At the start of the session I cleaned the bed off and laid out the couch roll so that the area looked professional. Once the client arrived I did a postural assessment and asked them if they had any particular areas that they wanted massaging. They complained of achiness in their left gastrocnemius so I decided to spend 20 minutes on this side and 20 minutes on the other side to ensure the massage was balanced. To test my anatomy, I palpated the lower limb so I am aware of where the main structures in the leg are as I know I will get tested on this in my practical exam. Before I started the massage, I asked the client which massage medium they would prefer me to use as some people may be allergic to particular oils, lotions or waxes. I began the massage on the gastrocnemius with effleurage to increase local circulation. The main technique that I used was petrissage (mainly kneading) that allowed me to get deeper into the muscle tissue and release some of the tension. I adapted some of the methods by using my thumbs and knuckles to get even deeper and to save my hands from some of the work. I also used tapotement that helps with stimulating local circulation.

Areas for further improvement 

To improve, I think I need to communicate more effectively with my client when applying the massage medium, especially at the beginning to warn them that it is cold. This will allow them to feel as relaxed as possible. Communication is also important when knowing how much pressure to apply so that the massage is as effective as possible.

Things to Remember 

1. Always check to see if the client has a massage medium that they would prefer you to use
2. Use other parts of your body such as your knuckles and elbows to protect your hand from arthritis
3. Make sure you have enough towels to protect your client’s modesty