Shiatsu is not actually a sexual term because it describes a very specific form of massage that has been established over the course of many years. This form of massage has become widespread in many countries.

Shiatsu is primarily about massage with the fingertips, which work on the affected muscles and muscle groups in a targeted manner. The masseur uses his own body weight to increase the pressure of the Shiatsu massage and intensify the effect. Many people are enthusiastic about this form of massage because this massage can also effectively treat deeper tensions.

The reason why Shiatsu is often associated with a sexual context is the traditional way of performing the massage. The classic Shiatsu massage takes place on a futon, with the customer lying quietly and passively on the futon and being massaged there. The reasoning behind this is relatively simple. On the one hand, the futon is the classic lying surface from the country of origin of the massage, and on the other hand, a futon offers other advantages. The low position allows the masseur to use his strength and body weight much more effectively and thus achieve a greater effect. This is not so easy when massaging on a massage table due to the higher position and angle. Therefore, when many people see such a massage position, they think of a sexual massage, just like with Thai massage, which also has to contend with these prejudices and is therefore avoided by some people and specifically sought out by others.