Frictions

Deep transverse frictions (DTF) are used as a treatment for injuries to ligaments, muscles, and tendons. Applying this technique reduces pain and signs of inflammation.

What are frictions?

Frictions are a massage technique applied deeply and transversely to the fibre direction of injured tissue. A finger or tool hooks behind the structure to be treated, after which the tissue is pulled. This must be done with some force.

Frictions are used for conditions such as a tennis elbow or tendon problems of the knee or shoulder. To perform the technique properly, the tissue to be treated must first be put under a little tension, for example by flexing or extending a joint.

The aim of frictions is to prevent or even break down abnormal formation of connective tissue so that the tissue can then heal in the right way. The quality of the scar tissue thus improves.

In addition, frictions stimulate local blood flow, which also benefits recovery. Although the DTF technique in practice seems to (temporarily) work for many people, there is no scientific evidence for it. Fewer and fewer physiotherapists still use frictions.

What do frictions feel like?

Frictions can be quite painful at first. Usually, the pain decreases during the treatment, which many people actually find pleasant. This does not mean that the symptoms are resolved after one treatment. The pain-relieving effect that occurs during treatment is temporary. Ultimately, the aim is for the affected structure to heal, but this will not happen without the right exercises to strengthen the tendon again.