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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

49 Pa. Code § 20.41. Scope of practice.


§ 20.41. Scope of practice.

 (a)  Massage therapists apply a system of structured touch, pressure, movement, holding and treatment of the soft tissue manifestations of the human body in which the primary intent is to enhance the health and well-being of the client. Massage therapy includes:

   (1)  The external application of water, heat, cold, lubricants and other topical preparations.

   (2)  Lymphatic techniques.

   (3)  Myofascial release techniques.

   (4)  The use of electro-mechanical devices which mimic or enhance the action of the massage techniques.

 (b)  Massage therapy practice does not include:

   (1)  The diagnosis or treatment of impairment, illness, disease or disability.

   (2)  Medical procedures.

   (3)  Chiropractic manipulation—adjustment.

   (4)  Physical therapy mobilization—manual therapy.

   (5)  Therapeutic exercise.

   (6)  Ordering or prescribing drugs or treatments for which a license to practice medicine, osteopathic medicine, nursing, podiatry, optometry, chiropractic, physical therapy, occupational therapy, or other healing art is required.

   (7)  The application of high velocity/low amplitude force further defined as thrust techniques directed toward joint surfaces.

   (8)  The use of equipment or devices that require a prescription (for example, ultrasound, diathermy or electrical neuromuscular stimulation).

 (c)  Licensure under the act may not be construed as requiring new or additional third-party reimbursement or otherwise mandating coverage under 75 Pa.C.S. Chapter 17 (relating to financial responsibility) or the Workers’ Compensation Act (77 P. S. § §  1—1041.4 and 2501—2506).

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