Direct friction over the emission of the supra-orbital nerve as it emits from the ridge of the frontal bone is being used here. The operator's fingers are directly applied to the notch, and either circular friction or vibration can be performed.
Tips: Most useful in conjunction with other friction and vibration points and particularly when the frontal sinus is involved. Least useful where acute sinusitis makes the friction points too tender. Extra considerations: Start slowly and superficially and gradually work deeper, repeating the technique intermittently during treatment rather than keeping up the contact for a long period.
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