Ashiatsu is a ancient bare foot massage system that includes the masseuse only using their hands in addition to the consumer's feet. A masseuse will often have someone lay face down on a massage mat with their legs raised up on blocks. They are going to then use freeweights, straps, pliers, poles or even chairs to support themselves within the customer. They may then work massage strokes on their own heels or hands with their thumbs, fingers, pliers, pliers, elbows, knuckles and sometimes their hands on. While the massage is performed, the consumer may be required to break their elbows on small cubes placed on the floor.