Massage for hypotension: massage technique to lower blood pressure. Massage for hypotension

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There are primary or neurocirculatory, hypotension and secondary or symptomatic. Massage helps reduce the manifestations of the disease.

Massage for arterial hypotension

Primary hypotension occurs due to functional disorders of the higher parts of the central nervous system that regulate the motor activity of blood vessels. Characterized by the predominance of inhibition processes. Neuropsychic and physical stress plays a significant role in this.

Secondary hypotension occurs as a result of functional disorders of the nervous and cardiovascular systems that occur after infectious and peptic ulcers, traumatic brain injuries, functional disorders endocrine glands, etc.

During the process of recovery from the underlying disease, blood pressure also normalizes. The disease manifests itself:

• feeling of general weakness, lethargy;
• headache varying intensity and localization;
• dizziness, with the intention to quickly change the position of the body - darkening in the eyes;
• increased irritability, insomnia;
• unpleasant sensations in the heart area;
• decreased blood pressure and pulse lability with a tendency to bradycardia;
• decreased performance.

The task of massage

• normalize functional state somatic and vegetative nervous system;
• improve the neuropsychic status and resistance of the body to negative influence environmental factors;
• speed up recovery from diseases that lower blood pressure;
• contribute to the elimination clinical manifestations diseases.

Indications for massage: cardiopsychoneurosis hypotonic type, symptomatic hypotension.

Contraindications for massage:

• heavy general state sick;
• significant reduction blood pressure(below 90/60 mmHg;
• exacerbation of clinical symptoms;
• general contraindications.

Massage plan

• Collar area massage.
• Massage of paravertebral and reflexogenic zones of innervation of S5-S1 L5-L1 spinal segments.
• Massage of the pelvis, abdomen and lower extremities.

Back massage

Massage technique

The collar area is massaged with the patient sitting at a massage table or riding on a chair, with the head resting on the headrest or the patient's hands. Massage of the collar area includes: massage of the posterior and lateral cervical areas, scapular subclavian deltoid areas.

Planar and enveloping stroking of the posterior and lateral cervical areas begins from the upper nuchal line and the spine. Movements are directed towards the shoulders and shoulder blades. Hands move sequentially or parallel.

Spiral rubbing of the back of the head, mastoid processes, posterior and lateral cervical, scapular, subclavian, deltoid areas. The following sequence of rubbing is effective: occipital region - sawing, lateral and posterior cervical areas - straight rubbing with fingers, trapezius muscle (upper edge) - grasping rubbing with the entire palm or intersection. The brushes move in parallel, in opposite phases.

Rubbing VII cervical vertebra: circular rubbing of the spinous process, with the thumb - in a spiral manner or with several fingers from the vertebra outwards by 2-2.5 cm and returning back in the same way. Thus, a massage is carried out in the form of the rays of the sun (“sun”). The speed of movement and the force of pressing gradually increase.

Kneading, pressing, shifting the trapezius and large chest muscles. The edges of the trapezius muscle, deltoid muscles are massaged with longitudinal and transverse kneading, the sternocleidomastoid muscles are massaged with forceps-like kneading.

By deeply grasping the muscles or pressing on them, they thoroughly knead both the superficial and deep layers all the way from the point of origin to the point of attachment. The deep muscles are massaged using spiral rubbing. All these techniques alternate with stroking.

If there is a headache, a head massage is performed: rake-like stroking and rubbing in circular directions along the scalp, shifting and stretching the skin sagittally and frontally. The area where the headache is localized is massaged additionally.

Parovertebral zones are massaged with the patient lying on his stomach. Massage of the spinal zones is carried out from below to the overlying spinal segments S5-S1 and L5-L1: planar stroking, rubbing with spiral fingers, shading, rake-like rubbing of the interspinous spaces, spiral rubbing with the fingers of the spinous processes, sacral bone. Knead the long back muscles by shifting, pressing, stretching with the fingers, the supporting part of the hand, or using a rake.

Massage of the gluteal areas is performed:

• superficial and deep stroking;
• rubbing muscles, sawing, crossing, shading;
• longitudinal and transverse comb-like kneading, displacement, pressing with a hand, fist, or a weighted hand. Pressure force and range of movements gradually increase.
• slow, then fast shaking of the muscles, patting, chopping;
• iliac crests - spiral rubbing with fingers;
• finish the massage area sciatic nerve stroking.

Lower limb massage

The lower limbs are massaged with the patient in the supine position, and a cushion is placed under the knees. Perform:

• planar stroking of the foot, superficial and deep grasping stroking of the lower leg and thigh with two hands, moving parallel or sequentially in the direction of the inguinal lymph nodes;
• rubbing with the palmar surface of both hands placed parallel in opposite directions;
• rubbing spiral or straight with a brush or fist of one or two hands;
• comb-like rubbing, sawing of the thigh area;
• transverse and longitudinal kneading, felting the muscles of the lower leg and thigh;
• patting, chopping, shaking, shaking the lower limb;
• stroking at the end and between techniques.

The abdomen is massaged with the patient in the supine position, and a cushion is placed under the knees. Perform a massage with planar superficial and deep stroking clockwise around the navel to the periphery. Continue with grasping superficial and deep stroking of the lateral surfaces of the abdomen. Then they stroke above the navel, directing the movement to the axillary lymph nodes. Further down - to the inguinal lymph nodes.

Massage the anterior abdominal wall, kneading by rolling the skin and muscles, cross kneading with both hands from pubic bone up.

The oblique abdominal muscles are kneaded by clasping them with your hands, shifting, stretching and squeezing. The crests of the iliac bones are rubbed in a spiral manner, then the anterior abdominal wall is massaged by chopping, beating, patting.

The abdomen is shaken in the transverse and longitudinal directions and vibration stroking is performed. Finish with stroking.

The procedure continues - 15-20 minutes during the course of treatment - 15-20 procedures every other day. Massage procedures are combined with physical exercise and physiotherapeutic procedures.

Is it possible to do massage with high or low blood pressure and hypotension?

Physiotherapy today is considered an effective way to normalize blood pressure. Previously it was believed that carrying out such a procedure with high blood pressure is prohibited, and self-massage cannot be done if you have hypertension, but today the opinion of doctors has changed. For hypotension, massage helps stabilize blood pressure and improves the patient’s well-being. To obtain the desired effect, it is important to know about the rules of the procedure.

The effect of a massage procedure on normalizing blood pressure

With hypertension, high blood pressure levels are observed, the values ​​of which can exceed 140/110. With hypotension, the situation is the opposite, the pressure is below normal at the border of 100/60 or less, which is also the cause of poor health.

With high blood pressure, a person experiences a sharp deterioration in health. He may suffer from headaches, chest discomfort, tinnitus, and spots in the eyes. When arterial hypertension and very high performance the consequences can be sad, which can result in a stroke, heart attack or even death of a person. A characteristic symptom of low blood pressure is apathy, weakness, and fatigue.

Carrying out a massage helps improve blood circulation and vascular tone, and relieves spasms in problem areas.

As a result, the patient’s condition and blood pressure indicators are normalized. It is important that the massage is carried out by a competent specialist who has knowledge of anatomical features and massage techniques in different situations, otherwise the patient's condition may worsen. For high blood pressure, the session involves only a targeted impact in compliance with the rules of working with the patient.

Head massage for low blood pressure and hypotension

A head massage is performed to increase blood pressure by relieving vascular spasms and improving blood supply. The procedure involves simultaneous use of the fingers of both hands. The session begins with the area of ​​the ears, moving using circular movements to the base of the skull and the back of the head. Gradually work out the entire surface of the head.

Rules for preparing for massage

Any massage involves preliminary preparation of the patient for the procedure, the incorrect implementation of which can weaken the effect as a result of a reflex effect. The procedure is done in special place, intended for a session during which the massage therapist stands.

The process looks like this:

• the patient prepares for the procedure by removing excess clothing;
• the patient lies down on a special massage couch;
• The specialist begins smooth stroking.

After preliminary preparation, the massage therapist smoothly moves on to the technique, massaging and rubbing certain areas or carrying out a targeted effect, depending on the goals.

Therapeutic techniques used

Today there are several techniques, each of which involves use at low or high pressure. It is imperative that a person with experience is selected for treatment, and the procedure must be carried out by a qualified doctor.

It is worth inquiring about availability in advance. special education Check with a specialist, available certificates, and study reviews from previous clients.

Massage treatment and the possibility of prescribing it are determined by the attending physician depending on the clinical picture. The session is carried out only if the patient’s condition is satisfactory.

All massage techniques are based on influencing the patient’s body, as a result of which the appearance of reflexes is provoked, leading to the narrowing or dilation of blood vessels.

Classical

The technique involves stroking and rubbing. If the technique is performed correctly, the patient relaxes and the nervous system becomes less excitable.

As a result, tension is relieved from the walls of blood vessels and blood pressure is normalized. After a classic massage, you can expect a decrease in headaches, dizziness, the feeling of nausea and pulsation in the temples with hypertension disappears.

With reduced pressure, the condition stabilizes due to improved tissue nutrition and enrichment with oxygen.

• The following movements are used:
• stroking - helps improve metabolic tissues, can be varied, including intermittent;
• rubbing - raises tone, depending on the intensity and strength of movements, excites or calms the nervous system;
• kneading - helps to activate the movement of blood and lymph, can be longitudinal or transverse;

vibrations - can affect deep layers, as well as internal organs.

The classical technique always assumes a certain sequence with zones. The procedure begins with the cervical-collar region and ends with the abdominal area.

Spot The procedure involves targeted action on certain points. In most cases, they are responsible for the work of a specific body human body

or capable of influencing it. This technique requires a lot of knowledge and experience working with patients.

• When performing acupressure, it is important to follow the following rules:
• accurately determine the point of influence;
• The duration of the procedure varies from 30 to 40 minutes;
• The duration of exposure to the point is from 3 to 5 seconds.

Massage can be carried out by influencing active points located on the neck, head and legs. At correct technique During the procedure, the patient experiences a slight sensation of pleasant warmth at the point of pressure.

Execution method

The specialist pays special attention to those areas of the body that are directly related to the passage nerve pathways. The impact is on the vasomotor centers, which include the head, neck and collar area. In most cases, it tries to alternate areas.

Before starting the procedure, the specialist measures pressure indicators, and if they acceptable value a session is scheduled.

If the blood pressure is too high or the blood pressure is too low, the session is postponed. Consistently large deviations from the norm are the reason for refusal of physical procedures and require therapeutic intervention.

Effective methods involve exposure to each of them for 1 minute. For high blood pressure, the duration of the physiotherapy procedure should not be more than 15 minutes. The massage is carried out in courses, the number of sessions is determined by the attending physician. On average, patients are prescribed 15 procedures. It is important to use the services of a qualified specialist and not skip appointments. Even if there is a lasting result, you cannot immediately abandon drug treatment.

For the collar area

The patient being massaged is located on a chair, his head is placed on clasped hands located on the table. This pose allows you to relax the muscles of your back and neck as much as possible. Movements are performed only in the up and down direction.

The technique involves:

• stroking;
• rubbing;
• spiral movements;
• imitation of chopping and sawing movements.

When performing massage movements, the impact force is on average 3 times less compared to other areas. Finish the massage with light strokes.

For the back

Massage relieves spasms in the back muscles and normalizes well-being. All movements are performed only in the direction from the back of the head to the corner of each shoulder blade.

The sequence of influence is as follows:

• rubbing is carried out in a straight line, then spiral movements are imitated;
• the area is warmed up with fingertips;
• the spinous processes are affected;
• the first step is repeated.

The session ends with light stroking movements.

For the neck

Kneading the neck relieves spasms and improves blood circulation, which leads to normalization of blood pressure. The specialist strokes the area of ​​the appendix and lymph nodes, sequentially moving to the pectoral muscle, sternum and ribs.

The chin and collarbone are subjected to massage movements. When working we use:

• traditional stroking;
• pinching movements;
• rubbing;
• creating vibration.

The massage is completed with stroking movements.

For the head

The massage is performed on the patient, who during the procedure lies on his stomach, and his head is in his hands during the session. Movements begin from the crown, moving towards the back of the head, forehead and temples.

The following movements are used in the process:

• light stroking with open fingers;
• imitation of zigzags and circles with your fingertips;
• light rubbing.

After performing a massage in these areas, the patient turns over and the forehead area is affected, starting from the midline towards the temples. Finish the session with circular rubbing movements in the temple area.

Self-massage for hypotension

At home, if there are no serious health risks, you can perform self-massage. This method is effective when it is necessary to increase blood pressure without resorting to outside help. The massage technique involves carrying out a general direction of influence.

Particular attention is paid to the lower extremities, abdominal area and lumbosacral area.

In order to increase the pressure, use the following movements:

• intermittent stroking;
• rubbing at a vigorous pace;
• active kneading;
• intermittent vibration.

Low pressure massage should be intense and force you to increase tone. It is recommended to do a daily morning massage of the feet, neck and shoulders, which will “start” the blood supply processes and the functioning of vital systems. Physiotherapy to harden the body will help increase the effectiveness and efficiency of the procedure, which will increase blood circulation and help improve vascular tone.

Contraindications

Before conducting a massage course, consultation with the attending physician and permission to conduct it are required. The possibility of massage for hypertension is often determined by the form of the disease. The primary stage is typical for 95% of cases, and often the pathology is caused by stress and bad habits. It is with this form of the disease that massage will be effective.

In the secondary form, physiotherapy is ineffective or can provoke an even greater increase in blood pressure.

Contraindications for appointments:

• hypertensive crisis;
• last stage of hypertension;
• tendency to bleeding, problems with blood clotting;
• tuberculosis;
• tumor formations;
• heart pathologies requiring surgical intervention.

A contraindication to massage procedures may be an upset digestive system. Physiotherapy is not performed if there are injuries or problems with pathological or purulent skin diseases. The ban is imposed by mental disorders, depression or fever.

Features of massage for low blood pressure

A massage that is aimed at increasing blood pressure and relieving a person of unpleasant symptoms such as a feeling of weakness and lethargy, headache or dizziness, and decreased performance will help with hypotension. Different massage techniques can be used, but a specialist will help determine which one will be most effective in a particular case.

Massage procedures will be useful in case of such diagnoses as:

• Primary physiological neurocirculatory dystonia of hypotonic type. It is associated with prolonged psycho-emotional stress, including stress, various mental traumas or closed injury skulls It usually affects young people and teenagers.
• Secondary pathological or chronic symptomatic hypotension. The secondary form develops against the background of other diseases, including stomach ulcers or duodenum, diseases of the endocrine and respiratory systems or blood circulation, intoxication of the body.

What's the benefit?

Properly performed massage with parallel technique medications helps:

• gradually increase the pressure;
• reduce headaches;
• normalize work of cardio-vascular system;
• improve a person’s psycho-emotional state;
• reduce the risk of crises.

The effect of a massage will only be if it is done regularly, so skipping sessions is highly undesirable.

Massage techniques

For hypotension, four types of massage are used:

Classical

This massage treats the lower back, pelvis, lower limbs and abdomen. The main tool is the hands of a massage therapist. During the session the following techniques are used:

• Stroking. This technique always begins and ends the massage. It can also be used in between other techniques. Stroking is carried out so that there is no pain, and the skin did not gather in folds. When stroking, two hands are involved, which move alternately. They should glide over the skin. Deep stroking affects the lymphatic and circulatory system. If it is intermittent, it has a stimulating effect on the nervous system, and if it is continuous, it reduces the excitability of tactile receptors.
• Rubbing. With such manipulations, the underlying tissues shift in different directions, and skin folds form in front of the massage therapist’s hands. Rub the skin using your fingers, the ulnar edge of the palm or the supporting part of the hand. This technique has a tonic effect, which, depending on the intensity, reduces or increases the excitability of the central nervous system.
• Kneading. They involve impact on muscles. To do this, grab the skin with your hand and pull it back. The pace of administration should be slow and not cause pain syndrome at the client's.
• Vibration or shaking. These are oscillatory movements that are performed at different speeds and amplitudes. They affect not only the skin and muscles, but also the deeper layers of tissue, as well as internal organs.

The algorithm for performing classical massage for hypotension is presented below:

1. First the back is massaged. The patient is in a sitting or lying position on his stomach. The procedure begins with longitudinal stroking from the pelvis up to the shoulder blades. Next, they begin kneading, which is done with the fingertips, making pincer-like movements. In this way, the long back muscles are massaged. Next, they begin rubbing, which is done using the pads of four fingers, especially paying attention to the lumbar area. Rubbing is carried out in all directions from the spinal column. Finish the back massage with stroking.
2. Continue the session with a pelvic massage. The patient lies on his stomach and stretches his arms along the body. In the area of ​​the buttocks, first use superficial and deep strokes, then rub them in different directions, knead them, shake the muscles, and pat them. Finish the massage in this area by stroking the area of ​​the sciatic nerve.
3. Then they move on to massage the calf muscles. The patient lies on his back, and a cushion is placed under the knee. The massage therapist begins by stroking the foot, then superficially and deeply begins to massage the legs and thighs with stroking movements, moving towards the inguinal lymph nodes. After warming up, begin rubbing the lower extremities, kneading and shaking. The massage ends with stroking.
4. The abdomen is massaged clockwise around the navel to the sides with stroking movements. Then the area above the navel is stroked towards the axillary lymph nodes. Next they go down to the area below the navel and massage this area towards the inguinal lymph nodes. The session is completed by rubbing the muscles with your fingers, kneading and stroking.

Canning

This massage is performed using a small glass container. It is attached to the skin using a vacuum and, without removing it from it, a massage is performed. Move the jar with continuous movements carried out along the spine from bottom to top - from lumbar region to the cervical region.

This type of massage is highly effective, so it is performed infrequently - once a week is enough. The course lasts about 2 months.

Stone massage

This is a massage using alternating hot and cold stones, which relaxes muscles and has a beneficial effect on vascular system. In this case, the specific effect depends on the stone:

• Hot stone massage warms and relaxes muscles, dilates blood vessels, improves blood circulation, enhances metabolic processes, and normalizes a person’s state of mind;
• Cold stone massage causes constriction of capillaries and blood vessels, increases muscle tone, and enhances the enrichment of blood with oxygen.

In general, stone massage regulates the functioning of the autonomic nervous system, reduces the symptoms of hypotension - relieves pain, strengthens the immune system, and restores the psycho-emotional state.

Spot

All of the listed types of massage are performed with the help of a specialist. But what if you can’t make an appointment or don’t have time to take the course? Then you should pay attention to acupressure. This type of massage can be performed independently at home, but provided that you know exactly the location of the necessary active points, which excite the nervous system and thereby increase blood pressure.

Acupressure algorithm:

1. Start from points located in the area of ​​the carotid artery. They are easy to find - you need to place your hand below the extreme point of the jaw on the left side and feel the pulsation. In this place, apply 3 intense pressures for 10 seconds with breaks. Then press on the point on the other side.
2. Press on points located on the occipital protuberances. Each of them is affected for 1–2 minutes.
3. In the central zone, the palms press on the active point for 2 minutes, and then to the right and left of it.
4. Next, they act on a point located on the inside of the forearm. It is located above the wrist by the width of the palm. Press it intensely for 2 minutes.
5. And the last point is on the back between the left shoulder blade and the spine. Exposure time - 2 minutes.

In order not to make a mistake with the location of the active points, you should consult with a specialist and get instructions from him, and only then proceed to perform the massage yourself.

Contraindications

Despite all the benefits, massage for hypotension should not be performed in the following cases:

• against the background of the development of a hypotensive crisis;
• with pressure readings below 90/60 mmHg;
• for various skin diseases;
• if there are mental disorders.

So, many massage techniques, when performed correctly and regularly, help normalize blood pressure and get rid of unpleasant symptoms that make life difficult for hypotensive patients. Of course, it is advisable to make an appointment with a specialist, because illiterate independent actions can only aggravate the condition.

Does acupressure help with hypotension?

Massage for hypotension is one of the most effective means of helping to increase vascular tone, normalize blood circulation and get rid of the negative manifestations of low blood pressure. In the process of mechanical impacts on various parts of the body, irritation of nerve endings occurs in the skin, muscles, ligaments, tendons and blood vessels, which causes a response from the body and all its organs. In addition, highly active substances are produced in the tissues, which improve metabolic processes and accelerate the movement of lymph and blood in the body. Massage optimizes heart function, tones blood vessels, and facilitates the outflow of venous blood.

For hypotension, the use of various massage techniques helps relieve headaches, normalize the state of the nervous system and blood levels. blood pressure. In addition, massage helps to mobilize the body’s internal forces to fight diseases that cause pathological hypotension.

Types of massage for hypotension

With low blood pressure, the massage should be energetic and tonic, so it is best done in the morning.

There are many types of massage, and the purpose of any of them for hypotension is to increase vascular tone, improve blood circulation and ease the work of the heart.

Segmental reflex massage. The method is based on the impact on certain areas of the body and spinal cord. Due to stroking and kneading, blood and lymph are “squeezed out” from the vessels and the speed of their flow increases. Using the techniques of “chopping,” beating, and patting, they irritate nerve endings skin, and has a tonic effect on blood vessels and capillaries.

Chinese acupressure massage

Acupressure for hypotension is carried out by pressing on the main bioactive points located on:

• inner sides of the legs;
• on the wrists;
• forearms;
• feet

This improves heart function and normalizes vascular tone. Based on the patient’s sensations, the massage therapist can choose the most effective areas of treatment from all possible.

Self-massage for hypotension

To normalize blood pressure and improve well-being, you can use self-massage techniques for the head, lumbar region, hips, legs and feet, abdomen and cervical-collar area. Techniques such as stroking, rubbing, kneading, and vibration are used. Before using the techniques yourself, consultation and training with a specialist is necessary. It is important to note that massage must be prescribed by your doctor and performed by a qualified specialist. During the procedure, the massage therapist pays attention to the patient’s reactions and sensations.

Basic massage techniques

In addition to the positive effect on the nervous and cardiovascular system, massage has a restorative effect and improves the psycho-emotional state of a patient suffering from low blood pressure.

The basic techniques are:

• stroking - flat, grasping, forceps-shaped, rake-shaped, cross-shaped, comb-shaped - improves metabolic processes in tissues and has a calming effect on the nervous system;
• rubbing – pincer-shaped, intermittent, rake- and comb-shaped, “sawing”, “chopping” – have a tonic effect, increase or decrease the excitability of the nervous system, depending on the intensity of the effect;
• kneading - longitudinal, transverse, intermittent, stretching, rolling, shifting - activate blood and lymph flow, normalize the functioning of the central nervous system;
• vibrations - labile, continuous, shaking - have an impact on the deep layers of tissue and internal organs.

During the massage process, the specialist combines various techniques and their varieties. During the session, he monitors the patient’s sensations and also regulates the intensity and duration of the effect.

Sequence of the procedure

During the massage against hypotension, the cervical-collar region, lumbosacral region, muscles of the buttocks, abdomen and lower extremities are worked out. If you have headaches, massage the head area.

• Cervical-collar area. The posterior and lateral areas of the neck, scapular, and subclavian areas are worked on. The direction of the massage movements is towards the shoulders and shoulder blades. Techniques: stroking (spiral, grasping, straight), rubbing, sawing, pressing and kneading.

• Lumbar region. The spinal zones, spinous processes, and long back muscles are massaged. Techniques: stroking, rake-like rubbing, shading, kneading the back muscles by pressing and shifting.
• Gluteal region. Techniques: deep and superficial stroking, shading, sawing, comb-like kneading, rubbing, displacement, patting, chopping, shaking.
• Lower limbs. Worked one by one: thighs, calf muscles, soles. Techniques: grasping stroking, rubbing (spiral, straight, comb-shaped), kneading (transverse, longitudinal), patting, shaking.
• Abdomen area. Massage the anterior abdominal wall, lateral surfaces of the abdomen, and oblique muscles. Techniques: clockwise stroking, horseshoe squeezing, single and double circular kneading, stroking, spiral rubbing, sawing, shaking.

Physical activity, movement fresh air, water treatments will help you overcome the unpleasant symptoms of low blood pressure and always be in a cheerful mood.

Massage technique for hypotension

Massage technique for hypotension

In the treatment and prevention of hypotension, there are different methods of massage.

In other cases, general massage is more effective.

For secondary prevention of hypotension, massage of the lumbosacral region, gluteal muscles, lower extremities and abdomen is indicated.

Sequence of massage

1. The starting position of the patient is lying on his stomach.

2. The massage should begin with the lumbosacral region and gluteal muscles. Direct the movements from top to bottom, and on the lower back - from the spine to the ilia. The following techniques are performed: combined stroking with both hands (4–5 times), palm squeezing on the long muscles (4–6 times), kneading with the edge of the palm and pincer (3–4 times each), double circular kneading on the latissimus muscles (3–4 times), shaking (2-3 times).

3. After this, perform circular rubbing along the spine with the fingertips of both hands (4–6 times), squeezing (3–4 times), stroking (4–6 times). Consistently repeat the described techniques 3-4 times, after which they move on to massage the back surface of the lower extremities.

4. Perform plane and grasping stroking of the legs and thighs (5 times), rubbing the muscles of the legs and thighs (3 times), longitudinal and transverse kneading (3 times), vibration stroking (2 times). Massage first one, then the other leg.

5. Then the patient assumes a supine position. The anterior surface of the lower extremities is massaged using the following techniques: planar and grasping stroking of the legs and thighs (4–5 times), rubbing with the palmar surface of the hand, fingertips (3–4 times), longitudinal and transverse kneading (2–3 times each) ), vibration stroking (3–4 times). Finish by shaking the limbs.

The room in which the massage is performed must be well ventilated in advance.

The air temperature in it should be comfortable for the patient.

6. The procedure is completed with a massage of the abdomen, while the patient slightly bends his legs at the knee joints. At this stage, the following openings should be performed: flat circular superficial and deep stroking (5–6 times), enveloping stroking of the upper half of the abdomen to the axillary lymph nodes, and the lower half to the inguinal lymph nodes (3–4 times), rubbing with fingertips and the elbow edge palms (3–5 times), longitudinal and transverse kneading (2–3 times). The entire set of techniques, following the sequence, can be repeated 2-3 times, but the total duration of the procedure should not exceed 20 minutes. The recommended course is 15–20 procedures, they should be carried out every other day.

Self-massage for hypotension

Massage for any disease should be performed by an experienced specialist. If it is not possible to find one, self-massage is recommended for secondary prevention of hypotension. Self-massage techniques should be performed based on the body’s reaction.

Self-massage technique

To regulate blood pressure and improve overall well-being, it is recommended to perform self-massage of the head, lower extremities, lumbosacral region and abdomen.

Self-massage of the head

1. Starting position – standing or sitting, leaning on the back of a chair. Tilt your head slightly forward, relaxing your neck muscles.

2. Perform all movements along the hair growth, from the crown down to the neck and ears.

3. Start the massage from the front of the head: perform stroking movements with your fingertips in a straight line, then in a circle, in the direction from the scalp of the forehead to the back of the head.

4. Perform circular or spiral rubbing with your fingertips in the direction from the crown to the neck, ears and eyebrows.

5. Knead the scalp, moving and stretching the skin with your fingertips or the bases of your palms.

6. Perform stroking and circular rubbing of the temporal areas.

7. Finish lung procedure tapping with fingertips over the entire surface of the head, from the forehead to the neck.

A massage with a predominance of tonic techniques is recommended to be carried out in the first half of the day.

Self-massage of lower limbs

1. Starting position – sitting, place your leg on a chair with support on your heel.

2. Self-massage start with big muscle thighs using techniques such as stroking, rubbing, kneading and vibration. Perform movements from knee joint up to the inguinal fold when massaging the front surface of the thigh, massage the back, side and inner surfaces in the direction from the knee up to the inguinal lymph node.

3. Perform stroking with both hands alternately, then semicircular and transversely intermittent kneading with one or two hands, then stroking again.

4. Massage the knee (except for the area of ​​the kneecap), directing movements towards the popliteal fossa. The sequence of techniques should be as follows: stroking with both hands, rubbing the side surfaces in all directions with the edge and base of the palm, the comb of a hand bent into a fist, stroking. Finally, bend and straighten your leg at the knee several times.

5. Bend your leg and place it on the thigh of the other leg, massage the muscles of the lower leg. Massage the back surface of the lower leg in the direction from the heel tubercle upwards, to the popliteal region, the front surface - from the toes upwards. Start with stroking, then rub, knead and shake, and finish with stroking.

When massaging the muscles of the lower leg, you can use combined massage techniques: knead the muscles with one hand, and perform stroking movements with the other.

6. Perform a foot massage, starting with stroking and rubbing the toes, then the foot itself in the direction from the toes to the heel (use techniques such as circular and comb-like stroking and pincer-like rubbing).

7. Perform a massage on the other leg, repeating the techniques in the sequence described above.

Self-massage of the neck and collar area

1. Take a standing or sitting position.

2. Perform a massage on the back of the neck, starting with stroking with both hands, moving from top to bottom, from the hairline to the shoulder joints, pressing your palms tightly to the skin. After this, squeeze the ribs of both palms in the same direction as stroking, and rub the neck muscles with the fingertips of both hands along the back of the head from ear to ear. When performing this technique, make straight circular movements with your hands towards each other. In the area of ​​the greater occipital nerve and mastoid process, perform deep kneading from top to bottom, ending with stroking in the direction from the back of the head to the shoulder.

3. Massage the front of the neck with the palm of one hand in the direction from top to bottom, towards the collarbones. Perform the techniques in the following sequence: stroking, rubbing, kneading and stroking again.

4. Proceed to massage the collar area. Perform techniques with one hand, supporting the massaging with the other. First, stroke in the direction from the hair growth line down and to the side until shoulder joint, then squeezing with a mound thumb or the heel of the palm. After repeating each technique 3-4 times, perform semicircular kneading with the pads of four fingers. Then make several smooth tilts of your head left and right and back and forth, perform circular rotations, first clockwise, then counterclockwise. Finally, stroke.

Self-massage of the back and lower back

1. Starting position – standing or sitting.

2. Perform stroking from bottom to top and sideways with both hands at the same time, repeat 5-6 times.

3. Vigorously rub the spine in the same direction with your palms, fingertips or fists.

4. Perform several body tilts to the right and left and circular rotations, first in left side, and then to the right.

5. Perform stroking again.

6. Perform a massage of the gluteal muscles towards the inguinal lymph nodes.

7. Proceed to massage the lower thoracic spine: stroke with the palm of your hand in the direction from the lower back upward, to the lower corner of the scapula. Then squeeze with your fist from the side of the thumb ridge and rub with the back of your hand.

8. Rub the trapezius muscle alternately with both hands, directing movements from the mastoid process to the edge of the trapezius muscle.

9. Finish the massage with stroking.

Self-massage of the back can be supplemented by rubbing with a dry terry towel using movements from top to bottom.

In this case, the towel must first be held vertically and then horizontally.

Self-massage of the abdomen

1. Starting position – lying on your back, legs bent at the knees and hip joints.

2. Perform stroking movements clockwise from the right half of the abdomen to the left, gradually increasing the pressure.

3. Then rub with both hands with the comb of a hand bent into a fist, in the direction from the hypochondrium down and back, as well as to the right and left.

4. Knead the rectus abdominis muscles, then the oblique muscles running from the ribs to the pelvis.

5. Perform vibration techniques: placing your palms in the lower abdomen and clasping your fingers together, make frequent up and down movements.

6. Complete the massage with light circular strokes in a clockwise direction.