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You relax, fully clothed, on a couch or seated while the healer holds his hands on or above you. A treatment can last an hour or longer depending on the treatment required. In the western world many practitioners use the standard hand positions and commonly a full treatment is given covering all the important organs of the body.
There is no pressure on the body making it ideal for treating all ages and conditions, sometimes hands are even held away from the body. The energy flows wherever it is required (spiritually guided) and can normally be felt as a warm sensation or tingling in the body. Receiving Reiki is a very relaxing and soothing experience!
Only a Reiki Level 2 or a Reiki Master can give a distance treatment. Reiki distance treatments are learned advanced techniques for transferring Reiki energy to a distant time or location. Although we do not understand either the energy or how it works, there is considerable evidence that Reiki is able to travel independent of time or distance to deliver healing. Most Reiki practitioners use this technique similar to a telephone. They know it works and do not necessarily have a clue as to the underlying mechanisms.
Reiki can be used for many ailments like reducing stress, relieving pain, headaches, stomach upsets, back problems, asthma - respiratory problems, PMT, menstrual problems, sinus, anxiety and many more.
There is no belief system attached to Reiki so anyone can receive a Reiki treatment or a Reiki attunement. As in any healing the first step towards a healthier life is a desire to be healed.