Swedish Massage | Page 8

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arm proper.
l 6. Stroking of the whole arm, as described in 1 and 2.
l 7. Kneading with the two thumbs of both hands upon different muscles, sp\
ecial attention being paid
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to reach the extensors and flexors in the forearm, the biceps, triceps , deltoid , supraspinatus and
infraspinatus .
l 8. Hacking over the whole arm.
      The most common mistakes in treating the arm are:
l 1. Too tight grasp around the wrist with the supporting hand.
l 2. The arm is kept too rigid, preventing the proper and necessary relaxa\
tion of the muscles.
l 3. The muscles of the upper part of the arm and shoulder are too often n\
eglected.
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l 4. Inefficient kneading.
III. MASSAGE OF THE CHEST
l Position. -- The patient is lying flat on the back, without head-rest, and the a\
rms placed at the sides.
l 1. Stroking with both hands, one on each side of the sternum. The manipu\
lation should be performed
upward and inward, making a somewhat circular motion (see Fig. 2).
l 2. Friction with thumb over pectorales major and minor, with repeated st\
rokings. Always from the
origin (sternum) toward the insertion (the arm).
l 3. Kneading with the thumb and fingers (pinching) if the muscles of th\
e one side be paralyzed.
l 4. Hacking or clapping over the chest may also be used, according to cir\
cumstances. Punctation in
circles around the heart has also been recommended, but if used, great c\
are should be taken.
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      As a rule, all percussions applied to the thorax sh\
ould be used with discretion.
      In massage of the breast place the hands at the out\
er circumference and by alternate frictions proceed
upward to the nipple. In cases of caked breasts it is often necessary to\
use frictions with the tips of the
fingers over hard places to relieve distended ducts. Always finish the t\
reatment with the so-called
``fulling'' consisting of gentle pressure from the base of the breast up\
ward with both hands alternately.
Massage with camphorated oil is a great relief in over-distended breasts\
. The operator should always be
careful not to bruise the glands in any way, as tumors are liable to dev\
elop in after years and cause no
end of trouble. Massage and exercise are the only means by which the bus\
t can be properly developed.
The patient should be taught how to breathe properly and for the quick d\
evelopment of the mammary
glands use in the massage as above described the following preparation, \
recommended by Dr. W. J.
Haynes:
Lanoline2 ounces
Cocoa Butter2 ounces
Oil Cajeput1 ounce
Oil Sassafras1/2 ounce
Extract Saw Palmetto2 ounces
      This preparation has not a fine odor, but produces \
a pleasant sensation in the skin. It is a valuable
compound wherever we wish to develop a part, but should not be used on t\
he face.
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IV. MASSAGE OF THE BACK
l Position. -- The patient is lying on his face, without the head-rest, the arms s\
hould be kept at the sides.
l 1. Stroking with both hands, one on each side of the spinal column, from\
the base of the skull
FIG. 15. -- Pinching on the Sides so as to act on Sympathetic
Ganglia.
down to the sacrum. If on a large person, the operator had better divide\
the back into three parts, in such
a manner as to first work next to the spinal column, then over the cente\
r of the back, and finally over the
sides, remembering that by the last manipulation
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he may conveniently reach the liver or spleen, if desirable in certain c\
ases. In the case of an infant, and
especially in infantile paralysis, we often use in the stroking only the\
index and the middle fingers, one
on each side of the spinal column.
l 2. Friction with the hand or with the last two phalanges of the one hand\
, from the upper part of the
trapezius down to the glutei, one side at a time.
l 3. Stroking as previously described.
FIG. 16. -- Kneading of the Back.
l 4. Kneading with the two thumbs, one on each side of the spine, so as to\
act upon the spinal nerves.
The hands should be spread over the back, supporting the sides if possib\
le (see Fig. 16).
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l 5. Pinching on the sides so as to act upon the sympathetic ganglia (see\
Fig 15).
l 6. Hacking with one hand on each side of the spine, up and down, from th\
e sacrum to the neck.
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l 7. Clapping on both sides, lengthwise, one at a time (see Fig 17).
l 8. Stroking repeated; performed very quickly if we
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