Issue link: https://www.massageandbodyworkdigital.com/i/1509769
A B M P m e m b e r s ea r n F R E E C E h o u r s by rea d i n g t h i s i s s u e ! 57 Miesler was a pioneer in developing specific hybrid strokes and massage protocols that not only yield positive results but, perhaps more importantly, do not produce negative results. We can learn so much from his dedicated research and success with clients over the years. Although his massage sequence for the foot and ankle area encompasses eight specialized strokes, let's examine a couple of his techniques that have changed the landscape of massage success for older clients with diabetes. THE ASSESSMENT Your assessment protocol with this client is critical. Take a good look at the overall condition of the client's feet and legs. Examine carefully, looking for any cuts or abrasions, areas painful to the touch, pressure sores or ulcers, swelling, broken capillaries, bruising, or discoloration of the skin. Notice the amount of hair growth on the legs; the more advanced a case of PVD is, the less hair will grow on the skin's surface. Check the tautness of the muscles, the tension of the skin, and any f luids leaking through the skin's surface. Therapists may encounter conditions that alert them to proceed with the massage, but with caution. A good therapist armed with critical-thinking skills will know which conditions require a doctor's permission before proceeding with the session. GENERAL GUIDELINES To begin work with this client, start with gentle rocking motions that relax and soothe them. The delivery of strokes should be slow, comforting, and with purpose. The aim is blood f low, lymph f low, and guided range of motion. Allow your hands to "read" the condition of the muscles and bone structure, so as not to apply too much pressure to the skin or tissue or overstretch a muscle or tendon. Limit the session length to about 30 minutes so you don't The delivery of strokes should be slow, comforting, and with purpose. The aim is blood flow, lymph flow, and guided range of motion.