have a good sense of all that we cover, how we cover it, and how you can be prepared.

Or read on, if you like more detail.

How can this benefit you and your practice? Here is what you'll be able to do after completing the course and clinic:

  • Correct old myths about massage and cancer. Earn clients' trust by explaining how skilled massage therapy will not spread cancer.
  • Build your practice and join the expanding specialty of Oncology Massage. Qualify for membership in the Society for Oncology Massage (s4om), and listing in the worldwide therapist locator service. Open your practice to a population that needs your work.
  • Work safely and effectively with people during cancer treatment. Modify massage using an innovative massage pressure scale, already in use in hospitals and cancer treatment centers. Use "The Four Medication Questions," to adapt massage to hundreds of cancer treatments (and without memorizing volumes of information).
  • Work confidently with clients post-treatment. Know which side effects of cancer treatment can last a lifetime, and how to modify massage to avoid aggravating them. Use "The Quadrant Principle" to work worry-free with clients who are years out of treatment.
  • Build alliances with oncology clients and health care professionals. Leave with time-saving intake and physician communication forms. Learn when and how to communicate with the client's health care team. Use our plain and simple scripts to teach clients and health care professionals about oncology massage.
  • Manage complex health information with ease and confidence. Use a simple "Decision Tree" to work with oncology clients as well as other medical conditions such as diabetes and heart disease. Apply a handful of easy-to-use principles, rather than rote memorization of information, so you can focus on your hands-on connection.
  • Work compassionately, with full presence. Through hands-on exercises, experience the soulful impact of skilled touch, and the power of your simple presence in service to your clients.

Erased SO MUCH fear of the unknown. I will be at ease to work with a much wider client base. Thanks! — Todd Kipfer, Rolfe, IA

This is the only workshop for which I showed up early, stayed engaged and excited throughout, and went home and reviewed my notes. I am so very grateful to you for guiding us and sharing your knowledge. This has been an amazing weekend. — Julie McCoy Gibson, Edmonds, WA

What do you receive in this course? We provide:

Written massage protocols for a wide range of client presentations.Written massage protocols for a wide range of client presentations.  You'll have guidelines for tumor sites, bone involvement, and vital organ involvement. You'll know how to modify massage for surgery, radiation therapy, chemotherapy, biologic and hormone therapy.  You'll leave with these in hand, in our manual, with clear explanations of when and how to use them.

Hands-on practice of key massage protocols.Hands-on practice of key massage protocols.  You'll practice a non-circulatory massage protocol, and techniques to use with a client who is ill from treatment or late-stage disease.  You'll learn a massage protocol for clients with elevated blood clot risk (which applies to many people in cancer treatment), and  another for people at risk of lymphedema.  We'll help you line up your massage pressures with our 5-level pressure scale, for consistent pressure guidelines in cancer and cancer treatment.

A primer of ten 'Radical Bolstering' techniquesA primer of ten "Radical Bolstering" techniques for easing symptoms and promoting sleep. When we first introduced these in the classroom, we had no idea how much fun they would become. Requiring no commercial bolsters, these wildly popular supports go beyond those introduced in massage school. Learn how "nested bolsters" and evenly-placed supports can make a huge difference in comfort for this population, and use the principles to create your own supports.

Essential information about lifelong tissue changes caused by cancer treatment, and guidelines for modifying massage post-treatment.Essential information about lifelong tissue changes caused by cancer treatment, and guidelines for modifying massage post-treatment. Work safely and confidently with your clients who are years or decades out of treatment.  Learn how to adapt massage to changing tissues over time.

Interview questions and a client health form for your client intake.Interview questions and a client health form for your client intake. Learn essential questions for clients with cancer and cancer histories. We tell you what to ask, suggest how to ask it, and show you how your client's answers require you to change how you massage.

Set of Principles of Massage Contraindications.Set of Principles of Massage Contraindications.  Simple principles eliminate the need to memorize huge volumes of specialized medical information. You'll receive these with examples of when and how to apply them to common client scenarios. Each principle can be used for hundreds of different client cases.

The 5-level 'Walton Pressure Scale.'The 5-level "Walton Pressure Scale."  Used at hospitals and cancer centers around the country, this simple scale can help you chart better, describe pressure to clients and physicians, and work more safely with people with cancer and cancer histories. Because most massage contraindications involve pressure adjustments, you receive hands-on instruction, illustrations, and written descriptions of essential pressure modifications. 

Exercises in quiet reflection and full presence.Exercises in quiet reflection and full presence.  We begin each day, and many of our hands-on sessions, with inspiring words, images, and deep reverence for our experiences of cancer and touch. We give each other the gift of "easy silence," and receive each other's truths without judgment or analysis. Each person is made welcome, at their own pace, to tap the depths of their personal experience for the strength, love, and healing to bring to their hands-on work.

Sample scripts for talking with clients about oncology massage.Sample scripts for talking with clients about oncology massage. Use our samples of sensitive communication to teach your clients about adapting massage to cancer and cancer treatments. When the need arises, gain their support for lighter pressure and other massage precautions. Practice setting thoughtful limits, while maintaining rapport with your clients.

A 'Side Effects Table' and a quick, easy way to identify massage precautions for most medications and cancer treatments.A "Side Effects Table" and a quick, easy way to identify massage precautions for most medications and cancer treatments. We'll show you the method. In class, you'll pull together massage modifications for common side effects of chemotherapy. Together we'll discover how easy it can be to make a massage plan and explain it to the client, no matter which medications they are taking.

Sample forms and tips for communicating with your client's physician.Sample forms and tips for communicating with your client's physician. We'll give you sample correspondence that you can customize for your own use. A physician approval form, some thoughts about how to make it work, and a sample oncology massage therapy care plan.

A supervised, hands-on clinic.A supervised, hands-on clinic. Apply what you learn before you go home. On day 4, we'll give you supportive feedback (written and verbal) for your work with an actual client volunteer. In our free massage clinic for people with cancer and cancer histories, you'll practice interviewing, clinical decision-making, and a full-length massage session with appropriate precautions.

In CE circles, a supervised clinic with real-live client volunteers is a rare opportunity.

This is not a test or exam, but a friendly learning experience that our students love and enjoy. Our clinics are warmly received by clients and the community, as well.

A 190-page training manualA 190-page training manual, plus other written materials designed to support your practice well beyond our 4 days together. You don't have to take many notes. Plenty of illustrations and resources for later.

A Certificate for 32.0 CE hours.A Certificate for 32.0 CE hours. If you attend the entire course and participate in the activities, you receive a certificate of completion. We are NCBTMB approved, Florida Board of Massage Approved (with 2.0 required hours of preventing medical errors), and recognized by the Society for Oncology Massage.

Eligibility for Society for Oncology Massage (s4om) membershipEligibility for Society for Oncology Massage (s4om) membership. The Society for Oncology Massage recognizes our 4-Day Intensive course as first step toward membership, which includes listing in the worldwide oncology massage therapist locator service.

How we teach — for 15 years, we've refined our approach

We engage our students in the art and science of oncology massage

Massage therapists use science, art, the heart, and the body. Massage therapists use science, art, the heart, and the body. We provide technical information about cancer, cancer spread, blood clots, bone involvement, chemotherapy, and many other topics. We link that information directly to massage practice, with hands-on protocols and interview questions. So yes, it's technical at times.

Yet throughout, we hold massage therapy close to our hearts. We make it all applicable. We spend time with touch, including the ways our hearts are touched by our work with people. Somehow the combination works.

“Lots of info was presented but it never felt rushed or crammed in. Great job of allowing input/diversions while still keeping us on track. Wonderfully understandable and organized written materials...I appreciate the emphasis on teaching us the clinical thinking skills that we can apply to any client with cancer...Heard from multiple people that this was the best continuing education they've ever taken.” — Laurie Fronek, Seattle, WA

We teach in a way that is fun, and you don't have to cram in a lot of memorizing.

While the course earns its name, “4-Day Intensive,” we make it manageable and fun. The manual and handouts save you from rapid note-taking, and we use learning shortcuts where possible. We put the “book learning” directly into practice in case studies and hands-on exercises. We address a variety of learning styles: visual, kinesthetic, and auditory. 

The clinic is a carefully planned event, scheduled for the final day of the course.“Good, good balance of lecture, discussion, hands on, breaks. Wonderful pacing, plenty of time for questions. One of the best classes, maybe the best I have ever taken. Thank you so much!” — Wendy Davis, Port Townsend, WA

We use a principle-based approach instead of piles of information to memorize. You can apply a handful of principles to any cancer scenario in any setting.  For example: There are four short questions to ask about any cancer drug, and each question is linked to a logical massage guideline.

Our students find our principles much easier to remember and apply than an overwhelming long list of cancer drugs, their uses and effects, and massage contraindications for each one. And when you learn our tips for looking things up quickly, you're in good shape whenever “you know what you don't know.”

“Thank you for making the Oncology massage course available, it has provided my clients great comfort and allowed me to serve them with greater confidence and a measure of grace.” — Michele de Jong, Colleyville, TX

There is a hands-on clinic, where you practice with a client with cancer or a cancer history

In the clinic, you interview, massage, and learn from a client with cancer or a cancer history. The clinic provides a training and support situation. It is a chance to apply the skills and concepts to massage practice. With a clinic, those skills don't languish when you return home and scramble to find a client with cancer or a cancer history. Instead, we find that client for you, and you work with them in the clinic.

About our TeachersThe clinic is a carefully planned event, scheduled for the final day of the course. We prepare behind the scenes so that you can have an optimal learning experience and sail into it with confidence.

Here are some features of our clinic:

  • The clinic is not a test.  It is a chance to practice and get your questions answered in a supportive environment .
  • Most of our practice clients are recruited ahead of time, and their health information is collected in advance of the course.
  • This means you have your client intake form the night before the clinic, with a chance to meet them on paper before you meet them in person.
  • It also means you can prepare for your client ahead of time, jotting down a preliminary massage care plan. You can identify massage precautions, jot down interview questions, and rehearse some new skills before the clinic.
  • We provide a customized care plan for your clinic client, to check against your own notes. This cuts pre-clinic jitters by about half. We find when students are less nervous, they learn better. Simple as that, but honestly, we know of no other CE course that provides this. (If you do know CE instructors who do this, tell us — we want to know them, too!)
  •  Before the clinic, you have an individual conference with your clinic supervisor to go over your client case, and identify the main massage approaches, interview questions, and scripts to use. You get your questions answered, along with moral support.
  • During the clinic, your supervisor is available for reinforcement and support.
  • Post-clinic, we have a roundtable discussion where you can learn from your classmates' clinic experiences, as well.

What our students say about the clinic:

“Best clinic experience I've had — ever. Very relevant.” — Lou Benson, Cambridge, MA

“It was great to have the time to review the paperwork and talk it over with the instructor and come up with a plan.” — Kim M., Vernon, CT

“The clinic allowed us to use what we learned. I learned that I made the right choice to specialize in oncology massage. So rewarding!” — Sharon Bertrand, Wadsworth, IL

“I had a great clinic experience, even though I was anxious and very nervous. The best thing was that when I got in control, everything came out the way it was expected to be. It was a wonderful and an unforgettable experience.” — Carmen Rios, Morovis, Puerto Rico

“The clinic complemented the week of study and put things into practice.” — Colin Sasser, Ruther Glen, VA

“From the clinic, I learned that even though I feel 'green,' I can do it.” — Sophie Hanson, Cambridge, MA

“Clinic materials were perfect for an anxious person.” — Jen Radasci, Otis, MA

About our Teachers

We support each student wherever she or he is.Our instructors have hundreds of hours of oncology massage behind them, and each one is full of client cases to share. They've been through rigorous training as well as many hours of classroom experience. Our instructors have strong classroom management skills, keeping our groups focused on task.

They are friendly, approachable, and humble. Each instructor has a unique brand of humor and wisdom. They share a deep joy and satisfaction in their work, and they love teaching about it. Read about each instructor and background on the Our Staff page.

“I just loved learning from Julie, Cindy and Nanci in Miami. They are all incredible, I could feel their passion and dedication and learned so much from them and from the other students. At first I was hesitant to take this course because I thought I might be more 'inspired' by taking one of the classes with Tracy, but I am so glad that I went to Miami.” — Laurel Mellon, Scottsboro, AL

“All were very approachable, knowledgeable, warm, and HELPFUL! Perfect.” — Judith Michaels, Wethersfield, CT

What about the emotions that come — will I be able to handle working with people with cancer? Will I be overwhelmed in this course?

If you share this concern, you are in good company. It is a common question.

It might even bring up a swirl of additional questions: “Will I cry? Can I hold it together? Will I be sad or depressed all the time if I work with people with cancer? How will I manage? Am I ready?”

In our experience, answering these questions is a sacred and individual process. We each answer them for ourselves, and the answers come from inside. In this course, we offer you thoughtful support for your experience, but we stop short of telling you what's true for you. These are some of the most important questions we face in this kind of work.  In fact, they are way too important to answer in a sound bite, a lecture on boundaries, or a short list of self-care tips.

We support each student wherever she or he is.Instead, we encourage patience with these questions, as they unfold.  We support each student wherever she or he is.  We welcome the full range of experiences that come up around cancer, cancer treatment, and touch.  We find that everything on the spectrum — from laughter through tears — can pop up in 4 days.

Over the years, we've observed that a room full of MTs learning oncology massage tends to be a most excellently supportive group, and you are likely to find good, solid company in whatever arises for you during the course.

In our experience, doing oncology massage therapy requires good support. That support may start in a classroom, but for many therapists, supervision of some sort is vital to their work, and to managing what comes up for them.  You may leave this course with a resolve to meet regularly with some classmates, in an ongoing peer support.

“It has been a heartwarming and soul-filling experience.” — Karen Venable, LMT, Raleigh, NC

Oncology massage can be used anywhere.

We support each student wherever she or he is.People ask us where they can apply the skills they learn in this course. Participants have put the work to use in hospital settings, home care, spa or retreat settings, outpatient clinics, private practice, franchise and hospice facilities.

In on-site massage and other high-volume settings, skilled oncology massage therapists can work without worry or concern.

Repeatedly we are told how well-prepared they feel.

“This class provided me with essential information that is making a powerful difference in the way I work with clients with cancer, as well as all other clients. Cancer and other serious illnesses affect all of us — as spouses, survivors, friends, family members, and as massage therapists. I now understand so much more about cancer and some of the ways I can safely work on people who are dealing with it.”
— Rebecca Auclair, Moretown, VT.

A story from the founder

And the path can also be lonelyIn massage school, back in the late 80's, I learned cancer contraindicated massage because massage might spread it. It never quite made sense to me, but I was brand new to the field then, and it seemed premature to question it. I learned it for the test. After graduation, I went to work in a busy spa and built my private practice.

I found out quickly that people with cancer gravitate toward massage therapy, even when we're ill-prepared to serve them. In my case, people in cancer treatment arrived almost immediately in my practice, specifically searching for healing touch for the journey. In my other life, teaching physiology and pathology in a massage school, I was facing down students who had the same questions I had about massage and cancer.

The need was clear, and I felt foolish and a bit lost. But I also felt a deep calling to make massage work for this population.

So I rolled up my sleeves and taught myself how to work safely with them. I dug out my cell biology textbooks from grad school. I read everything I could find on the subject. I asked advice. I met up with Gayle MacDonald, first, then other leaders in the field: Cheryl Chapman, Debra Curties, the MTs at Memorial Sloan-Kettering, MD Anderson. I took courses with Irene Smith and Dawn Nelson. I read and took part in research on people with metastatic cancer.

Tracy WaltonI learned and learned. And my clients taught me the most. They taught me about cancer, treatment, pain, healing, and triumph. On every imaginable level. They taught me that touch is a birthright, not an indulgence. They taught me that the relief and comfort that came from skilled touch were worth working hard for.

My clients taught me that touch could reach across isolation, stigma, and pain, and join people together. My heart filled to overflowing.

Eventually the body of work grew, and it became a system that I could share with a wider audience. This course started as a small study group in 1998, and it grew quickly to a 3-day course in 2000. People demanded more, we listened, and in 2011 it became a 4-day course. (That year, I also authored a general pathology textbook.

Today we have an outstanding teaching staff with decades of teaching experience and oncology massage practice. We've worked in hospitals, community centers, research settings, fundraising events, and private client sessions. We've taught thousands of massage therapists. We've taught in massage schools, spas, community colleges, conferences, and over the web.

The landscape is very different than it was when I started. A sea change has occurred. It continues.

We are joined in our efforts by the Society for Oncology Massage. As vast as its reach is, oncology massage remains a compassionate, unassuming field, driven by the hearts and soul of hundreds of caring massage therapists, and mindful of its humble roots. It is a wonderful community of practitioners, and I'm proud to be a part of it.

Timeline to Register

Most of our sponsors offer early registration at a substantial discount, and earlier registration is recommended.  Our courses fill quickly, often weeks or months in advance. Register soon if you want to ensure a spot.

How we handle cancellations and refund requests

We are hosted by various sponsors, with varying published withdrawal and refund policies, so check with the sponsor or click “more info” on our training schedule for the withdrawal policy at each site.

As far as refunds go, we want MTs to receive what they need, and meet the written objectives of the course at each site.

If for some reason you are not satisfied with our 4-Day Intensive Oncology Massage Therapy course, please let us know. We want you to learn what you need to learn. If you attend the entire session, participate fully in the exercises, and apply yourself at the clinic and you are still unhappy with the course, then talk with your sponsor about it. Or, if we self-sponsored the course, talk with us.

"I had been told by another massage therapist that this was the best continuing education training she had done in her 10 years of taking classes. Even so, this training far exceeded my expectations.”
— Nan Colton, Shoreline, WA

At-a-glance summary of what is included in the 4-Day Intensive, “Oncology Massage Therapy: Caring for Clients with Cancer:”

Friendly, thoughtful tableside instruction

Friendly, thoughtful tableside instruction

A mix of teaching methods for all kinds of learners

A mix of teaching methods for all kinds of learners

Cases and examples to work through in class

Cases and examples to work through in class

Written massage protocols

Written massage protocols

Hands-on practice of key massage protocols

Hands-on practice of key massage protocols

Primer and practice, 'Radical Bolstering Techniques' for pain relief

Primer and practice, 'Radical Bolstering Techniques' for pain relief

Massage guidelines for surgery, radiation, chemotherapy, and other common cancer treatments

Massage guidelines for surgery, radiation, chemotherapy, and other common cancer treatments

Sample intake form and follow-up interview questions to use with your oncology clients

Sample intake form and follow-up interview questions to use with your oncology clients

Principles instead of facts to memorize

Principles instead of facts to memorize

A massage pressure scale to use with clients, in charting, and in communicating with health care providers

A massage pressure scale to use with clients, in charting, and in communicating with health care providers

Exercises in quiet reflection and full presence

Exercises in quiet reflection and full presence

Sample scripts for talking with clients about oncology massage.

Sample scripts for talking with clients about oncology massage

A fast, easy way to identify massage precautions for medications.

A fast, easy way to identify massage precautions for medications

Tips and sample forms for communicating with physicians

Tips and sample forms for communicating with physicians

Supervised practice clinic on the last day  — you can use what you've learned before you go home

Supervised practice clinic on the last day — you can use what you've learned before you go home

Your clinic client's health form provided the day before clinic, so you can get a head start on the massage plan

Your clinic client's health form provided the day before clinic, so you can get a head start on the massage plan

Customized care plan for each clinic client, a way to check your work before the clinic starts

Customized care plan for each clinic client, a way to check your work before the clinic starts

A conference with your clinic supervisor before clinic

A conference with your clinic supervisor before clinic

190-page manual so you can spend class time learning, instead of taking notes

190-page manual so you can spend class time learning, instead of taking notes

32.0 CE hours, NCBTMB-approved

32.0 CE hours, NCBTMB-approved

Eligibility for membership in the Society for Oncology Massage and listing in the therapist locator service

Eligibility for membership in the Society for Oncology Massage and listing in the therapist locator service

“I loved how you offered case studies to learn from.  The flexible approach in how you presented them and got the students engaged made me feel like my answers were just as important as yours.  It offered me a chance to obtain new  knowledge while trusting my own judgement at the same time.” — Jennifer Bloch, RMT, Toronto, Ontario

Frequently Asked Questions about the Oncology Massage Therapy 4-Day Intensive Course

Will I be able to use the course information right away, or will I need more training first?

The content and delivery are designed to be usable right away with clients. Our students report putting the work into practice the next week, with great success.

“Clean, clear, specific and immediately applicable.” — Stephanie Manion, Seattle, WA

Is 4 days long enough? Can I learn all I need to learn?

We cover a lot of ground in 4 days. You will leave with a great foundation for your work. From here, you may go on to take related courses in hospital-based massage, lymphedema care, or even advanced treatment of scar tissue. But the 4-Day Intensive provides plenty for you to take, turn around, and get right to work.

“I can't tell you what it has done for my confidence as a new therapist! So, from the bottom of my heart, thank you.” — Jessica Johnson, Austin, TX

I already see clients with cancer (Or, I've been in practice a long time.) Will this course be too basic for me?

It probably depends on your experience and how much oncology massage literature you have read, but many seasoned MTs have taken this course and benefited from it. They receive reinforcement for the work they are already doing in the world, or go home with a stronger framework for their clinical decision-making with their clients. And almost everyone takes home new information and things to try with their clients.

“This will be most helpful in the work I am currently doing at the hospital.  The skills I have learned will help me to further understand the patient's diagnosis  and to be able to communicate more effective with my superiors as well as the families of the patients.” — Joan McNeil, St. Johns, FL

“This is the BEST cont. ed. course I have ever taken.  EVER.  I have thought many times to write and let you know how much my training with you has impacted not only my practice, but me as a practitioner. I use the bolstering techniques with everyone now and many have noticed and commented on the difference.  I have realized how much I love offering therapeutic, compassionate touch for people who are in a very difficult place and just need some time and attention on their healing process.”  — Brandi Miss, Kitty Hawk, NC

If you are unsure about whether the course is the right level for you, send us an email and let's talk by phone about your background before you sign up.

How is the 4-Day Intensive different from your webinars or other online courses? Can I get this material in less time, or online?

This is a face-to-face course with a clinic, offered in real time, with hands-on instruction, exercises, and Q&A  in an interactive environment.

In contrast, our pre-recorded webinars are self-paced, there is no interaction with the instructor, and obviously no hands-on instruction or clinic. In our short online courses, we are able to share some important information and concepts about massage and cancer, but we are limited to that. There is no chance to build skills and confidence, and no chance to check hands-on work.

In our experience, most MTs need good face-to-face instruction to work safely and well with people with cancer. We know this because MTs tell us this, and because the many questions that come through our office are requests from MTs to drill the information down to a short list of guidelines.

The principles and practices of oncology massage cannot be summarized in a sound bite, or two or three.

Some MTs are able to teach themselves about this work, using webinars, books, and articles. These successful self-taught MTs start with strong hands-on skills, good body mechanics, and an ongoing time commitment to a depth of education. They tend to have a strong grasp of the sciences, and some experience with medically complex populations. If you go this route, be sure you are teaching yourself with everything you can find on massage and cancer. This includes whole books and chapters of textbooks, researching a growing body of articles on the topic, and good online instruction. 

If you want to specialize in oncology massage or make this population a focus in your practice, we strongly recommend face-to-face instruction with us, or with another provider who is recognized by the Society for Oncology Massage.

“This is bound to change the direction I go in years ahead.” — Tom Van Horn, Hamden, CT

“I feel prepared to approach any situation using your decision tree concept, whether for cancer/history or other medical situations which might require a different approach. Not having to turn someone away from receiving massage, especially someone for whom massage would be a benefit on so many levels, is the most valuable gift you have given us through this course.” — Carol Mathewson, Morristown, NJ

There are several oncology massage courses to choose from. How is yours unique, and how do I decide which to take?

Oncology massage is a rapidly growing field in massage therapy and new courses are being added all the time. Your best resource is the Society for Oncology Massage, which sets clear standards of practice and recognizes instructors that meet them.

Go to the S4OM website for the full list. Investigate available courses, look at different websites, look at each syllabus, and read the FAQs. Look at reviews and testimonials. Ask to speak to previous participants. Question the instructors.

No single course — not ours, not anyone's — is right for everyone. You'll figure out which one is a good fit.

Several things make our course unique:

  1. It is one day longer than the minimum 3 days required by the Society for Oncology Massage.  Even so, it's packed. After 15 years of teaching this to thousands of people, we see what's essential to doing this work well, and we need 4 days to get it all in.

  2. We are told that we “teach people to fish,” rather than giving them fish. We teach principles and thinking processes, not just information. We do this for two reasons: 
    -It cuts down on the information you have to memorize (big hooray there).
    -Instead of memorizing a huge range of cancer presentations and massage precautions, you leave our course with the tools you need to manage that range of presentations. This saves you and your clients time and grief, there is less fumbling for information. 
  3. The system we offer works with other common conditions, too. You'll have a framework for conditions such as diabetes, stroke, cardiovascular disease, liver and lung disease, and even osteoporosis. You are likely to come away with new material, a fresh perspective, and some useful tools for your general practice.

    “The MOST helpful portion of this course is the HANDBOOK!” — Ellen Bass, Verona, WI

  4. Our hands-on instruction includes practical tools, and we focus on the heart and soul of massage therapy. We teach bolstering and positioning techniques that we have found, in practice, to be essential for client comfort and pain relief.  Our clinic is carefully structured and prepared, down to the last detail.

“My experience with the Oncology Training program was truly extraordinary. I've hit the ground running and started working on Oncology clients as soon as I returned to NJ. I currently see several Oncology clients per week and my book is building :-). It's fantastic!” — Heather Disbrow, Browns Mills, NJ

I've already taken __________'s class in oncology massage. Will this be redundant?

Many MTs train with more than one oncology massage instructor, to deepen their experience in this specialty and to hear additional perspectives on the work.  We all have slightly different teaching styles, and different approaches to common concepts. For depth and the variety, we recommend attending more than one oncology massage training.

Yes, expect some overlap if you've made the rounds of courses. Yet those who have taken multiple oncology massage courses tell us ours was a joyful review rather than tedious repetition. We welcome you in our class.  

“Felt I learned a lot not only about working with cancer patients, but info that can be used for other populations.” — Suzzanne Madden, Waterbury, CT

Is individual help available during the course?

We plan for you to receive individual help throughout, as needed. We are accessible and open. You can catch us on a break or after class for questions.

“To Nanci and Cindy:  I couldn't have asked for better, kinder, more helpful, funnier teachers.  It was such a pleasure to learn from you and to be in the class.  Thank you for everything!"  — Elana Behar, Jackson Heights, NY

This course seems expensive to me. Why does it cost what it costs?

Although the price per CE hour is pretty standard, it can add up when you multiply by 32.0 hours!

There is plenty of individual attention, from highly skilled faculty. We have a high faculty to student ratio, and superbly trained faculty. Learn about the instructors here.

You leave with high-quality training materials — over 200 pages of usable, re-usable, in-depth information and resources. We consistently hear from students that our training manual is the best they've seen.

In a word, the clinic, and the preparation behind it. The best learning comes from a supervised practice clinic, with clients  with cancer histories.  A practice clinic is uncommon in CE courses, and some clinics are thrown together in haste. But we put a lot of thought and preparation into ours.

The rewards are great: Our students consistently tell us these things sealed their learning experience. They have the confidence and skills to apply what they've learned.

“What I learned compared to the price I paid, I got the better end of that deal.”  — Tom Broderick, Palatine, IL

“The 4-day oncology massage workshop was one of the finest programs I've ever attended! While the initial cost was a bit daunting, it was worth every penny (and then some!)” — Laura L. Anderson, East Hampton, CT

Are there any shorter, less expensive alternatives to the 4-Day Intensive?

We offer two webinar series on massage and cancer, and individual webinars on demand.  These are great ways to try out our work. But nothing replaces a face to face course, with multiple hands-on practice sessions and a supervised clinic. Using this formula, our teaching team and sponsors provide a wonderful learning experience that is hugely popular after 15 years of fine-tuning.  Our students tell us they learned and grew on all levels.

“I've been implementing some of the bolstering techniques with my patients with success. I've also implemented your pressure level scale in my SBAR notes. (Similar to SOAP notes)  Your training was wonderful, I only wish I had had it sooner!” — Deb Farmer, Eau Claire, WI

Will this or another course “certify” me in oncology massage?

You will receive a certificate of completion for 32.0 CE hours at the end of our 4-Day Intensive. Our 4-Day Intensive qualifies you to apply for membership in the Society for Oncology Massage, and listing in their Oncology MT locator service.

That's the short answer. The longer answer?

We don't use the term “certification.”  We do prepare our students in oncology massage, but we just don't “certify” them.

The Society for Oncology Massage discourages the use of the term, “Certification” after a foundational course. Instead, they reserve the term for more advanced, extensive courses. Because we are recognized by S4OM, we follow those guidelines.

When MTs ask us about certification, it usually reflects a question about preparation.  We prepare our students to work with people with cancer and a broad range of conditions. The principles we teach can be used in any setting, from private practice, to hospital, to franchise or spa. 

But there's more, because the term “certification” is a bit fuzzy in massage therapy continuing education. For our thoughts on that, visit here.
For our thoughts on what you can put on your business card after you complete this course, visit here.

Is any advance preparation required for this course?

There are a few articles for you to read ahead of time. We'll send you links to download them for free. Articles are designed to uplift and inspire, as well as introduce you to the systems we use in oncology massage. We also suggest two textbooks, one by Tracy Walton and one by Gayle MacDonald. The textbook purchases are optional, but we send you information about discounts where applicable.

Will I be able to work in any cancer setting after this course?

Course participants have gone on to work in hospital settings, home care, spa or retreat settings, outpatient clinics, and hospice facilities. They tell us repeatedly how well this course prepared them for those settings.

I have a client who's been out of cancer treatment for a year. Will we learn about massage adaptations for cancer survivors, not just people with active cancer?

Yes. There are several critical adaptations to massage that are necessary for years, even decades after cancer treatment. Some are lifelong contraindications. We introduce these in the course, and even practice some of the hands-on modifications.

Will this course really prepare me to work with people with cancer?

Our students tell us overwhelmingly that it does, and they turn around and use their training the next day in their private practice, hospital, clinic, franchise, or spa. They tell us they can not only manage the cases we covered in class, but also apply the principles and skills they learned to unfamiliar client cases. We love hearing this, again and again. The information and skills are immediately usable.

This student wrote us 3 days after she completed the course:

“I had my first oncology client yesterday and I needed to tell you that it was amazing. And THIS is what I want you to know: I felt absolutely confident that I knew what I was I doing. I KNEW what I was doing!!!! I was thorough in my list of questions and new my adjustments and had my pillows and towels and was ready. The session went beautifully and my client went to sleep which was his goal. I really just want to say thank you :)”  — Virginia Vickers, Scituate, MA

Are there jobs available in oncology massage?

The number of jobs specifically in oncology massage is unknown. There is no real data on this question.

But people with cancer and cancer histories seek out massage in every setting. During treatment and post-treatment, clients look for massage support from spas, franchises, massage schools, clinics, and therapists in private practice, whether or not the therapists are prepared to see them.

And if you do want to specialize, oncology massage is a good niche. There are not enough massage therapists doing the work. Increasingly, jobs are showing up in hospitals, spas focused on cancer care, and other settings where specific oncology training is needed.

In 2014, the National Center for Health Statistics projected more than 1.5 million new cancer cases. If you are prepared to see people with cancer, using care and skill, there is work for you.

I want to work in hospital. Are there hospital jobs out there, and will this course prepare me for them?

To our knowledge, no one is tracking employment in oncology massage or hospital settings, so we do not have any data to provide you on this front. The closest we've seen to meaningful data is an AMTA white paper, “Working in a Health Care Environment.”

Many MTs take courses in oncology massage or hospital-based massage hoping to gain employment. Some arrive at the course with the support of a hospital wanting them to launch a program upon their return.  Others have great luck reaching out to hospitals after taking the course, and are launching programs, volunteering, or even working in hospital settings soon after they take the course. Still others try for years to get employment or develop an MT program at a local hospital, with no success.

Experts in hospital-based massage tell us it's often really difficult to get things started. In our webinar series on hospital-based massage, they shared valuable insights and information, but also told us about challenges and obstacles along the way.

If you want to work in a hospital, you will need to be persistent, patient, and prepared.

There is no telling what awaits you after taking this course, or any other. However, if you have hospital massage aspirations, oncology massage training is an important part of your preparation. Why?

  1. If you take a foundational course, you are ready to get hands-on practice at home, in whatever setting you work.
  2. If you have hands-on experience behind you, you are more likely to be ready when a hospital-based massage opportunity arises.

Most of our curriculum can be applied to the hospital setting, including hands-on massage adaptations, clinical reasoning skills, bolstering techniques, and tools for communicating with medical staff. Some of our students come from hospital settings already, and some start with us, then go on directly to work in hospital settings.

That said, there are many fine hospital-based massage programs, some of them listed at the Society for Oncology Massage. Requirements vary, but you're more likely to succeed in a hospital-based massage therapy course, after a good foundational oncology massage course.

Can you help me start a program in a hospital?

Yes and no. We can help you with some of the skills, but not the program development part.

Because hospitals often look for oncology massage therapy skills when they hire, it's important to have those skills, and this course is one foundation.

If you want specific information about starting or building a MT program in a hospital, or how to work within hospital culture, you will want to take a hospital-based massage training where you can practice hands-on work within a medical center. There are several listed at the s4om website. You will not find these topics in our 4-day course. 

If you'd like a lot of hospital-based massage therapy wisdom in one place, we have a popular webinar series in which Tracy Walton interviews 5 hospital-based massage experts, with about 75 years of experience between them. They share survival tips, business models, and plenty of wisdom about the work.

I want to work with children with cancer. Do you cover pediatric oncology massage?

Again, yes and no. You'll take away principles from our course that you can use with many populations, including children with cancer. However, if you have a special interest in pediatrics, we recommend you take one of the fine courses available in pediatric massage, especially for children with special health needs.

Do you cover the research on massage and cancer in this course?

While it is not explicitly covered in the 4-Day Intensive, we cover research elsewhere in our webinar series, “Cancer Care and Massage Therapy.”  We feel strongly that if oncology massage therapists offer massage research to promote the work, that we are better off with the strongest studies out there. In this webinar, we review several key studies in oncology massage, look at their strengths and weaknesses, and discuss how to use them in our promotional materials.

Do you teach lymphatic drainage? I want to learn how to treat clients with lymphedema. Which training should I take? Which ones will certify me?

We do not teach MTs how to treat lymphedema. Lymphedema care requires many of hours of training in manual lymph drainage (MLD) and theory. MLD is a highly specialized modality that involves bandaging as well as manual techniques. You'll need to get that training elsewhere. We have a few thoughts to guide you in that search here.

In our 4-Day Intensive, we teach how to adapt conventional relaxation massage techniques in order to work safely with people who have lymphedema, or are at risk of it. We cover this thoroughly because, done incorrectly, Swedish massage techniques can aggravate or trigger lymphedema. So we show how to avoid injury.

What are the next steps, after completing the course? Do you have more courses to take?

For those wanting additional support in building an oncology massage practice, we have a small-group Advanced Mentorship Course.  Those wanting an occasional refresher can view our many webinars that reinforce the skills and concepts you learn in the course.  There are two series on cancer care and massage, and one on hospital-based massage therapy.

“It was a privilege and an honor to take this class. I already had been blown away by the 4-Day Intensive last summer, but the mentorship was absolutely extraordinary.” — Marie-Christine Lochot,
Montclair, NJ

Approvals? Are you approved by NCTBMB? By the Florida Board? New York? Nursing CEUs?

We have been approved by NCBTMB since 1999. We are approved in Florida, and this course meets the 2.0 hour "prevention of medical errors" requirement there. In the past, we have been approved in British Columbia and Ontario. We are not approved in New York. We are not currently approved for nursing CEUs in any state.


Graduation from at least a 500-hour professional massage therapy program or equivalent. Advanced students who have completed pathology coursework and some clinical experience, by approval of the instructor. Other health professionals may register, but check with us first to make sure it is a good fit.

I have a hearing (or vision) impairment. What steps do you take to make sure I can learn?

Please let us know well in advance, so we can assist you. For some situations, we need weeks or months lead time. Registrants with visual or hearing impairments, or special learning needs are asked to contact Tracy Walton & Associates in advance of the workshop and identify themselves so that the environment serves your learning needs.

English is my second language. Will I be able to get what I need from this course?

The best way to answer this question is to look back at your learning experience in massage school. If your language skills were strong enough to succeed then, you are likely to succeed in this course. We teach using visual aids, extensive handouts, and hands-on practice. You will have to take a few notes, but most are written down for you.

May I record the course?

You are welcome to make an audio recording of the course for your own personal use. Short video segments, such as hands-on demonstrations, are also fine for personal use. Nothing longer, or we'll have to worry about wardrobe and hair. And please do not post/publish recordings online or use them for any other purpose, without written permission from us, first.

What is the daily schedule? I am concerned about …(fill in the blank — child care, pet care, elder care, airline schedules, my body holding up for 4 days).

The usual day is 9-6, but this varies by location. Sometimes it is 8-5, or hours are shifted around classroom space schedules.  To find the daily schedule of the course you are interested in, click on “More Info” next it in the training schedule.

We have had students with physical concerns such as a back problem, injury, or chronic illness. In general, they tell us they tire after long days, but some feel energized, as well.

The hands-on techniques tend to be gentler and easier than the usual heavier pressures. That said, it's an intensive course, with long days, and a clinic at the end. In particular, Day 2 tips the balance toward desk-learning more than table-side learning.

We need you to be there and engaged, all 4 days, participating in all hands-on lessons.  Because it's a long course and a serious commitment — you know when you should or shouldn't push yourself.

“It was a great class, actually the best continuing education class I have attended bar none.” — Mitchell Loss, Albany, NY

May I miss the first few hours? Or the last day, the last few hours?

In a word, no. To receive the certificate of completion for 32.0 CE hours, you need to be present for all of those CE hours. And clinic participation is an absolute requirement for membership in the Society for Oncology Massage. We count on you being there for the full length of the course. Please schedule your travel plans around this.

Do you offer scholarships? Discounted tuition?

We do not offer scholarships or discounts through our office.

Will you take a deposit, and can I pay in full at a later date?

Some of our sponsors (the massage schools and cancer centers who host us) are set up to do this. If you register for a course sponsored by a massage school or other facility, ask the sponsor what the terms are and if they can accept a payment plan.

We are not set up to do this when you register with us directly through a “Register” button on our training schedule.

Although we need payment in full at the time of registration, when you register with us, you may be able to pay through PayPal credit, which offers 0% interest and 0 payments for 6 months.  Click on the PayPal Credit banner to learn more.

PayPal Credit is a new offering through PayPal, with no interest or payments for 6 months. You'll have the option to apply when you register. Click on the PayPal banner at right to learn more.

What is your withdrawal and refund policy?

Find out from the training schedule page by clicking on “More Info” next to the offering you are interested in. Different policies may be in force at different training sites. 

If you register for the course through us, you'll find the withdrawal and refund policy in the “More Info” box.

If you register through a massage school CE program, click on the link to their CE website for their withdrawal and refund policy.

More Questions?

Frequently Asked Questions about Oncology Massage in general can be found on our FAQ page.

Questions about training dates, locations, tuition, and registration can be found on our Training Schedule page.

You may have a lot of questions about this course. If our Training Schedule page or the FAQ's above haven't answered them, then please send your questions to us in the form below, and we'll answer them shortly.

QUESTION FORM — fill in the blanks

Oncology Massage Therapy 4-Day Intensive  - Priority Contact

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Course ApprovalsTracy Walton & Associates is a NCBTMB Approved Provider

Tracy Walton & Associates is approved by the National Certification Board for Therapeutic Massage and Bodywork (NCBTMB) as an approved provider, #283404-00.

Tracy Walton & Associates is approved by the Florida Board of Massage Therapy, provider # 50-13512.

Selected training is recognized by the Society for Oncology Massage.

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