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DEEP TISSUE MASSAGE
Dr Deepak
DEEP TISSUE MASSAGE
• A deep tissue massage is not just a firm massage or apply more
pressure, but instead consists of different techniques that are used to
allow the therapist to work beyond the superficial muscles, usually in
a specific area.
The purpose of a deep tissue massage
• If a muscle has been injured or is holding tension, due to poor
posture, stress or illness, then adhesions can form. Adhesions are
bands of painful, rigid tissue which can form in muscles, the tendons
or ligaments and can lead to poor blood flow to the area as well as
limitation of movement, leading to pain. The purpose of a deep tissue
massage is to release the muscle fibres that have become “stuck”,in
order to remove toxins and to encourage blood to circulate again.
The Benefits of Deep Tissue Massage
Deep Tissue Massage has many benefits:
• Increases the range of motion (ROM) in joints
• Improves blood flow to muscles
• Breaks down and reduces adhesions
• Can aim to improve postural faults
• Can aim to relieve muscle spasm and tension
• Improves the distribution of oxygen and nutrients to muscles
• Reduces stress on other muscle groups which may be overcompensating
loosens the fascia of the muscle
TECHNIQUES
• Before any deep tissue work commences, it is essential that warm up the area by using
plenty of effleurage
• Deep Stroking can be used within standard effleurage, using the
palms of your hands with the pressure coming from the heel of the hand
rather than your fingers.
• Ensure you are not overstretching whilst performing this move, and you may find it
beneficial to lower your couch to be able to apply pressure from your own body weight.
• Palpation should be taking place throughout the treatment, running the length of the
muscle in a slow motion.
• If you want to start working a little deeper, then you can re-in force your hand but ensure
you are working slowly to identify any abnormalities in the tissue or muscles.
• Return to deep stroking throughout your treatment to encourage the removal of toxins
and to keep the muscles warm.
TECHNIQUES
• Petrissage can be used to lift tense muscles, only once you have applied
plenty of deep stroking to the area.
• Deep Tissue Frictions can be carried out using the fingers, thumbs, heel of
the hand or even the elbow and can be performed in a number of
directions such as circular or across the muscle (cross fibre friction).
• Frictions are ideally used where you suspect scar tissue or adhesions have
formed, though they should not be used if you suspect an acute injury
where there may be inflammation.
• Return to this technique throughout your massage rather than spending
too long on one area as it can be too stimulating.
TECHNIQUES
• Connective Tissue Manipulation (CTM) is a technique that involves
stretching connective tissue using the soft pads of the fingers to move
one layer of skin on the layer below.
• This technique is carried out easier if there is minimal medium being
used so it may be necessary to remove any excess oil before hand to
prevent slip.
TECHNIQUES
• Trigger Point Therapy is a technique that finds the “trigger point” within a
muscle, tendon or the fascia that can be hypersensitive and can radiate
pain to other areas of the body.
• This area can be as small as a pinhead, and the Trigger Point itself may not
necessarily be the area of pain but can refer to the area where there is
injury within a taut band of muscle and can act as a reference.
• The Trigger Point area can be congested spots within muscles,
demonstrating restricted blood flow. Working on Trigger Points
can reduce pain and improve circulation to the area.
• It is important that the cause is investigated as any treatment will only act
as a short term relief if the cause is not removed i.e poor posture.
Deep tissue massage D.pptx deep tissue massage
TECHNIQUES
TECHNIQUES
TECHNIQUES
• Cross Fibre Massage runs across the muscle fibres rather than the
length of the muscle and is applied with the pads of the fingers or
thumbs(usually reinforced).
• This technique is used on localised areas of tense muscles and can
break down scar tissue effectively.
TECHNIQUES
• Mechanical Massage can provide a consistent, deep and effective form of
treatment. Many therapists like working this way as it can achieve the
same results in around four minutes to what it would take manually in
fifteen minutes, therefore saving the therapists hands and energy.
• Many therapists like working with the equipment as it is also less personal
and maintains a consistent pressure. There are issues that need to be
considered however, such as loss of touch, making it more difficult to find
areas of tension, and also the importance of not using mechanical massage
over a bone or on an endangerment site.
CONTRA–INDICATIONS, CONTRA- ACTIONS
AND AFTER CARE
• Swelling/inflammation – avoid the area if any swelling is evident as
this can demonstrate bleeding from a torn vessel, with tissue fluid
leaking into the surrounding areas.
• Working on a recently injured site – avoid the area for 48/72 hours
after an injury.
• Redness or discolouration of the skin – this can indicate an infection.
• Sharp, knife like pain (acute) – this can indicate inflammation.
• As with any massage treatment there may be some contra-actions, so
it is important to warn your client of them and to provide the normal
aftercare that you would for a massage treatment.
• As you have worked deeper into the muscles than a normal massage
treatment, your client is more likely to feel the after effects!
• If you have used NMT, then the area may feel bruised for up to 72
hours afterwards, and the procedure should not be repeated for 48
hours
• Aftercare The normal aftercare should apply for a deep tissue
massage, but for the client to get the best from the treatment they
should be encouraged to stretch afterwards and to hold the stretch
for around 20 seconds.
• This will increase flexibility but will also provide relief for sore
muscles.
Thank you

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Deep tissue massage D.pptx deep tissue massage

  • 2. DEEP TISSUE MASSAGE • A deep tissue massage is not just a firm massage or apply more pressure, but instead consists of different techniques that are used to allow the therapist to work beyond the superficial muscles, usually in a specific area.
  • 3. The purpose of a deep tissue massage • If a muscle has been injured or is holding tension, due to poor posture, stress or illness, then adhesions can form. Adhesions are bands of painful, rigid tissue which can form in muscles, the tendons or ligaments and can lead to poor blood flow to the area as well as limitation of movement, leading to pain. The purpose of a deep tissue massage is to release the muscle fibres that have become “stuck”,in order to remove toxins and to encourage blood to circulate again.
  • 4. The Benefits of Deep Tissue Massage Deep Tissue Massage has many benefits: • Increases the range of motion (ROM) in joints • Improves blood flow to muscles • Breaks down and reduces adhesions • Can aim to improve postural faults • Can aim to relieve muscle spasm and tension • Improves the distribution of oxygen and nutrients to muscles • Reduces stress on other muscle groups which may be overcompensating loosens the fascia of the muscle
  • 5. TECHNIQUES • Before any deep tissue work commences, it is essential that warm up the area by using plenty of effleurage • Deep Stroking can be used within standard effleurage, using the palms of your hands with the pressure coming from the heel of the hand rather than your fingers. • Ensure you are not overstretching whilst performing this move, and you may find it beneficial to lower your couch to be able to apply pressure from your own body weight. • Palpation should be taking place throughout the treatment, running the length of the muscle in a slow motion. • If you want to start working a little deeper, then you can re-in force your hand but ensure you are working slowly to identify any abnormalities in the tissue or muscles. • Return to deep stroking throughout your treatment to encourage the removal of toxins and to keep the muscles warm.
  • 6. TECHNIQUES • Petrissage can be used to lift tense muscles, only once you have applied plenty of deep stroking to the area. • Deep Tissue Frictions can be carried out using the fingers, thumbs, heel of the hand or even the elbow and can be performed in a number of directions such as circular or across the muscle (cross fibre friction). • Frictions are ideally used where you suspect scar tissue or adhesions have formed, though they should not be used if you suspect an acute injury where there may be inflammation. • Return to this technique throughout your massage rather than spending too long on one area as it can be too stimulating.
  • 7. TECHNIQUES • Connective Tissue Manipulation (CTM) is a technique that involves stretching connective tissue using the soft pads of the fingers to move one layer of skin on the layer below. • This technique is carried out easier if there is minimal medium being used so it may be necessary to remove any excess oil before hand to prevent slip.
  • 8. TECHNIQUES • Trigger Point Therapy is a technique that finds the “trigger point” within a muscle, tendon or the fascia that can be hypersensitive and can radiate pain to other areas of the body. • This area can be as small as a pinhead, and the Trigger Point itself may not necessarily be the area of pain but can refer to the area where there is injury within a taut band of muscle and can act as a reference. • The Trigger Point area can be congested spots within muscles, demonstrating restricted blood flow. Working on Trigger Points can reduce pain and improve circulation to the area. • It is important that the cause is investigated as any treatment will only act as a short term relief if the cause is not removed i.e poor posture.
  • 12. TECHNIQUES • Cross Fibre Massage runs across the muscle fibres rather than the length of the muscle and is applied with the pads of the fingers or thumbs(usually reinforced). • This technique is used on localised areas of tense muscles and can break down scar tissue effectively.
  • 13. TECHNIQUES • Mechanical Massage can provide a consistent, deep and effective form of treatment. Many therapists like working this way as it can achieve the same results in around four minutes to what it would take manually in fifteen minutes, therefore saving the therapists hands and energy. • Many therapists like working with the equipment as it is also less personal and maintains a consistent pressure. There are issues that need to be considered however, such as loss of touch, making it more difficult to find areas of tension, and also the importance of not using mechanical massage over a bone or on an endangerment site.
  • 14. CONTRA–INDICATIONS, CONTRA- ACTIONS AND AFTER CARE • Swelling/inflammation – avoid the area if any swelling is evident as this can demonstrate bleeding from a torn vessel, with tissue fluid leaking into the surrounding areas. • Working on a recently injured site – avoid the area for 48/72 hours after an injury. • Redness or discolouration of the skin – this can indicate an infection. • Sharp, knife like pain (acute) – this can indicate inflammation.
  • 15. • As with any massage treatment there may be some contra-actions, so it is important to warn your client of them and to provide the normal aftercare that you would for a massage treatment. • As you have worked deeper into the muscles than a normal massage treatment, your client is more likely to feel the after effects! • If you have used NMT, then the area may feel bruised for up to 72 hours afterwards, and the procedure should not be repeated for 48 hours
  • 16. • Aftercare The normal aftercare should apply for a deep tissue massage, but for the client to get the best from the treatment they should be encouraged to stretch afterwards and to hold the stretch for around 20 seconds. • This will increase flexibility but will also provide relief for sore muscles.