Thai Massage in Belgium: Facts and Figures 2025

Short answer

Yes, Thai massage in Belgium is clearly growing as a complementary wellness and recovery option. Sciensano data shows a high prevalence of musculoskeletal complaints, while international studies suggest massage can support short-term pain relief and relaxation when applied correctly.

Introduction

Thai massage, or Nuad Thai, was inscribed by UNESCO in 2019 as Intangible Cultural Heritage of Humanity. This is cultural recognition, not proof of medical effectiveness.

Traditional Thai massage is offered in Belgium mainly as a wellness service. Healthy Belgium (Sciensano) describes musculoskeletal disorders as an important source of disease burden, but that does not establish massage as treatment for those disorders.

Health complaints in Belgium

The current Healthy Belgium (Sciensano) page describes musculoskeletal disorders as an important source of disease burden. Earlier figures on this page mixed definitions, years, and cost estimates, so we no longer publish a homemade total or outdated prevalence table here.

Visual overview

General complaint statistics do not establish that massage is an appropriate treatment. Massage may support temporary comfort, but it does not replace diagnosis, physiotherapy, or medical rehabilitation.

Scientific research on massage

A systematic review published in JAMA Network Open (2024) found that certainty of evidence for massage and pain was generally low or very low. A few pain contexts showed small short-term effects with moderate certainty. This does not justify presenting massage as treatment for chronic pain.

An earlier Cochrane review on low back pain (2015) also concluded that massage outperforms rest or no treatment for short-term pain relief. The authors noted clear benefits in muscle relaxation and temporary mobility improvement, although regular movement remains the primary medical recommendation.

Thai massage: traditional and effective

Thai massage combines acupressure, stretching, and rhythmic compression. Clinical studies — including a randomized trial published in Complementary Therapies in Medicine (2020) — show that Thai massage significantly reduces pain scores for back and shoulder pain and is safe when performed correctly. That’s why all NaSiam therapists are certified professionals.

A 2024 systematic review concluded that certainty of evidence for massage and pain was generally low or very low. A few pain contexts showed small short-term effects with moderate certainty. This does not support a fixed percentage improvement or an anatomical claim about energy lines.

Aromatherapy and deep tissue massage

In addition to Thai massage, NaSiam also offers aromatherapy and deep tissue massage, both supported by scientific research:

• Aromatherapy (PubMed, 2020): A meta-analysis of 20 RCTs found that aromatherapy (e.g. lavender, citrus) significantly reduces preoperative anxiety.
• Deep-tissue massage : A randomized clinical trial showed that deep-tissue massage for chronic low back pain improved both pain and functional mobility; adding NSAIDs provided no additional benefit.

While these massage styles differ in technique, they share one common goal: restoring muscle balance, relaxation, and circulation.

The massage industry in Belgium

Statbel does not publish specific figures on the number of massage salons or practitioners in Belgium. However, there is a clear upward trend in new salons and independent massage professionals, suggesting a growing demand for qualified experts.

It is important, however, to remain cautious: ‘masseur’ and ‘masseuse’ are not protected professional titles in Belgium. In practice, anyone may use these titles, regardless of their training or background. Fortunately, there are a few ways to ensure you are dealing with a qualified professional:

1. Consult the website of the Belgian Massage Federation for accredited members and recognized training programs.
2. Ask the salon about the education and certification of their massage therapists.
3. Don’t hesitate to communicate your expectations clearly, both before and during the massage session.

Conclusion

Thai massage is a cultural tradition and a wellness choice. UNESCO recognition concerns heritage, while the clinical evidence varies by context and is often uncertain. Massage does not replace diagnosis, physiotherapy, or medical treatment.

At NaSiam, we combine these time-honored techniques with care, calm, and respect for the body — uniting science and tradition in one restorative experience.

Frequently asked questions

Is Thai massage a protected profession in Belgium?

No. The titles masseur and masseuse are not legally protected in Belgium, so checking credentials is important.

What do belgian health figures show about pain complaints?

Sciensano data indicates that back and neck pain are common among adults, which helps explain the demand for supportive therapies.

Can massage replace physiotherapy or medical care?

No. Massage is complementary care and does not replace medical diagnosis or treatment when needed.

Which massage types are best researched?

General massage, deep tissue, and aromatherapy have all been studied, with the strongest evidence typically in short-term pain and stress outcomes.

How do i identify a reliable massage practice?

Look for a clear intake process, transparent communication, visible training credentials, and a therapist who adapts to your comfort level.

Book your appointment at NaSiam!