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In 2023, the market size of repositioning by judo, acupuncture, moxibustion, and massage in Japan amounted to approximately *** billion Japanese yen. Acupuncture, moxibustion and (anma) massage have their origins in traditional Chinese medicine (TCM). Repositioning by judo (sekkotsu) is a medical practice originating from Judo. Treatments based on TCM are often labeled as pseudoscience by Western medicine due to a lack of conclusive evidence regarding their efficacy.

 How popular are anma and shiatsu massages, acupuncture and moxibustion in Japan?

Acupuncture, moxibustion, anma massages and shiatsu massages have a long history in Japanese society. They are part of a traditional medical treatment system that runs parallelly to Western medicine, which is the main healthcare system. Alternative and complementary medicine is accepted by the government and embraced by a part of the population in Japan. There are national qualification tests for practitioners in place to promote and preserve safe practice. Japan has over ** practitioners that have passed the national qualification test for their respective discipline, and over half a million registered practitioners. Approximately **** of the population is currently undergoing anma massage or shiatsu massage treatments, while roughly *** in *** Japanese has tried it out. Compared to anma massage and shiatsu massage, acupuncture and moxibustion treatments are less commonly utilized.

 What is judo repositioning?

Judo repositioning is the practice of treating injuries such as broken bones, joint dislocations, concussions, and sprains with non-invasive physical techniques. Proposed effects are the facilitation of healing and maximization of the body’s own regenerative potential. In terms of practical manifestation of the craft, Judo repositioning is similar to “bone setting” in other cultures, which was the main means to treat injuries of bones, joints and muscles prior to the arrival of modern medicine. Judo repositioning is said to be a product of Japanese martial arts. As a natural counterpart to lethal techniques, techniques of revival or healing had also been developed, which over time evolved into judo repositioning. 
Judo repositioning is not a relic from the past, but very much a part of contemporary Japanese culture and economy, as the estimated market size suggests. However, despite the number of practitioners continuously rising, the market size has gradually declined during the past few years.