Acupuncture Regulation

gina c

Member
Joined
Feb 10, 2010
Messages
47
Reaction score
0
Points
6
Dear All,
It seems that the regulation of acupuncture and herbal medicine is a bit of a hot topic at the moment, so I thought we ought to have a new discussion, since it really isn't anything to do with Five Element Acupuncture!

Below is a link to the Department of Health's draft regulations for State Regulation of the Acupuncture and Herbal medicine professions.

http://www.dh.gov.uk/Consultations/ClosedConsultations/ClosedConsultationsArticle/fs/en?CONTENT_ID=4083508&chk=9dE%2B/o

When this first came out I read it cover to cover and although at first, it seems fine, the devil is really in the detail.

These regulations have undergone many changes, and dozens of people are working really hard to get them into some sort of state that would be acceptable to the majority of acupuncturists and herbalists. It's a tricky job though, with dry-needlers having to come under the same set of rules as acupuncturists using a Chinese diagnosis, and acupuncturists and herblists all coming under the same regulations.

I think the lastest issue is that the powers-that-be are trying to make a common set of standards to which all acupuncturists must adhere. The danger with this, as I think one of you already mentined, is the possible dumbing down of acupuncture, as we move towards the lowest common denominator (dry-needlers) being the only standard which can apply across the board. We are in danger of being dragged down to the level of the dry-needlers, with nothing to distinguish between us and them.

(Not so different to the current situation then!)

Aragorn, I know you mentioned that the acupuncturists may end up shouldering the burden of the herbalists' regulation, but in fact, I think it may be that the herbalists are on a more successful track than the acupuncturists with regard to having a sensible set of regulatory guidelines to work to. Maybe acupuncturists ought to consider that herbalists (who work to a more traditional diagnosis) are better allies than doctors as they are also working to protect the traditional methods.

What are people feeling about this? How much does anyone know about it? What do the public know?

Bonny
 
Hi Bonny
Good to have you back!

First off I would take issue with you saying "being dragged down to the level of dry-needlers". With respect, this is a pretty derogatory way to refer to a large group of therapists who use needling techniques to bring about valuable pain relief to thousands of patients.

I have no understanding at all why dry-needling therapy is called acupuncture, or why the misnomer continues to be perpetuated. Dry-needling is, as far as I am aware, almost always used in conjunction with a primary therapy, and the combination can be very effective. A dry-needler is not an acupuncturist just because s/he uses acupuncture needles, any more than I could claim to be a GP just because I use a sphymomanomter. This essential distinction is wholly missing from the DoH proposal, and so the whole thing is a bit of a farce to me.

Let's give respect to what dry-needlers do, distinguish it as a therapy in its own right, preserve the traditions of acupuncture, and ultimately give the public the best possible information about what they are getting when they seek acupuncture treatment. Imagine the confusion if, when booking to see an osteopath, the public didn't know whether they were getting a member of the General Osteopathic Council or someone that's done a weekend course in back-rubbing! Why does acupuncture deserve any less?

As for herbalsits - why not just have their own General Council just as Osteopaths and Chiropractors do? - Well, because there just aren't enough of them to justify the administration costs. Better to "team up" with acupuncturists, using the common philosophy of the medicine as a reason, whilst in practice the regulation would be incomparable. I, as an acupuncturist, don't want to pay the costs of proving the safety and efficiacy of thousands of herbs to the MCA (Medicines Control Agency). It is wholly irrelevant to acupuncturists.

Best wishes
Aragorn
 
Dear Aragorn,

There are quite a few herbalists currently in practice in the UK if you take in all the different associations, also there are many TCM practitioners who currently do not belong to any association and then if we count the western herbalists, tibetan herbalists and practitioners of ayurveda then it adds up to quite a significant number. The reason that many herbalists do not want a seperate council is that most practitioners of Chinese Herbal Medicine are also acupuncturists and so do not want to have to be registered to more than one body.

Currently the subscription to the RCHM is considerably lower than the BAcC sub (approximately ยฃ500 per year) although the RCHM only has about one quarter of the BAcC membership, and the ATCM subscription is even lower.

With regard to safety and efficacy of herbal medicine and the MCA (Now renamed the MHRA), It is only safety and quality that needs to be shown and not efficacy and the safety and quality requirements need to be demonstrated by the herbal suppliers and not practitioners so it is the herbal suppliers who will need to bear the costs.

Best wishes, Tony
 
so what is the difference between dry needling (sounds horrible) and acupuncture as you are describing? are they wet needling?
 
Dear Tony
Thanks for the extra info on herbalists. I was under the impression that the costs of dealing with the MHRA would be borne by the new body.
As for herbalists wanting a joint council because many of them are acupuncturists - I understand that, but most of the members of the new body will be only acupuncturists. If there are cost implications of being joined with the herbalists, it makes no sense for the majority of the membership to pay the costs for the convenience of the few. The proposed regulations do not allow for dual membership anyway - hence the subcatagory of "TCM practitioners" for herbalsits who are also acupuncturists - a glorious misnomer implying that all practitioners of TCM are also herbalists!
Besides this, acupuncture as defined in the DoH document has nothing to do with herbal medicine. Why would they be combined, any more than the dentists and osteopaths would have a joint council?
I have yet to hear a convincing argument for having a body that lumps dry-needlers and tibetian herbalists into one administration.

Best wishes
Aragorn
 
Dear Rosie
When I use the term acupuncture, I am refering to the practice of oriental medicine predominatley using needles amongst other techniques to implement the treatment of an oriental medical diagnosis. I would point out that there is a wealth of diversity in this definition alone!

Dry-needlers are osteopaths, physiotherapists, nurses and GPs that use acupuncture needles as an adjunct to their primary treatment, using needles based on a diagnosis borne out of their own field of medicine, with no reference to oriental medicine.

At the moment, "dry-needling" is usually called "acupuncture", and a "dry-needler" may call themselves an "acupuncturists". If the public are not aware of the distinction, they may be referred to "acupuncture" (e.g. from a forum such as this, other websites, magazines and so on) but may not necessarily understand that there are different types, and that they are not at all the same!

The significance is that the strength of acupuncture (oriental medicine) is in the diagnosis - needles are merely one way to treat the patient based on that diagnosis. If you take away the oriental diagnosis, IMO you are no longer using acupuncture.

Why this matters to me? I so often hear the phrase "I tried acupuncture, and it didn't work." I then say, "Who did you see for acupuncture?" "Oh, it was my GP." To me this means they've never tried acupuncture! Yet they are under the impression it can't help them. What a shame! There must be so many people who believe they have "given acupuncture a go" and weren't helped, when, if treated with oriental acupuncture, they may be.

Dry-needlers do good work, but it is not acupuncture.

At the moment, as far as I know, the only way to guarantee getting an acupuncturist who is properly trained in oriental medicine is to find one who is a member of the British Acupuncture Council. Other groups exists, such as the British Medical Acupuncture Society, which sounds grand, but can be joined by a GP who has done a weekends training in needling! Somewhat different to the four years I trained in chinese medicine!

Best wishes
Aragorn
 
thanks for that, aragorn.

i totally understand what you are saying and can also see why you feel there is a distinction.

in other bodywork, it can be seen as a sort of snobbery <g>, and i am a great one for that! its a bit like people going to their beauty therapist, who has a beauty diploma, having a facial, wax and reflexology... i dont think reflexology can be taught completely as an add on to beauty... but the public dont know that <sigh>.
 
Hi, does anyone know if people that perform acupuncture have to have hepatitis a,b or c vaccinations? Or even TB vaccination?
Thanks.
 
Hi pdavis
We are not obliged to have any vaccinations (I'm certain there would be an outcry if we were!).
Professionally trained acupuncturists use a safe needling technique, where there is no danger to the practitioner or patient.

Why do you ask?

Aragorn
 
Hi and thanks. I asked because a pysio friend of mine did an acupuncture course a little while ago and the students needled each other. He said none of them were required to have any vaccinations. I thought this was strange.
 
Hi
Well there's no contact with body fluids, so no disease can be transmitted this way.
Acupuncture treatment is very safe.

Aragorn
 
Thank you. I often bleed when i have it, are they doing it wrong? If i bleed isn't there a slight chance of an exchange of fluids?
 
I am not an acupuncturist, but as far as I know you should not bleed when a needle is inserted. Unless the needle is inserted to deep or at the wrong angle or wrong place. What does our expert acupuncturist say?

Artemis
 
It's more when it is taken out, not inserted. Fairly often there's a small spot of blood, but even if a patient doesn't bleed, the needle is going in to soft tissue and must come into contact with body fluid, and there must be a risk of the acupuncturist accidently pricking him/herself with that needle. It's probably a tiny chance, but handling and inserting 100/200 needles a day, all day every day for 10/20 years, there's definatly a chance. And if a used needle isn't at risk of being contaminated then why dispose of them in a sharps box, they may as well be kept and used on the next patient.
This wasn't so much my question though, because it could be argued that a trained professional will not make a mistake, but my origonal point of unqualified students using needles on each other without being required to have vaccinations against hepatitis-b etc suprised me. Isn't it advisable that all acupuncturists have a vaccination?
 
Hi PD

My apologises - I think my post was misleading. Of course there is a risk of infection if an acupuncturist stuck a used needle into themselves after taking it out of a patient. The point I was trying to make was that, using a safe needling technique, there will not be any chance of that happening. We use sterile cotton wool as a barrier between the needle shaft and our skin. A used needle is immediately disposed of in a sharps bin. They are an infection hazard as things like Hep B can live outside the body for some considerable time. It's not easy to accidently stick an acupuncture needle into yourself! They are as thin as a hair.

When students are training, they are following careful instruction and being supervised. The procedure varies from college to college, but where I trained, we did not practice needling into each other until after a year of training - so there is a sense of responsibility here; we're not just talking about any old person off the street sticking needles in each other!

The idea of compulsory vaccinations is a real problem - there is a lot of dissent about the effectiveness of vaccination anyway which is way too big a topic to go into here. It's not as if we are conventional medical practitioners! Personally, I would prefer to treat the immunizable diseases with acupuncture should I catch them, rather than have a load of poison introduced into my bloodstream.

Regarding the bleeding - there are a few explanations:
Very occasionally a point will release a drop or two of blood when the needle is removed. There are instances when this is actually intended and required. Some practitioners use a "stronger" needle technique so this may happen more often.
Some patient's tend to bleed more than others regardless of the gentleness or depth of needling.
Some "dry-needlers" (practitioners of other therapies that use acupuncture needle techniques, e.g. physios, osteopaths, GPs etc) do not have the same kind of consideration toward needling as traditional acupuncturists. I have seen them needling very aggressively and deeply in a way that bears no relation to acupuncture. It is no wonder their patients bleed a lot more.
Whatever the reason though, the blood is immediately wiped away with cotton wool and disposed of in the clinical waste. There is no contact with the practitioner.
I do not have any statistics regarding body fluid hazard for traditional acupuncturists at hand, but I have never come across a case or know another practitioner that has.

HTH
Best wishes
Aragorn
 
Thanks,
I would say something as thin as a hair would be easier to stick into yourself by accident than something as thin as a broom handle. You explained it very well though thanks, and i can tell basically there are some good acupuncturists and some not so good. It seems the problem is it isn't regulated very well.
It seems the type of acupuncture i have had was what you are calling "dry needle". It was by a very popular and busy physiotheropy practice around here. The same needles and guides were used a few times, there was no cotton wool used and any tissue used to clean up the blood spots went into the normal trash. When not boing used the needles were balanced in their packaging on top of an ultrasound machine, but none of this is wrong in the eyes of the law?
Also from what i understand the course some of the people using needles lasted 2 weekends. Do you know if the patient getting needled has to be told how qualified the theropist is?
I believe that alot of these types of people get de-sensertised to what is actually happening. Needles are going into peoples flesh, this needs to be regulated and enforced better in my opinion.
I understand probably none of this is relavent to what you do and how you practice it, so please don't take it as a personal insult. In my opinion only these people should have to be vaccinated against Hepatitis-b, hopsital staff have to be so why not dry and wet needlers?
 
Hello,

The practionner does not have to legally tell you his qualifications, but nothing prevents you from asking!


Artemis
 
Hi PB
As you say, it's not regulated. Yet. Any one can set up an acupuncture clinic and start practicing without even a weekend's training! It is not a criminal offence to call yourself an acupuncturist if you are not trained, as it is to call yourself a doctor or an osteopath, for example.
The story of your acupuncture experience just sounds shocking to me. I think it is such a shame that this kind of thing is allowed to happen, but it won't be for much longer. The government regulation of acupuncture in some shape or form is just around the corner now. Whilst many of us have serious grievences about the proposed regulations, whatever is enforced will hopefully protect the public from unsafe needling techniques and unscrupulous practitioners.
In answer to your first point - I think the problem is not so much in the regulation, but in the information and knowledge of the public. If everyone that wanted acupuncture went through the professional body that governs us, there would be fewer instances like your own! Not easy to get that information out there, though they are trying hard. With regulation comes information, as the media jumps on it and suddenly everyone is being referred to acupuncture! I think this is all coming into effect in 2 years or so.

Best wishes
Aragorn

BTW - no offence taken by me! I wish more people had your concerns.
 
Thanks very much Aragorn. YOu have been very helpfull.
I would like to talk to some of the dry needlers to be honist. As i have thought more and read your replies I have become a little passionate about this subject, and it's not even a small part of my life really. I occasionally had acupuncture for a tight I.T band in my leg and to be fair it worked well. It would cause knee pain and after some treatments i was pain free when an hour before i found stairs very painfull to walk down/up.
I started thinking when i was talking to a theropist who seemed so matter of fact about needles, and mensioned the course. I am very suprised how low the minimum standards are. It's almost like the law will let anyone get on with it until they make a mistake and then they will take a look at what's going on in that indicidual case. Which seems very poor.
I would guess the insurance companies are governing acupuncure more than anyone else? I presume it's not legal to practice without insurance? And i would presume also that it's impossible to get insurance unless you have a qualification? What's a worry is what is deemd to be a qualification. I have looked at a few sites that offer an accupuncture course. None of them even advise any vaccinations.

Phil.
 
Dear all,

Just a few comments to add.

Even after regulation has taken place most acupuncturists will probably opt for not having vaccinations because of the low risk compared to the relatively unpleasant and sometimes dangerous side-effects that these vaccinations have. Hep B used to be compulsory in the NHS but now due to bad reactions and the risk of litigation from the employee about having invasive procedures forced on them (I think there have already been some court cases after adverse reaction) the situation now, i believe, is that it is voluntary.

It isn't illegal to practice acupuncture without insurance and people can obtain insurance with the most dubious of qualifications, whether a claim will be paid is an entirely different matter. Some Insurance companies have a habit of taking the premium and then looking into the qualifications only after a claim is made.

If you were concerned about your treatment (as I would be), there are a couple of things you can do. You can complain to the local environmental health department, most clinics need to be registered and be maintaining agreed levels of hygiene and safe practice.

You can also complain to the governing body, which for physios is the AACP, the problem with physios is that at the moment its not a protected title so unless you check first that they are chartered physios you could be seeing anyone.


Best wishes, Tony
 
Shoutbox
  1. EMSpa_schedule:
    Tomorrow's sneak peek: On Friday May 30, 2025, our attendants will be Ada ๏ธ, Carla ๐Ÿ”ฅ, Cici ๐Ÿค—, Opal ๐Ÿ˜ and Vicky ๐Ÿ‘. Call us at โ˜Ž๏ธ(905) 479-6668โ˜Ž๏ธ to book!
  2. SL Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Terrific Thursday ๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakville โœจ Your passport to paradise with 10 enchanting girls fr China, HK โ€” ๐Ÿ†•Tiffany, Joey, Julie, Aaliyah, Cici, Coco, Yui, Meghan, Julia & New 34D Jasmineโ€”โ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits
  3. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Table shower .body scrub ๐Ÿ˜˜Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl Angela ,so young Petite and pretty๐Ÿ˜‹ open service ๐Ÿ˜œ๐Ÿ˜œ Sweet girl Luna deep massage ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  4. Nu spring spa888:
    ๐Ÿ’–๐Ÿ’–๐Ÿ’–sexy hot busty Singapore ๐ŸŒน Indian ๐ŸŒน๐ŸŒนkorean girls๐ŸŒน๐ŸŒนworking ๐Ÿ’—๐Ÿ’—at markham โ˜Ž๏ธ416-669-8508โค๏ธโค๏ธโค๏ธ
  5. AliceSpa:
    THURSDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”.4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 girls here today at ALICE SPA. Open 10am to 9pm: JESSICA is from Hong Kong, super busty D Cup, 5'2", 109 Lbs, curvy, soft white cream skin, pretty face, can bbbj cim dfk 69 cof sf2, available all services, excellent treatment. KITTY is a new Korean girl, super busty, small body, new to the business.
  6. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ป๐Ÿ‡ณ JULIE (2PM), ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (9PM), ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡ฎ๐Ÿ‡ณ SONIA (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  7. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ญ๐Ÿ‡ฐ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ฒ๐Ÿ‡พ AMY, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH (2AM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  8. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (12PM), ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  9. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  10. wonderspa:
    wonderspa: :wonderspa: โ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒopen10 to10,Ensuit shower available ๐ŸŒน๐Ÿ”ฅbeautiful young Jessica sexy body,deep tissue to relax massage back walk,hot stone๐Ÿ…sexy face sunny is very good looking,slim body ,nice body slide sweet sensual touch ๐ŸŒนbeautiful long hair younge new lily Q,friendly,amazing massage,happy the end,really popular,must tryโค๏ธ
  11. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  12. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธTina๐ŸŒธCindy๐ŸŒธIsabella๐ŸŒธNadia๐ŸŒธAnna Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  13. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธKelly๐ŸŒธKim๐ŸŒธValentinaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  14. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch services
  15. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  16. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LUNA, MIA, SARA, TIFFANY & VIVI. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile.
  17. EMSpa_schedule:
    ๐ŸŽ‰Come visit us!๐ŸŽ‰ Today (Thursday), our amazing attendants are Ada ๐Ÿ’œ, Cici ๐Ÿคฉ, Vicky ๐Ÿฅณ, Sophie ๐Ÿค— and Monica ๐Ÿฅฐ. Call us at โ˜Ž๏ธ (905) 479-6668 โ˜Ž๏ธ to book your favourite and head on over to 7665 Kennedy Road, Unit 4, Markham!
  18. ใ™ใฟใพใ›ใ‚“:
    Top notch wellness: Ella , elena, Angela, Michelle, gabby , and Vanna. Call us now to make your appointment. 437-522-9961
  19. bnwellness_wilson:
    We have 4 young girls are working today, young Taiwanese Victoria slime 26โ€™s open mind and young flirty Tina 30โ€™s with curly body open min, young popular kitty 26โ€™s with curve body and pretty Ella are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
  20. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga We have two girls working today. Judy and Kiki. They are young and beautiful, cute and sexy. Deep tissue massage and relaxation massage are both great. Back walking is very comfortable. They have sweet smiles and work seriously. If you are tired from work, come and make an appointment!๐Ÿค—
  21. Annie Spa:
    ๐Ÿ’‹๐Ÿ”ฅOur famous sexy superstar Suki is working today Thursday May 29th with busty 36DD young girl Bobo, Sexy New Petite Japanese Cutie Mico and Sweet Sensual Busty Coco๐Ÿ”ฅ๐Ÿ˜˜Call Annie Spa to book appointments ๐Ÿ’ฏ๐Ÿ‘Œ ๐ŸฉทAnnie Spa๐Ÿฉท 1001 Sandhurst Circle Unit #7 โ˜Ž๏ธ647-891-9688โ˜Ž๏ธ โ˜Ž๏ธ416-291-8879โ˜Ž๏ธ
  22. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Table shower .body scrub ๐Ÿ˜˜Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl Angela ,so young Petite and pretty๐Ÿ˜‹ open service ๐Ÿ˜œ๐Ÿ˜œ Sweet girl Luna deep massage ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  23. DareDevil:
    Blackpink Wellness โ™ฅ๏ธโ™ฅ๏ธ190 Marycroft Ave. Unit #2, Vaughan, ๐Ÿญ๐ŸฌON L4L 5Y1 (647) 395-3188. BEAUTIFUL AND SEXY GIRLS TODAY: Superstar Bobo, Jap/Chin Akino, Indian Girl Radika and Beautiful Tiffany on duty๐ŸŒน
  24. DareDevil:
    ARIA WELLNESS โ™ฅ๏ธโ™ฅ๏ธADDRESS: 360 HWY 7, UNIT #6, RICHMOND HILL,647-222-5683 โ™ฅ๏ธโ™ฅ๏ธ(PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : Young RMT Student Helen, Gorgeous Candy, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! SPECIAL PROMO 30 MINS 2 GIRLS $70 ๐ŸŒน๐ŸŒน**TODAY'S PICKS OF THE DAY ARE ๐Ÿฌ๐Ÿญ CANDY AND HELEN๐Ÿฌ๐Ÿญ**
  25. Lulu_Villa_Spa:
    Judy is a gorgeous model type Vietnamese Girl Mia Vietnamese sweetheart girl with amazing personality Natalie she is CBC/filipina mixed Petite girl Bella She is Mexican Gorgeous face โ˜Ž๏ธ647- 446-0886
  26. wonderspa:
    :wonderspa: โ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒopen10 to10,Ensuit shower available ๐ŸŒน๐Ÿ”ฅbeautiful young Jessica sexy body,deep tissue to relax massage back walk,hot stone๐Ÿ…sexy face sunny is very good looking,slim body ,nice body slide sweet sensual touch ๐ŸŒนbeautiful long hair younge new lily Q,friendly,amazing massage,happy the end,really popular,must try๐ŸŒน๐Ÿ”ฅโค๏ธ
  27. Sunrise Relaxation(416)916-7276:
    Take a peek on Tomorrow@Sunrise Relaxation Downtown: Jennifer, Tina and Kitty will be there to ignite all your desires. Call (416)500-0921 for detail schedule and insight info
  28. EMSpa_schedule:
    Tomorrow's sneak peek: On Thursday May 29, 2025, our attendants will be Ada ๐Ÿค—, Cici ๐Ÿคฉ, Vicky ๐Ÿ˜, Sophie ๐Ÿ˜ and Monica ๐Ÿฅฐ. Call us at โ˜Ž๏ธ(905) 479-6668โ˜Ž๏ธ to book!
  29. wilson holistic centre:
    ๐Ÿ’•๐Ÿ’•Beautiful Korean girl working at 382 Wilson Ave ๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-840-0071โค๏ธโค๏ธ
  30. Nu spring spa888:
    ๐ŸŒน๐ŸŒน๐ŸŒนsexy hot Viennese ๐Ÿ’–Filipino ๐Ÿ’– Korean girls ๐Ÿ‘working at Nu spring spa๐Ÿ’‹๐Ÿ’‹โ˜Ž๏ธ416-669-8508๐ŸŒน๐ŸŒน๐ŸŒน
  31. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ฎ๐Ÿ‡ณ SONIA (2PM), ๐Ÿ‡ฒ๐Ÿ‡พ AMY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  32. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡จ๐Ÿ‡ด MEGAN, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH, ๐Ÿ‡ป๐Ÿ‡ณ JULIE ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  33. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY (12PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  34. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธAkame๐ŸŒธChristina๐ŸŒธXuka๐ŸŒธLynda๐ŸŒธMilly Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  35. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธTina๐ŸŒธIsabella๐ŸŒธMonikaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  36. SL Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–WooHoo Wed๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: Richmond Hill & Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” ๐Ÿ†•Luna, Cindy, Coco,Cici, Jenny, Amber, JPN Yui, Akino, Jasmine & Lucyโ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits๐Ÿ™Œ
  37. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน2 girls ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ5124 Dundas St W Etobicokeโ˜Ž๏ธ416-817-3366๐Ÿ‘ Table Shower Sea Salt Bath Body Scrub๐Ÿ˜˜ Japanese girl Nina โค๏ธ Natural Big Boobs 38 DD ๐Ÿ˜˜Pink Mini Nipples Hot body slide, super enjoyable๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ very provocative service๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธYou are welcome to make an appoint
  38. SpringGreen.:
    Today we have 5 girls on downtown Toronto 72 gerrard st west๏ผš๐Ÿ’‹๐Ÿ’‹ New girl gaga Serving The Queen ๐Ÿ’‹๐Ÿ’‹Bunny- Tanned Spanish beauty with large melons and a fun booty too Wendy- exotic goddess with a gymnasts body and corresponding flexibility Jennifer- Exotic beauty with... Call and text 647 891 0699 ask questions Thanks ๐Ÿ’‹๐Ÿ’‹
  39. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  40. Red Rose Spa:
    ๐ŸŒธ We have 5 hot brown girls today ๐ŸŒธ MONICA, PAOLA, MALIYA, MONIKA, AMANDA, ASHA, JAZMINE, PREETI, ANGELINA, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  41. wilson holistic centre:
    ๐Ÿ’•๐Ÿ’•Beautiful Korean girl working at 382 Wilson Ave ๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-840-0071โค๏ธโค๏ธ
  42. wonderspa:
    ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,Wednesday RMT available,๐Ÿ’„sexy face young girl Joey natural c cup,very good looking nice body slide,really popular ๐ŸŽlong hair Q Lucy good strong to relax oil massage, Relieve pain and remove stress,more experience,๐ŸŒนvery nice new girl CiCi, amazing the end,give you warm time,must try๐ŸŒน๐Ÿฅค
  43. AliceSpa:
    WEDNESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—” 416-298-0898, 4915 Steeles Ave. E, Scarborough 3 very nice girls here today. Open 10am to 9pm: CLOUDIA (11am-8pm): is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. DORIS (12pm-9pm): from Taiwan, is young & petite with loing thick black hair, 105 Lbs
  44. Annie Spa:
    ๐Ÿ’‹๐Ÿ˜˜Sexy Petite Korean๐Ÿ‡ฐ๐Ÿ‡ทGirl Eva working with Sweet Beautiful Japanese New Cummer to Canada Feifei ๐Ÿ‡ฏ๐Ÿ‡ต and Sensual Pleasing Busty Coco๐Ÿ‡จ๐Ÿ‡ณtoday๐Ÿ’‹๐Ÿ˜˜Call or text ๐Ÿ“ฒ647-891-9688 or 416-291-8879๐Ÿ“ฒ
  45. EMSpa_schedule:
    Hey! Where have you been? Today (Wednesday), our amazing attendants are Carla โ€, Cici ๐Ÿ˜, Opal ๐Ÿคฉ, Sandy ๐Ÿค— and Yoyo ๐Ÿ˜. Call us at โ˜Ž๏ธ (905) 479-6668 โ˜Ž๏ธ to book your favourite and head on over to 7665 Kennedy Road, Unit 4, Markham!
  46. ForeverWarden:
    Wednesday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella, Cindy & Sasa. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream
  47. HolidaySpa:
    Wednesday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: FIONA, KIKI & CINDY. FIONA is a slim hottie with long dark hair, great melons and ass, and nice services. Kiki is very attractive, young, about 5โ€™4โ€ and 110 Lbs., slim with a banging body. Kiki is very popular for her great attitude and services. CINDY is slim & incredibly sexy
  48. SugarLoveSpa:
    Wednesday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: SARAH, SUSAN, TIFFANY & VIVI. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž SARA is a beautiful Thai lady with C Cups, 160 Cms and 50 Kgs, with a full set of services to delight you. SUSAN is a small, slim & sexy Latina girl, 5'4" & 116 Lbs, with nice boobs and ass, very versatile services.
  49. ใ™ใฟใพใ›ใ‚“:
    Top notch line up with superstars like sunny , gabby , elena , kiki , Ella and cindy. At top notch wellness
  50. bnwellness_wilson:
    We have 4 young girls are working today, young Taiwanese Victoria slime 26โ€™s and young flirty Mia 25โ€™s with curly body , pretty Ella and cute GFE Lina are providing deep tissue massage, pls call 4163985777 book appointment and walk in always welcome,back entrance and parking available, 350 Wilson Ave North York
Back
Top