Tissue Distraction Release with Movement (TDR-WM)
Traditional cupping has been done for centuries, to increase circulation, remove “toxins”, reduce congestion, and therefore reduce pain.
The difference in traditional cupping techniques and TDR-WM is that the focus of treatment is primarily on affecting the mechanical properties of the tissues.
In traditional cupping the cups are passively left on for 10-30 minutes on multiple regions of the body.
In TDR-WM, although the cups may be left on for a few minutes, the focus is to glide the cups as the muscle/tissues are simultaneously lengthened and shortened underneath the cup, via active and passive movements of the relevant joints.
Instead of compressing the tissue as most massage and tissue release techniques involve, the focus of TDR-WM is tissue distraction.
General Points of Technique
Ensure plenty of oil is used on the skin prior to the technique as distraction and gliding will not be possible and very painful if performed on dry skin.
Cups may be moved transversely along the muscle or in circular fashion.
Use the opposite hand to assist in the release as the cups are glided across the tissue.
In patients with significant tenderness, start with light pressure then increase the distraction pressure as tolerated.
Use the small cup for localized scar tissue adhesion.
For localized trigger points, the cups may be left on for 2 minutes the first day, then up to 10 minutes, based on skin tolerance.
Although benign, warn the patient that a bruising mark may result which usually lasts a few minutes but in some cases the bruising may last up to one week.
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Posted on: March 15, 2013
Categories: Modalities / Meds / Supplements , Relevant Physical Therapy Articles