As other reviewers have said...Joseph is the best massage therapist I have ever had...and I've had some really good ones. It does take caring, sensitive and strong hands to go deep when needed. in a few visits Joseph has targeted decades of built-up stress in my neck, shoulders and back. At one point I went to the emergency room thinking I was having a heart attack from pain running across my chest and down my left arm. After the whole stress test cardiology evaluation; my heart was fine...decades of built-up stress was the problem.. Tension in my neck was sending this pain down my chest, shoulder, and left arm. Joseph found those knot points and went as far as he thought he should in each session...he obviously knew what he was doing because after each session I was so much better with minimal trauma pain from his very deep work. Joseph is very warm, caring, friendly, professional, and also offers good counsel for your situation...Very fortunate to have him in Lexington, ky.