pandemic presents particular challenges and opportunities in the delivery of manual therapies. Access to care during the pandemic is complicated by inconsistent regulation because of classification outside of health care and is likely further reduced in underserved communities. The field of massage therapy has taken the challenges seriously and kept pace with medical and scientific guidance to implement protocol and service delivery adjustments. Although there is not yet specific research of efficacy of massage therapy for clients living with pandemic-induced conditions such as anxiety, depression, or with COVID-19 survivors, a visit with a massage therapist may reasonably be expected to have additional poignancy for either population. Going forward, three important issues need to be addressed. The first is for the massage therapy profession to make a better case for our full inclusion within health care. The second is how administrative leadership of health care organizations, striving to provide optimal patient-centered care, can include massage therapy for any patient, as indicated. The integration of massage therapy into primary health care settings is a key recommendation, particularly to help mitigate disparities among diverse communities.22 Third, the authors urge efforts to accelerate research studies to show how COVID-19 survivors’ long-term health consequences may or may not benefit from massage therapy. Authorship Confirmation Statement All authors have reviewed and approved the article being submitted. Authors’ Contributions C.T. acted as lead author and participated in writing the article, reviewing it, and revising its intellectual and technical content. D.S. participated in writing the article, reviewing it, and revising its intellectual and technical content, and served as reference list compiler. A.M. participated in writing the article, reviewing it, and revising its intellectual and technical content. Author Disclosure Statement C.T. is coauthor of Hands in Healthcare: Massage therapy for the adult hospital patients. The book is cited in this article. The other authors have nothing to disclose. Funding Information No funding was received for this article. References 1. Moyer CA, Rounds J, Hannum JW. A meta-analysis of massage therapy research. Psychol Bull 2004;130:3–18. 2. Kurebayashi LFS, Turrini RNT, Souza TPBD, et al. Massage and reiki used to reduce stress and anxiety: Randomized clinical trial. Rev Lat Am Enfermagem 2016;24. 3. Ba¨uerle A, Teufel M, Musche V, et al. Increased generalized anxiety, depression, and distress during the COVID-19 pandemic: A cross-sectional study in Germany. J Public Health 2020;42:672–678. 4. Durkin J, Jackson D, Usher K. Touch in times of COVID19: Touch hunger hurts. J Clin Nurs 2021;30:e4–e5. 5. Hou WH, Chiang PT, Hsu TY, et al. Treatment effects of massage therapy in depressed people. J Clin Psychiatry 2010;71:894–901. 6. Rodgers NJ, Cutshall SM, Dion LJ, et al. A decade of building massage therapy services at an academic medical center as part of a healing enhancement program. Complement Ther Clin Pract 2015;21:52–56. 7. Davidson JE, Hopkins RO, Louis D, Iwashyna TJ. Postintensive care syndrome. Society of Critical Care Medicine (SCCM). 2013. Online document at: https://www.sccm.org/ MyICUCare/THRIVE/Post-intensive-Care-Syndrome, accessed January 7, 2021. 8. Biehl M, Sese D. Post-intensive care syndrome and COVID-19—Implications post pandemic. Cleve Clin J Med 2020. [Epub ahead of print]; DOI: 10.3949/ccjm.87a.ccc055. 9. Bahrami T, Rejeh N, Heravi-Karimooi M, et al. Clean facilities, proper practitioner hygiene, procedures to ensure client safety, and disease prevention protocols have long been a cornerstone of professional massage and bodywork practice. The outbreak and rapid spread of coronavirus 19 (COVID-19) highlights the need for renewed attention and increased vigilance in these areas as states lift stay-athome orders (also called stay-in-place orders) and massage and bodywork practitioners return to practice. The Federation of State Massage Therapy Boards (FSMTB) is pleased to present the Guidelines for Practice with COVID-19 Considerations. This document contains recommendations and guidelines for massage and bodywork practitioners to mitigate the spread of COVID-19. The intent of this document is to provide a resource to FSMTB Member Boards and Agencies, massage and bodywork professionals, and massage school staff in order to support public protection. Readers are encouraged to refer to and use the FSMTB Guidelines for Practice with COVID-19 Considerations within the confines of the regulatory structures of their respective states. FSMTB recognizes that some customization and flexibility are necessary to allow these concepts to be of assistance in each jurisdiction and practice setting. Each massage practice will have its own time frame for returning to work based on the state’s stay-at-home orders, supply of personal protective equipment (PPE), funding for massage programs, availability of COVID-19 tests, COVID-19 testing rates, and stable or falling COVID-related hospitalization rates for two weeks or more. These recommendations and guidelines do not replace any directives or guidance provided by federal or state agencies, regulatory boards, or other authorities having jurisdiction. Where