Points to consider

Before commencing massage it is important to examine the client's back carefully as many variations are found.

OBSERVE THE SPINE

® Is it straight or does it curve to the left or right indicating scoliosis?

® Is there a humped look in the thoracic region indicating kyphosis? An extra pillow may be required below the bust to improve contour and comfort.

® Is there a deep hollowing in the lumbar region indicating lordosis? An extra pillow may be required under the abdomen to level out the lumbar spine and improve comfort.

OBSERVE THE SCAPULAE

® Do they lie flat on the thoracic wall or does the medial border and inferior angle protrude backward, indicating winged scapulae?

® Are the scapulae level or is one higher than the Figure 7.21 Thumb kneading between other? This may indicate muscle tension in the scapulae.

upper fibres of the trapezius or it may simply be the way the client is lying - adjust the client's position.

OBSERVE THE SKIN AND UNDERLYING TISSUE

® Are there any skin conditions that would make massage unsuitable (contra-indicated), e.g. extensive or pustular acne, large raised freckling, etc?

OBSERVE AND FEEL THE UNDERLYING TISSUES

® Does one area look raised? Is it hard and tense rather than soft and relaxed to touch? Are there painful, tender areas or nodules?

By observation, palpation and sensing through the hands in this way, you will build up a mental picture that will enable you to adapt your massage as necessary, e.g. avoid all bony prominences by working around them. Tense areas will require a slow, rhythmical, relaxing massage and tension nodules may require frictions or other special techniques, see Chapter 9. Extra work may be required over the upper and middle fibres of the trapezius. If there is pain in the lumbar region, the massage should be very light and gentle in that area.

How To Deal With Rosacea and Eczema

How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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