Tissue Distraction Release with Movement (TDR-WM) Indications & Contraindications


Tissue Distraction Release with Movement (TDR-WM) Indications


  • Anywhere that soft-tissue massage and release techniques are indicated
  • Myofascial pain
  • Scar tissue adhesionsTissue Distraction Release with Movement (TDR-WM) Contraindications

    Although rare, the only known adverse effects from TDR-WM is severe tissue bruising. Limiting treatment time to 3-5 minutes on the first session can reduce the risk of significant bruising. Treatment time may be gradually increased in future sessions based on patient response.

    Some theorize that the bruising is in fact a healthy response to soft-tissue treatments. However, it is still best if it can be avoided.

    Important Definite Contra-indications to TDR-WM

  • Blood diseases E.g. Hemophilia
  • Patients on anti-coagulants / even regular Aspirin
  • Dermatitis
  • Open wounds
  • Varicose veins
  • Hernia
  • Severe edema
  • Severe health issues such as congestive heart failure, renal failure, etc.
  • Areas near large veins such as groin region
  • Systemic inflammatory conditions such as Rheumatoid arthritis
  • Infections (i.e. patient presenting with fever & chills)
  • Genital regionsPosted on: March 15, 2013

    Categories: Modalities / Meds / Supplements , Relevant Physical Therapy Articles

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