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This book deals exclusively with the technic employed and the results obtained from the penetrating effect of friction massage on deep-seated tissues. The technic described is that of deep friction over the site of the lesion, "which may or may not be within the painful area outlined by the patient." Heat is not given preceding this procedure; in fact, the author definitely states that he does not use it. He emphasizes the importance of diagnosis and the utilization of this technic "when a deeply situated soft structure has to have its mobility restored.... Hence traumatic or rheumatic lesions—both acute and chronic— of muscle, fascia, tendon, ligament and, sometimes, joint-capsule provide almost the only indications for deep friction."
Dr. Cyriax's method differs from the one used in this country. In the United States circular technic is used with the thumb over the lesion, while his method uses a deep transverse friction
Deep Massage and Manipulation Illustrated. JAMA. 1945;129(8):581. doi:10.1001/jama.1945.02860420049025