I'm not an expert on Shiatsu, nor am I a teacher of Shiatsu. My youngest daughter did study in Vienna prior to becoming a Naturopathic Doctor, ND. She showed me a few simple tricks that anyone can use. Essentially, Shiatsu works with the least amount of stress on the practitioner. She showed me how to use my elbows instead of straining my fingers when loosening tight muscles in the shoulders. Simple and effective.