ABSTRACT

Superficial petrissage is used in the treatment of cellulalgic subcutaneous tissues. The maneuver is adjusted according to the severity and degree of induration. There are two typical cases.

The first type is a global cellulalgia of the lumbar region. The thickened subcutaneous tissues are sometimes difficult to mobilize on the deep fascial planes and difficult to pleat. In these patients, the superficial fascial planes must be mobilized on the deep planes. This is followed by maneuvers of progressive pleating (or folding?) of the skin and superficial soft tissues. The skin folds are very thick at first, but they become more pliable as the treatment progresses.