Ashiatsu, a close cousin to shiatsu, is an ancient East Asian massage technique where the massage therapist utilizes her hands and feet to manipulate pressure points on? the body. Although ashiatsu is not found on most spa menus in the U.S., it has been performed by Buddhist monks for thousands of years. In Japanese, the word translates as “foot” (ashi) “pressure” (atsu). Different styles of barefoot massage have origins in China, India, Japan, the Philippines, and Thailand. Often a balancing prop is utilized such as ceiling bars; other times it is performed on a floor mat.