Types of Friction Massage
trigger points Purpose of Friction Massage
To mobilize adherent tissue / Reduce scar tissue
Reduce / Mobilize trigger points
Increase local circulation
Deep friction applied perpendicular to the direction of the fibers.
Deep friction applied in the same direction as the fibers,
Repeated circular motion, distal to proximal considered
Deep Transverse Friction Massage (DTFM)
also known as Cyriax Friciton - technique popularized by physician James Cyriax.
Used for pain and inflammation relief in musculoskeletal conditions.
Technique attempts to reduce abnormal fibrous adhesions and make scar tissue more mobile in sub-acute and chronic inflammatory stages by realigning normal soft tissue fibers.
Effects of DTFM (Cyriax's)
Mechanical - Mobilization of damaged tissue over a small area. Elongation of tissue fibers.
Physiological - Localized Hyperemia
Histological - Prevents or slows scar formation. Stimulates collagen orientation along lines of stress
Neurological - Pain inhibition via stimulation of mechanoreceptors.
Indications of Friction Massage
Promote Healing of connective and contractile tissue
To retain or regain mobility
Contraindications of Friction Massage
Conditions that increase bleading (Hemophilia, Pts on anti-coagulation, pts on steroids)
Debilitated / Open skin
Positioning For DTFM
Muscles - should be supported in a position of relaxation or reduced muscle tone.
Tendons - Position of tension
Ligaments - Taunt, as far as the ROM allows.
Initial treatment - 5 - 6 min
first 1-2 min patient will feel mild to moderate tenderness, within 2 mins the pain should subside,
Once pain subsides, gradually increase the pressure, checking in every 2 min. Increased by 3 inutes each session reaching a maximum session length of 12-15min
Wait at least 48 hours betweeen treatment sessions.