Deep Transverse Massage
A diagnostic infiltration with procainemay be helpful to localize the lesion.
Execution
The patient sits, with his forearm resting on his
thigh so that the muscle is well relaxed. The elbow is slightly flexed
and the lower arm halfway between supination and pronation.
The therapist stands at te painful side and grasps the tendon belly
at the point of the lesion with the ipsilateral hand in a pinching grip.
Holding his fingers well flexed, enables him to reach the posterior
aspect of the tendon.
The active phase of the massage is an anterior pull of the hand.
This results in a transverse friction to the tendinous fibres, which can be felt to pass under the fingers.
Hand, skin and subcutis are moved as a whole over the affected tendon.
During the Passive phase (relaxation), the fingers are brought back to the
starting position without losing contact with the patient's skin.
Repeated movements (60 to 80 movements per minute) result in transverse friction
which is continued for about 15 minutes.
Attention: The brachial artery and themedian nerverun in the medial grove between biceps
and brachialis . Make sure to avoid these structures during the friction.
After Treatment:
Relative rest during a few weeks
Treatment is curative in a few weeks.
| [Start] | [Main Elbow] | [A System of Orthopaedic Medicine] |
Copyright © 2021 DR. L. OMBREGT All Rights
Reserved
The author can not be held responsible for any damage caused by the use of any information provided.