Massage for arthrosis from the best massage therapists and chiropractors

Massage for joint diseases

Massage is indicated for rheumatoid arthritis, other inflammatory processes of the joints, arthrosis, and after injuries. It helps with joint pain as it reduces tissue swelling and improves microcirculation. Massage promotes the release of inflammatory products that irritate nerve endings and cause pain.

Most often, massage procedures are not used without the use of other therapeutic measures. This is just one element of conservative therapy. Along with massage, the following are used:

Cosmetic, preventive, therapeutic massage in Moscow and the Moscow region

When contacting an incompetent massage therapist, there is a risk of deterioration of the condition, exacerbation of diseases of internal organs and the emergence of complications, therefore therapeutic massage should be performed only by an experienced specialist licensed to provide the relevant services.

Massage therapists of the Central Clinical Hospital of the Russian Academy of Sciences master classical and modern techniques of therapeutic and preventive, cosmetic, cupping massage and acupressure. The treatment course is selected taking into account the patient’s medical history and condition, so the actions of a professional massage therapist only bring benefits to patients, improving their well-being and accelerating the recovery process.

Massage for joint diseases

physiotherapy;
physiotherapy;
kinesio taping;
immobilization of the injured limb;
medical supplies;
intra-articular injections.

Massage helps increase the safety of physical exercise. By warming up the muscles and joints before training, a person is much less likely to sprain a ligament or suffer a muscle injury.

Hip joint

Hip joint massage is used in cases of the development of deforming arthrosis, neonatal dysplasia, and lymphostasis of the lower extremities (impaired drainage of lymph from tissues). In these cases, the fate of a person literally depends on him.

Advanced arthrosis of the hip joint (coxarthrosis) leads to disability. Dysplasia deprives the child of the ability to move normally, and lymphostasis deprives the child of the usual quality of life. Massage in this case acts as a magician. But only in the early stages of the disease, after completing a course of special, anti-inflammatory, vascular-strengthening therapy.

The third stage of coxarthrosis requires surgery. Massaging is used already in the postoperative period to accelerate regenerative processes, with the permission and under the constant supervision of the attending physician. The only limitation for its implementation is the patient’s subjective feelings.

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A feature of manual therapy of the hip joint is its deep location under a thick layer of skin, subcutaneous fat and muscles. It requires sufficient effort and time to achieve results. In addition, the massage covers part of the gluteal region. At the same time, its advantages are obvious:

Blood circulation, metabolic processes, and tissue trophism are restored.
The composition of the interarticular fluid is normalized and hyaline (articular) cartilage is regenerated.
Massage eliminates muscle spasm, strengthens ligaments, and restores fullness of movement.

Leg joint massage

Massage effects on any joints of the lower extremities are contraindicated before examination in case of acute pain. It is important to make sure before starting treatment that there are no broken bones, dislocations, complete ligament ruptures or other serious injuries.

Basically, massage is done a few days after the acute pathological process has subsided (after injury, acute inflammation), as well as for chronic pain in the knee, hip, ankle or other joint. Procedures are carried out every day. Sometimes 2 massage sessions per day are required.

The technique may vary significantly, depending on the location of the pathology, its severity, and the cause of pain in the joint. But the general algorithm is approximately the same:

Massage for diseases and joint injuries

The cause of damage and diseases of the joints is frequent microtrauma, overstretching of the capsule, ligaments or tearing of the latter at the place of their attachment to the bone. In this case, neurovascular disorders occur, as well as damage to muscle tissue and muscle atrophy.

Injuries to the bursal-ligamentous apparatus of the ankle joint are associated with excessive rotation of the tibia with a fixed foot; in some cases, simultaneously with damage to the ligamentous apparatus, bone tissue is torn off. Damage to the ligamentous apparatus is characterized by swelling in the joint area, its deformation, severe pain during movements and their limitation.

Damage to the bursal-ligamentous apparatus of the wrist joint is characterized by pain in the joint area, aggravated by active movements performed even with a small amplitude, and upon palpation - sharp pain in the damaged area.

Damage to the ligamentous apparatus of the elbow joint can occur from a fall, blows, or as a result of violent impact from an opponent (in wrestling).

Injuries to the ligamentous apparatus of the shoulder joint are relatively rare. This is explained by the fact that the range of physiological movements in the joint is large and it is well protected by the surrounding muscles. One of the main symptoms is pain when moving.

The purpose of massage for damage to the ligamentous apparatus of the joints is to provide an analgesic and absorbable effect, and to promote a speedy restoration of joint function.

Massage technique. As a rule, in the first days after injury, swelling in the joint area is pronounced, so you should not massage the injury site. It is necessary to perform a suction massage. If there is a plaster splint, it is removed. In case of damage to the knee joint, massage the thigh muscles and gently stroke the joint itself (the limb is raised); in case of damage to the ankle joint - the muscles of the thigh, lower leg and then the joint, using stroking (the limb should be elevated); for injuries to the wrist and elbow joints - the muscles of the forearm, shoulder and then the area of the joints themselves, using gentle massage techniques. The techniques of stroking, rubbing, and kneading are performed on healthy tissues. The massage is done in the position of pronation and supination of the forearm. Particular attention is paid to massage of the segmental spine. Finish the massage with active-passive movements and stroking the entire limb. Duration of massage is 10 - 15 minutes.

Damage to the bursal-ligamentous apparatus of the acromioclavicular joint (joint) occurs from falls or impacts, especially if the force causing the injury is applied in the area of the outer surface of the upper third of the shoulder.

In case of injury, damage to the acromioclavicular and coracoclavicular ligaments occurs without their complete anatomical break. Characterized by pain during passive movements and palpation in the shoulder joint.

The purpose of massage is to provide an analgesic and absorbable effect, to promote the speedy restoration of joint function.

Massage technique. First, the back muscles are massaged, and then the forearms, shoulders, and pectoral muscles. After this, stroking and rubbing the joint area and nearby muscles with the fingertips are used. The fixing bandage or splint is removed during the massage. Duration of massage is 10 - 15 minutes.

Dislocations. The frequency of dislocations in a particular joint depends on its anatomical and physiological characteristics, etc. The principle of treatment of traumatic dislocations is emergency reduction and immobilization of the joint.

Dislocation in the shoulder joint occurs most often and accounts for 50 - 60% of the total number of dislocations. This is explained by the peculiarity of the anatomical structure of the shoulder joint. Symptoms: change in the configuration of the shoulder joint due to displacement of the head of the humerus, the function of the joint is impaired, active movements are impossible, and with passive movements there is severe pain. After reduction, a plaster splint is applied for 2 - 3 weeks.

Habitual shoulder dislocation is characterized by frequent occurrence of dislocations. Treatment is surgical. After the operation, an immobilizing bandage or Vinogradov splint is applied for 7-10 days.

A dislocation in the elbow joint is characterized by a lack of movement in the joint and deformation of the joint. After reduction of the dislocation, a plaster splint is applied for 9 to 10 days.

Dislocation of the 1st finger of the hand is quite common, especially among athletes (boxers, wrestlers, etc.) and usually occurs due to excessive extension of the finger. Characterized by abnormal joint shape, lack of movement, and pain. After the dislocation is reduced, a plaster splint is applied and the joint is fixed with an adhesive plaster for 2 to 5 days.

Dislocation of the vertebrae is rare and occurs mainly in the cervical region (IV - V, V - VI vertebrae). When a vertebra is dislocated, the head is tilted forward, the chin almost touches the sternum. The spinous process of the underlying vertebra stands posteriorly, and in place of the spinous process of the dislocated (overlying) vertebra there is retraction. Simultaneous reduction is performed using traction and application of a plaster half-corset for 2 months.

The purpose of the massage is to speed up the resorption of hemorrhage, restore range of motion, prevent muscle atrophy, and strengthen the bursa-ligamentous apparatus.

Massage technique. Massage should begin from the first days after reduction. If there is a removable plaster splint, then it is removed during the massage. A massage is performed on the back muscles and injured limb. If the joint is immobilized with a plaster splint, then massage the healthy limb and back (the corresponding segments of the spine). After removing the plaster splint, a gentle massage is performed. When the vertebrae are dislocated, a hand massage is performed. After removing the plaster corset, massage the back, abdomen and pectoral muscles. The following days include massage of the paravertebral region and electrical stimulation of the back muscles. Duration of massage is 10 - 15 minutes.

Bruised joints. Different joints are susceptible to bruising to varying degrees, depending on how much soft tissue protects them. Thus, the shoulder and hip joints, which are surrounded by massive muscles, suffer less from direct impact. On the contrary, the wrist, elbow, ankle and knee joints are significantly damaged. Often, with a bruise, despite the absence of hemarthrosis, a reactive effusion develops into the joint cavity.

Hemarthrosis and traumatic synovitis. With bruises of the joints (especially the knee), bleeding into the joint from ruptured vessels of the synovial membrane is often observed. The accumulation of blood quickly leads to smoothing of the contours of the joint and protrusion of the patella.

If the amount of fluid in the joint increases, puncture (performed by a doctor) and the application of a plaster splint are indicated.

Arthritis is traumatic. Traumatic arthritis occurs in the form of microtraumatic arthritis (open, closed), which occurs in the presence of frequently repeated injuries (usually microtrauma), usually associated with the profession.

With microtraumatic arthritis, there is slight pain, stiffness and awkwardness in the joint (joints), a pronounced crunch during movement, pain in the muscles and along the peripheral nerves. The occurrence of chronic bursitis and tendovaginitis is characteristic.

The purpose of massage is to eliminate (reduce) pain, resolve effusion in the joint, prevent contractures, muscle atrophy, improve blood and lymph flow, and metabolism in tissues.

Massage technique. First, the reflexogenic zones (lumbar or cervicothoracic) are massaged, then the muscles located above and below the joint are massaged (mainly kneading techniques are used). Stroking is performed on the joint. Chopping, rocking and squeezing techniques are excluded, especially with severe muscle atrophy. In addition, vigorous rubbing of the joint often leads to an increase in joint effusion (synovitis). Duration of massage is 10-15 minutes. There are 15 - 20 procedures per course. For atrophy of the quadriceps femoris muscle, electrical stimulation with ATP No. 10 and hydromassage No. 5 are used every other day.

Damage to the meniscus of the knee joint. This injury has become notorious due to its poor prognosis in the sense that treatment without surgery in most cases does not provide a full functional recovery, especially considering that increased demands are placed on the musculoskeletal system. Only relatively rarely (only in fresh cases and when tissue destruction is localized in the paracapsular zone of the semilunar cartilage) with timely and rational conservative treatment are good and, most importantly, lasting functional results possible.

The purpose of massage is to provide an analgesic effect, promote rapid resorption of effusion (swelling), hemorrhage, and rapid restoration of joint function.

Massage technique. Early massage helps reduce pain, accelerate the resorption of effusion, hemorrhage in the joint, resulting in a significantly reduced recovery time for impaired motor functions. On the first day after the injury, the thigh muscles are massaged using stroking and kneading. The joint should be well fixed. The back splint is removed during the massage. First, various types of stroking are used (continuous, intermittent), and then rubbing (circular, spiral), alternating it with continuous grasping stroking. After 2 - 3 days, they move on to massage the knee joint. At this stage, in addition to stroking, you can use rubbing; on the thigh muscles - kneading in different directions (see Fig. 178,180). The techniques of chopping and beating are excluded. After removing the plaster splint (bandage), vigorous massage should not be performed in the first days due to increased pain and trauma to the subcutaneous vessels. It is possible to use massage and electrical stimulation of the thigh muscles. Duration of massage is 10 - 15 minutes.

Hoffa's disease is hyperplasia of the fatty tissue under the patella. It is characterized by slight pain when moving the knee joint and painful swelling located on both sides of the patellar tendon.

The purpose of massage is to prevent atrophy of the thigh muscles, improve blood and lymph flow, relieve pain, eliminate effusion, reverse the development of the process or prevent its progression.

Massage technique. First, a massage of the thigh muscles is carried out using stroking, rubbing, longitudinal and transverse kneading, as well as vibration. The quadriceps femoris muscle, which tends to atrophy, is especially carefully massaged. On the knee joint, plane stroking is used, rubbing with the base of the palm, phalanges of the fingers and along the patella with the first fingers. Finish the massage with active-passive movements. For atrophy of the quadriceps femoris muscle, massage, paraffin-ozokerite applications to the joint and electrical stimulation of the quadriceps femoris muscle with ATP (i.m.) No. 10 - 15 are used. The duration of the massage is 10 - 15 minutes.

Arthrosis. Arthrosis is a chronic disease of the joints. In the initial phase of development of the disease, the patient complains of rapid fatigue in the joint, dull or aching pain. They are apparently caused by reflex changes in the muscles, hypoxia and circulatory disorders.

As the disease progresses, the sensation of pain during exercise becomes constant and makes it impossible to perform physical activity.

Deforming arthrosis of the knee joint is a degenerative disease. Most often, arthrosis of the knee joint occurs in athletes, ballet dancers, miners, etc.

Deforming arthrosis of the ankle joint develops after frequent traumatic dislocations and subluxations. There is aching pain and limited movement. Upon palpation, compaction of the periarticular tissues is determined, and upon movement, a crunching sound is detected.

Deforming arthrosis of the elbow joint is most often found in athletes (weightlifters, wrestlers, gymnasts, etc.), circus performers, etc.

The purpose of massage for arthrosis is to provide an analgesic and absorbable effect, prevent the progression of the degenerative process, and restore joint function.

Massage technique. For deforming arthrosis of the knee joint, first massage the corresponding segments of the spine, then the thigh muscles, using stroking, rubbing with the base of the palm, concentric and with the pads of the fingers, kneading longitudinal and transverse with both hands (see Fig. 178, 180). The purpose of these techniques is to create hyperemia (blood flow) and improve tissue metabolism. Then the knee joint is massaged using flat and enveloping continuous stroking, semicircular rubbing in upward and downward directions, alternately with enveloping continuous stroking. In places where there is pain, rub with the base of the palm, fingertips and continuous stroking. The strength with which massage techniques are performed depends on the sensitivity of the tissue being massaged. An excellent way to improve lymph and blood flow, as well as tissue metabolism in the joint, is massage in warm (36 - 38°C) water.

For deforming arthrosis of the ankle joint, massage the fingers and foot using stroking and rubbing (see Fig. 87, 90), and when massaging the joint - circular rubbing, pincer-like, grasping stroking. Particular attention should be paid to massage the ankle area, heel tendon, and calf muscles. Are the calf muscles massaged in the direction from the foot to the knee joint, using stroking and kneading?

With arthrosis of the elbow joint, the joint itself is not massaged, since massage, increasing blood and lymph flow in this area, promotes calcification of the anterior part of the joint capsule. The massage is carried out in the following sequence: cervicothoracic spine

muscles of the shoulder girdle, shoulder, forearm. Apply stroking techniques

mania, rubbing, kneading. Finish the massage with active-passive movements and stroking the entire limb from the hand to the axillary cavity. Duration of massage is 10 - 15 minutes.

Traumatic bursitis. Bursitis is a disease of sinus bursae located in the tissue between the protrusions, imperfections of bones and muscles, tendons, fascia, skin, or between the fascia of muscles, tendons and fascia between other soft tissues that are subject to interaction and friction during movements.

Acute traumatic bursitis is often observed in the area of the patella (prepatellar bursitis) and the elbow joint (bursitis of the olecranon region). Soon after the injury, swelling forms in the joint area. Chronic bursitis is characterized by pain with extreme flexion in the joint, limited swelling on the anterior surface, and pain on palpation.

The purpose of massage is to have an analgesic, anti-inflammatory and absorbable effect, to achieve resorption of effusion, and to accelerate the restoration of joint function.

Massage technique. For elbow bursitis, a preliminary massage of the back and shoulder muscles is first performed using stroking, rubbing and kneading. The elbow joint is massaged in a flexion position (angle 115°C). From behind, the joint is massaged with the first fingers, the base of the palm, in a forceps-like manner. Thoroughly massage the shoulder muscles (see Fig. 183). In case of exacerbation of bursitis, in the presence of purulent exudate, or an increase in local skin temperature, massage is not performed.

With prepatellar bursitis, the thigh muscles are first massaged, then planar stroking is done, rubbing the anterolateral surface of the joint with the base of the palm, the base of the first fingers, and the pads of the first fingers under and above the patella. Finish the massage with active-passive movements and stroking the entire limb. Duration of massage is 5-10 minutes.

Contractures (stiffness) in the joints" Contractures usually occur due to injuries to various tissues of the musculoskeletal system, after surgical interventions on bones, etc. When using plaster casts, there is no movement in the joints (hypodynamia), which results in contractures. There are morphological changes in the tissues of the musculoskeletal system. Massage, especially massage of antagonist muscles, is of particular importance.

If there are scars, during a massage the scar must be “torn off” from the underlying tissues and made mobile. Include muscle stretching exercises in your massage. The more pronounced muscle atrophy is, the softer the massage is performed; it should be gentle. For contractures, the muscles are massaged to a greater extent. The following techniques are excluded: chopping, beating, squeezing.

Under the influence of massage, muscle blood flow accelerates, the volume of circulating blood, metabolism (tissue metabolism), and mobility in joints increase. Duration of massage is 10-15 minutes. Course 10-15 procedures.

Good results were obtained when performing cryomassage in combination with exercises on simulators and muscle stretching exercises (see Fig. 99).

Spondyloarthrosis (deforming spondylosis). Spondyloarthrosis is one of the spinal dystrophies, consisting of primary degenerative changes in the ligamentous apparatus and in the intervertebral cartilaginous disc with secondary bone growths along the periphery of the vertebrae (osteophytes). Small intervertebral joints may also be affected at the same time. The pathological process affects mainly functionally active parts of the spine, but can spread to the entire spine and be accompanied by partial ankylosis.

The etiological factor in the occurrence of spondyloarthrosis is chronic microtrauma, statistical and dynamic overload of the spine, and metabolic disorders.

Spondyloarthrosis is characterized by pain in the spine, which intensifies with movement and sometimes radiates to the chest, abdomen, and lower extremities (depending on the location of the process). These signs are soon accompanied by limited mobility of the spine.

The purpose of massage is to improve blood and lymph flow in the paravertebral areas, prevent muscle atrophy, degenerative changes in tissues, and relieve pain.

Massage technique. The back muscles are massaged, especially the paravertebral areas, gluteal muscles and lower limbs. First, a preliminary massage is performed using classical massage techniques, then segmental massage. The massage is performed with hyperemic ointments and linements. Techniques excluded: chopping, beating. Duration of massage is 15 - 20 minutes. Course 15 - 20 procedures.

Leg joint massage

start the massage with stroking;
then make kneading movements;
the muscles located near the lesion are affected;
the source of pain itself is not massaged;
any movements should be painless, and if they provoke pain, the massage therapist reduces the intensity of the impact or works on areas that are more distant from the source of pain.

It is better not to touch the joint itself if it is severely swollen, deformed, or there are signs of hematoma or significant instability. But you can massage the muscles near the problem joint to improve blood circulation, reduce swelling and provide good conditions for regenerative processes.

Indications

Joint massage obeys the laws of biomechanics. What does it mean? It's quite simple. We walk, swing our arms, bend over, and carry heavy objects. At this time, the contacting surfaces of the bones experience pressure, which activates the intra-articular fluid, and it activates the tissues that form the joint. It turns out to be a kind of vicious circle.

It is he who ensures the normal functioning of the human musculoskeletal system. If this well-functioning system fails, a massage is prescribed, replacing the natural pressure on the joint during movement. That's all.

The reasons for the dysfunction of the joint are indications for its use. The main ones:

Injuries accompanied by pain and muscle spasms.
Osteochondrosis.
Scar and muscle changes that reduce range of motion.
Arthritis, arthrosis.
Stiffness: congenital or acquired (exhaustion, plaster, tumor).

Hand massage for joint pain

You can massage any part of the body, including your hands. The joints of the upper extremities hurt much less frequently than the lower ones. Degenerative processes do not develop here so often. But pain is still possible, especially with rheumatic pathologies, as well as against the background of constant heavy physical exertion. Shoulder diseases are not uncommon. They are especially common among representatives of professions who are forced to make the same movements in the shoulder for a long time. These are painters, builders, artists, surgeons, etc.

If your hands hurt due to physical activity, the only effective method of non-surgical treatment is functional rest. It is imperative to eliminate the main pathogenetic factor that leads to pain. You should either reconsider occupational hygiene or change your job altogether. In addition, during the treatment period, the suspension of professional activities that led to pain is required.

Hand joints

Massage of this segment is the final chord of manual therapy of the upper extremities. It begins with massaging the fingers from the pad to the base, ending with the wrist joint. The patient's position should be comfortable: sitting, lying down and even standing.

The massage technique involves stroking, rubbing, light pressure, stretching the interdigital spaces on the palm and back of the hand simultaneously. Always along the lymphatic vessels. Massage is usually combined with special exercises. Its goal is complete relaxation of the hand.

Important! Due to the connection between the nerves of the hand and the nerves of the neck, massage of the joints of the hand simultaneously relieves discomfort in the collar area.

Hand massage for joint pain

Hand massage for joint pain
Massage can be used for almost any disease of the hand joints. Its benefits include reducing pain and eliminating swelling. The procedure has virtually no effect on the outcome of the disease. But it allows you to reduce the main symptoms and quickly stop taking painkillers.

A feature of massage for rheumatic diseases is the absence of vigorous rubbing, as this can lead to an increase in the amount of intra-articular effusion. Chopping, beating and squeezing are also not done.

Massage of the knee arthrosis joint

Begin by massaging the thigh muscles. Stroking and squeezing techniques are also used, but more intense with the use of combinatorial techniques, when the ribs of the palms and the ridges of the fists alternate. Knead the muscles of the front and back surfaces of the thigh, avoiding massaging the popliteal fossa. Finish with shaking and stroking and move on to the lower leg. After the leg muscles are warmed up, proceed to directly massage the knee joint. Circular rubbing techniques and “forceps” are used. Finish by massaging the thigh. The total procedure time is 15-20 minutes.

Massage for arthrosis of the ankle joints

The techniques used in this type of massage are classic, but due to the anatomical structure of the joints, the massage is carried out in “several stages” - during the session the patient’s position changes several times. At the very beginning, while lying on the stomach, the muscles of the lower leg, the Achilles tendon and the lateral surfaces of the ankle joint are kneaded, then the patient turns over onto his back and the massage therapist massages the tibia muscles. Then a cushion is placed under the ankle and moved to the muscles of the foot and the front surface of the joint. Finish with concentric stroking of the calf muscle, tibial muscles and ankle, foot. In this case, the patient lies on his back, his leg is bent at the knee.

Massage during rehabilitation

Massage is widely used in rehabilitation. It is given to patients after injuries and surgical operations. The purpose of massage is:

reduction of symptoms;
improved joint function, increased range of motion;
preparing the limb for physical exercise;
improving blood circulation and eliminating swelling;
normalization of microcirculation and improvement of regenerative processes in soft tissues.

The massage can be started at different times. When deciding when to start this type of treatment, the patient's feelings should be taken into account. Massage should not cause pain. Therefore, if the pressure on the tissue is painful, only light stroking is allowed. If it also provokes pain, you should postpone the procedure, or perform a massage effect on the tissues located nearby. For example, in the early period of rehabilitation after knee surgery, it is not the knee joint itself that is massaged, but the thigh.

The effect of massage on the body

Massage affects the human body superficially and gives a relaxing and warming effect. This is its main difference from manual therapy, which has a profound effect on the musculoskeletal system and internal organs. This procedure is not an independent treatment method; it is prescribed as:

general strengthening and tonic agent;
cosmetic manipulation;
means to eliminate the effects of stress;
auxiliary therapy for various diseases.

For example, therapeutic massage in the later phases of scoliosis development can enhance the effect of the main treatment and relieve muscle pain caused by incorrect body position. In the early stages of spinal curvature, it helps strengthen the muscle corset and return the spinal column to its normal position.

Properly performed massage helps achieve the following results:

increasing the effectiveness of basic treatment;
relieving pain and swelling, muscle fatigue, spasms, overexertion;
improving blood and lymph circulation;
psychological and physical relaxation, stress relief;
improving general well-being;
normalization of the nervous system, improving sleep quality;
improving appearance;
getting rid of excess weight (in complex therapy).

Knee-joint

This is the largest joint in size and the most complex in structure. In it, muscles, ligaments, blood vessels, nerves, menisci, bones are connected like hinges. Therefore, it is very vulnerable to injury, infection, and autoimmune processes. Treatment of emerging diseases involves the order of massaging the articular elements:

Lateral ligaments of the knee.
Patella.
Joint bursa.
Intra-articular gap.

Always from bottom to top. This is how it is removed:

Spasm.
Pain.
Seals in tissues.
Blood microcirculation and lymph outflow are normalized.
Toxins are removed.
The range of motion is restored.

Session Features

Joint massage has its own nuances:

A massage course consists of 20-25 procedures, with a frequency of every other day.
The session lasts 10-20 minutes in a position comfortable for the patient, performed with one or two hands.
Inflammation in the joint requires a gentle technique.
The massage is combined with gymnastics, therapeutic mud, and hydrotherapy. If necessary, with underwater traction.
Massage of any segment of the human body can be carried out in parallel with acupuncture.