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, is more than a relaxation technique — it is an ancient healing practice officially recognized by UNESCO in 2019 as part of the Intangible Cultural Heritage of Humanity. This recognition confirms the cultural and holistic importance of Thai massage as a wellness tradition passed down through generations.

Interest in traditional Thai massage is also growing in Belgium — both as a wellness treatment and as supportive therapy for pain and tension. According to the Belgian health data from Healthy Belgium (Sciensano) , back, neck, and muscle pain are among the most common physical complaints in the country — precisely the domains in which massage therapy can play a valuable role.

Health Complaints in Belgium

In 2018, 12% of Belgian adults reported lower back pain, 7.8% neck pain, and 18% osteoarthritis, according to Sciensano. This represents nearly 2.5 million Belgians experiencing musculoskeletal problems each year. The total economic burden of these conditions is estimated at over €5 billion annually, including both healthcare costs and lost productivity.

Visual overview

These figures explain why more Belgians are turning to massage as a complementary therapy for pain and stress. Massage can help relieve muscle tension, improve circulation, and promote recovery — effects that are supported by multiple scientific studies. While many people first consult a physiotherapist, it’s becoming increasingly common for therapists to refer clients to Thai massage as complementary care to support healing.

Scientific Research on Massage

A large-scale umbrella review published in JAMA Network Open (2024) analyzed over 100 clinical trials on massage therapy between 2018 and 2023. The conclusion: massage shows a moderately reliable effect on pain reduction, especially in the short term. The review emphasized that massage can serve as a valuable adjunct therapy, particularly for chronic pain and stress-related conditions.

At NaSiam, we observe that more and more clients return with chronic pain complaints, reflecting the growing recognition of massage as a supportive treatment in long-term pain management.

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 systematic review from 2015 found that Thai massage can reduce pain, anxiety, and stiffness in chronic pain patients by 25–80%, supporting the traditional belief that Thai massage restores balance to the body through energy and muscle harmony.

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 not only a cultural tradition but also a scientifically supported wellness practice. With its UNESCO recognition and increasing relevance in Belgium, it fits perfectly into a modern view of holistic health and balance. Research from Sciensano, JAMA Network Open, PubMed, and Cochrane confirms that massage can provide relief from pain, tension, and stress — when applied correctly by trained professionals.

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!