University of Virginia Library

INTRODUCTORY MASSAGE

In many affections it is necessary to commence the operation of massage with what has been termed introductory treatment.

In the majority of cases of both acute and chronic affections of the joints it is well to apply the treatment to the neighborhood of the part, and especially above it. This is essential if the skin is abraded or if a severe inflammation of the part exists rendering it sensitive to too much pain from pressure.

The treatment consists of centripetal strokings (with one or both hands) in connection with a few kneadings.

Special attention should be paid to the inside parts of the extremities where the principal veins and lymphatics pass. If possible and convenient, always try to get the aid of gravity by elevation.

By this treatment we prepare the venous and lymphatic systems to absorb the diseased particles subsequently expelled from the affected part.

If for instance we have a case of synovitis of the

knee-joint we commence by stroking the inside part of the thigh, slightly elevating the lower part of the extremity so as to get the aid of gravity. The introductory massage in treating circulatory and nervous affections of the head consists of Hoeffinger's method of massage of the neck so as to procure a free outlet for the venous blood from the head.

In the treatment of hemorrhoids by massage we should always commence by treating the liver, thereby procuring an outlet for the congested blood of the abdomen through the portal vein. When taken in time massage is really a specific in the treatment of hemorrhoids.

This is mentioned only to emphasize the importance of the introductory massage in all manual treatment. The success of massage used in joint affections will often depend upon how well and how judiciously the introductory treatment is applied.