Chapter 11
MASSAGE FOR
CONDITIONS
Massage for facial paisy either a washable sheet or towcl, or a dispOS
able sheet. Uncover the area.
The paralysed muscles of facial expression are
treared by using unilateraleffleurage, kneading, Of the tray
plucking, reverse hacking and tapping. The This should be suítably adjacent to the area to
normal side of the face should be supported be treated.
with one hand covered with either atissue or
layer of cotton. Place your litle fnger on the using lanolin
chin, your ring finger on the upper lip and your - the lanolin or lanolin cream
middle and index fingers on the cheek with your
thumb on the forehcad. Apply a slight down -a bowl of swabs
wards and medial pressure towards mid-linc of a receiver for dirty swabs
the face, and maintain it while giving rhc using oil
massage to the paralysed side. -the oil
- Small dish or
container
- bowl of swabs
Additional manipulation - eye closing - receiver for dirty swabs
Place one forefinger along the upper eyelid and
gently close and open it several times. This uSing soap and oil
manoeuvre helps to lubricare the eyeball. Teach - the oil
the patient to perform this manipulation. - small dish or container
- bowl of swabs
- dish containing non-caustic soap
Massage using lubricants - bowl of hand-hot warer (the hottest your
paln1 will tolerate)
Preparation - receptable for dirty swabs
- hand towel
Of the patient
Support the area to be treated, and ensure his of the practitioner
or her general comnfort. Spread under the area Removc rings and wristwatch, and ensure your
a protectivc, watcrproof shccting covered with nails are short. Try to sit down so that you can
Some Uses and Modifications lor reatment
144
relax and maintain a prolonged treatment Imanipulations. The object is not to work
without unduc fatigue. deeply, but to spread the lather and loosen
scales of skin. As the scaly patches are loosened,
use a swab toremove them from the work area.
The treatment If the lather dries up or disappcars, re
Using oil or lanolin or ung. eucerin moisten your palmns and work them together
first. You may find the lathcr rcforms, but if
Opcn thc container and leave the cap off. If
using oil, pour a little into the dish.
not recreate lather by following the above
procedurc.
Examine the part to be trcatcd and using On completion of the treatment:
your hnger or thumb tips apply the lubricant
to thc margins, then to the centre of the area. either wipethe whole area with swabs, working
If possible, support your forearms or elbows on a whole limb rom proximal to dista!, or
adjacent to the treatment area and, using your on a smaller part from centre to periphery.
Jubricated finger or thumb tips, work from the This will leave a thin coat of oil on the arta.
periphery to the centre of the area. or wash the area by first washing your own
As you work, the lubricant may disappear' hands and rinsing them, then lathering them
so add more, a small amount at a time, on the so that youcan apply a non-oily lather to the
area on which you are at present working, Do part to wash it.
not at any point swamp or flood the area.
Rinse, swab clean as above, then dry the part if
On completion: necessary.
either leave the residual lubricant on the skin
or genthy swab most of it away, using a clean
swab for each sudsection cleaned, andwiping Massage for scars, burns and
the centralarea first followed by the margins. plastic surgery
Using soap and oil Allscars, whecher primary lesions, secondary
repairs or grafts, havc a tcndcncy to contract by
Open the container of oil and pour a little into as much as third of their length. All injuries
the small dish. Put che palmar surface only of to the skin, whatever the cause, also tend to
your hands on to the surface of the hot water, become oedemarous, and may become slow
So that the dorsal surface does not become wet. healing and indurated. The oedema can be a
Use the soap to work up a good lather on the disaster in the case of a skin graft which may
front of your hands. Pour about Sml (onc tca be lifted' and preventcd from taking by the
spoon) of oil on to the palm of one hand, and oedema.
work you palms togcther to distribute the oil At bst, permanently contracted scars will
into the Jather. cause inconvenience and at worst they cause
Apply your hands to the area to be treated, gross deformicies with severe functional
spreading the lather over the whole area. If you limitation.
need more lather repeat the above procedure, Along with other measures, the appropriate
but you will fnd the lather spreads over a large application of suitable massage techniques will
area. Now, work with one or both hands over help to maintain scar length and assist the
the whole area using stroking or kneading type movement of oedema so that it may be resolved
